首页|解毒祛瘀滋阴方对糖皮质激素治疗SLE患者脂质代谢的调节作用研究

解毒祛瘀滋阴方对糖皮质激素治疗SLE患者脂质代谢的调节作用研究

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目的:应用多维质谱"鸟枪"法脂质组学技术(MDMS-SL),探究解毒祛瘀滋阴方对糖皮质激素(GC)治疗系统性红斑狼疮(SLE)患者脂质代谢的调节作用.方法:筛选符合标准的SLE患者76例(对照组39例,观察组37例)和正常健康组30例.对照组应用GC治疗,观察组在GC治疗基础上配合解毒祛瘀滋阴方加减.利用MDMS-SL技术比较对照组、观察组SLE患者与健康人血浆中脂质代谢的差异.结果:与正常健康组相比,SLE患者血浆中溶血磷脂酰乙醇胺(LPE)、磷脂酰乙醇胺(PE)、神经酰胺(Cer)、三酰甘油(TAG)总含量升高.对照组碳水化合物(Car)、LPE、PE、Cer、TAG类脂质分子含量升高,GC与23种异常的Car、LPE、PE、TAG类脂质呈负相关.观察组中Car、LPE、PE、TAG类脂质分子含量降低,其中41%Car、21%LPE类脂质分子含量回调至正常水平.结论:GC影响SLE患者脂质代谢异常,解毒祛瘀滋阴方可降低GC治疗中上调的脂质分子,改善GC干预引起的脂质代谢紊乱.
Study on the Regulatory Effects of Jiedu-quyu-ziyin Prescription on Lipid Metabolism in SLE Patients Treated with GC
Objective:This study applies multi-dimensional mass spectrometry"shotgun"lipid histol-ogy(MDMS-ML)technology to explore the regulatory effects of Jiedu-quyu-ziyin prescription on lipid metabolism in SLE patients undergoing GC treatment.Methods:A total of 76 SLE patients(39 in the control group and 37 in the observers group)who met the criteria were selected,along with 30 healthy individuals as the health group.The control group received GC treatment,while the observers medicine group received Jiedu-quyu-ziyin prescription on the basis of GC treatment.MDMS-SL technology was used to compare the differences in lipid metabolism in plasma between SLE patients and healthy individuals in the control group and observers group.Results:Compared to the health group,SLE patients showed elevated levels of LPE,PE,Cer,and TAG in plasma.The control group exhibited increased levels of Car,LPE,PE,Cer,and TAG lipid molecules,with a nega-tive correlation between GC and 23 abnormal lipid molecules of Car,LPE,PE,and TAG.In the ob-servers group,the levels of Car,LPE,PE,and TAG lipid molecules decreased,with approximately 41%of Car and 21%of LPE lipid molecules returning to normal levels.Conclusion:GC treatment affects the abnormal lipid metabolism in SLE patients.Jiedu-quyu-ziyin prescription can reduce the upregulated lipid molecules caused by GC treatment,thereby improving the lipid metabolism disor-ders induced by GC intervention.

systemic lupus erythematosuslipid metabolismlupusglucocorticoids

张莉、张凤琦、张依阳、苗丽丽、谢志军、郝桂峰

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杭州市中医院 浙江 杭州 310007

浙江中医药大学 浙江 杭州 310053

浙江省人民医院 浙江 杭州 310014

系统性红斑狼疮 脂质代谢 解毒祛瘀滋阴方 糖皮质激素

国家自然科学基金浙江省教育厅一般科研项目

82374395Y202146162

2024

浙江中医杂志
浙江省中医药研究院

浙江中医杂志

影响因子:0.585
ISSN:0411-8421
年,卷(期):2024.59(8)
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