首页|半夏泻心汤治疗功能性消化不良的机制研究

半夏泻心汤治疗功能性消化不良的机制研究

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目的 评估不同功能性消化不良(FD)造模方法的效果,并探讨半夏泻心汤对FD的治疗作用及潜在机制.方法 BALB/c小鼠随机分为空白组、碘乙酰胺组、洛哌丁胺组、夹尾组和食醋组.经过 1 周干预,观察各组小鼠状态并检测其胃肠动力、激素水平及病理变化,评估并确定一种较为理想的FD造模方法.造模后给予不同剂量半夏泻心汤进行干预,观察小鼠胃肠功能的改变,并通过免疫组化、ELISA、Western blot等实验方法研究相关蛋白表达情况.结果 对 4 种造模方法进行比较发现,碘乙酰胺组、洛哌丁胺组和食醋组小鼠与空白组相比体质量有所减轻;碘乙酰胺组和食醋组小鼠胃排空率及小肠推进率下降;夹尾组及食醋组小鼠血清中胃肠激素发生变化.最后评估碘乙酰胺法为最优的FD造模方法.给药结果显示半夏泻心汤对FD小鼠进食量及体质量无明显影响,中、高剂量可改善FD小鼠身体状态,提高其胃排空率与小肠推进率.免疫组织化学、ELISA、Western blot等实验结果证实,中、高剂量半夏泻心汤可显著降低FD小鼠十二指肠及血清内TNF-α及IL-6 的表达水平.结论 碘乙酰胺法是一种更优的FD造模方法.半夏泻心汤可改善FD小鼠状态,提高胃肠动力,通过降低炎症因子分泌达到治疗FD的作用.
Study on the Mechanism of Banxia Xiexin Decoction in Treating Functional Dyspepsia
OBJECTIVE To evaluate the effects of different functional dyspepsia(FD)modeling methods and explore the thera-peutic effect and potential mechanism of Banxia Xiexin Decoction on FD.METHODS BALB/c mice were randomly divided into the blank group,iodoacetamide group,loperamide group,tail clamp group and vinegar group.After 1 week of intervention,the status of mice in each group was observed and their gastrointestinal motility,hormone levels and pathological changes were detected.A more i-deal FD modeling method was evaluated and determined.After modeling,different doses of Banxia Xiexin Decoction were given to in-tervene,and the changes in the gastrointestinal function of mice were observed.The expression of related proteins was studied by im-munohistochemistry,ELISA,Western Blot and other experimental methods.RESULTS Comparing the four modeling methods,it was found that the mice in the iodoacetamide group,loperamide group,and vinegar group showed weight loss compared to the blank group;the gastric emptying rate and small intestinal propulsion rate of mice in the iodoacetamide group and vinegar group decreased;changes in gastrointestinal hormones were found in the serum of mice in the tail clip group and vinegar group.Finally,the iodoacetamide meth-od was evaluated as the optimal FD modeling method.The administration results showed that Banxia Xiexin Decoction had no signifi-cant effect on the food intake and body weight of FD mice,while medium and high doses could improve the physical condition of FD mice,increase their gastric emptying rate and small intestine propulsion rate.The experimental results of immunohistochemistry,West-ern blotting,and ELISA confirmed that medium and high doses of Banxia Xiexin Decoction can significantly reduce the expression lev-els of TNF-α and IL-6 in the duodenum and serum of FD mice.CONCLUSION The iodoacetamide method is a better FD modeling method.Banxia Xiexin Decoction can improve the condition of FD mice,increase gastrointestinal motility,reduce the secretion of in-flammatory factor,thereby achieving the therapeutic effect of treating FD.

functional dyspepsiamodel comparisonBanxia Xiexin DecoctioniodoacetamideTNF-αIL-6

邹得方、顾任钧、朱明喜、任浪、陶睿智、陆可沁、王爱云、孙志广

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南京中医药大学药学院,江苏省中药药效与安全性评价重点实验室,江苏 南京 210023

南京中医药大学第一临床医学院,江苏 南京 210023

江苏省第二中医院消化科,江苏 南京 210023

功能性消化不良 模型比较 半夏泻心汤 碘乙酰胺 TNF-α IL-6

国家自然科学基金面上项目江苏省中医药科技发展计划青年人才项目

82074312QN202206

2024

南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子:1.658
ISSN:1672-0482
年,卷(期):2024.40(9)
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