VitC、NAC对C_2C_(12)细胞增殖和凋亡的影响
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:制备慢性阻塞性肺疾病(COPD)大鼠模型,观察膈肌、趾长伸肌的凋亡率以及各试验组血清中丙二醛的含量;以抗氧化剂VitC、N-乙酰半胱氨酸(NAC)对体外培养的骨骼肌成肌细胞(C_2C_(12))进行干预,探讨抗氧化剂对C_2C_(12)细胞增殖、凋亡的影响。
     方法:经检疫合格的Wistar单纯雄性大鼠100只随机分为模型组80只,对照组20只。模型组采用熏香烟加气管内滴入猪胰弹性蛋白酶(PPE)的方法建立COPD大鼠模型;对照组不熏香烟,在模型组气管内注入PPE的同时采用同一术式在气管内注入等量的无菌生理盐水,其它饲养条件等同。模型制作成功后,以低于对照组大鼠平均体重的90%作为判断发生营养不良的标准,将大鼠重新分为健康对照组、COPD模型营养正常组、COPD模型营养不良组共三组,行肺功能测定处死大鼠后,每组随机选取18只大鼠取血清、膈肌以及趾长伸肌标本,进行以下测定:
     1.采用硫代巴比妥酸(TBA)比色法测定血清中丙二醛(MDA)的含量;
     2.脱氧核糖核苷酸末端转移酶介导的缺口末端标记法(TUNEL)测定大鼠膈肌、趾长伸肌凋亡率;
     3.体外培养C_2C_(12)细胞,观察抗氧化剂VitC、NAC对C_2C_(12)细胞的生长曲线以及以Annexin V-PI双染法测C_2C_(12)细胞凋亡率。
     结果:(1)肺功能检测示COPD组大鼠FEV_(0.3)(ml)、FEV_(0.3)/FVC(%)以及PEF(ml/s)均低于对照组(P均<0.01),说明存在明显气流受限;COPD组大鼠肺组织经HE染色符合COPD病理改变;(2)COPD营养不良组膈肌、趾长伸肌的凋亡率明显增加,有统计学意义(P<0.01);(3)COPD营养不良组较COPD营养正常组、对照组大鼠血清中反映氧化物的丙二醛含量明显增高(P<0.001);(4)抗氧化剂VitC和NAC都显示了对体外培养的处于氧化应激状态C_2C_(12)细胞具有抑制凋亡的作用(P<0.001),干预36h时高浓度的VitC比单纯DMEM/F12培养基有促进C_2C_(12)细胞增殖的作用(1.292±0.026,1.208±0.085,P<0.05);(5)细胞流式法表明,抗氧化剂能够抑制C_2C_(12)细胞的凋亡,高浓度的VitC凋亡率最低。
     结论:(1)COPD模型鼠体内活性氧产生增多,膈肌和趾长伸肌凋亡率增加,提示氧化应激可能导致了呼吸肌等骨骼肌细胞凋亡;(2)体外细胞培养表明,VitC、NAC能够抑制处于氧化应激状态的C_2C_(12)细胞的凋亡,而且高浓度的VitC可能对C_2C_(12)细胞有增殖作用。
Objective:To investigate the apotosis of diaphragmatic muscle and extensor digitorum longus,and analysis the serum levels of malondialdehyde(MDA)in a rat model of chronic obstructive pulmonary disease(COPD).To explore the effect of antioxidative,VitC and N-acetylcysteine,on the proliferation and apotosis of myoblast(C_2C_(12)).
     Methods:One hundred male Wistar rats were randomly divided into groups:normal control group(n=20)and a COPD model group.The methods,which were that exposing to cigarette smoke and intratracheal instillation of PPE(20u/100g),were used to produce the rat model of COPD.While the control group was not exposed to smoke but was intratracheal instilled of the same amount of saline when the model group was accepted to PPE.We presumed,when the weight of the COPD model group was lower than 90%of the mean levels of the control group's, malnutrition with COPD rat occurred.Then the model was succeded comepletly,and re-divided into 3 groups:the control group,the non-malnutrition group with COPD and the malnutrition group.At last, all of the 54 rats were euthanized.We measured:
     1)the serum levels of MDA by TBA.
     2)And the apotosis radio in disphragmatic muscle and extensor digitorum longus by terminal-deoxynucleotidyl transferase mediated nick end labeling(TUNEL).
     3)the effect of antioxidant,VitC and N-acetylcysteine,on the proliferation and apotosis of myoblast(C_2C_(12)).
     Results:(1)Lung function tests showed that FEV_(0.3),FEV_(0.3)/FVC and PEF values were significantly lower in the COPD group than that of the control(all P<0.01),and pathological changes of the model group consistented with that of COPD in the mankind.(2)And the apotosis radio of disphragmatic muscle and extensor digitorum longus in the malnutrition of COPD model group increased.(3)The serum levels of MDA significantly increased as compared with the others.(4)VitC and N-acetylcysteine,as the effective antioxidant,displayed that the protection for inhibiting the myoblast's apotosis,especially the high concentration of VitC.And VitC could promote the proliferation of myoblast occupying oxdative stress.
     Conclusion:(1)The production of reactive oxygen species was increased in the malnutrition group with COPD,which maybe induces the apotosis of muscle,such as d;isphragmatic muscle and extensor digitorum longus.(2)Inhibiting the myoblast's apotosis and promoting the proliferation,VitC may be more effective.
引文
[1]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版),中华结核和呼吸杂志,2007,30(1):8-17
    [2]NHLBI / WHO.Global Initiative for Chronic Obstructive Lung Disease.Global strategy for the diagnosis,management and preventionof chronic obstructive pulmonary disease.Executive Summary[R].NHLBI / WHO Workshop Report,2005
    [3]冉丕鑫,王辰,姚宛珍,等.我国部分地区慢性阻塞性肺疾病流行病学研究.中华结核和呼吸杂志,2007(待发)
    [4]MacNee W.Oxidative stress and lung inflammation in airways disease[J].Eur J Pharmacol,2001,429(123):195-207
    [5]MacNee W.Oxidants/antioxidants and COPD.Chest,2000,117(1):303-317
    [6]Rahman I,Morrison D,Donaldson K,et al.Systemic oxidative stress in asthma,COPD,and smokers.Am J Respir CritCare Med,1996,154:1055-1060
    [7]陈勇,张宁,饶爱霞.慢性阻塞性肺疾病血浆丙二醛和谷胱甘肽过氧化物酶的研究.中国现代医学杂志,2005,15(22):3453-3457
    [8]Oudijk EJ,Lammers JW,Koenderman L.Systemic inflammationin chronic obstructive pulmonary disease.Eur Respir J Suppl,2003,46:5s-13s
    [9]Monica CP,Ricardo NI,Josec SE,et al.Distribution and morphometry of skeletal muscle fibers in patients with chronic obstructive pulmonary disease and chronic hypoxemia.Muscle Nerve,2004,30:796-798
    [10]Kasielski M,Nowak D.Long-term administration of N-acetylcysteine decreases hydrogen peroxide exhalation in subjects with chronic obstructive pulmonary disease.Respir Med,2001,95:448-456
    [11]Sprong RC,Winkelhuyzen J,Aarsman CJ,et al.Low-dose N-acetylcysteine protects rats against endotoxin-mediated oxidative stress,but high-dose increases mortality.Am J Respir Crit Care Med,1998,157:1283-1293
    [12]赖桂华,邱小忠,余磊等.氧化应激对C2C12成肌细胞增殖与凋亡的影响.中国组织工程研究与临床康复,2007,2(2):278-281
    [13]徐叔云主编.中华临床药物学(M),第一版,北京:人民卫生出版社,2003,1283-1287.
    [14]孙圣华,唐文祥,刘纯等。TNF-α对COPD大鼠模型呼吸机蛋白质分解代谢的影响.中华结核和呼吸杂志.2007,30(3):186-191
    [15]金焱,庞宝森,武维屏,等.一种实验性大鼠慢性阻塞性肺疾病模型的建立. 心肺血管病杂志,2004,23(3):179-181
    [16]郑鸿翱.建立慢性阻塞性肺疾病动物模型方法的研究进展.中国动物实验学报,2003,11:249-252
    [17]Paigen K,et al.A miracke enough:the power of mice.Nature Med,1995,1:215-220
    [18]Hoedal JR,Niewoehner DE.Cigraette smoke inhalation potentiates elastase—induced emphysema in hasnters[J].Am Rev Respir Dis,1983,127:478-481
    [19]王迪浔,金成薪,王维翰,等.吸烟引起肺血管反应性变化的影响因素—动物种属与吸烟时间.中国病理生理杂志,1993.9:53
    [20]许建英,杜永成,赵鸣武,等.大鼠慢性阻塞性肺疾病模型的建立.中国病理生理杂志,2000,16(4):383-384
    [21]马楠,崔德健,梁延杰,等.气管内注入脂多糖法建立大鼠慢性支气管炎的模型.基础医学与临床,2000,20(4):87-90
    [22]宋一平,崔德健,茅培英,等.慢性阻塞性肺疾病大鼠模型的建立及药物干预的影响,中华内科杂志,2000,39(8):556-557
    [23]武红莉,冯淬灵.慢性阻塞性肺疾病大鼠模型病理形态学比较研究.心肺血管病杂志,2006,25(4):233-235
    [24]Kasak V.Chronic obstructive pulmonary disease acute bacterial exacerbations[J].Klin Mikrobiol Infekc Lek.2004,10(2):68-72
    [25]Schwartz J.Who is sensitive to extremes of temperature ?:A case-only analysis[J].Epidemiology,2005,16(1):67-72
    [26]朱慧志,韩明向,丁小娟,等.多因素慢性阻塞性肺疾病大鼠模型的建立.中国临床保健杂志,2005,8(2):145-147
    [27]许霖水,李强.内毒素诱导大鼠胰岛细胞凋亡作用.中国糖尿病杂志,2001,9(2):101-104
    [28]岳赟,孙兰,杨京,等.17-β雌二醇对脂多糖诱导的大鼠原代成骨细胞凋亡的影响.中国药理通讯,2003,20(3):52-53
    [29]肖永营,夏锡荣,施毅,等.大量吸烟COPD患者气道纤毛超微结构和粘液.纤毛转运系统功能研究,第二军医大学学报,1999,20(8):528-531
    [30]方秋红,赵鸣武,任光民,等.香烟烟雾提取物对气道平滑肌细胞增殖及对内皮素释放的影响[J].中华医学杂志,1997,77:201-204
    [31]Shapiro SD.The pathogenesis of emphysema:the elastase/antielastase hypothesis 30 years later.Proc Assoc Am Physicians.1995,107(3):346
    [32]Stockly RA,et al.Protease/Antiprotease:Pathogenesls and role in therapy[J]. Clinical Pulmonary Medicine,1998,5:203-210
    [33]张旭晨.动物实验性肺气肿的发生及其机制研究进展.国外医学呼吸系统分册.1998,18(3):132-138
    [34]曾勉,郭禹标,谢灿茂,等.猪胰弹性蛋白酶肺气肿模型复制的实验研究.现代康复,2001,5(3):59-60
    [35]张旭晨,阮英茆,徐新林,等.应用弹性蛋白酶复制金黄地鼠肺气肿模型[J].天津医药,1999,27:536-537
    [36]秦兴国,肖平,陈凤华,等.慢性阻塞性肺疾病急性发作期血清白介素—8、超氧化物歧化酶和丙二醛的测定.河南诊断与治疗杂志,2001,15(1):1-2
    [37]Foschino Barbaro MP,Carpagnano GE,Spanevello A,et al.Inflammation,oxidative stress and systemic effects in mild chronic obstructive pulmonary disease.Int J Immunopathol Pharmacol.2007,20(4):753-763
    [38]金丽娟,金春华,王静珍,等.多系统器官衰竭的氧自由基机制.中国病理生理杂志,1990,6:203
    [39]Mercken EM,Hageman GJ,Schols AM,et al.Rehabilitation decreases exercise-induced oxidative stress in chronic obstructive pulmonary disease.Am J Respir Crit Care Med.2005;172:994-1001
    [40]van Helvoort H,Heijdra YF,Vina J,et al.Exercise-induced systemic effects in muscle-wasted patients with COPD.MedSci Sports Exert 2006;38:1543-1552
    [41]Couillard A,F.Maltais,D.Saey,et al.Exercise-induced quadriceps oxidative stress and peripheral muscle dysfunction inpatients with chronic obstructive pulmonary disease.Am.J.Respir.Crit.Care Med.2003,167:1664-1669
    [42]Hanneke AC,Yvonne FH,Roline CC,et al.Six-minute walking-induced systemic inflammation and oxidative stress in muscle-wasted COPD patients.Chest,2007,131:439-445
    [43]Van Helvoort,Van Depol,YF.Heijdra,et al.Systemic inflammatory response to exhaustive exercise in patients with chronic obstructive pulmonary disease.Respir.Med,2005,99:1555-1567.
    [44]Febbraio MA,Pedersen BK.Muscle-derived interleukin-6:mechanisms for activation and possible biological roles.FASEB J 2002;16:1335-1347
    [45]Papanicolaou DA,Wilder RL,Manolagas SC,et al.The pathophysiologic roles of interleukin-6 in human disease.Ann Intern Meal 1998;128:127-137
    [46]Reid MB,YP Li.Cytokines and oxidative signalling inskeletal muscle.Acta.Physiol.Scand,2001,171:225-232
    [47]John E.Oxidative stress in chronic obstructive pulmonary disease.Am J Respir Crit Care Med.1997,156:341
    [48]李志斌,邹霞英,陈小容,等.慢性阻塞性肺疾病患者氧自由基代谢对肺血流动力学的影响.中华内科杂志,2003,42(2):123-124
    [49]Gea JG,Orozco-Levi M,Barreiro E,et al.Structural and functional changes in the skeletal muscles of COPD patients:the 'compartments' theory.Monaldi ArchChest Dis 2001;56:214-224
    [50]Schols AM,Soeters PB,Dingemans AM,et al.Prevalence and characteristics ofnutritional depletion in patients with stable COPD eligible forpulmonary rehabilitation.Am.Rev.Respir.Dis.1993,147:1151-1156
    [51]Montes de Oca M,Torres SH,De Sanctis J,et al.Skeletal muscle inflammation and nitric oxide in patients with COPD.Eur Respir J 2005;26:390-397
    [52]van Helvoort HA,Heijdra YF,Dekhuijzen PN.Systemic immunological response to exercise in patients with chronic obstructive pulmonary disease:what does it mean? Respiration,2006:73:255-264
    [53]Agusti,AG,A.Noguera,J.Sauleda,ES,et al.Systemic effects of chronic obstructive pulmonarydisease.Eur.Respir.J.2003,21:347-360
    [54]Hanneke AC,Yvonne FH,Hub MH Thijs,et al.Exercise-induced systemic effects in muscle-wasted patients with COPD.Med Sci Sports Exerc,2006,38(9):1543-1522
    [55]周敏,徐永健.慢性阻塞性肺疾病患者的营养支持治疗及存在的问题.中国实用内科杂志.2005,25:104-106
    [56]Baarends EM,Schols AMWJ,Pannemans DLE,et al.Total free living energy expendure in patients with severe chronic obstructive pulmonary disease.Am J Respir Crit Care Med.1997,155:549-554
    [57]Yoneda T,Yoshikawa M,Fu A.Plasma levels of amino acids and hypermetabolism in patients with chronic obstructive pulmonary disease[J].Nurition,2001,17(2):95-99
    [58]Itoh T,Nagaya N,Yoshikawa M,et al.Elevated plasma ghrelin level in underweight patients with chronic obstructive pulmonary disease[J].Am J Respir Crit Care Med,2004,170:879-882
    [59]Gray-Donald DK,Gibbons L,Shapiro S,et al.Nutritional status and mortality in chronic obstructive pulmonary disease.Am J Respir Crit Care Med.1996,153:961-966
    [60]冉丕鑫,王辰,姚婉贞,等.体重指数与慢性阻塞性肺疾病及生活质量的关 系.中华结核和呼吸杂志.2007,30(1):18-22
    [61]Landbo C,Prescott E,lange P,et al.Prognostic value of nutritional status in chronic obstructive pulmonary disease.AmJ Respir Crit Care Med,1999,160:1856-1861
    [62]Agusti AG,Sauleda J,Miralles C.et al.Skeletal muscle apoptosis and weight loss in chronic obstructive pulmonary disease.Am J Respir Crit Care Med,2002,166(4):485-489
    [63]Dirks A,Leeuwenburgh C.Apoptosis in skeletal muscle with aging.Am J Physiol Regulatory Integrative Comp Physiol.2002;282:R519-R527
    [64]Rabinovich RA,Ardite E,Troosters T,et al.Reduced muscle redox capacity after endurance training in patients with chronic obstructive pulmonary disease.Am J Respir Crit CareMed 2001;164:1114-111
    [65]Ishii T,Matsuse T,Teramoto S,et al.Glutathione S-transferase PI(GSTP1)polymorphism in patients with chronic obstructive pulmonary disease.Thorax,1999,54(8):693
    [66]秦瑞峰,顾晓明,秦晓春.骨骼肌肌细胞增殖及分化过程中凋亡现象.第四军医大学学报.2001,22(1):20-22
    [67]Pagni FD,DerSimonion H,Zawadzka A,et al.Transplanted skeletal myoblasts transplanted to ischemia-damaged myocardium in humans.J Am Coll Cardiol,2003,41(5):879-888
    [68]Jankowski RG,Deasy BM,Cao B,et al.The role of CD3 expression and cellular fusion in the regeneration capacity of myogenic progenitor cells.J Cell Sci,2002,115:4361-4374
    [69]Reinecke H,Poppa V,Murry CE,et al.Skeletal muscle stem cells do not transdifferentiate into cardiomyocytes after cardiac grafting.J Mol Cell Cardiol,2002,34:241-249
    [70]Huang YC,Dennis RG,Larkin L.Rapid formation of functional muscle in vitro using fibrin gels.J Appl Physiol.2005,98(2):706-713
    [71]Stephen E,Mercer,Daina Z,et al.Mirk/dyrk1B mediates survival during the differentiation of C2C12 myoblasts.J Biol Chem,2005,280(27):25788-25801
    [72]Kontrogianni KA,Catino DH,Strong JC,et al.De novo myofibrillogenesis in C2C12 cells:evidence for the independent assembly of M bands and Z disks.Am J Physiol Cell Physiol,2006,290:626-637
    [73]Schultz E,Albright DJ,Jarysazak DL,et al.Survival of satellite cells in whole muscle transplants.Anat Rec,1988,222:12-17
    [74]Bandyopadhyay D,Chattopadhyay A,Ghosh G,et al.Oxidative stress-induced ischemic heart disease:protection by antioxidants.Curr Med Chem,2004,11(3):369-387
    [75]Vermes I,Haanen C,Steffens-Nakken H,et al.A novel assay for apoptosis.Flow cytometric detection of phosphatidylserine expression on early apoptotic cells using fluorescein labelled Annexin V.J Immunol Methods,1995,184:39-51
    [76]Wei YH,Lee HC.Oxidative stress,mitochondrial DNA mutation,and impairment of antioxidant enzymes in aging[J].Exp Biol Med,2002,227(9):671-682
    [77]Li P,Nijhawan D,Budihardjo I,et al.Cytochrome c and dATP-dependent formation of Apaf-1/caspase-9 complex initiates an apoptotic protease cascade[J].Cell,1997,91(4):479-489
    [78]Facchinetti F,Furegato S,Terrzzzino S,et al.H2O2 induces upregulation of Fas and Fas ligand expression in NGF-differentiated PC12 cells:modulation by cAMP[J].J Neurosci Res,2002,69(2):178-188
    [79]肖卫民,蒋碧梅,石永忠,等.过氧化氢诱导C2C12细胞凋亡的机制初探.医学临床研究,2004,21(11):1288-1291
    [80]王劲,郭朝华,张勇,等.成肌细胞增殖/分化的信号转导研究.生命的化学,2002,22(1):18-20
    [81]何建英,马志芳.大剂量VitC治疗慢性阻塞性肺病疗效观察.西安医科大学学报,1997,18(2):204-206
    [82]Poole PJ,Black PN.Oral mucolytic drugs fo rexacerbations of chronic obstructive pulmonary disease:systematic review[J].BMJ,2001,322(7297):1271-1274
    [83]Sprong RC,Winkelhuyzen J,Aarsman CJ,et al.Low-dose N-acetylcysteine protects rats against endotoxin-mediated oxidative stress,but high-dose increases mortality.Am J Respir Crit Care Med,1998,157:1283-1293
    [1]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版),中华结核和呼吸杂志,2007,30(1):8-17
    [2]冉丕鑫,王辰,姚宛珍,等.我国部分地区慢性阻塞性肺疾病流行病学研究.中华结核和呼吸杂志,2007
    [3]Bulger EM,Maier RV.Antioxidants in critical illness.Archives of Surgery,2001,136(10):1201-1207
    [4]Cantin AM,Fells GA,Hubbard RC,et al.Antioxidant macromolecules in the epithelial lining fluid of the normal human lower respiratory tract[J].J Clin Investig,1990,86(3):962-971
    [5]Rahman I,Skwarska E,MacNee W.Attenuation of oxidant/antioxidantimbalance during treatment of exacerbations of chronic obstructive pulmonary disease.Thorax,1997,52:565-568
    [6]Morrison D,Rahman I,Lannan S,et al.Epithelial permeability inflammation and oxidant stress in the air spaces of smokers.Am J Respir Crit Care Med,1999,159(2):473-479
    [7]MacNee W.Oxidative stress and lung inflammation in airways disease[J].Eur J Pharmacol,2001,429(123):195-207
    [8]MacNee W,Oxidants/antioxidants and COPD.Chest,2000,117(1):303-317
    [9]Thompson AB,Bohling T,Heires A,et al.Lower respiratory tract iron burden is increased in association with cigarette smoking.J Lab Clin Med,1991,117(6):494-499
    [10]Karadag F,Cildag O,Altinisik M,et al.Trace elements as a component of oxidative stress in COPD.Respirology,2004,9(1):33-37
    [11]赵玉霞,于润江.吸烟对脂质过氧化物系统及α1抗胰蛋白酶的影响.中华结核和呼吸杂志,1998,21:182-191
    [12]Sunyer J.Urban air pollution and chronic obstructive pulmonary disease:a review[J].Eur Resp ir J,2001,17(5):1024-1033
    [13]Mudway IS,Kishna MT,Frew AJ,et al.Compromised concentrations of ascorbate in fluid lining the respiratory tract in human subjects alter exposure to ozone.Occup Environ Med,1999,56(7):473-481
    [14]MacNee W.Pulmonary and systemic oxidant/antioxidant imbalance in chronic obstructive pulmonary disease.Proc Am Thorac Soc,2005,2:650-660
    [15]李志斌,邹霞英,陈小容,等.慢性阻塞性肺疾病患者氧自由基代谢对肺血流动力学的影响.中华内科杂志,2003,42(2):123-124
    [16]陈祥银,程显声,李景周,等.吸烟者血清弹性蛋白酶、1—抗胰蛋白酶、前胶原Ⅲ肽及丙二醛的检测.中华内科杂志,1999,38:178-180
    [17]Van-der-Vliet,Cross CE.Oxidants,nitrosants,and the lung.Am J Med,2000,109:398-421
    [18]Comhair SA,Erzurum SC.Antioxidant responses to oxidant—mediated lung diseases[J].Am J Physiol Lung Cell Mol Physiol,2002,283(2):L 246-L 255
    [19]Maestrelli P,Paska C,Saetta M,et al.Decreased haemoeygenase-1 and increased inducible nitric oxide synthase in the lung of severe COPD patients.Eur Respir J,2003,21:971-976
    [20]Lomas DA,Chronic obstructive pulmonary disease.Introduction Torax,2002,57:735
    [21]Farkhutdinov UK,Abdrakhmannova LM,Farkhurdinov RR,Effects of halitherapy on free radical oxidation inpatients with chronic bronchiris.Klin Med,2000,78:37-40
    [22]Wang T,Zhang X,Li JJ.The role of NF—kappaB in the regulation of cell stress responses.Int Immunopharmacol 2002,2(11):1509-1520
    [23]Lennon S V,Martin SJ,Cotter TGDose-dependent induction of apoptosis in human tumor cell lines by widely diverging stiumuli[J].Cell Prolif,1991,24:203-214
    [24]赖桂华,邱小忠,余磊等.氧化应激对C2C12成肌细胞增殖与凋亡的影响.中国组织工程研究与临床康复,2007,2(2):278-281
    [25]Nagai A.Apoptosis in chronic obstructive pulmonary disease.Nippon Rinsho,2003,61(12):2126-2132
    [26]Kasahara Y,Tuder RM,Cool CD,et al.Endothelial cell death and decreased expression of vascular endothelial growth factor receptor in emphysema.Am J Respir Crit Care Med,2001,163(3 pt 1):737-744
    [27]Aoshiba K,Yokohori N,Nagai A.Alveolar wall apoptosis causes lung destruction and emphysematous changes.Am J Respir Cell Mol Biol,2003,28(4):555-562
    [28]Chrysofakis G,Tzanakis N,Kyriakoy D.Perforin expression and cytotoxic activity of sputum CD8+ lymphocytes in patients with COOPD.Chest,2004,125(1):71-76
    [29]Saetta M,Baraldo S,Corbino L,et aI.CD8+ cells in the lungs of smokers with chronic obstructive pulmonary disease.Am J Respir Crit Care Med,1999,160(2):711-717
    [30]Pletz MW,Ioans M,Deroux A,et al.Reduced spontaneous apoptosin in peripheral blood neutrophils during exacerbation of COPD.Eur Respir J,2004,23(4):532-537
    [31]曹国强,钱桂生,林莉,等.慢性阻塞性肺疾病大鼠肺组织细胞凋亡和增殖的变化.中华结核和呼吸杂志,2005,28(3):169-172
    [32]曹国强,钱桂生,姬军生,等.吸烟及糖皮质激素对慢性阻塞性肺疾病患者肺泡巨噬细胞凋亡的影响.中国临床康复,2005,9(35):92-93
    [33]Ottenheijm CA,Heunks LM,Sieck GC,et al.Diaphragm dysfunction in chronic obstructive pulmonary disease.Am J Respir Crit Care Med.2005,172:200-205
    [34]周敏,徐永健.慢性阻塞性肺疾病患者的营养支持治疗及存在的问题.中国 实用内科杂志.2005,25:104-106
    [35]冉丕鑫,王辰,姚婉贞,等.体重指数与慢性阻塞性肺疾病及生活质量的关系.中华结核和呼吸杂志.2007,30(1):18-22
    [36]Ishii T,Matsuse T,Teramoto S,et al.Glutathione S-transferase PI(GSTP1)polymorphism in patients with chronic obstructive pulmonary disease.Thorax,1999,54(8):693
    [37]Zamzami N,Marchetti P,Castedo M,et al.Reduction in mitochondrial potential constitutes an early irreversible step of programmed lymphocyte death in vivo.J Exp Med,1995,181:1661-1672
    [38]Amuradha CD,Kanno S,Hirano S.Oxidative damage to mitochondria is a preliminary step to caspase-3 activation in fluoride-induced apoptosis in HL260cells.Free Radic Biol Med,2001,31(3):367-373
    [39]Angkeow P,Deshpande SS,Qi B,et al.Redox factor-1:an extra-nuclear role in the regulation of endothelial oxidative stress and apoptosis.Cell Death Differ,2002,9:717-725
    [40]Mirella T,Marco G,Angelo C,et al.A P532-P66shc signaling pathway controls intracellular redox status,levels of oxidation-damaged DNA and oxidative stress-induced apotosis.Oncogene,2002,21:3872-3878
    [41]Ma XL,Kumar S,Gao F,et al.Inhibition of P38 mitogen-activated protein kinase decrease cardiomyocyte apoptosis and improves cardiac function after myocardial ischemia and reperfusion.Circulation,1999,99(13):1685-1691
    [42]Inoshita S,Takeda K,Hatai T,et al.Phosphorylation and inactivation of Mcl21 by c-Jun N-terminal kinase(JNK)in response to oxidative stress.J Biol Chem,2002,9:168
    [43]Morris DG,Huang D,Kaminski N,et al.Loss of integrin alphavbeta6-mediated TGF-beta activation causes Mmp12-dependent emphysema.Nature,2003,422(1):169-173
    [44]Hanneke AC,Yvonne FH,Roline CC,et al.Six-minute walking-induced systemic inflammation and oxidative stress in muscle-wasted COPD patients.Chest,2007,131:439-445
    [45]van Helvoort H,Heijdra YF,Vina J,et al.Exercise-induced systemic effects in muscle-wasted patients with COPD.MedSci Sports Exerc 2006;38:1543-1552
    [46]Barnes PJ.New treatments for chronic obstructive pulmonary disease[J].Curr Opin Phamacol,2001,1(3):217-222
    [47]黄文杰,方怡.COPD的抗氧化治疗进展[J].中国处方药,2004,3 (24):41-45
    [48]Jankowska R,Passowicz-Muszynska E,Medrala W,et al.The influence of Nacetycysteine on chemiluminescene of granulocytes in peripheral blood of patients with chronic bronchitis.Pneumonol Alergol Pol,1993,61:586-591
    [49]De Benedetto F,Aceto A,Dragani B,et al.Long-term oral Nacetylcysteine reduces exhaled hydrogen peroxide in stable COPD.Pulm Pharmacol Ther,2005,18:41-47
    [50]李华英,陈修贵.N-L酰半胱氨酸治疗慢性阻塞性肺疾病患者疗效和作用机制研究.中国临床药理学与治疗学,2005,10(12):1423-1426
    [51]Ortolani O,Conti A,Gaudio AR,et al.Protective effects of N-acetylcyseine and rutin on the lipid peroxidation of the lung epithelium during the adult respiratory distress syndrome.Shock,2000,13:14-18
    [52]Sadowska AM,Manuely Keenoy B,De Backer WA.Antioxidant and anti-inflammatory efficacy of NAC in the treatment of COPD:Discordant in vitro and in vivo dose-effects:A review Pulmonary.Pharmacol Ther,2007,20:9-22
    [53]李红梅,崔德健,佟欣,等.N-乙酰半胱氨酸等对基质金属蛋白酶在大鼠慢性阻塞性肺疾病模型气道细胞外基质重塑中的作用.解放军医学杂志,2002,27:593-596
    [54]Zafarullah M,Li WQ,Sylvester J,et al.Molecular mechanisms of N-acetylcysteine actions[J].Cell Mol Life Sci,2003,60(1):6-20
    [55]Schunemann HJ,Freudenheim JL,Grant BJ.Epidemiologic evidence linking antioxidant vitamins to pulmonary function and airway obstruction[J].Epidemiol Rev,2001,23(2):246-248
    [56]Daga M,Chhabra R,Sharma B,et al.Effect of exogenous vitamin E supplementation on the level of oxidants and antioxidants in chronic obstructive pulmonary disease.J Biosci,2003,28(1):7-11
    [57]黄进,杨国宇,李宏基,等.抗氧化剂作用机制研究进展[J].自然杂志,2003,26(2):76
    [58]赵士豪,路新利,郭会灿.维生素E保健作用的研究进展[J].山西食品工业,2005,1:32
    [59]刘珊,孙贵范,宛超,等.维生素C对香烟烟雾的氧化应激作用的影响[J].中国公共卫生,2004,20(8):938
    [60]Calikoglu M,Unlu A,Tamer L.The levels of serum vitaminC,malonyldialdehyde and erythrocyte reduced glutathione in chronic obstructive pulmonary disease and in healthy smokers[J].Clin Chem Lab Med,2002,40(10):1028-1031
    [61]Laoag Fernandez JB,Fernandez AM,Marao T,et al.Antenatal use of ambroxol to the prevention of infant respiratory distress syndrome[J].J Obstet Gynaecol Res,2000,26(4):307-312
    [62]Nowak D,Antczak A,Krol M,et al.Antioxidant properties of ambroxol.Free Rad Biol Med,1994,16:517
    [63]张洪玉,邝土光,庞宝森,等.慢性阻塞性肺疾病氧化/抗氧化失衡的基础与临床研究.中国医药导刊,2001,3(4):260-262
    [64]邝土光,张洪玉,张杰,等.氨溴索对慢性阻塞性肺疾病患者急性发作期氧化/抗氧化失衡的影响.北京朝阳医药学报,2000,5(2):187-189
    [65]凌洪锋,苏丹,曹洋.黄芪多糖抗氧化作用研究[J].医学理论与实践,2005,18(8):872-874
    [66]张晶晶,史小琴,王怀颖,等.银杏叶提取物抗氧化作用的实验研究[J].军医进修学院学报,2005,26(4):268-269
    [67]苗华军,刘新凤,于建华,等.刺五加注射液对COPD患者血液流变学的影响[J].山东医药,2000,40(14):45
    [68]李文立,谭剑斌,杨杏芬,等.刺五加、葡萄籽提取物方剂对衰老模型小鼠肝脏细胞凋亡及氧化应激的影响[J].华南预防医学,2005,31(4):5-8
    [69]Clark JE,Foresti R,Sarathchandra P,et al.Heme oxygenaste derived bilirubin ameliorates postischemic myocardial dysfunction.Am J Physiol Heart Circ Physiol,2000,278:643-651
    [70]李建强,赵卉,刘卓拉,等.胆红素对烟雾暴露大鼠肺泡巨噬细胞核因子—kB及白介素8表达的影响.中华结核和呼吸杂志,2005,28:59-60

© 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