1. 上海中医药大学附属龙华医院乳腺外科
2. 河南中医学院第一附属医院乳腺外科
3. 上海交通大学附属胸科医院核医学科
4. 河南中医学院科研处
纸质出版:2011
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[1]程旭锋,刘胜,杨顺芳,刘琦.药对“蛇床子-补骨脂”与乳腺癌骨转移裸鼠体重变化与骨代谢的量效关系研究[J].中医杂志,2011,52(24):2128-2131+2134.
CHENG Xufeng1, LIU Sheng1, YANG Shunfang3, et al. Dose-effect Relationship of Chinese Medicines Cnidium Fruit-Psoralea Fruit in Pairs on the Body Weight and Bone Metabolism of Mammary Cancer Bone Metastasis in Nude Mice[J]. Journal of Traditional Chinese Medicine2011, 52(24): 2128-2131.
[1]程旭锋,刘胜,杨顺芳,刘琦.药对“蛇床子-补骨脂”与乳腺癌骨转移裸鼠体重变化与骨代谢的量效关系研究[J].中医杂志,2011,52(24):2128-2131+2134. DOI: 10.13288/j.11-2166/r.2011.24.033.
CHENG Xufeng1, LIU Sheng1, YANG Shunfang3, et al. Dose-effect Relationship of Chinese Medicines Cnidium Fruit-Psoralea Fruit in Pairs on the Body Weight and Bone Metabolism of Mammary Cancer Bone Metastasis in Nude Mice[J]. Journal of Traditional Chinese Medicine2011, 52(24): 2128-2131. DOI: 10.13288/j.11-2166/r.2011.24.033.
目的从调节破骨细胞分化的主要途径护骨素(OPG)/细胞核因子κB受体活化因子配体(RANKL)/细胞核因子κB受体活化因子(RANK)系统研究蛇床子-补骨脂温肾药对抑制乳腺癌骨转移的作用机制。方法将42只乳腺癌骨转移裸鼠随机分为模型组、唑来磷酸组、蛇床子组、补骨脂组、2:2配比组、1:3配比组、3:1配比组
每组6只;另备正常裸鼠6只作为正常组。分别给予相应的药液灌胃
唑来磷酸组皮下注射
正常组给予生理盐水灌胃
持续6周。观察裸鼠的体重、骨转移灶病理和OPG、RANKL mRNA表达水平变化。结果 3:1配比组和2:2配比组体重下降率明显低于其他配比组
而2:2配比组低于3:1配比组;不同比例配伍组的骨抗酒石酸酸性磷酶(TRAP)(+)细胞数差异均有统计学意义
2:2配比组优于1:3配比组(P<0.05);不同配比的蛇床子-补骨脂可不同程度地上调OPG基因表达
下调RANKL基因表达
从基因方面调节OPG/RANKL的分泌比例
其中2:2配比组的疗效优于其他配比组。结论不同配比的蛇床子-补骨脂均具有一定的抑制乳腺癌骨转移作用
其中2:2配比组疗效最突出
其作用机制可能是调节了OPG/RANKL基因分泌比例。
Objective To study the mechanism of inhibiting mammary cancer bone metastasis of the warming kidney medicines Shechuangzi(Fructus Cnidii)-Buguzhi(Fructus Psoraleae) from the OPG/RANKL/RANK system of regulating osteoclast differentiation.Methods The 42 successfully made nude mice models with mammary cancer bone metastasis were randomized into model group
zoledronic acid group
Cnidium group
Psoralea group
2:2 ratio group
1:3 ratio group
and 3:1 ratio group
with 6 in each.The other 6 normal nude mice were taken as a normal group.They were given the corresponding liquid medicine by gavage respectively
but the zoledronic acid group was given intraperitoneal injection
and the normal group was given normal saline by gavage
for 6 weeks.The changes of body weight
pathological manifestations of bone metastases focus
and expression of osteoprotegerin and receptor activator of nuclear factor-kappa B ligand mRNA of nude mice were observed.Results The weight loss rate of the 3:1 group and 2:2 groups were significantly lower than other compatible groups
and that of the 2:2 group was lower than of the 3:1 group.The amount of bone TRACP(+) cells of different compatible groups was all statistically different
and the 2:2 group was superior to other compatible groups.The different compatibility of Shechuangzi(Fructus Cnidii) and Buguzhi(Fructus Psoraleae) could up-regulate the OPG expression to different degrees and down-regulate the RANKL expression
thus it was regulating the OPG/RANKL secretion ratio from the gene level.The effect of 2:2 group was better than other compatible groups in result.Conclusion All different compatibilities of Shechuangzi(Fructus Cnidii) and Buguzhi(Fructus Psoraleae) have inhibition effect on mammary cancer bone metastasis
while the effect of 2:2 group is the most superior.Its possible mechanism is probably related with the regulation of OPG/RANKL secretion ratio.
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