1. 广西中医药大学第一附属医院仙葫院区
2. 柳州市中医院
3. 广西中医药大学
纸质出版:2017
移动端阅览
[1]耿曙光,孙平良,袁代解,韦日娜,钟元帅.安肠汤对溃疡性结肠炎大鼠肠道真菌基因表达的影响[J].中医杂志,2017,58(24):2132-2136.
GENG Shuguang, SUN Pingliang, YUAN Daijie, et al. Effect of Anchang Decoction(安肠汤) on Intestinal Fungi Gene Expression in Rats with Ulcerative Colitis[J]. Journal of Traditional Chinese Medicine2017, 58(24): 2132-2136.
[1]耿曙光,孙平良,袁代解,韦日娜,钟元帅.安肠汤对溃疡性结肠炎大鼠肠道真菌基因表达的影响[J].中医杂志,2017,58(24):2132-2136. DOI: 10.13288/j.11-2166/r.2017.24.016.
GENG Shuguang, SUN Pingliang, YUAN Daijie, et al. Effect of Anchang Decoction(安肠汤) on Intestinal Fungi Gene Expression in Rats with Ulcerative Colitis[J]. Journal of Traditional Chinese Medicine2017, 58(24): 2132-2136. DOI: 10.13288/j.11-2166/r.2017.24.016.
目的探讨安肠汤治疗溃疡性结肠炎的可能作用机制。方法将112只大鼠随机分为空白组、模型组、美沙拉嗪组、丽珠肠乐组和安肠汤高、中、低剂量组
每组16只。除空白组外其余各组大鼠建立溃疡性结肠炎模型
造模后第10天空白组和模型组大鼠每只以生理盐水3 ml灌胃;丽珠肠乐组以丽珠肠乐溶液(0.5亿活菌/ml)灌胃
每次0.12 ml;美沙拉嗪组以美沙拉嗪混悬液(5 mg/ml)灌胃
每次0.35 ml;安肠汤低、中、高剂量组分别给予安肠汤浓缩液1、5、10 ml/(kg·d)
每日1次
共10天。取结肠病变肠段进行HE染色观察结肠黏膜组织形态学
取各组粪便标本应用实时荧光定量技术测定大鼠肠道5种真菌含量(包括白色念珠菌、曲霉菌、青霉菌、枝孢菌、隐球菌)。结果 HE染色结果显示
模型组大鼠结肠黏膜层几乎完全缺损
溃疡形成
黏膜充血糜烂
伴炎细胞浸润;各治疗组则较模型组出现改善。与空白组比较
其余各组大鼠肠道白色念珠菌、曲霉菌和青霉菌相对表达含量上明显升高
而枝孢菌和隐球菌相对表达含量降低(P<0.05)。与模型组比较
各治疗组大鼠肠道白色念珠菌、曲霉菌和青霉菌相对表达含量明显降低
枝孢菌和隐球菌相对表达含量升高(P<0.05)。安肠汤中剂量组在降低曲霉菌及升高枝孢菌、隐球菌相对表达含量方面优于安肠汤低、高剂量组
在降低白色念珠菌及青霉菌相对表达含量方面安肠汤高剂量组优于安肠汤低、中剂量组(P<0.05)。结论安肠汤对溃疡性结肠炎大鼠肠道真菌具有明确的调节作用
可能是其治疗溃疡性结肠炎的作用机制之一。
Objective To explore the potential mechanism of Anchang Decoction(安肠汤) in treating ulcerative colitis. Methods One hundred and twelve rats were randomized into blank group
model group
Mesalazine group
Live Bifidobacterium group and Anchang Decoction high
medium and low dose groups
with 16 rats in each group. Ulcerative colitis model was built in each group except for the blank group. Ten days after modeling
the blank group and the model group were given oral administration of 3 ml of normal saline; Live Bifidobacterium group was given 0. 12 ml of oral Live Bifidobacterium preparation(50 million viable bacteria/ml); Mesalazine group was given0. 35 ml of Mesalazine suspension(5 mg/ml) by gavage; and Anchang Decoction low
medium and high dose groups were respectively given 1
5
or 10 ml/(kg·d) of concentrated Anchang Decoction. All treatments were given once daily for 10 days. The lesion segment of colon was harvested for HE staining to observe the histomorphology of colonic mucosa. The stool samples were collected from each group to determine the intestinal fungal contents(including Candida albicans
Aspergillus
Penicillium
Cladosporium and Cryptococcus) with real-time fluorescence quantitative technology. Results The results of HE staining showed that the colonic mucosa in the model group was almost completely absent
with ulceration
mucosal erosion and inflammatory cell infiltration
while colonic mucosa in the treatment groups all improved compared with that in the model group. Compared with those in the blank group
the relative expression levels of Candida albicans
Aspergillus and Penicillium significantly increased
while the relative expression levels of Cladosporium and Cryptococcus decreased in other groups(P < 0. 05). Compared with those in the model group
the relative expression levels of Candida albicans
Aspergillus and Penicillium significantly decreased
while the relative expression levels of Cladosporium and Cryptococcus significantly increased in each of treatment groups(P < 0. 05). Effects were better in Anchang Decoction medium dose group than in Anchang Decoction low and high dose groups in reducing relative expression level of Aspergillus and raising expression levels of Cladosporium and Cryptococcus
while effects were better in Anchang Decoction high dose group than in Anchang Decoction low and medium dose groups in reducing the relative expression levels of Candida albicans and Penicillium(P < 0. 05).Conclusion Anchang Decoction seems have a clear regulatory effect on intestinal fungi in rats with ulcerative colitis
which may be one of its mechanisms in the treatment of ulcerative colitis.
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