1. 北京中医药大学中医学院
2. 首都医科大学附属北京中医医院北京市中医研究所
3. 北京中医药大学
纸质出版:2017
移动端阅览
[1]李雪,解欣然,李宁飞,蒙玉娇,王明星,任攀,张璐,张蕾,李萍.凉血解毒利湿方对小鼠银屑病样皮损中过氧化物酶体增殖激活受体的影响[J].中医杂志,2017,58(23):2032-2038+2073.
LI Xue, XIE Xinran, LI Ningfei, et al. Effects of Liangxue Jiedu Lishi Fang(凉血解毒利湿方) on Peroxisome Proliferator-activated Receptors in Psoriatic Lesions of Mice[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2032-2038.
[1]李雪,解欣然,李宁飞,蒙玉娇,王明星,任攀,张璐,张蕾,李萍.凉血解毒利湿方对小鼠银屑病样皮损中过氧化物酶体增殖激活受体的影响[J].中医杂志,2017,58(23):2032-2038+2073. DOI: 10.13288/j.11-2166/r.2017.23.013.
LI Xue, XIE Xinran, LI Ningfei, et al. Effects of Liangxue Jiedu Lishi Fang(凉血解毒利湿方) on Peroxisome Proliferator-activated Receptors in Psoriatic Lesions of Mice[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2032-2038. DOI: 10.13288/j.11-2166/r.2017.23.013.
目的探讨凉血解毒利湿方治疗银屑病的可能作用机制。方法 50只BALB/c小鼠随机分为空白对照组、模型组、甲氨蝶呤组及中药高、低剂量组。除空白对照组外
其余各组连续6日外涂5%咪喹莫特乳膏建立银屑病模型
除模型组外
中药高、低剂量组分别给予凉血解毒利湿方42、21 g/(kg·d)灌胃
甲氨蝶呤组给予甲氨蝶呤片1 mg/(kg·d)灌胃
模型组和空白对照组给予0.4 ml蒸馏水
每日1次
共6天。第7天观察小鼠皮损变化情况;HE染色观察皮损组织形态学变化
光镜下测量表皮厚度;免疫荧光法检测小鼠皮损中增殖细胞核抗原(PCNA)有丝分裂细胞核数、有丝分裂细胞率、外皮蛋白、过氧化物酶体增殖激活受体α(PPAR-α)、过氧化物酶体增殖激活受体γ(PPAR-γ)、过氧化物酶体增殖激活受体β/δ(PPAR-β/δ)表达情况;Real-Time PCR、Western blot法分别检测小鼠皮肤中PPAR-α、PPAR-γ、PPAR-β/δmRNA、蛋白表达。结果模型组小鼠皮损鳞屑叠起、红斑色深、浸润较厚;与模型组相比
各给药组皮损症状均有明显改善。与空白对照组比较
模型组小鼠表皮细胞层增厚
有丝分裂细胞核数量均明显增多
有丝分裂细胞率显著升高。与模型组比较
甲氨蝶呤组及中药高、低剂量组PPAR-α、PPAR-γ蛋白表达升高
PPAR-β/δ蛋白表达降低
甲氨蝶呤组PPAR-γ、PPAR-β/δmRNA及中药高、低剂量组PPAR-β/δmRNA均明显降低(P<0.05或P<0.01)。与中药高剂量组比较
中药低剂量组PPAR-β/δmRNA表达降低(P<0.01)。结论凉血解毒利湿方可调控银屑病小鼠皮损中PPARs表达
从而抑制表皮细胞过度增殖和分化
可能是其治疗银屑病的作用机制之一。
Objective To explore the potential mechanism of Liangxue Jiedu Lishi Fang( 凉血解毒利湿方
LJLF) in treating psoriasis. Methods Fifty BALB/c mice were randomized into control group
model group
methotrexate group as well as Chinese medicine high and low dose groups. Group except for the control group was coated with 5% imiquimod cream for 6 days to establish a psoriasis model. Chinese medicine high and low dose groups were respectively given oral LJLF 42 and 21 g/( kg·d)
methotrexate group was given methotrexate tablets 1 mg/( kg·d) by gavage and the model group and the control group were given 0. 4 ml distilled water once a day for 6 days. On the 7 th day
the changes of the skin lesions were observed; the morphological changes of the lesions were observed by HE staining and the thickness of the epidermis was measured under light microscope; immunofluorescence method was used to detect the number of proliferating cell nuclear antigen( PCNA) mitotic cell nucleus
mitotic cell ratio
and the expressions of cortical protein
peroxisome proliferator activated receptor α( PPAR-α)
peroxisome proliferator activated receptor γ( PPAR-γ) and peroxisome proliferator-activated receptor β/δ( PPAR-β/δ) in skin lesions. The mRNA and protein expressions of PPAR-α
PPAR-γ and PPAR-β/δ in mouse skin were detected by real-time PCR and western blot respectively. Results The mice in the model group had squamous skin scales
deep erythema and thick infiltration. Compared with those of the model group
the lesions of each treatment group significantly improved.Compared with those in the control group
the epidermal cell layer in the model group was thicker
the number of mitotic nuclei and the mitotic cell ratio significantly increased. Compared with those in the model group
the expressions of PPAR-α and PPAR-γ protein increased in methotrexate group and Chinese medicine high and low dose groups
while the expression of PPAR-β/δ decreased
and the mRNA levels of PPAR-γ and PPAR-β/δ in methotrexate group significantly decreased
so as the PPAR-β/δ mRNA in high and low dose Chinese medicine groups( P < 0. 05 or P <0. 01). Compared with the high dose Chinese medicine group
the expression of PPAR-β/δ mRNA in the low dose Chinese medicine group significantly decreased( P < 0. 01). Conclusion LJLF could regulate the expression of PPARs in the skin lesions of psoriatic mice and thus inhibits the excessive proliferation and differentiation of epidermal cells
which may be one of its mechanisms in the treatment of psoriasis.
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