文章摘要
芍药苷对大鼠术后肠粘连影响及其作用机制探讨
Experimental study of paeoniflorin on postoperative intestinal adhesion and its mechanism
投稿时间:2018-02-23  
DOI:10.3969/j.issn.1000-0399.2018.11.001
中文关键词: 肠粘连  芍药苷  透明质酸钠
英文关键词: Intestinal adhesions  Paeoniflorin  Sodium hyaluronate
基金项目:陕西省自然科学基础研究计划项目(项目编号:S2018-JC-QN-1595)
作者单位E-mail
常琦 716000 陕西延安 延安大学附属医院普外科  
刘涛 716000 陕西延安 延安大学附属医院普外科  
张磊 716000 陕西延安 延安大学附属医院普外科 shitou_doctor@sohu.com 
高琪 710003 陕西省西安市儿童医院普外科  
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中文摘要:
      目的 探讨芍药苷对SD大鼠术后肠粘连的作用效果。方法 选取40只雄性SD大鼠,采用电脑抽号随机分配成4组:空白对照组(Sham组)、对照组(Control组)、透明质酸钠盐阳性对照组(hyaluronate,HA组)以及芍药苷(paeoniflorin)组,每组10只大鼠。Sham组正常开腹后找到盲肠向外拉出然后放回;其余各组均采用盲肠摩擦+对应腹壁损伤模型进行肠粘连造模。芍药苷组术后给予芍药苷灌胃;透明质酸钠组术中腹腔放置透明质酸钠。造模成功后第10天处死所有动物,评估并比较4组大鼠形成粘连的程度及范围,进而进行粘连评分;病理学分析炎症渗出;取粘连组织进行蛋白质印迹(Western blot)分析肿瘤生长因子β(TGF-β)、白细胞介素8(IL-8)的表达;通过ELISA试剂盒检测各组血TGF-β、IL-8的表达水平。结果 术后第10天开腹后肉眼宏观评估粘连程度及范围,与对照组比较,芍药苷组中粘连等级及评分均降低,差异有统计学意义(P<0.50);HE病理学分析显示芍药苷组炎症渗出显著降低;ELISA检测结果显示,芍药苷组TGF-β、IL-8低于Control组,差异有统计学(P<0.05);进一步Western blot定量分析检测TGF-β、IL-8的表达在芍药苷组中显著降低(P<0.05)。结论 芍药苷可显著降低术后TGF-β、IL-8的表达,较临床常用的透明质酸钠效果更显著,有望成为术后用于预防肠粘连的药之一。
英文摘要:
      Objective To investigate the effect of paeoniflorin on the postoperative intestinal adhesion in rat model. Methods Forty male SD rats were selected and randomly divided into four groups:sham, control, hyaluronate (HA) group and paeoniflorin group, with ten in each group. In sham group, the caecum of rats was pulled out and put back after normal laparotomy, and.intestinal adhesion model was established in other groups using cecum friction and the corresponding abdominal wall injury model. Paeoniflorin group received intragastric administration of paeoniflorin and HA group was placed sodium hyaluronate intraperitoneally, then all mice were sacrificed 10 days after the successful model establishment. The degree and scope of adhesion were evaluated and compared among four groups of rats, then the adhesion score was evaluated, and the inflammatory exudation was analyzed pathologically. The expressions of tumor growth factor β (TGF-β) and interleukin-8 (IL-8) were detected by Western blot, and the expression levels of TGF-β and IL-8 were detected by ELISA kit. Results Compared with control group, the degree and scope of adhesion were evaluated by naked eyes 10 days after operation, and the grade and score of adhesion in paeoniflorin group were significantly lower than those in control (P<0.50). HE pathological analysis showed that the inflammatory exudation in paeoniflorin group was significantly lower than that in control(P<0. 05). The TGF-β and IL-8 in paeoniflorin group were significantly lower than those in control (P<0. 05). The expressions of TGF-β and IL-8 in paeoniflorin group were significantly lower than those in paeoniflorin group by Western blotting. Conclusion Paeoniflorin can significantly reduce the TGF-β and IL-8, which is more effective than hyaluronate in anti-intestinal adhesion, and it is expected to be the target drug for prevention of intestinal adhesion after operation.
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