XIE Shurui, ZHU Yingjun, SUN Xu, et al. Impact of Shumai Jiaonang(舒脉胶囊) on Lower Extremity Artery Intimal Hyperplasia in Lower Extremity Artery Postoperative Restenosis Model Rats[J]. Journal of Traditional Chinese Medicine2018, 59(6): 513-517.
XIE Shurui, ZHU Yingjun, SUN Xu, et al. Impact of Shumai Jiaonang(舒脉胶囊) on Lower Extremity Artery Intimal Hyperplasia in Lower Extremity Artery Postoperative Restenosis Model Rats[J]. Journal of Traditional Chinese Medicine2018, 59(6): 513-517.DOI: 10.13288/j.11-2166/r.2018.06.016.
Impact of Shumai Jiaonang(舒脉胶囊) on Lower Extremity Artery Intimal Hyperplasia in Lower Extremity Artery Postoperative Restenosis Model Rats
Objective To examine the inhibitory effect of Shumai Jiaonang on lower extremity artery intimal hyperplasia in model rats with lower extremity artery postoperative restenosis( PRS). Methods Thirty-two Sprague Dawley( SD) rats were randomized into a model group
a sham operation group( n = 7 in each group)
the Shumai low
medium and high dose groups( n = 6 in each group). Lower extremity artery restenosis models were made by dilated catheter with percutaneous transluminal coronary angioplasty( PTCA) through left femoral artery to make left common iliac artery injury in rats in each group
except those in the sham operation group. No balloon injury was made in sham operation group. From the 2 nd day of operation
the Shumai low
medium and high dose groups were given 0. 0324
0. 0648 and 0. 1296 g/ml of Shumai Jiaonang turbid liquid by gavage
respectively. The model group and the sham operation group were given normal saline by gavage. The dose was 1 ml of solution per 300 g body weight
and the treatment lasted for 8 weeks. At the 4 th week after operation
the intimal thickness and lumen diameter of left iliac artery of rats in each group were measured by color doppler ultrasound. At the 8 th week after operation
vascular histomorphology was examined by hematoxylin and eosin( HE) stain and elastic fiber staining. The maximum intimal thickness and intimal area were measured. The area ratio of tunica intima and tunica media was calculated. Results At the 4 th week after operation
rats’ left iliac artery thickened and roughened in the model group
as well as the Shumai low
medium and high dose groups. Intimal thickness and lumen diameter of iliac artery in the model group
and the Shumai low
medium and high dose groups were higher than those in the sham operation group( P < 0. 05). At the 8 th week
cross section of iliac artery HE stain and elastic fiber staining showed that rats’ intima was obviously thickened; there were large number of smooth muscle cells in neointima in all the groups except the sham operation group. The neointima area of the rats in the model group was the biggest
followed those in the Shumai low dose group
the Shumai medium dose group
and the Shumai high dose group. There were significant differences in neointima area among the 4 groups( P < 0. 05)
as well as between the sham operation group and each of other groups( P < 0. 01). Conclusion Shumai Jiaonang might inhibit the lower extremity artery intimal hyperplasia in lower extremity artery PRS model rats
improve the circulation and relieve arterial stenosis.