用户名: 密码: 验证码:
射干麻黄汤对慢性哮喘小鼠气道炎症和气道重塑的影响
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:观察射干麻黄汤对哮喘小鼠PPAR-γ、DC及TGF-β1表达的影响,探讨其在气道炎症和气道重塑两方面治疗哮喘的作用机制,为临床应用提供实验依据。
     方法:健康清洁级雌性BALB/c小鼠60只,随机分组,每组10只。分组如下:A组(正常对照组),B组(哮喘模型组),C组(地塞米松组),D组(低剂量中药组),E组(中剂量中药组),F组(高剂量中药组)。B、C、D、E、F组建立慢性哮喘模型。D、E、F组小鼠予不同剂量的射干麻黄汤灌胃;C组予地塞米松腹腔注射。取材后,对各组小鼠采用双抗体夹心ABC-ELISA法检测BALF中TGF-β1的含量;半定量评定支气管周围炎症细胞浸润程度、杯状细胞比例;图像分析测量血管管壁厚度、气管平滑肌层厚度、气道旁和血管旁胶原纤维含量;透射电镜观察DC形态;免疫组化染色检测肺组织DC、TGF-β1及PPAR-γ表达情况;RT-PCR技术检测肺组织PPAR-γmRNA的表达水平;Western blot技术检测肺组织PPAR-γ在核蛋白中表达强度;实时定量PCR技术检测肺组织TGF-β1mRNA表达水平。
     结果: 1、与正常组比较,模型组炎症细胞浸润程度明显加重,肺组织杯状细胞评分及BALF中的白细胞总数、EOS、淋巴细胞等均明显增高,均有显著性差异(P<0.05);低、中、高剂量射干麻黄汤组较模型组炎症细胞浸润程度、肺组织杯状细胞评分及BALF中的白细胞总数、EOS、淋巴细胞均降低,有显著性差异(P<0.05);中、高剂量组与地塞米松组效果相近,无显著性差异(P>0.05);中、高剂量组效果相近,无显著性差异(P>0.05)。
     2、与正常组比较,模型组哮喘发作程度明显加重,肺组织血管管壁厚度、气管平滑肌层厚度、气道旁和血管旁胶原纤维含量明显增加,均有显著性差异(P<0.05);中、高剂量组较模型组哮喘发作程度减轻,肺组织血管管壁厚度、气管平滑肌层厚度、气道旁和血管旁胶原纤维含量均明显降低,有显著性差异(P<0.05);中、高剂量组与地塞米松组比较,无显著性差异(P>0.05);中、高剂量组效果相近,无显著性差异(P>0.05)。
     3、与正常组比较,模型组DC数量明显增加,有显著性差异(P<0.05);低、中、高剂量射干麻黄汤组较模型组DC数量降低,有显著性差异(P<0.05);中、高剂量与地塞米松组效果相近,无显著性差异(P>0.05);中、高剂量组效果相近,无显著性差异(P>0.05)。电镜下,A组和B组小鼠肺组织DC呈典型表现,C、D、E、F组小鼠DC呈不典型表现。
     4、与正常组比较,模型组肺组织PPAR-γ数量、PPAR-γmRNA及PPAR-γ在核蛋白中表达均明显增加,有显著性差异(P<0.05);地塞米松组较模型组PPAR-γ数量、PPAR-γmRNA及PPAR-γ在核蛋白中表达明显减少,而中、高剂量射干麻黄汤组PPAR-γ数量、PPAR-γmRNA及PPAR-γ在核蛋白中表达明显增强,均有显著性差异(P<0.05);中、高剂量组效果相近,无显著性差异(P>0.05)。
     5、与正常组比较,模型组BALF中TGF-β1含量、肺组织TGF-β1数量、TGF-β1mRNA表达强度明显增加,有显著性差异(P<0.05);低、中、高剂量射干麻黄汤BALF中TGF-β1含量、肺组织TGF-β1数量及TGF-β1mRNA表达较模型组均明显降低,有显著性差异(P<0.05);中、高剂量组较地塞米松组效果相当,无显著性差异(P>0.05);中、高剂量组效果相近,无显著性差异(P>0.05)。
     结论:1.射干麻黄汤可降低哮喘小鼠肺组织DC数量。2.射干麻黄汤可降低哮喘小鼠BALF中TGF-β1含量、肺组织TGF-β1数量及TGF-β1mRNA表达强度。3.射干麻黄汤可增加哮喘小鼠肺组织PPAR-γ数量,增强PPAR-γmRNA表达及PPAR-γ在核蛋白中的表达强度。4射干麻黄汤可通过影响DC、TGF-β1及PPAR-γ表达情况,抑制哮喘气道炎症和重塑,从而达到治疗哮喘的目的。
Objective: Through investigate the effection of She Gan Ma Huang Tang (SGMHT) on the expressions of PPAR-γ、DC and TGF-β1 in chronic asthma mice,to explore the mechanisms of SGMHT treating on asthma,and to provide experimental basis for its clinical application.
     Methods: 60 clean female BALB/c mice were divided averagely into six groups according to the random number table,as follows:A(control group),B( asthma group),C(dexamethasone group),D(low dose SGMHT group),E(middle dose SGMHT group),F(high dose SGMHT group).GroupB,C,D,E,F were esta- blished model of chronic asthma.Group D,E,F were gastric irrigated with different doses of SGMHT;group C was intraperitoneal injection of dexamet- hasone.After drawn the materials in each group,detected TGF-β1 content in BALF by ABC-ELISA ;assessed the bronchial inflammatory cell infiltration and goblet cell ratio by semi-quantitative;measured the thickness of vascular wall, thickness of airway smooth muscle,collagen content of around airway vessels and perivascular by pathological image;observed DC morphology by electron microscopy;measured the numbers of DC, TGF-β1 and PPAR-γin the lung tissue by immunohistochemical staining;measured the expression of PPAR-γmRNA in lung tissue by RT-PCR;measured the expression of PPAR-γin nuclear protein by Western blot;measured the expression of TGF-β1mRNA in lung tissue by real-time PCR.
     Results:1.Compared with group A,group B's inflammatory cell infiltrati- on,goblet cell scores and theleukocytes,EOS,lymphocytes in BALF increased, there were significant differences(P<0.05);compared with group B,these indi- cators decreased in group D,E,F,there were significant differences(P<0.05); compared with group C,these indicators were similar in groupE and F(P>0.05 );group E and F were similar(P>0.05).
     2.Compared with group A,asthma attacks,thickness of vascular wall and airway smooth muscler,collagen content of around airway perivascular and vessels increased in group B,there were significant difference(P<0.05);comp- ared with group B,these indicators decreased in group E and F, there were significant differences(P<0.05);compared with group C,these indicators were similar in group E and F(P>0.05);group E and F were similare(P>0.05).
     3.Compared with group A,group B's the number of DC increased,there was significant difference(P<0.05);in group D,E,F,the number of DC is lower than group B(P<0.05);compared with groupC,groupE and F were similar(P> 0.05);groupE and F was similar(P>0.05).Observe DC morphology in lung tissue by electron microscopy, groupA and B were typical show, group C,D,E, F were untypical show.
     4.Compared with group A,the number of PPAR-γ,the expression of PPA- R-γmRNA and PPAR-γin the nuclear protein increased in group B,there were significant difference(P<0.05);compared with groupB,groupC's indicators are decreased,group E andF's are increased,there were significant difference(P< 0.05);group E and F were similar(P>0.05).
     5.Compared with group A,the content of TGF-β1 in the BALF,the number of TGF-β1 and the expression of TGF-β1mRNA in lung increased in groupB(P <0.05);in group D,E and F,these indicators are lower than group B(P<0.05); compared with group C,group E and F's indicators were similar(P>0.05); groupE and F were similar,there were no significant difference(P>0.05).
     Conclusion: 1.SGMHT could reduce the number of DC in lung tissue of asthmatic mice.2.SGMHT could reduce the content of TGF-β1 in BALF,the expressions of TGF-β1 and TGF-β1mRNA in lung tissue of asthmatic mice.3. SGMHT could increase PPAR-γnumber of lung,enhance the expression of PPAR-γmRNA and PPAR-γof nuclear protein in lung tissue of asthmatic mice. 4.This experiment prompted SGMHT could influence the expressions of DC, TGF-β1 and PPAR-γ,inhibit airway inflammation and remodelling, so as to achieve the purpose of treatment of asthma.
引文
[1]杨树亮,李存富.辨证综合治疗支气管哮喘126例临床报告[J].黑龙江中医药,2000,12(2):14-15.
    [2]周兆山.哮喘中医论治[M].北京:中医古籍出版社,2002,45.
    [3]张爱国.从痰瘀论治支气管哮喘[J].山东中医杂志,2002,21(10):632-633.
    [4]郑健,郭军霞,林青,等.活血通络法配合西医治疗小儿哮喘发作期(热型)30例[J].山东中医药大学学报,2002,26(5):354-355.
    [5]刘臣,壬俊杰,徐然.大柴胡汤合桂枝茯苓丸治疗支气管哮喘50例[J].河南中医,2005,25(3):19-21.
    [6]代平,杨仁旭.杨仁旭治疗支气管哮喘的临床经验[J].江西中医药.2009,40(10):21.
    [7]邵长荣.喘有夙根-治喘务求其本[J].中国中西医结合杂志,1997,17(4):197-198.
    [8]石亚杰,许娟.哮喘缓解期从肾论治机制探讨[J].江苏中医药,2005,(26)8:3-4.
    [9]严桂珍,余传星,李希.益肾补肺平喘汤治疗支气管哮喘发作期42例临床观察[J].中国中医药科技,2000,7(6):382-383.
    [10]于文娟,许海生,陈利国.从哮有“夙根”谈哮病从肝论治的机制[J].时珍国医国药,2006,17(3):445-446.
    [11]张颖,邓仁敏,等.略论中医治疗哮喘“夙”的思路[J].中医文献杂志,1999,3:24-25.
    [12]吴业华.支气管哮喘从湿热论治的体会[J].黑龙江中医药,1990,(2):30.
    [13]史锁芳.哮喘“夙根”探讨[J].中医药学报,1994,22(3):6.
    [14]史锁芳.祛风宣痹法治疗支气管哮喘的探讨[J].南京中医药大学学报,2007,23(2):76.
    [15]李战,吴敏,陈燕萍,等.辛苍汤治疗儿童支气管哮喘的临床研究[J].上海中医药杂志,2006,40(12):46-48.
    [16]徐静.过敏性鼻炎与支气管哮喘的中医证治关联[J].南京中医药大学学报,2004,20(6):335-336.
    [17]王根军.从风痰论治急性发作期支气管哮喘[J].中华实用中西医杂志,2005,18(13):233.
    [18]梁直英.射麻止喘液治疗哮喘近期疗效及其机理[J].广州中医药大学学报,2000,17(1):20-23.
    [19]吴继全,等.晁恩祥治疗咳嗽变异型哮喘经验[J].北京中医,2006,25(11):657-658.
    [20]史锁芳.祛风宣痹法治疗支气管哮喘的探讨[J].南京中医药大学学报.2007年23(2):76-78.
    [21]武维屏,崔红生.试论支气管哮喘从肝论治的生理病理学基础[J].中国中医基础医学杂志,2002,8(10):7-8.
    [22]高淑英.哮喘从肝肺论治探讨[J].中国中医药信息杂志,2006,13(8):77.
    [23]熊家平.平肝泻肺法治疗哮证46例[J].浙江中医杂志,1998,23(2):76.
    [24]栗庆林.从肝从风论治支气管哮喘[J].光明中医,2004,19(6):18.
    [25]张伟,王红.熄风缓哮法治疗小儿支气管哮喘临床研究[J].中医药学报,2004,32(4):13.
    [26]李国友,王刚.麻银翘汤合西药治疗婴幼儿哮喘37例[J].四川中医,2000,18(9):38.
    [27]孙宏伟.哮喘证治述要[J].实用中医内科杂志,2004,18(2):114-115.
    [28]刘自力,张庆荣,吴兆利.论脾虚为哮喘宿根[J].中医药学刊,2006,24(2):1591-1592.
    [29]汪帼斌,赖新生.赖新生教授运用针灸治疗过敏性哮喘特色[J].中华中医药学刊,2002,20(6):762.
    [30]陈立翠.补肾法治疗小儿支气管哮喘探讨[J].成都中医药大学学报,1999,22(3):5-9.
    [31]周兆山,王燕青,姜洪玉,等.哮喘缓解期从肾虚体质辨证[J].中医研究,2005,18(9):22.
    [32]宋康,石亚杰,夏永良.支气管哮喘与肾虚本质相关性的理论探讨[J].中医药学刊,2005,23(7):1183-1184.
    [33]黄东晖.补肾温阳法治疗哮喘及其在免疫治疗中的作用[J].北京中医药大学学报,2009,32,(7):496-498.
    [34]朱倩.泻肾法在治疗支气管哮喘中的运用[J].光明中医杂志,1996,(6)17-19.
    [35]严文珊,杨家茂.哮喘从五脏辨治析义[J].辽宁中医杂志,1997,24(8):347-348.
    [36]张金磊.支气管哮喘的中医药治疗[J].中医杂志,1998,39(2):99-100.
    [37]刘仁慧.哮喘缓解期治疗宜肺脾肾三脏并补[J].现代中西医结合杂志,2004,13(24):3354.
    [38]金小晶.张文博.张明德谈哮喘“夙根”[J].时珍国医国药,2002,13(12):756.
    [39]段元盛.小柴胡汤治疗支气管哮喘12例[J].新中医,2000,32(2):47.
    [40]丛振日,房丽,赵晓莉.温阳活血固哮喘[J].中国中医基础医学杂志,2006,12(4):295
    [41]陈广金.寒哮汤治疗支气管哮喘96例[J].2000,21(4):150.
    [42]郑玉琼,尹洁,张爱平,等.平喘合剂治疗支气管哮喘热哮证的临床观察[J].四川中医,2006,24(10):59.
    [43]黄庆田,吕卉.支气管哮喘无热证[J].江西中医药,2004,35(253):39.
    [44]朱铭卿.哮喘急性发作从风论治26例疗效观察[J].现代中西医结合杂志,2003,12(1)49.
    [45]夏以琳.活血化瘀与哮喘的研究[J].辽宁中医学院学报,2002,4(2):91-92.
    [46]魏道祥.开泄法治疗哮病急性期101例疗效观察[J].新中医,2004,36(11):29-31.
    [47]黄开珍,冼寒梅,王朝晖.补肺片增强支气管哮喘患者免疫功能的临床研究[J].辽宁中医杂志,2007,34(9):1265-1266.
    [48]刘自力,吴兆利.培土生金法治疗支气管哮喘(缓解期)35例临床观察[J].中医药导报,2006,12(1):37-38.
    [49]王志英,张传名,钱丽萍,等.哮宁颗粒治疗支气管哮喘缓解期临床研究[J].江苏中医药,2005,26(7):11-12.
    [50]李贵才,谢鹤,蔡文,等.参蛤河车散防治小儿哮喘缓解期60例分析[J].福建医药杂志,2003,25(4):69-70.
    [51]李明星.参术汤治疗支气管哮喘缓解期45例临床研究[J].吉林中医,2006,26(3):19-20.
    [52]张洁,张光其.黄芪六君子汤治疗哮喘缓解期85例临床观察[J].山东中医药,2004,23(4):204.
    [53]李智.哮病辨证体系探讨[J].中国中医基础医学杂志,2002,8(8):78.
    [54]周仲瑛.哮喘杂谈[J].江苏中医,2002,21(8):1.
    [55]窦乃建,王荣声.支气管哮喘病辨治八法[J].中医研究,2005,18(9):49-50.
    [56]王强.哮喘从郁论治[J].吉林中医药,2007,27(7):12-13.
    [57]曾德友.分型论治急性支气管哮喘78例[J].湖南中医药导报,2000,6(7):29-30.
    [58]时以营.止哮汤治疗支气管哮喘36例[J].湖南中医杂志,2007,23(2):70-71.
    [59]宋勉,王亚梅.肺肠同治法在治疗支气管哮喘急性发作期的运用[J].光明中医,2005,20(1):5-6.
    [60]苏彩凤.平肝哮喘汤治疗支气管哮喘60例[J].陕西中医,2005,26(12):1271.
    [61]周兆山,宋曦,张有花.清肺渗湿法治疗哮喘(热哮证)临床研究[J].中医药学刊,2004,24(11):2002-2003.
    [62]方向明.曹世宏教授哮证辨治观探析[J].安徽中医学院学报,2001,20(4):34-36.
    [63]王国华,薛晓彤.从脾论治夏季哮喘93例[J].中医药学报,2002,4(30):9.
    [64]张芬兰,姜海燕,魏婷.疏肝理肺法治疗支气管哮喘30例临床观察[J].长春中医学院学报,2002,18(3):13-14
    [65]王凯闻.抑肝理肺法对儿童咳嗽变异性哮喘的治疗[J].中医药学报,2002,30(l):22-23.
    [66]扬周瑞.补肾止喘汤治疗支气管哮喘的临床研究[J].辽宁中医药大学学报,2007,9(2):84-85.
    [67]王志英,周仲瑛,金妙文,等.化痰祛瘀、降气平喘治疗支气管哮喘的临床研究[J].中国中医急症杂志,2000,9(4):137-138.
    [68]倪伟.吴银根教授治疗哮喘经验点滴[J].江苏中医,2001,22(3):9.
    [69]张伟,邵雨萌.再论哮喘从瘀论治[J].湖南中医学院学报,2004,24(3):241-242.
    [70]白丽君,马文.中药定喘膏穴位贴敷治疗支气管哮喘缓解期48例[J].中医药临床杂志,2005,17(4):381-382.
    [71]单翠英,林忠嗣,卞镝.中药穴位贴敷治疗儿童哮喘的临床及免疫机制研究[J].中华中医药学刊,2007,25(4):845-846.
    [72]杨振汉,谢志中,宋爱群.马杏止哮散外敷治疗支气管哮喘55例[J].中华新医学,2003,4(16):1478-1479.
    [73]翁惠.益气平喘膏外敷治疗支气管哮喘缓解期35例[J].湖南中医杂志,2002(1):6.
    [74]吴兆利,刘自力.培土生金法针灸治疗支气管哮喘35例观察[J].实用中医内科杂志,2007,21(2):4-5.
    [75]张文彭,Е.В.Впадимирскии.A.B.Tyeв,等.针刺对支气管哮喘患者临床症状与肺功能的影响[J].中国针灸,2006,26(11):763-767.
    [76]刘红娥.针刺治疗支气管哮喘87例临床观察[J].陕西中医学院学报,2001,24(3):36.
    [77]程建生.针刺鱼际穴治疗急性哮喘发作[J].中国针灸,2001,21(9):54.
    [78]张智龙,吉学群,薛莉,等1针刺治疗支气管哮喘急性发作期临床观察[J].中国针灸,2005,25(3):158-160.
    [79]万文蓉.温阳利气法针灸治疗哮喘30例临床观察[J].中国针灸,2001,21(11):649-650.
    [80]曹汉彬.印新民.中西医结合治疗支气管哮喘34例[J].陕西中医杂志,2001,22(4):196.
    [81]亓四广.吴美玲.中西医结合治疗小儿支气管哮喘58例[J].陕西中医,2001,22(5):261.
    [82]刘昌鹏,刘小凡.射干麻黄汤化裁治疗婴幼儿哮喘急性发作102例[J].四川中医,2005,23(7):90-91.
    [83]孙红梅.活血化瘀方合必可酮防治小儿哮喘100例[J].河北中医,2004,26(1):25.
    [84]李丽娜,李玲.中西医结合治疗小儿咳嗽变异性哮喘50例[J].陕西中医,2001,22(5):258.
    [85]孔祥君,陈金保.中西医结合治疗支气管哮喘的临床观察[J].牡丹江医学院学报,2006,27(3):46-47.
    [86]许建中.支气管哮喘中西医结合研究进展[J].中国中西医结合杂志,1997,17(4):197.
    [87]靖旭荔.支气管哮喘的标本兼治[J].中国中西医结合杂志,1997,17(2):199.
    [88]张弘,蔡宛如,沈华浩.清肺止哮汤对哮喘小鼠气道炎症抑制作用的实验研究[J].浙江中医学院学报,2004,28(9):57-59.
    [89]张建勇,赵建军,陈应华,等.火把花根片对哮喘豚鼠气道炎症的作用[J].遵义医学院学报,2003,26(2):116-117.
    [90]孙增涛,张素仙,唐饴环,等.杏贝冲剂治疗支气管哮喘的临床与实验研究[J].中国中西医结合杂志,1997,17(4):201-203.
    [91]刘世琼,张全爱.咳喘灵贴膏贴敷穴位治疗豚鼠哮喘的实验研究[J].中医药学刊,2004,22(4):620-621.
    [92]江扬清主编.中西医结合内科研究[M].北京:北京出版社,1997.154-165.
    [93]胡作为,周燕萍.中药止哮平喘方对支气管哮喘发作期患者T淋巴细胞亚群的影响.陕西中医,2004,25(4):321-322.
    [94]邓乐巧,田春,徐玉萍,等.温阳平喘胶囊治疗支气管哮喘临床研究.中国中医药信息杂志,2004,11(9):764-765.
    [95]罗凤鸣,何成奇,杜建.加味肾气丸对支气管哮喘气道炎症抑制作用的临床研究.福建中医学院学报,2001,11(2):13-14.
    [96]倪力强,张宁霞,童瑶,等.小青龙汤对哮喘大鼠Th1/Th2型细胞因子水平的影响[J].辽宁中医杂志,2003,30(9):703-704.
    [97]黄铁军,张吉,蔡普旺.针刺对哮喘患者外周血单个核细胞培养上清中IL-4分泌活性、血清总IgE水平的影响.针刺研究,2000,25(4):292-295.
    [98]李竹英,刘建秋,隋博文.平喘丸对哮喘大鼠气道重塑的形态学影响[J].中医药学刊, 2005,23(9):1622-1623.
    [99]王文建,杨莉,王西华,等.川芎嗪对大鼠支气管哮喘模型气道重塑的影响及机制[J].中华结核和呼吸杂志, 2004,27(12):833-836.
    [100]刘永刚,罗佳波.麻黄汤及拆方对哮喘小鼠5-脂质氧合酶激活蛋白、白介素4基因的表达和的影响[J].中国中药杂志, 2007, 32:24-248.
    [101]方向明,王军.平喘宁对哮喘豚鼠肺组织中GM-CSFmRNA表达的影响[J].中华中医药杂志, 2005,20(9):538-541.
    [102]张毅敏.穴位敷贴对哮喘豚鼠嗜酸性粒细胞凋亡及其调控基因的影响[J].北京中医药大学学报,2006,29(6):393-395.
    [103]Masoli M,Fabian D,Holt S,et a1.The global burden of asthma:Executive summary of the GINA Dissemination Committee report[J].Allergy,2004,59(5):469.
    [104]张建华,丁云芳,陶慧,等.哮喘患儿ACE基因多态性和家族聚集性的研究[J].中华儿科杂志,2004,42(6):455-456.
    [105]Beuther DA,Weiss ST,Sutherland ER.Obesity and asthma[J].AM J Respir Crit Care Med,2006,174(2):112-119.
    [106]Hogaboam CM,Carpenter KJ,Schuh JM,et a1.Aspergillus and asthma any link[J]. Med Mycol,2005,43(suppl1):S197-S202.
    [107]Waites KB,Talkington DE.Mycoplasma pneumoniae and its role as ahuman pathogen[J].Clin Microbiol Rev,2004,17(4):697-728.
    [108]Chaudhuri R,Livingston E,McMahon AD,et a1.Effects of smoking cessation on lung function and airway inflammation in smokers with asthma[J].Am JRespir Crit Care Med,2006,1174(2):127.
    [109]Gauderman WJ,Avo1 E,Gilliland F,et a1.The effect of air pollution on lung development from 10 to 18 years of age[J].N Engl J Med,2004,351(11):1057.
    [110]Friedman NJ,Zeiger RS.The role of breast-feeding in the development of allergies and asthma[J].J Allergy Clin Immunol,2005,115(6):1238-1248.
    [111]陈强,朱绿猗,刘建梅,等.哮喘儿童嗜酸细胞阳离子蛋白、肿瘤坏死因子-α,最大呼气流速测定及其临床意义[J].实用儿科临床杂志,2000,15(6):320-321.
    [112]刑承仪,主编.呼吸道分子生物学与哮喘治疗[M].北京:科学技术文献出版社, 1998:75-82.
    [113]Imhof A,Wolffe A P Transcription:gene control by targeted histone deacetylation [J].Curr Biol,1998,8(12):R422-424.
    [114]O′Byrne PM,Bisgaard H,Godard PP,et a1.Budesonide/formoterol combination therapy as both maintenance and reliever medication in asthma[J].Am J Respir Crit Care Med,2005,171(2):129-136.
    [115]GreenstoneIR.ChroininMN.MasseV,eta1.Combination of inhaled long-acting beta 2-agonists and inhaled steroids versus higher dose of inhaled steroids in children and adults with persistent asthma[J].Cochrane Datebase Syst Rev,2005,19(4):CD005533.
    [116]McDonald NJ,Bara AI.Anticholinergic therapy for chronic asthma in children over two years of age[J].Cochrane Database Syst Rev,2003,(3):CD003535.
    [117]陈大鹏,万朝敏.循证医学关于儿童哮喘治疗中一些问题探讨[J].临床儿科杂志, 2005,23(1):55-56.
    [118]Busse W,Kraft M.Cysteinyl leukotrienes in allergic inflammation:Strate,gictarget for therapy[J].Chest,2005,127(4):1312-1326.
    [119]Milgrom H,Berger W,Nayak A,et a1.Treatment of childhood asthma with antiimm- unoglobulin E antibody(omalizumab)[J].Pediatrics:2001,108(2):36.
    [120]罗光伟,孙洁民,陈菁.射干麻黄汤对哮喘豚鼠气道ECP和嗜酸性粒细胞凋亡的影响[J].中国中医急症.2006,15(6):639-640.
    [121]林永廉,林求诚.射干麻黄汤对实验性哮喘豚鼠嗜酸性粒细胞凋亡的影响[J].实用中医药杂志,2007,23(1):3-5.
    [122]陈菁,孙洁民,罗光伟,射干麻黄汤对哮喘豚鼠气道EOS凋亡、IL-5mRNA及IL- 10mRNA表达的影响[J].中华中医学杂志,2007,31(4):247-250.
    [123]洪慧,杨帆,刘星辰,杨轶群.射干麻黄煎剂影响哮喘豚鼠外周血浆白细胞介素5, 10的变化[J].中国临床康复,2006,10(35):63-65.
    [124]张丽艳,张红梅,王树鹏.射干麻黄汤对哮喘大鼠模型血清及支气管肺泡灌洗液中NO的影响[J].江西中医学院学报,2005,17(6):56-57.
    [125]罗艳春,韩晶莉,张涛.射干麻黄汤对支气管哮喘大鼠肺组织细胞因子表达的影响[J].中国老年学杂志,2009,9(29):1056-1057.
    [126]陈志兴,胡国华.加味射干麻黄汤对小儿咳嗽变异性哮喘细胞因子的影响[J].中国中西医结合杂志,2010,30(2):208-210.
    [127]陈若冰,邱兰萍,张学仕.射干麻黄糖浆对豚鼠支气管哮喘的实验研究.[J]中华中医药学刊.2007,25(7):1480-1482.
    [128]武跃华,袁清思.加味射干麻黄汤对支气管哮喘小鼠模型的影响[J].中华中医药学刊,2007,25(6):1228-1230.
    [129]刘小红,廖慧丽,等.射麻止喘液对哮喘模型大鼠环核甘酸变化的影响[J].广东中医药大学学报,2001,18(4):339-340.
    [130]谭素娟,艾华等.射干麻黄汤化裁方抗过敏性哮喘的实验研究[J].中医杂志,2000,41(5):282.
    [131]雍善睛.射干麻黄汤治疗支气管哮喘66例[J].陕西中医,2008,29(8):944-945.
    [132]曾莺.射干麻黄汤加减治疗小儿咳嗽变异性哮喘35例[J].实用医学杂志.2003,19(7):806-807.
    [133]夏海波.射干麻黄汤加减治疗小儿咳嗽变异性哮喘84例临床观察[J].中医药导报,2008,14(9):49-50.
    [134]甘寿熙,赵玛丽.射干麻黄汤加减治疗咳嗽变异性哮喘36例[J].国医论坛,2001,16(4):7.
    [135]张忠德,何德平,魏华,等.阳和汤合射干麻黄汤加减治疗产后寒哮68例[J].新中医,2000,32(6):43-44.
    [136]刘玉山,张爱华,等.射干麻黄汤加味治疗小儿哮喘103例疗效观察[J].河北中医,2001,23(6):454.
    [137]程荣朵,赵木昆,冉洪强.射干麻黄汤配合西药治疗支气管哮喘41例[J].陕西中医,2005,26(4):294-295.
    [138]张勇.加味射干麻黄汤治疗支气管哮喘急性发作100例[J].中国中医急症.2006,15(6):656-657.
    [139]于波,李婧.射干麻黄汤临床应用举例[J].吉林中医药,2002,22(1):52.
    [140]Chinetti G,Fruchart JC,Staels B.Peroxisome proliferator-activated receptors (PPARs):nuclear receptors at the crossroads between lipid metabolism and inflammati- on[J].Inflamm Res,2000,49:497-505.
    [141]Chinetti G,Griglio S,Antonucci A,et al.Activation of proliferator activated recep- torsαandγinduces apoptosis of human monocytederived macrophages[J].J Biol Chem,1998,273:25573-25580.
    [142]Marx N,Sukhova G,Murphy C,et al.Macrophages in human atheroma contain PPARgamma:differentiation dependent peroxisomal proliferator activated receptor gamma(PPARgamma)expression and reduction of MMP-9 activity through PPARg activation in mononuclear phagocytes in vitro[J].Am J Pathol,1998,153:17-23.
    [143]Yang XY,Wang LH,Chen T,et al.Activation of human T lymphocytes is inhibited by peroxisome proliferator-activated receptor gamma(PPARgamma) agonists.PPAR gamma coassociation with transcription factor NFAT[J].J Biol Chem,2000,275:4541.
    [144]Clark RB,Bishop B D,Estrada HT,et al.The nuclear receptor PPAR gamma and immunoregulation:PPAR gamma mediates inhibition of helper T cell responses[J].J Immunol,2000,164:1364-1371.
    [145]Faveeuw CS,Fougeray V,Angeli J,et al.Peroxisome proliferator-activated receptor gamma activators inhibit interleukin12 production in murine dendritic cells[J].FEBS Lett,2000,486:261-266.
    [146]Gosset P,Charbonnier AS,Delerive P,et al.Peroxisome proliferator activated receptor gamma activators affect the maturation of human monocyte-derived dendritic cells[J].Eur J Immunol,2001,31:2857-2865.
    [147]Belvisi MG,Hele DJ.Peroxisome proliferator-activated receptors as novel targets in lung disease.Chest,2008,134(1):152-157.
    [148]Patel HJ,Belvisi MG,Bishop BD,et al.Activation of peroxisome proliferator-acti- vated receptors in human airway smooth muscle cells has a superior anti-inflammatory profile to corticosteroids:relevance for chronic obstructive pulmonary disease therapy [J].JImmunol,2003,170(5):2663-9.
    [149]Trifilieff A,Bench A,Hanley M,et al.PPAR-alpha and-gamma but not-delta agonists inhibit airway inflammation in a murine model of asthma:in vitro evidence foran NF-kappaB-independent effect[J].Br J Pharmacol,2003,139(1):163-171.
    [150]Honda K,Marquillies P,Capron M,Peroxisome proliferator-activated receptor gamma is expressed in airways and inhibits features of airway remodeling in a mouse asthma model[J].J Allergy Clin Immunol,2004,113(5):882-888.
    [151]Mueller C,Weaver V,Vanden Heuvel JP,et al.Peroxisome proliferator-activated receptor gamma ligands attenuate immunological symptoms of experimental allergic asthma[J].Arch Biochem BioPhys,2003,418(2):186-196.
    [152]Stengel PW,Zeckner DJ,Guo WK,et al.Methacholine-induced pulmonary gas trapping in a mouse model of allergic asthlna:effect of inhaled budesonide and ciglitazone Eur J Pharmacol,2008,578(1):65-75.
    [153]Ward JE.Tan X Peroxisome proliferator activated receptor ligands as regulators of airway inflammation and remodeling in chronic lung disease.PPAR Res,2007,14983.
    [154]Lee KS,Park SJ,Kim SR,et a1.Modulation of airway remodeling and airway inflammation by pemxisome proliferator-activated receptor gamma in a murine model of toluene diisocyanate-induced asthma.J Immunol,2006,177(8):5248-5257.
    [155]Lee KS.Kim SR,Park SJ,et al. Peroxisome proliferator activated receptor-gamma modulates reactive oxygen species generation and activation of nuclear factor-kappaB and hypoxia inducible factor l alpha in allergic airway disease of mice.J Allergy Clin Immunol,2006,118(1):120-127.
    [156]Wang AC,Dai X,Luu B,et al.Peroxisome proliferatoractivated receptor gamma regulates airway epithelial cell activation[J].Am J Respir Cell Mol Biol,2001,24:688- 693.
    [157]Bishop BD,Hla T,Warner TD.Peroxisome proliferatoractivated(PPAR)-γligands induce vascular smooth muscle cell apoptosis[J].Br J Pharmacol, 2001,33:29.
    [158]Harris SG,Phipps RP.The nuclear receptor PPARγis expressed by mouse T lymphocytes and PPARγagonists induce apoptosis[J].Eur J Immunol, 2001,1:1098.
    [159]Woerly G,Honda K,Loyens M,et al.Peroxisome proliferator-activated receptors alpha and gamma down-regulate allergic inflammation andeosinophil activation[J].J Exp Med,2003,198(3):411-21.
    [160]Ueki S,Adachi T,Bourdeaux J,et al.Expression of PPARgamma in eosinoPhils andits functional role in survival and chemotaxis[J].Immunol Lett,2003,86(2):183-189.
    [161] Angeli V,Hammad H,Staels B,Peroxisome proliferator-activated receptor gamma inhibits the migration of dendritic cells:consequences for the immune response[J].J Immunol,2003,170(10):5295-5301.
    [162]Hammad H,de Heer HJ,Soullie T,Activation of peroxisome Proliferator-activated receptor-gamma in dendritic cells inhibits the development of eosinophilic airway inflammation in a mouse model of asthma[J].Am J Pathol.2004,164(1):263-271.
    [163]Groux H,Bigler M,Rouleau M,et al.A CD4 + T-cell subset inhibits antigen specific T-cell responses and prevents colitis[J].Nature,1997,389:737-742.
    [164]Akbari O,Freeman GJ,Meyer EH,et al.Antigen-specific regulatory T cells develop via the ICOS ICOS-ligand pathway and inhibit allergen-induced airway hyperreactivity [J].Nat Med,2002,8:1024-1032.
    [165]Cottrez F,Hurst SD,Coffman RL,et al.T regulatory cells 1 inhibit a Th2-specific response in vivo[J].J Immunol,2000,165:4848-4853.
    [166]Birrell BA,Patel HJ,McCluskie K,PPAR-gamma agonists as therapy for diseases involving airway neutrophilia[J]. Eur Respir J,2004,24(1):18-23.
    [167]Narala VR,Banga R,Smith MR,et al.Pioglitazone is as effective as dexamethasone in a cockroach allergen-induced murine model of asthma.Respir Res,2007,8:90.
    [168]Busse W,Elias J,Sheppard D,et al.Airway remodeling and repair[J].Am J Respir Crit Care Med,1999,160:1035-1042.
    [169]Bousquet J,Jeffery P,Busse WW,et al.AsthmaFrom bronchoconstriction to airways inflammation and remodeling[J].Am J Respir Crit Care Med.2000,161:1720-1745.
    [170]Hetzel M,WalcherD,Grub M,Inhibition of MMP-9 expression by PPARγactivators in human bronchial epithelial cells[J].Thorax,2003,58(9):778-783.
    [171]BenayounL,Letuve S,Druilhe A,et al.Regulation of peroxisome proliferator activated receptor gamma expression in human asthmatic airways:relationship with proliferation,apoptosis,and airway remodeling[J]. Am J Respir Crit Care Med,2001, 164:1487-94.
    [172]Ward JE,Gould H,Harris T,et al.PRARγligands,15-deoxy-delta12,14-prostagland in J2 and rosiglitazone regulate human cultured airway smooth muscle proliferationthrough different mechanisms[J].BrJ pharmacol,2004,141(3):517-525.
    [173]Schuster N, Krieglstein K.Mechanism of TGFβ-mediated apoptosis[J].Cell Tissue Res,2002,307:1-14.
    [174]Lutz M,Knaus P.Integration of the TGF-beta pathway into the cellular signaling network[J].Cell signal,2002,14(12):977-988.
    [175]Redington AE,Madden J,Frew AJ,et al.Transforming Growth Factor-β1 in Asthma [J].Am J Respir Crit Care Med,1997,156(2): 642-647.
    [176]Minshall EM, Leung DYM, Martin RJ, et al.Eosinophil-assiociated TGF-β1mRNA expression and Airwalls Fibrosis in BronchialAsthma[J].Am J Respir Cell Mol Biol, 1997,17(3):326-333.
    [177]Olsson N,Piek E,Sundstrom M,et al.Transforming growth factor beta mediated mast cell migration depends on mitogenactivated protein kinase activity[J].Cell Signal,2001,13(7) 483-490.
    [178]Wang ACC,Fu C.Fibronectin regulates the activation of THP-1 cells by TGF-β1 [J].Inflamm Res,2001,50(2):142-148.
    [179]Nakao A.Is TGF-β1 the key to suppression of human asthma[J].Trends Immunol, 2001,22(3):115-118.
    [180]Dennler S,Goumans MJ,Dijke PT,et al.Transforming growth factor-βsignal trans- duction[J].J Leukocyte Biol,2002,71:731-740.
    [181]Torrego A,Hew M,Oates T,et al.Expression and activation of TGF-beta isoforms in acute allergen-induced remodelling in asthma[J].Thorax,2007,62 (4):307-313.
    [182]Duvernelle C,Freund V,Frossard N.Transforming Growth Factor-βand Its Role in Asthma[J].Pul Pharmacol Ther,2003,16:181.
    [183]Makinde T,Murphy RF,Agrawal DK.The regulatory role of TGF-beta in airway remodeling in asthma[J].Immunol Cell Bio1,2007,85(5):348-356.
    [184]Xie S,Sukkar MB,Issa R,et al.Mechanisms of induction of airway smooth muscle hyperplasia by transforming growth factor-β[J].Am J Physiol Lung Cell Mol Physiol, 2007,293(1):245-253.
    [185]Kariyawasam HH,Robinson DS.The role of eosinophils in airway tissue remodelling in asthma[J].Curr Opin Immunol,2007,19(6):681-686.
    [186]Hara K,Hasegawa T,Ooi H,et al.Inhibitory Role of Eosinophils on cell Surface Plasmin Generation by Bronchial Epithelial Cells:Inhibitory Effects of Transforming Growth Factorβ1[J].Lung,2001,179:9.
    [187]Mak JCW, Rousell J, Haddad EB, et al. Transforming growth factor-β1 inhibitsβ2-adrenoceptor gene transcription[J]. Naunyn-Schmiedeberg′s Arch Pharmacol,2002, 362:520-525.
    [188]Pulleyn LJ, Newton R, Adcock IM, et al.TGF-β1 allele association with asthma severity[J]. Hum Genet, 2001, 109:623-627.
    [189]Ardavin C.Origin, precursors and differentiation of mouse dendritic cells. [J].Nat Rev Immunol,2003,3(7):582-590.
    [190]Lambrecht BN.Immunologists getting nervous: neuropeptides, dendritic cells and T cell activation[J].Respir Res,2001,2:133-138.
    [191]Poynter M,Irvin C,Janssen-Heininger Y, et al.Rapid Activation of Nuclear Factor- B in Airway Epithelium in a Murine Model of Allergic Airway Inflammation[J].Am J Pathol,2002,160:1325-1334.
    [192]Yoshimura S,Bondeson J,Brennan FM,et al.Role of NFkappaB in antigen presentation and development of regulatory T cells elucidated by treatment of dendritic cells with the proteasome inhibitor PSI[J].Eur J Immunol,2001,31(6):1883-1893.
    [193]Vliagoftis H,Befus AD,Hollenberg MD,et al.Hollenberg, R. Moqbel. 2001.Airway epithelial cells release eosinophil survival-promoting factors (GM-CSF) after stimula- tion of proteinase-activated receptor 2.[J].J Allergy Clin Immunol,2001,107:679-685.
    [194]Kuperman D,Huang X,Koth LL,et al.Direct effects of interleukin-13 on epithelial cells cause airway hyperreactivity and mucus overproduction in asthma[J].Nat Med, 2002,8:885-889.
    [195]Lambrecht BN,Salomon B,Klatzmann D,et al.Pauwels Dendritic Cells Are Required for the Development of Chronic Eosinophilic Airway Inflammation in Response to Inhaled Antigen in Sensitized Mice[J].J Immunol,1998,160(8):4090-4097.
    [196]Julia V, Hessel EM, Malherbe L, et al. A restricted subset of dendritic cells captures airborne antigens and remains able to activate specific T cells long after antigen exposure[J]. Immunity,2002,16(2):271-283.
    [197]Reider N, Reider D, Ebner S,et al.Dendritic cells contribute to the development of atopy by an insufficiency in IL-12 production[J].J Allergy ClinImmunol,2002,109: 89-95.
    [198]De Jong,E.C,P.L.Vieira, P.Kalinski, J. H.Schuitemaker,et al.Microbial compounds selectively induce Th1 cell-promoting or Th2 cell-promoting dendritic cells in vitro with diverse th cell-polarizing signals[J].J Immunol,2002,168:1704-1709.
    [199]Hammad H,Charbonnier A,Duez C,et al.Th2 polarization by Der p 1-pulsed monocyte-derived dendritic cells is due to the allergic status of the donors[J].Blood, 2001,98:1135-1141.
    [200]Hammad H,Lambrecht B, Pochard P,et al.Monocyte-Derived Dendritic Cells Induce a House Dust Mite-Specific Th2 Allergic Inflammation in the Lung of Humanized SCID Mice: Involvement of CCR7[J].J Immunol, 2002,169:1524-1534.
    [201]Harris N,Watt V,Ronchese F,et al.Differential T cell function and fate in lymph node and nonlymphoid tissues[J].J Exp Med,2002,195:317-326.
    [202]Kim CH, Rott L, Kunkel EJ, et al.Rules of chemokine receptor association with T cell polarization in vivo[J].J Clin Invest,2001,108:1331-1339.
    [203]Campbell JJ,Brightling CE,Symon FA,et al.Expression of chemokine receptors by lung T cells from normal and asthmatic subjects[J].J Immunol,2001,166:2842-2848.
    [204]Sekiya T, Miyamasu M, Imanishi M, et al.Inducible Expression of a Th2-Type CC Chemokine Thymus and Activation-Regulated Chemokine by Human Bronchial Epithelial Cells[J].JImmunol,2000,165:2205-2213.
    [205]Shevach EM.CD4+CD25+ suppressor T cells:more questions than answers[J].Nat Rev Immunol,2002,2:389-400.
    [206]Steinbrink K,Graulich E,Kubsch S, et al.CD4+ and CD8+ anergic T cells induced by IL-10-treated human dendritic cells display antigen-specific suppressor activity[J]. Blood,2002,99:2468-2476.
    [207]Akbari O, De Kruyff RH, Umetsu DT.Pulmonary dendritic cells producing IL-10 mediate tolerance induced by respiratory exposure to antigen[J].Nat Immunol,2001,2: 725-731.
    [208]Temelkovski J,Hogan SP,ShePherd DP,etal.An improved murine model of asthma:seleetiv eairway inflammation,epithelial lesions and inereased methacholine responsi- venessen[J].Thorax,1998,53(10):849-556.
    [209]黄妙毅.丙酸氟替卡松对哮喘小鼠气道重塑及TGF-β1表达的影响[D].第四军医大学,2007:25.
    [210]蒋可.咳喘宁方对发作期哮喘的临床和实验研究[D].中国中医科学院,2007:64.
    [211]Henderson WR Jr,Tang LO,Chu SJ,et al.A role for cysteinyl leukotrienes in airway remodeling in a mouse asthma model[J].Am J Respir Crit Care Med,2002,165: 108-116.
    [212]韩伟.过氧化物酶体增殖物激活受体γ在哮喘气道炎症和重建中的作用[D].复旦大学,2006:18-19.
    [213]Pabst R. Anima1 models for asthma:controversial aspects and unsolved problems [J].Pathobiology,2003,70(5):260-265.
    [214]Fedorov IA, Wilson SJ, Davies DE,et al.Epithelial stress and structural remodel- ling in childhood asthma[J].Thorax,2005,60:389-394.
    [215]Elias JA.Airway remodeling in asthma.Unanswered questions[J].Am J Respir Crit Care Med. 2000,161(3 Pt 2):S168-171.
    [216]周智敏,殷凯生.小鼠肺和气道树突状细胞分布特点及地塞米松对其的影响[J].苏州医学院学报,2001,21(2):175.
    [217]张明发,沈亚琴.射干药理研究进展[J].中国职业药师,2010,1:14-19.
    [218]李国信,齐越,秦文艳等.射干提取物止咳祛痰药理实验研究[J].实用中医内科杂志, 2008, 22 (2):3.
    [219]林久茂,王瑞国,郑良朴.射干对小鼠免疫功能的影响[J].福建中医学院学报, 2005, 15 (3):93
    [220]聂树禄,赵兵,姚黎.麻黄碱雾化吸入治疗毛细支气管炎101例[J].现代中西医结合杂志,2002,1l(18):1771-1772.
    [221]高晔珩.麻黄研究进展[J].陕西中医学院学报,2003,39(3):308-314.
    [222]赵志宏,李月娜.麻黄附子细辛汤治疗急性扁桃体炎[J].吉林中医药,2005,25(2): 37.
    [223]陈荣民,朱耕新,许芝银,等.麻黄种不同提取物对细胞免疫的影响[J].南京中医药大学学报,2001,17(4):234-236.
    [224]刘兴隆,贾波,黄秀深,等.细辛药理研究概况[J].江苏中医药,2005,26(7):59-61.
    [225]周慧秋,于滨,等.甲基丁香酚药理作用研究[J].中医药学报,2000,28(2):79.
    [226]郑虎占,董泽宏,余靖.中药现代化研究与应用(第四卷)[M].北京:学苑出版社, 1998:3057.
    [227]李玉先,刘晓东,朱照静.半夏药理作用的研究述要[J].辽宁中医学院学报,2004, 6 (6):459-460.
    [228]李计萍,王跃生,马华,等.干姜与生姜主要化学成分的比较研究[J],中国中药杂志, 2001,26 (11): 748-751.
    [229]胡炜彦,张荣平,唐丽萍,刘光.生姜化学和药理研究进展[J].中国民族民间医药,2008,9:10-14.
    [230]ZHAO XG,WANG ZT,MAJY,et al.Studies on chinese medicinal herbs shanziwang root and rhizome(Ligulariae)III.acomparison of expectorant and antitussive actions between ziwan rool and chuanziwan in mice[J].Chin Tradit Herbal Drugs,1999,30(1): 35-37.
    [231]LU Y H,DAI Y,WANG Z T,et al.Study on codein and expectorant action and effective part and compounds of Aster tataricus[J].Chin Tradit Herbal Drugs,1999,30 (1):360-362.
    [232]LI Y,WANG LH,SHENG L.Study on trachea of guinea pig of ziwan and gancao[J]. Inform Tradit Chin Med,1999,16(4):47-48.
    [233]肖培根.新编中药志[M].北京:化学工业出版社, 2002:802-805.
    [234]高慧琴,马骏,林湘,等.栽培品款冬花止咳化痰作用研究[J].甘肃中医学院学报, 2001,18(4):20.
    [235]王文燕,陈建光.五味子的药理作用及开发研究[J]北华大学学报(自然科学版)2007,8 (2):128-133.
    [236]苗明三.法定中药药理及临床[M].西安:世界图书制作公司,1998:77.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700