首都医科大学附属北京中医医院
纸质出版:2019
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[1]王雪蕊,徐霄龙,白云静,郭玉红,刘清泉.强心一号复方对脓毒症小鼠心脏的保护作用及机制[J].中医杂志,2019,60(24):2133-2137.
WANG Xuerui, XU Xiaolong, BAI Yunjing, et al. Cardio Protective Effect and Mechanism of Qiangxin Yihao Compound (强心一号复方) on Septic Mice[J]. Journal of Traditional Chinese Medicine2019, 60(24): 2133-2137.
[1]王雪蕊,徐霄龙,白云静,郭玉红,刘清泉.强心一号复方对脓毒症小鼠心脏的保护作用及机制[J].中医杂志,2019,60(24):2133-2137. DOI: 10.13288/j.11-2166/r.2019.24.015.
WANG Xuerui, XU Xiaolong, BAI Yunjing, et al. Cardio Protective Effect and Mechanism of Qiangxin Yihao Compound (强心一号复方) on Septic Mice[J]. Journal of Traditional Chinese Medicine2019, 60(24): 2133-2137. DOI: 10.13288/j.11-2166/r.2019.24.015.
目的探讨强心一号复方对脓毒症小鼠的心脏保护作用及可能作用机制。方法 45只C57BL/6J小鼠分为假手术组、模型组、强心组
每组15只。模型组和强心组采取盲肠结扎穿孔术制备脓毒症模型。强心组术后2h给予1g/(kg·d)强心一号复方灌胃
模型组、假手术组给予1ml生理盐水灌胃
各组均灌胃1次。术后48h采用小动物超声评价心功能[室间隔厚度(IVS)、左心室后壁收缩期厚度(LVPWS)、左心室后壁舒张期厚度(LVPWD)、左心室收缩末期内径(LVEDS)、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)]情况
HE染色和WGA染色评价心肌细胞病理改变
Realtime PCR检测心脏组织炎症因子[包括白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)]mRNA水平表达
ELISA法检测血清中炎症因子蛋白表达。结果与假手术组比较
模型组IVS和LVEF显著降低
心脏组织IL-1β、TNF-α和IL-6 mRNA表达水平和血清中IL-1β、TNF-α和IL-6蛋白表达水平均显著增高(P<0.05);与模型组比较
强心组IVS和LVEF显著升高
心脏组织IL-1β、TNF-α和IL-6 mRNA表达水平和血清中IL-1β、TNF-α和IL-6蛋白表达显著下降(P<0.05)。病理结果显示
与假手术组相比
模型组心脏组织炎症细胞浸润增多
心肌细胞代偿性肥大;与模型组相比
强心组心脏组织炎症细胞浸润和心肌细胞代偿性肥大情况改善。结论强心一号复方对脓毒症小鼠心功能和心肌重构具有保护作用
其机制可能与减轻炎症反应有关。
Objective To investigate the cardio protective effect of Qiangxin Yihao Compound(强心一号复方) on septic mice and its possible mechanism. Methods A total of 45 C57 BL/6 mice were randomly divided into a sham operation group
a model group and a Qiangxin group
with 15 mice in each group. Cecal ligation and puncture(CLP) was used to establish sepsis model in the model group and the Qiangxin group. The Qiangxin group was given 1 g/(kg·d) Qiangxin Yihao Compound by gavage 2 hours after operation
and the model group and the sham operation group were given 1 ml normal saline by gavage
once for each group. Cardiac function including interventricular septal thickness(IVS)
left ventricular posterior wall systolic thickness(LVPWS)
left ventricular posterior wall diastolic thickness(LVPWD)
left ventricular end systolic diameter(LVEDS)
left ventricular end diastolic diameter(LVEDD) and left ventricular ejection fraction(LVEF) was assessed by small animal ultrasound 48 hours after operation. Cardiac pathological changes were assessed by HE and WGA staining. Realtime PCR was used to detect the mRNA expression of inflammatory cytokines including interleukin 6(IL-6)
tumor necrosis factor α(TNF-α) and interleukin 1β(IL-1β) in heart tissue. ELISA was used to evaluate the secretion of inflammatory cytokines in serum. Results Compared with the sham operation group
IVS and LVEF of the model group decreased significantly(P<0.05)
and IL-1β
TNF-α and IL-6 mRNA expression in cardiac tissue and IL-1 a
TNF-α and IL-6 protein levels in the serum were increased significantly(P<0.05). Compared with the model group
IVS and LVEF of the Qiangxin group were significantly increased
and IL-1β
TNF-α and IL-6 mRNA expression in cardiac tissue and IL-1β
TNF-α and IL-6 protein levels in the serum were decreased significantly(P<0.05). Pathological results showed that compared with the sham operation group
the inflammatory cell infiltration of cardiac tissue increased and the cardiomyocytes compensatory hypertrophy in the model group; compared with the model group
the inflammatory cell infiltration and cardiomyocyte hypertrophy in the cardiac group were improved. Conclusion Qiangxin Yihao Compound has protective effects on cardiac function and cardiac myocytes remodeling in CLP mice
and its mechanism may be related to the alleviation of inflammatory responses.
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