天津市南开医院妇产科
纸质出版:2017
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[1]刘笑梅,张蕾,陈桂玲,姬秀红,潘立伟,何霞霞.坤泰胶囊对雌激素、孕激素联合诱发子宫肌瘤大鼠激素水平及相关生长因子的影响[J].中医杂志,2017,58(11):960-965.
LIU Xiaomei, ZHANG Lei, CHEN Guiling, et al. Impact of Kuntai Capsule(坤泰胶囊) on the Hormone Level and Related Growth Factors of Rats with Uterus Myoma Induced by Both Estrogen and Progesterone[J]. Journal of Traditional Chinese Medicine2017, 58(11): 960-965.
[1]刘笑梅,张蕾,陈桂玲,姬秀红,潘立伟,何霞霞.坤泰胶囊对雌激素、孕激素联合诱发子宫肌瘤大鼠激素水平及相关生长因子的影响[J].中医杂志,2017,58(11):960-965. DOI: 10.13288/j.11-2166/r.2017.11.015.
LIU Xiaomei, ZHANG Lei, CHEN Guiling, et al. Impact of Kuntai Capsule(坤泰胶囊) on the Hormone Level and Related Growth Factors of Rats with Uterus Myoma Induced by Both Estrogen and Progesterone[J]. Journal of Traditional Chinese Medicine2017, 58(11): 960-965. DOI: 10.13288/j.11-2166/r.2017.11.015.
目的探讨坤泰胶囊对围绝经期子宫肌瘤患者的可能作用机制。方法将43只SD大鼠随机分为造模组36只和空白组7只。造模组采用雌孕激素负荷法建立子宫肌瘤大鼠模型。将造模成功的36只大鼠随机分为模型组、雌二醇组和坤泰组
每组12只。坤泰组给予坤泰胶囊0.5 g/(kg·d)灌胃
雌二醇组给予戊酸雌二醇片50μg/(kg·d)灌胃
空白组和模型组给予生理盐水10 ml/(kg·d)灌胃。每天1次
连续30天。观察大鼠子宫形态和病理组织学变化
检测血清雌二醇(E2)、孕酮(P)水平
对子宫组织雌激素受体(ER)、孕激素受体(PR)、碱性成纤维细胞生长因子(b FGF)、血管内皮生长因子(VEGF)、转移生长因子β3(TGF-β3)、B淋巴细胞瘤-2基因相关X蛋白(Bax)、B淋巴细胞瘤-2基因(Bcl-2)、增殖细胞核抗原(PCNA)蛋白表达进行半定量分析评分。结果与正常组比较
模型组子宫重量、宫颈最大直径、宫体最大直径、子宫系数
血清E2、P水平
子宫组织ER、PR、VEGF、b FGF、TGF-β3、Bcl-2、PCNA蛋白表达明显增加
Bax蛋白表达明显下降(P<0.05或P<0.01)。与模型组比较
坤泰组及雌二醇组宫颈最大直径、宫体最大直径
血清E2、P水平
子宫组织ER、PR、VEGF、b FGF、TGF-β3蛋白表达均明显降低
Bax蛋白表达明显上升(P<0.05或P<0.01)
且坤泰组宫颈最大直径、宫体最大直径
血清E2、P水平低于雌二醇组
Bax蛋白高于雌二醇组(P<0.05)。结论坤泰胶囊能抑制子宫肌瘤的生长
调控雌激素、孕激素及其受体
抑制相关生长因子
促进细胞凋亡
抑制细胞增生可能是其机制之一。
Objective To explore the effect and possible mechanism of Kuntai Capsule( 坤泰胶囊) in treating uterus myoma. Methods Forty-three SD rats were randomized into modeling group( n = 36) and blank group( n =7). Uterus myoma rat models were built in the modeling group by estrogen and progesterone loading method. Thirtysix successfully modeled rats were randomized into model group
estradiol group and Kuntai group
with 12 in each group. The Kuntai group was given Kuntai Capsule 0. 5 g/( kg·d) by gavage. The estradiol group was given estradiol valerate tablet 50 μg/( kg· d) by gavage. The blank group and the model group were given normal saline 10 ml/( kg·d) by gavage once every day
for 30 days. Rats’ uterine morphology and pathologic histology changes were examined. The estradiol( E
2
) and progesterone( P) levels were detected. Semi quantitative analysis score was made on the protein expressions of uterine tissue estrogen receptor( ER)
progesterone receptor( PR)
basic fibroblast growth factor( b FGF)
vascular endothelial growth factor( VEGF)
transfer growth factorβ3( TGF-β3)
X protein associated to gene2 of B lymphocyte tumor( Bax)
B lymphocyte tumor-gene2( Bcl-2) and proliferating cell nuclear antigen( PCNA). Results Compared with the normal group
uterine weight
maximum diameter of cervix
maximum diameter of uterine body
uterine coefficient
serum levels of E
2
and P
uterine tissue protein expressions of ER
PR
VEGF
b FGF
TGF-β3
Bcl-2 and PCNA in the model group increased
while Bax protein expression decreased( P
<
0. 05 or P
<
0. 01). Compared with the model group
maximum diameter of cervix
maximum diameter of uterine body
serum levels of E2 and P
uterine tissue protein expressions of ER
PR
VEGF
b FGF and TGF-β3 in the KUntai group and the estradiol group decreased
while Bax protein expression increased( P
<
0. 05 or P
<
0. 01).Moreover
maximum diameter of cervix
maximum diameter of uterine body
as well as serum levels of E2 and P in the Kuntai group were lower than those in the estradiol group; Bax protein expression was higher than it in the estradiol group( P
<
0. 05). Conclusion Kuntai Capsule might inhibit the growth of uterus myoma. Regulating estrogen
progesterone and the receptors
inhibiting related growth factors
promoting apoptosis and inhibiting cell proliferation might be one of the mechanisms.
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