首页|益气活血方通过Ghrelin对机械通气肺损伤大鼠肺组织的保护机制研究

益气活血方通过Ghrelin对机械通气肺损伤大鼠肺组织的保护机制研究

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目的:通过观察益气活血方对机械通气肺损伤(VILI)大鼠血清、肺泡灌洗液及肺组织中Ghrelin、血管紧张素Ⅱ(AngⅡ)、肾素、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)表达的变化及其对肺组织的影响,以发现其对肺组织的保护作用及机制.方法:将 40 只SD大鼠随机分成空白组、模型组、中药组和阳性药物组,乙醚麻醉后用动物人工呼吸机通气的方式制备VILI大鼠模型,其中阳性药物组造模前腹腔给药Ghrelin,中药组在通气后给予益气活血方灌胃 2 周,观察肺组织结构及炎症细胞浸润程度,酶联免疫吸附检测(ELISA)法检测Ghrelin、AngⅡ、肾素、IL-6、TNF-α在各组大鼠血清和肺泡灌洗液中的表达,RT-PCR法检测肺组织IL-6、TNF-α mRNA表达.结果:与空白组比较,造模后,机械通气肺损伤模型组大鼠血清及肺组织中AngⅡ、肾素、IL-6、TNF-α均有不同程度水平升高,Ghrelin表达水平降低(P<0.05 或P<0.01).给药 2 周后,和模型组相比,中药组AngⅡ、肾素、IL-6、TNF-α表达水平略微下降,Ghrelin表达上调(P<0.05);HE染色病理提示两给药组大鼠肺组织形态结构明显改善.结论:益气活血方对VILI大鼠肺组织有保护作用,可能与下调VILI大鼠肺组织中AngⅡ、肾素、IL-6、TNF-α,上调Ghrelin表达水平,减轻了炎症反应对肺组织的损伤有关.
Study on the Mechanism of Early Diabetic Nephropathy Rats and the Effect of Yiqihuoxue Prescription
Objective:To observe the effect of Yiqihuoxue prescription on Ghrelin,AngⅡ,Renin,IL-6 and TNF-α in serum,bronchoalveolar lavage fluid and lung tissue of rats with mechanical ventilation induced lung injury(VILI),and their effects on lung tissue.In order to elucidate the possible mechanism of lung protection.Methods:40 SD rats were randomly divided into blank group,model group,traditional chinese medicine group and positive drug group.VILI rat model was prepared by artificial ventilator after ether anesthesia.The positive drug group was given Ghrelin intraperitoneally before modeling,and the chinese medicine group was given Yiqihuoxue prescription by gavage for 2 weeks after modeling.The lung tissue structure and the degree of inflammatory cell infiltration were observed.The levels of Ghrelin,AngⅡ,Renin,IL-6 and TNF-α in serum and alveolar lavage fluid of each group were detected by ELISA.The expression of IL-6 and TNF-α mRNA in lung tissues was detected by RT-PCR.Results:Compared with blank group,AngⅡ,Renin,IL-6 and TNF-α in serum and lung tissue of rats with mechanical ventilation lung injury model group were increased to varying degrees after modeling,while Ghrelin expression was decreased(P<0.05 or P<0.01).After 2 weeks,compared with the model group,the expression levels of AngⅡ,renin,IL-6 and TNF-α decreased slightly in the chinese medicine group,while the expression of Ghrelin was upregulated(P>0.05);HE staining showed that the morphology and structure of lung tissue were significantly improved in both groups.Conclusion:Yiqihuoxue prescription has a protective effect on lung tissue of VILI rats,which may be related to down-regulating AngⅡ,Renin,IL-6 and TNF-α in lung tissue of VILI rats,up-regulating Ghrelin expression level,and alleviating the injury of lung tissue caused by inflammatory response.

Ventilation induced lung injuryYiqihuoxue prescriptionLung tissueProtecttion mechanism

宋文龙、李瑾

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浙江省建德市中西医结合医院 建德 311600

机械通气肺损伤 益气活血方 肺组织 保护机制

浙江省杭州市卫生科技计划项目浙江省建德市科技引导项目

00201907602018JYW12

2024

实用中西医结合临床
江西省中医药研究院,江西省中西医结合学会

实用中西医结合临床

影响因子:0.522
ISSN:1671-4040
年,卷(期):2024.24(1)
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