首页|慢性阻塞性肺疾病稳定期小鼠蛋白酶平衡与中医证型相关性研究

慢性阻塞性肺疾病稳定期小鼠蛋白酶平衡与中医证型相关性研究

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目的:探讨慢性阻塞性肺疾病稳定期小鼠不同中医证型与蛋白酶/抗蛋白酶水平变化的相关性.方法:将60只SPF级健康雄性BALB/c小鼠随机分为5组,每组各12只,除空白对照组外,以证候造模因素叠加疾病造模因素建立不同证型的COPD病证结合小鼠模型,分别是:模型对照组、COPD脾虚证组、COPD肾虚证组、COPD脾肾两虚证组.在第5周、第7周、第15周分批检测小鼠血清α-1抗胰蛋白酶(AAT)、中性粒细胞弹性蛋白酶(NE)水平,通过多元无序Logistic回归分析不同证候小鼠与ATT、NE水平变化的相关性.结果:15周时模型对照组、COPD脾虚组、COPD肾虚组ATT相较空白组水平均有不同程度的升高,但差异无统计学意义(P>0.05).15周时,相较空白组其余4组NE均有升高,脾虚组、肾虚组较空白组升高差异有统计学意义(P<0.05);Logistic回归分析显示15周时小鼠NE水平受到脾虚、肾虚的影响.结论:脾虚、肾虚可能意味着更高的抗蛋白酶水平.
The study of relationship between protease/antiprotease levels and different TCM syndrome types in stable chronic obstructive pulmonary disease of mice
Objective:To investigate the relationship between protease/antiprotease levels and different TCM syndrome types in stable chronic obstructive pulmonary disease of mice.Methods:A total of 60 healthy male BALB/c mice with SPF grade were randomly divided into 5 groups with 12 mice each.In addition to the blank control group,the combined mouse models of COPD with different syndrome types were established with syndrome modeling factors plus disease modeling factors,which were as follows:Blank control group,mod-el control group,COPD spleen deficiency syndrome group,COPD kidney deficiency syndrome group,COPD spleen and kidney deficiency syndrome group.Serum of mice was collected in batches at week 5,week 7 and week 15 to detect α-1 antitrypsin(AAT)/neutrophil elastase(NE)levels,and to analyze the dynamic changes of protease/antiprotease levels in mice with different syndromes,and to analyze the correlation between the chang-es of protease/antiprotease levels in mice with different syndromes by multiple disordered logistic regression.Results:The levels of AAT in the model control group,COPD spleen deficiency group and COPD kidney defi-ciency group were increased in different degrees compared with the blank group at the 15th week,but there was no significant statistical difference(P>0.05).At the 15th week,NE was higher than that of the other four groups in blank group,and the levels of NE in spleen deficiency group and kidney deficiency group were higher than that in blank group(P<0.05).Multivariate logistic regression correlation analysis showed that the level of NE was affected by spleen deficiency and kidney deficiency in mice at week 15.Conclusion:Com-bined with the results of inter-group comparison,it was suggested that spleen deficiency and kidney deficien-cy might mean higher anti-protease level.

stable stage of chronic obstructive pulmonary diseaseanimal experimentsprotease/antiprotease

吴东良、孙会卓、李尚点、张慧婷、葛未来、李磊、马文静、李友林

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北京中医药大学,北京 100029

国家呼吸医学中心,国家中西医结合医学中心,中日友好医院中西医结合肺病科,国家中医药管理局肺病慢性咳喘重点研究室,中医药防治过敏性疾病北京市重点实验室,北京 100029

中日友好医院 中西医结合肺病科,北京 100029

慢性阻塞性肺疾病稳定期 动物实验 蛋白酶/抗蛋白酶

2024

中日友好医院学报
中日友好医院

中日友好医院学报

CSTPCD
影响因子:0.92
ISSN:1001-0025
年,卷(期):2024.38(5)
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