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芍药苷对小鼠放射性肠炎的防治作用

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目的 探讨芍药苷腹腔灌注对放射性肠炎的防治作用.方法 选择SPF 清洁级C57/B6 雌性小鼠60 只,称重后随机分为6 组各10 只.除正常组外,放疗+生理盐水组、放疗+地塞米松组、放疗+芍药苷低剂量组、放疗+芍药苷中剂量组、放疗+芍药苷高剂量组小鼠均予以18 Gy 10 MeV电子线全腹部单次照射构建放射性肠炎模型,且每组在放疗前 2d、放疗当天及放疗后第1~13 天连续每天分别腹腔灌注生理盐水、1.25 mg/kg地塞米松、30 mg/kg芍药苷、60 mg/kg芍药苷、90 mg/kg芍药苷,灌注量均为0.1 mL/10 g.放疗后观察小鼠排便、自主活动及毛发情况,每天称重;于放疗后第2 天、第4 天、第6 天、第8 天、第14 天对小鼠进行剖腹探查,并取肠组织行HE染色观察;统计每组小鼠放疗后14d内存活情况.结果 放疗+生理盐水组、放疗+地塞米松组、放疗+芍药苷低剂量组小鼠放疗后陆续出现解稀便、行动迟缓及毛发粗糙,体重明显下降,且在放疗后2d即开始出现肠黏膜损伤;放疗+芍药苷中剂量组、放疗+芍药苷高剂量组小鼠在放疗后排便正常,活动自如,毛发光滑,体重波动小且明显高于其他放疗组(P均<0.05),肠道组织损伤时限延长且损伤程度较轻.正常组、放疗+芍药苷中剂量组、放疗+芍药苷高剂量组小鼠在放疗后14d内均存活(100%);放疗+生理盐水组存活2 只(20%),中位生存时间为5d;放疗+地塞米松组存活1 只(10%),中位生存时间为5.5 d;放疗+芍药苷低剂量组存活4 只(40%),中位生存时间为8.5 d.生存曲线差异有统计学意义(P<0.05).结论 18 Gy 10 MeV电子线全腹部单次照射可成功构建小鼠放射性肠炎模型;芍药苷腹腔灌注可以保护肠黏膜,缓解放疗所致消化道反应和体重下降,提高小鼠生存率,且较高剂量干预效果更优.
Therapeutic effect of paeoniflorin on radiation enteritis in mice
Objective It is to explore the preventive and therapeutic efficacy of paeoniflorin by peritoneal perfusion on radiation enteritis.Methods Sixty female C57/B6 mice of SPF clean grade were divided into 6 groups after weighting,with 10 mimce in each group.The mice of all groups including radiotherapy(RT)+ normal saline(NS)group(RT + NS group),RT + dexamethasone(DXM)group(RT + DXM group),RT + low-dose paeoniflorin(PF)group(RT + LPF group),RT +medium-dose PF group(RT + MPF group),RT + high-dose PF(RT + HPF group)except for the normal group were treated with a single abdomen irradiation of 10 MeV 18 Gy by linear accelerator to establish models of radiation enteritis.The mice of each group were respectively given NS,1.25 mg/kg DXM,30 mg/kg PF,60 mg/kg PF,and 90 mg/kg PF by peritoneal perfusion at 2 days before RT,the day of RT,1 to 13 days after RT,the infusion volume was 0.1 mL/10 g.The stools consistency,activity and hair condition of the mice were observed,their weight was daily weighed.The mice were dissected on the 2nd,4th,6th,8th,and 14th days after RT,and the intestinal tissues were taken for HE staining and observation;the survival of mice within 14 d after RT in each group was counted.Results The mice in RT+NS group,RT+ DXM group,RT +LPF group gradually had loose stools,slow movement,rough hair,and significant weight loss after RT,and their intestinal mucosal began to be damaged at 2 d after RT.The mice in the RT +MPF group and RT +HPF group had normal defecation,easy movement,smooth hair,small weight loss,which were significantly better than the other RT groups(all P<0.05),and their intestinal tissue damage was delayed and mild.The mice in the normal group,RT +MPF group,and RT + HPF group all survived(100%)within14 dafter RT;2 miceinthe RT +NS group survived(20%),with a median survival time of 5 d;1 mouse in the RT +DXM group survived(10%),with a median survival time of 5.5 d;4 mice in the RT +LPF group survived(40%),with a median survival time of 8.5 d.The difference in survival curves was statistically significant(all P<0.05).Conclusion The linear accelerator for a single abdomen irradiation with 18Gy can successfully induce radiation enteritis model of mice.Intraperitoneal infusion of paeoniflorin can protect the intestinal mucosa,relieve the digestive tract reaction,reduce the degree of weight loss and improve survival rate,the therapeutic effects of the high-dose is better.

radiation enteritispaeoniflorinradiotherapymice

陈美丽、杨艳、马亚军、刘宝瑞、钱晓萍、杨觅

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南京医科大学附属江宁医院,江苏 南京 211100

南京大学医学院附属鼓楼医院肿瘤中心暨南京大学临床肿瘤研究所,江苏 南京 210008

放射性肠炎 芍药苷 放射疗法 小鼠

南京市医学科技发展重点项目江苏卫生健康职业学院校级课题面上项目

ZKX22026JKC2021076

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(2)
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