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固本抑瘤Ⅱ号对人A_(549)肺癌细胞、小鼠Lewis肺癌作用的实验研究
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摘要
肺癌是最常见的恶性肿瘤之一,在我国大城市中肺癌的发病率和死亡率居肿瘤之首,在农村居第4位,严重威胁着人类健康,肺癌的治疗研究成为肿瘤研究的焦点之一。由于西药放、化疗毒副作用大,作用范围局限,使得中医药在肺癌治疗中的优势表现得越来越明显。中医认为肺癌主要是由于脏腑虚损、血瘀痰凝毒结而成。癌症病人,尤其是中晚期癌症患者普遍存在血瘀证或气虚血瘀证,应对证采用益气活血法治疗。益气活血法属于“扶正祛邪”范畴,具有益气不留寇,驱邪不伤正的功效。
     固本抑瘤II号是北京市中医医院治疗气虚血瘀证肿瘤患者的有效方剂,常配合化疗应用。临床资料表明该方能够改善患者生活质量,减轻化疗的毒副作用。为探讨该方药抑瘤的有效成分及作用机制,本实验选用人肺腺癌细胞株A549,通过全方及拆方研究,观察该方及方中不同组分中药对A549细胞生长的影响,寻找固本抑瘤Ⅱ号方中抑瘤及化疗增效作用的主要成分。选用小鼠Lewis肺癌模型,观察该方及与化疗药物CTX合用对移植瘤、转移瘤的作用,以及固本抑瘤Ⅱ号方对小鼠免疫功能、荷瘤生存时间及细胞凋亡的影响,探讨该方的作用机制,指导临床合理用药。
     1.固本抑瘤II号及其拆方对A549抑瘤作用及与化疗联合用药的实验研究
     固本抑瘤II号全方和根据功效拆分的益气组、行气活血组、培补肝肾组、散结消癥组药物,分别制备水提物。采用MTT法检测各组药物对A549细胞生长的影响及与DDP联合作用的效果,FCM检测细胞周期和凋亡。结果显示:单独应用全方和行气活血组水提物对A549细胞生长表现为抑制作用,IC50分别为33.21mg生药/ml和9.55mg生药/ml;与DDP合用表现为增效作用,增效倍数分别为1.23和1.77,合并指数为1.05和0.83,表现出协同和相加作用;全方和行气活血组水提物能够使A549细胞生长阻滞在G0/G1期,百分比为84.16%和86.21%,减少进入S期的细胞数量。
     2.固本抑瘤II号方对Lewis肺癌抑制作用及与化疗药联合应用的实验研究
     60只体重19±1g雄性C57BL/6小鼠随机分对照组(Control)、CTX化疗组(CTX)(30mg/Kg CTX腹腔注射)、固本抑瘤II号小剂量组(M)(35g/Kg·d灌胃)、大剂量组(H)(70g/Kg·d灌胃)、小剂量加CTX组(M+CTX)、大剂量加CTX组(H+CTX),每组10只。观察固本抑瘤II号对Lewis肺癌移植瘤与转移瘤的作用,及与CTX合用的效果。结果显示:固本抑瘤II号M组、H组的抑瘤率(IR)分别为23.35%、36.82%,瘤重分别为2.82±1.56g、2.32±1.06g,与对照组3.68±1.10g相比明显缩小,分别p<0.05;M+CTX、H+CTX组抑瘤率分别为71.49%、67.13%,与CTX组的63.35%抑瘤率相比未表现出明显差异;但联合用药效应为0.85Lung cancer is the most common malignant tumor, morbidity and the mortality from which takes the first place in major cities in China, and the fourth in countrysides, obviously, it is threatening human’s health. The treatment study on lung cancer becomes the focus among the studies of tumor. Strong side effects of actinotheraphy and chemotherapeutics have their application limited. Instead, Traditional Chinese medicine has showing superiority in treatment on lung cancers. In Chinese medicine, lung cancer is a result of stagnation of blood and phlegm due to deficiency of Zang-fu organs. In fact, lung cancer sufferers, especially in late stage, did generally have symptomes with blood stagnation/or blood stagnation in Qi deficiency condition, so the treatment should be to strengthen qi---protecting body, and activate blood---eliminating pathogenic factors, by these two ways, a new balance will be built up again.
     Gubenyiliu formula II(GII), produced by Beijing City Hospital of Traditional Chinese Medicine, is an effective prescription in treating cancer with syndrome of blood stasis and Qi deficiency, which is generally applied in combination with chemotherapeutics. Clinic datas proved that GII can improve the quality of life and lessen the side effects of chemotherapeutics. In order to study the effective functional ingredients and their acting mechanisms, our experiments individually detected the effects of whole prescription and its functional compositions to the growth of A549 adenocarcinoma cell, aiming at seeking out the specific active ingredient on inhibiting tumor or increasing the effects of chemotherapeutics, and hopefully could guide rational administration in clinic. We also observed the influence of GII(or with CTX) on transplantation tumor and metastatic tumor of mice’Lewis lung cancer, and the effection on immune system, living time and apopotosis.
     1. In Vitro studies of GII and its functional compositions on A549 lung carcinoma cell and synergistic action in combination with chemotherapy
     According to the actions of each herbs, GII was divided into four groups: Reforcing Qi group(QE)、Promoting qi and activating blood group(QB)、Cultivating kidney and liver group(KL)and Eliminating stagnation and removing lump group(SL). Their aqueous extracts were prepared respectively. MTT assay was used for A549 growth and combinative effect with DDP. Results: Both GII and QB group showed depressive effect on A549 growth. The IC50 was 33.21mg crude drug/ml and 9.55mg crude drug/ml respectively. Both of them had synergistic action with DDP, the multiple was 1.23 and 1.77, complicating index was 1.05 and 0.83. Both of them could obviously inhibit A549 cell growth in G0/G1 phase,the percentages were 84.16% and 86.21%respectively, and reduce the numbers of S phase.
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