参芪复方调控GK大鼠血管PTEN/PI3K通路与血管新生的实验研究
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:探讨以参芪复方为代表的2型糖尿病(T2DM)基本治法——益气养阴、活血化瘀法对GK大鼠(Goto-Kakizaki wister rates)2型糖尿病大血管病变主动脉PTEN/PI3K通路与血管新生的影响与作用机制,为临床推广应用中医药防治糖尿病大血管病变提供理论依据。
     方法:选择随机血糖≥11.1mmol/l的GK大鼠随机分为GK空白组、模型组、西药阿托伐他汀组、中药参芪复方组,另设正常Wistar对照组。模型、西药、中药组给予L-NAME 0.1mg·ml-1·d-1,加入饮用水中进行造模。正常组喂饲普通饲料,其余各组喂饲高脂饲料时间为35天。造模同时开始给予相应受试药物,周期35天。期间观察动物一般状况、饮水量、摄食量、体重、随机血糖。实验结束时,腹主动脉采血,冰上取主动脉。检测各组血糖、血脂水平,ELISA法检测血清C-反应蛋白(CRP),HE染色对腹主动脉进行形态学观察,双抗体夹心ABC-ELISA法测定主动脉血管内皮生长因子(VEGF)含量,实时荧光定量PCR技术检测主动脉PTENmRNA、PI3Kp85mRNA的表达水平,Western blot法检测主动脉PI3Kp85、Phospho-PI3Kp85、细胞间黏分子(ICAM-1)蛋白表达水平。
     结果:参芪复方能显著改善GK大鼠一般状态、糖脂代谢及腹主动脉形态学变化。参芪复方组大鼠的血清CRP、主动脉ICAM-1蛋白表达及主动脉VEGF含量较模型组显著降低(P<0.05);主动脉PTENmRNA表达较模型组显著升高(P<0.01), PI3Kp85mRNA与Phospho-PI3K p85蛋白表达较模型组均显著降低(P<0.05)。
     结论:降低血清CRP含量、主动脉ICAM-1蛋白表达,减轻整体炎症状态与局部炎性浸润;降低主动脉VEGF含量,升高PTENmRNA表达水平,抑制主动脉PI3Kp85mRNA与Phospho-PI3Kp85蛋白表达,调控PTEN/PI3K信号通路,从而抑制血管新生可能是参芪复方抑制糖尿病动脉粥样硬化,防治DM大血管病变的部分作用机制。
Objective:To research the mechanisms of ShenQi prescription representing the methods of tonifying Qi and Yin and promoting blood circulation to dissipate stasis that affect PTEN/PI3K signal transduction and angiogenesis of GK rats (Goto-Kakizaki wistar rats) with T2DM Macroangiopathy.
     Method:Departed GK rats (RBS≥11.1mmol/l) as GK group、model group. atorvastatin group、ShenQi prescription group and Wistar rats act as the normal group. Give high fat diet to GK rats and ordinary feed to Wistar rats. In order to build the T2DM Macroangiopathy model, admin the Nω-nitro-L-arginine methyl ester(L-NAME) 0.1 mg·ml-1·d-1 in drinking water to the model group、atorvastatin group and ShenQi prescription group. At the same time, the cure group treated by ShenQi prescription or atorvastatin for 35 days. In the experiment period, observed general status and measured the values of drinking, eating and body weight, detect the blood glucose every week. At the end, detect blood fat and CRP, detect abdominal aorta vessel wall by HE Staining; detect VEGF in thoracic aorta vessel wall by ABC-ELISA; estimated PTEN and PI3Kp85amRNA expression in abdominal aorta vessel wall by real-time PCR; estimated the PI3Kp85、Phospho-PI3K p85 and ICAM-1 protein expression in thoracic aorta vessel wall by western blot.
     Result:ShenQi prescription can improve GK rats'common state, degraded the blood glucose and fat、blood secum CRP. ICAM-1 and VEGF in thoracic aorta vessel wall (P<0.05), increase the PTENmRNA expression (P<0.01), restrain the PI3Kp85mRNA expression and phospho-PI3Kp85 protein expression in abdominal aorta vessel wall (P<0.05)
     Conclusion:Degraded the blood glucose and fat、blood secum CRP、ICAM-1 and VEGF in thoracic aorta vessel wall, increase the PTENmRNA expression, restrained the PI3Kp85mRNA and phospho-PI3Kp85 protein expression, regulated PTEN/PI3K cell signal maybe one of the possible curing mechanisms that inhibit angiogenesis and prevented T2DM Macroangiopathy by ShenQi prescription.
引文
[1]Wild S, Roglic G, Green A, et al. Global prevalence of diabetes:estimates for the year 2000 and projections for 2030[J]. Diabetes Care,2004,27(5):1047-1053.
    [2]杨进刚.中国糖尿病流行步入10.0时代[J].中国社区医师,2009,25(3):3-4.
    [3]中华医学会糖尿病分会糖尿病慢性并发症调查组.全国住院糖尿病患者慢性并发症及其相关危险因素10年回顾性调查分析[J].中国糖尿病杂志,2003,11(4):232-238.
    [4]纪立农.对2型糖尿病新的大型临床试验结果的解读和分析[J].中国糖尿病杂志,2008,16(11):642-647.
    [5]卫生部疾病控制司,中华医学会糖尿病学分会.《中国糖尿病防治指南》试行本节选[J].中国慢性病预防与控制,2004,12(6):283-285.
    [6]Mannami T, Katsuya T, Baba S.et al. Low potentiality of angiotensin-converting enzyme gene insertion/deletion polymorphism as a useful predictive marker for carotid atherogenesis in a large general population of a Japanese city:the Suita study[J]. Stroke,2001,32(6):1250-1256.
    [7]金惠铭,李先涛.血管新生的调控[J].中国微循环,2001,5(2):85-88.
    [8]Moreno PR, Purushothaman K-R, Sirol M, et al. Neovascularization in Human Atherosclerosis[J]. Circulation,2006,113(18):2245-2252.
    [9]段薇.张锦,张学梅,等.内皮抑素和血管内皮生长因子与2型糖尿病大血管病变的关系[J].中国动脉硬化杂志,2006,14(9):799-801.
    [10]Hayden MR, Tyagi SC. Vasa vasorum in plaque angiogenesis, metabolic syndrome, type 2 diabetes mellitus, and atheroscleropathy:a malignant transformation[J].Cardiovascular Diabetology,2004,3:1-17.
    [11]Dai J and Rabie ABM. VEGF:an Essential Mediator of Both Angiogenesis and Endochondral Ossification [J]. Journal of Dental Research,2007,86(10):937-950.
    [12]Thakker GD, Hajjar DP, and Muller WA,et al. The Role of Phosphatidylinositol 3-Kinase in Vascular Endothelial Growth Factor Signaling[J]. Biol. Chem,1999,274(15):10002-10007.
    [13]Findley CM, Cudmore MJ, Ahmed A,et al. VEGF Induces Tie2 Shedding via a Phosphoinositide 3-Kinase/Akt-Dependent Pathway to Modulate Tie2 Signaling [J]. Arterioscler Thromb Vasc Biol,2007,27(12):2619-2626.
    [14]Adya R, Tan BK, Punn A,et al. Visfatin induces human endothelial VEGF and MMP-2/9 production via MAPK and PI3K/Akt signalling pathways:novel insights into visfatin-induced angiogenesis [J]. Cardiovasc Res,2008,78(2):356-365.
    [15]周裔忠,祝善俊.PTEN与心血管疾病研究进展[J].中华高血压杂志,2007,15(7):535-537.
    [16]Hamada K, Sasaki T, Koni PA,et al. The PTEN/PI3K pathway governs normal vascular development and tumor angiogenesis[J].Genes & Dev,2005,19(9):2054-2065.
    [17]吕仁和.糖尿病及其并发症中西医诊治学[M].人民卫生出版社,北京:1997,2-5.
    [18]李广德.糖尿病及并发症中西医结合疗法[M].安徽科学技术出版社,2007.8:7.
    [19]石桥俊.糖尿病大血管病变的发病机制与遗传因素[J].日本医学介绍,2003,24(9):406-408.
    [20]王欣麒.“三阴三阳体质学说”与糖尿病防治思路[J].中华中医药学刊,2007,25(1):119-121.
    [21]郜红.从体质因素探讨糖尿病的中医防治[J].江苏中医药,2009,41(8):63-64.
    [22]Lemon CC, Laeey K, Lohse B, et al. Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes [J]. J Am Diet Assoc,2004,104 (12):1805-1815.
    [23]Carnethon MR,Kinder LS,Fair JM. Symptoms of Depression as a Risk Factor for Incident Diabetes:Findings from the National Health and Nutrition Examination Epidemiologic Follow-up Study,1971-1992[J]. Am J Epidemiol 2003,158(5):416-423.
    [24]赵真,王淑萍.老年2型糖尿病患者焦虑和抑郁的患病率及其危险因素[J].实用老年医学,2006,20(5):223.
    [25]牟新,周旦阳.2型糖尿病患者中抑郁症相关因素分析[J].中华中医药学刊,2008,26(6):1298-1300.
    [26]皇甫丽,叶健华,黄风.心理干预对2型糖尿病患者的作用:随机对照研究[J].中国临床康复,2004,8(27):5795-5797.
    [27]李红.2型糖尿病中医辨治与血糖、血脂、血液流变学关系的分析.(附210例分析)[J].福建医药杂志,2004,26(2):83-85.
    [28]杨文英.陈晓平,杨兆军,等.不同BMI水平对血糖、血脂及血压的影响[J].中国糖尿病杂志,2001,9(5):275-278.
    [29]Ghanbari A, Yekta ZP, Roushan ZA, et al. Assessment of factors affecting quality of life in diabetic patients in Iran [J]. Public Heahh Nurs,2005,22(4):311-322.
    [30]张鸿恩.糖尿病中医病机探讨[J].吉林中医药,1989,1(1):11-13
    [31]董振华,季元,祝谌予.治疗糖尿病慢性井发症的经验[J].中医杂志,1997,36(1):12
    [32]李振中,尹翠梅,张玉栋.痰浊不化与糖尿病血管病变[J].北京中医,2006,25(2):84-85.
    [33]李振中,尹翠梅,丁学屏.痰浊与糖尿病胰岛素抵抗[J].世界卫生,2004,(5):4.
    [34]李振中,尹翠梅,丁学屏.痰浊与糖尿病血管病变[J].中国中医药信息杂志,2003,10(11):72.
    [35]尹翠梅,吕雷,郭俊杰,等.化痰散结、活血化瘀治疗Ⅱ型糖尿病血管病变[J].光明中医,2003,18(6):11.
    [36]尹翠梅,吕雷,郭俊杰,等.益气养阴、化痰散结、活血化瘀治疗Ⅱ型糖尿病血管病变80例临床观察[J].新中医,2004,36(3):37.
    [37]崔立俊,徐秀峰,王毅仁.痰浊与糖尿病微血管病变[J].湖北中医杂志,2004,26(4):23.
    [38]蒋国彦.实用糖尿病学[M].北京:人民卫生出版社,1992:67,212,213,215.
    [39]吴敦序主编.中医基础理论[M].上海:上海科学技术出版社,1995(第一版):134.
    [40]祝谌予.糖尿病证治[J].中医杂志,1986,(6).1.
    [41]李涯松.糖尿病从肝论治当议[J].山东中医学院学报,1995,(5):304.
    [42]中国中西医结合学会糖尿病专业委员会.中西医结合糖尿病诊疗标准(草案)[J].中国中西医结合杂志,2005,25(1):94-95.
    [43]李振中,尹翠梅,丁学屏,等.再论痰浊与糖尿病血管病变[J].光明中医,2004,2:10.
    [44]董振华,季元.祝堪予治疗糖尿病慢性并发症的经验[J].中医杂志,1997,(1):12.
    [45]季长春,程汉桥,董志,等.浅析糖尿病血管病变[J].中医药信息,2007,24(6):40-42.
    [46]Sasso FC, Carbonara O, Nasti R, et al. Glucose metabolism and coronary heart disease in patients with normal glucose tolerance[J]. JAMA,2004,291(15):1857-1863.
    [47]CDC's Diabetes Program-Data &Trends-Causes of Hospitalization-Distribution of First-Listed Diagnoses Among Hospital Discharges with Diabetes as Any Listed Diagnosis,Adults Age 18 and Older[DB/OL].Unite,2003.
    [48]周智广,庞翠军糖尿病大血管病变的发病基础与防治策略[J].中国医师杂志,2006,8(1):1-2.
    [49]王姮,杨永年.糖尿病现代治疗学[M],北京科学出版社,2006:345-353.
    [50]金雅丽,郭艺芳.强化降糖不能减少糖尿病大血管并发症—ADVANCE试验解读[J].临床荟萃,2008,23(15):1065-1066.
    [51]DECODE-Study Group. Post-challenge hyperglycemia rather than fasting hyperglycemia is an independent risk factor of cardiovascular disease events[J]. Clin Lab.2004,50(9-10):609-615.
    [52]鲜彤章,郭立新.糖尿病大血管病变研究进展及展望[J].药品评价,2009,6(4):126-128.
    [53]Drew BG, Duffy SJ, Formosa MF,et al. High-Density Lipoprotein Modulates Glucose Metabolism in Patients With Type 2 Diabetes Mellitus [J]. Circulation,2009,119(15):2103-2111.
    [54]赵意平,张柏根.糖尿病血管病变病理与病理生理改变及临床意义[J].中华全科医师杂志,2007,11(6):652-654.
    [55]傅晓英,周焰,阚全娥,等.2型糖尿病大血管病变相关因素多元性分析[J].中国糖尿病杂志,2002,10(2):101-103.
    [56]李震花,葛志明.糖尿病性动脉粥样硬化加速的机制[J].中国老年学杂志,2006,4(26):564-565.
    [57]Madigan C, Ryan M, Owens D, et al. Comparison of diets high in monounsaturated versus polyunsacurated fatty acid on postprandial lipoproteins in diabetes [J]. Ir J Med Sci.2005,174 (1):8-20.
    [58]Anderson RA,Evans ML,Ellis GR,e t al. The relationships between postprandial lipaemia、 endothelial function and oxidative stress in healthy individuals and patients with type 2 diabetes[J]. Atherosclerosis,2001,154(2):475-483.
    [59]高月.糖尿病大血管病变的危险因素[J].中国误诊学杂志,2006,6(8):1439-1440.
    [60]Araki T.Emoto M.Yokoyama H.Insulin resistance index as a predictor for pioglltazone treatment in type 2 diabetes[J]. Osaka City Med J.2005,51(1):19-25.
    [61]邓欣,郭玲玲.糖尿病大血管病变与胰岛素抵抗[J].中西医结合心脑血管病杂志,2005,3(8):725-727.
    [62]李小英,张翼飞.糖尿病大血管病变的发生机制[J].诊断学理论与实践,2007,6(2):97-101.
    [63]Hartge MM,Kintscher U,Unger T. Endothelial dysfunction and its role in diabetic vascular disease[J]. Endocrinol Metab Clin North Am,2006,35(3):551-560.
    [64]平田恭信.NO与动脉粥样硬化[J].日本医学介绍,2005,26(7)324-325.
    [65]Pickup JC. Inflammation and activated innate immunity in the pathogenesis of type 2 diabetes[J]. Diabetes Care,2004,27(3):813-823.
    [66]李秀钧,邬元红.糖尿病是一种炎症性疾病[J].中华内分泌代谢杂志,2003,19(4):251-253.
    [67]Wilhelmsen L. Inflammation, infection, and coronary heart disease[J]. Eur. Heart J, 2002,23(5):343-344.
    [68]Ross R.Atherosclerosis—an inflammatory disease[J]. N Engl J Med,1999,340(2):115-126.
    [69]李焱,程桦.2型糖尿病、动脉粥样硬化与炎症[J].中华内分泌代谢杂志,2005,21(6):(增录6S)1-3.
    [70]Stratmann B.Tschoepe D.Pathobiology and cell interactions of platelets in diabetes[J]. Diab Vasc Dis Res,2005,2(1):16-23.
    [71]刘声远.糖尿病血管病变机制与防治进展[J].微循环学杂志2006,16(4):3-6.
    [72]Yazdanpanah M, Aulchenko YS, Hofman A,et al. Effects of the Renin-Angiotensin System Genes and Salt Sensitivity Genes on Blood Pressure and Atherosclerosis in the Total Population and Patients With Type 2 Diabetes[J]. Diabetes,2007,56(7):1905-1912.
    [73]Beckman JA, Creager MA, Libby P. Diabetes and Atherosclerosis Epidemiology, Pathophysiology, and Management [J]. JAMA,2002,287(19):2570-2581.
    [74]谢毅强,指导:谢春光.参芪复方对GK大鼠2型糖尿病大血管病变血管内皮细胞保护的实验研究.中国博士学位论文全文数据库,http://e34.cnki.net/kns50.
    [75]American Diabetes Association. Standards of Medical Care in Diabetes—2010[J]. Diabetes Care,2010,33(Suppl 1):511-561.
    [76]American Diabetes Association. Nutrition recommendations and principles for people with diabetes mellitus[J].Diabetes Care,2000,23(Suppl 1):43-46.
    [77]Dandona P, Aljada A, Chaudhuri A, Bandyopadhyay A.The potential influence of inflammation and insulin resistance on the pathogenesis and treatment of atherosclerosis related complications in type 2 diabetes [J]. J Clin Endocrinol Metab,2003,88 (6):2422-2429.
    [78]钟惠菊,李强翔,张颖,等.2型糖尿病大鼠主动脉硬化模型的构建[J].现代生物医学进展,2008,8(3):401-403.
    [79]黄霖,李迎新,刘华.实验性糖尿病大鼠动脉粥样硬化模型的建立[J].中国中医急症,2007,16(9):1111-1113.
    [80]张如意,董小英.环氧化酶-2在2型糖尿病大鼠大血管病变中的作用初探[J].宁夏医学杂志,2009,31(1):34-36.
    [81]郭啸华,刘志红,李恒,等.高糖高脂饮食诱导的2型糖尿病大鼠模型及其肾病特点[J].中国糖尿病杂志,2002,10(5)290-294.
    [82]司晓晨,尚文斌,卞慧敏.链脉佐菌素加高脂膳食诱导2型糖尿病大鼠模型[J].安徽中医临床杂志,2003,15(5):383-385.
    [83]杨架林,李果,刘优萍,等.长期高脂饮食加小剂量链脲佐霉素建立人类普通2型糖尿病大鼠模型的研究[J].中国实验动物学报,2003,11(3):138-141.
    [84]Cheng ZJ, Vaskonen T, Tikkanen l,et al. Endothelial dysfunction and salt-sensitive hypertension in spontaneously diabetic Goto-Kakizaki rats[J]. Hypertension,2001,37(2 Part 2):433-439.
    [85]Brondum E, Petersen HK, Nilsson H,et,al. Increased contractility to noradrenaline and normal endothelial function in mesenteric small arteries from the Goto-Kakizaki rat model of type 2 diabetes [J]. J Physiol Sci,2008,58(5):333-339.
    [86]Howarth FC, Shafiullah M and. Qureshi MA. Heart/Cardiac Muscle:Chronic effects of type 2 diabetes mellitus on cardiac muscle contraction in the Goto-Kakizaki rat [J]. Exp Physiol,2007,92(11):1029-1036.
    [87]于永敬,陈晖,李东宝.兔骼动脉内皮细胞球囊剥脱术介绍[J].实验动物科学与管理,2000,17(2):23.
    [88]Takemoto M, Egashira K, Usui M,et al. Important role of tissue angiotensin-converting enzyme activity in the pathogenesis of coronary vascular and myocardial structural changes induced by long-term blockade of nitric oxide synthesis in rats[J].J ClinInvest,1997,99(2):278-287.
    [89]张磊,陈国荣,郑荣远,等.高脂饲料加空气干燥术建立兔颈动脉粥样硬化模型[J].中国动脉硬化杂志2001,9(2):155-158.
    [90]李秋梅,王硕仁,赵明镜.家兔新型动脉粥样硬化狭窄模型的建立及其动态观察[J].中国实验动物学报2004,12(1):26-28.
    [91]姜炜,郭阳.颈动脉内膜切除术后再狭窄动物模型的建立[J].天津医药2007,2(35):2.
    [92]Cottin Y,Kollum M,Kolodgie FD,et al. Intravascul radiation accelerates atherosclerotie lesion formation of hyperc holesterolemic rabbits[J].Cardiovasc Radlat Med,2001,2(4):231-240.
    [93]孙文清,杨永宗,叶旭,等.小型猪动脉粥样硬化斑块稳定性模型研究[J].全国医学理论与实践,2006,6(1):6.
    [94]徐淑云,卞如濂,陈修,等.药理实验方法学[M].北京:人民卫生出版社,2002,1189-1201.
    [95]Zhao Q, Egashira K, Inoue S,et al. Vascular Endothelial Growth Factor Is Necessary in the Development of Arteriosclerosis by Recruiting/Activating Monocytes in a Rat Model of Long-Term Inhibition'of Nitric Oxide Synthesis[J].Circulation,2002,105(9):1110-1115.
    [96]Makoto Katoh, Kensuke Egashira, Chu Kataoka, et al. Regression by ACE inhibition of arteriosclerotic changes induced by chronic blockade of NO synthesis in rats[J]. Am J Physiol Heart Circ Physiol,2004,286(2):H768-H774.
    [97]闰盛、郝斌.动脉粥样硬化动物模型研究现状[J].山西医药杂志,2008,37(8):731-733.
    [98]沈应君主编.中药药理学[M].人民卫生出版社,2000:96-97.
    [99]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-413.
    [100]Nissen SE, Nicholls SJ, Sipahi I, et al. Effect of very high-intensity statin therapy on regression of coronary atherosclerosis:the ASTEROID trail[J]. J Am Med Assoc,2006,295(13):1556-1565.
    [101]Nissen SE, Tuzcu EM, Schoenhagen P, et al. Efect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis:a randomized controlled trial[J]. J Am Med Assoc,2004,291(9):1071-1080.
    [102]Ridker PM, Danielson E, Fonseca FA, et al. Rosuvastatin to prevent vascular events in men and women with elevated c-reactive protein[J]. N Engl J Med,2008,359(21):2195-2207.
    [103]魏宇淼,廖玉华.他汀类药物的降脂外心血管保护作用[J].医药专论,2009,30(3):157-161.
    [104]赵水平主编.他汀类药物治疗学[M],长沙:中南大学出版社,2005:451.
    [105]Trion A, de Maat M, Jukema W, et al. Anti-atherosclerotic effect of amlodipine, alone and in combination with atorvastatin, in APOE 3-Leiden/hCRP transgenic mice[J]. J Cardiovasc Pharmacol,2006,47(1):89-95.
    [106]Kirby M. ASCOT-lipid lowering arm [J]. Br J Diabetes Vasc Dis,2003,3(3):200-201.
    [107]Takano M, Mizuno K, Yokoyama S,et al. Changes in coronary plaque color and morphology by lipid-lowering therapy with atorvastatin:serial evaluation by coronary angioscopy[J]. J Am Coll Cardiol,2003,42(4):680-686.
    [108]Chang SA, Kim YJ, Lee HW,et al. Effect of Rosuvastatin on Cardiac Remodeling, Function, and Progression to Heart Failure in Hypertensive Heart With Established Left Ventricular Hypertrophy [J]. Hypertension,2009,54(3):591-597.
    [109]Topol EJ. Intensive statin therapy-A sea change in cardiovascular prevention[J]. N Engl J Med,2004,350(15):1562-1564.
    [110]Koopmanschap M. Coping with Type Ⅱ diabetes:the patients perspective [J].Diabetologia,2002,45(7):18-22.
    [111]刘克军,王梅.我国慢性病直接经济负担研究[J].中国卫生经济,2005,24(10):77-80.
    [112]张震巍,陈洁,腐智柳等.中围糖尿病直接卫生费用研究[J].中国卫生资源,2007,10(3):162-168.
    [113]陈兴宝,唐玲,陈惠云,等.2型糖尿病并发症对患者治疗费用的影响评估[J].中国糖尿病杂志,2003,11(4):238-241.
    [114]柳红芳,王倩.浅述中医“治未病”思想在糖尿病及其并发症防治中的体现[J].中国自然医学杂志,2008,10(5):395-397.
    [115]魏军平.2型糖尿病治疗新理念对中医治疗的启示[J].北京中医,2007,26(10):640-641.
    [116]王芬,何华亮,张红敏,等.参芪复方对GK大鼠脂代谢异常的实验研究[J].天津中医药,2007,24(6):507-508.
    [117]谢毅强,谢春光,张红敏.参芪复方对自发性糖尿病大鼠血管内皮保护的作用机制[J].中华中医药杂志,2008,23(3):253-256.
    [118]谢毅强,李军茹,张红敏等.参芪复方治疗2型糖尿病胰岛素抵抗的临床研究[J].中华实用中西医杂志,2005,18(17):844-846.
    [119]张红敏,陈世伟,谢春光等.参芪复方对GK大鼠白色脂肪组织脂联素基因表达的影响[J].中成药,2006,28(7):996-1001.
    [120]张红敏,陈世伟,谢春光等.参芪复方抗自发性糖尿病GK大鼠早期动脉粥样硬化的作用机制[J].中国中药杂志,2006,31(15):1272-1276.
    [121]Kelly AS, Thelen AM, Kaiser DR, et al. Rosiglitazone improves endothelial function and inflammation but not asymmetric dimethylarginine or oxidative stress in patients with type 2 diabetes mellitus [J]. Vascular Medicine,2007,12(4):311-318.
    [122]李慧,邹大进.2型糖尿病及肥胖与慢性炎症因子[J].第二军医大学学报,2003,24(11):1244-1246.
    [123]Freeman DJ, Nomie J, Caslake MJ, et al. C-reactive protein is an independent predictor of risk for the development of diabetes in the West of Scotland Coronary Prevention Study[J]. Diabetes,2002,51 (5):1596-1600.
    [124]Pradhan AD,Manson JE,Rifai N,etal.C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus[J]. JAMA,2001,286(3):327-334.
    [125]Spranger J, Kroke A, Mohlig M, et al. Inflammatory cytokines and the risk to develop type 2 diabetes:results of the prospective population-based European Prospective Investigation into Cancer and Nutrition(EPIC)-Potsdam Study[J]. Diabetes,2003,52 (3):812.
    [126]白莉莉.C-反应蛋白在2型糖尿病大血管病变中的价值[J].吉林医学,2009,30(5):467-468.
    [127]Daniel G. Hackam MD, Sonia S. Emerging risk factors for atherosclerotic vascular disease[J]. JAMA,2003,290(7):932-939.
    [128]Devaraj S, Xu DY, Jialal I. C-reactive protein increases plasminogen activator inhibitor-1 expression and activity in human aortic endothelial cells:implications for the metabolic syndrome and atherombosis[J]. Circulation,2003,107(3):394-404.
    [129]Cirillo P, Golino P, Calabro P, et,al. C-reactive protein induces tissue factor expression and promotes smooth muscle and endothelial cell proliferation[J]. Cardiovasc Res.2005,68(1):47-55.
    [130]Inoue T, Kato T, Uchida T,et,al. Local release of C-reactive protein from vulnerable plaque or coronary arterial wall injured by stenting[J]. J Am Coll Cardiol.2005,46(2):239-245.
    [131]Krupinski J, Turu MM, Gonzalez JM et,al. Endogenous Expression of C-Reactive Protein Is Increased in Active (Ulcerated Noncomplicated) Human Carotid Artery Plaques[J]. Stroke,2006,7(5):1200-1204.
    [132]卢曙芳,陈建悦.细胞间粘附分子1与2型糖尿病大血管病变的关系[J].浙江预防医学,2007,19(5):59-61.
    [133]Song Y, Manson JE, Tinker L, et al. Circulating Levels of Endothelial Adhesion Molecules and Risk of Diabetes in an Ethnically Diverse Cohort of Women[J]. Diabetes,2007,56(7):1898-1904.
    [134]卢曙芳,沈建国.细胞间粘附分子1和C反应蛋白与2型糖尿病并发动脉粥样硬化的关系[J].中国动脉硬化杂志,2005,13(6):771-774.
    [135]卢曙芳,沈建国,朱麒钱,等.2型糖尿病患者颈动脉内膜中层厚度与细胞间黏附分子1C反应蛋白的相关性[J].中华内分泌代谢杂志,2006,22(4):358-359.
    [136]Jude EB, Douglas JT, Anderson SG, et al. Circulating cellular adhesion molecules ICAM-1, VCAM-1, P-and E-slectin in the prediction of cardiovascular disease in diabetes mellitus[J]. Eur J Intern Med,2002,13(3):185-189.
    [137]Kado S, Wakatsuki T, Yamamoto M, et al. Expression of intercellular adhesion molecule-1 induced by high glucose concentrations in human aortic endothelial cells[J]. Life Sci,2001,68(7):727-737.
    [138]O'Brien KD, McDonald TO, Chait A,et al. Neovascular Expression of E-Selectin, Intercellular Adhesion Molecule-1, and Vascular Cell Adhesion Molecule-1 in Human Atherosclerosis and Their Relation to Intimal Leukocyte Content[J]. Circulation,1996,93(4):672-682.
    [139]Rao RM, Yang L, Cardena GG,et al. Endothelial-Dependent Mechanisms of Leukocyte Recruitment to the Vascular Wall[J]. Circ Res,2007,101(3):234-247.
    [140]de Boer OJ, van der Wal AC, Teeling P, et al. Leucocyte recruitment in rupture prone regions of lipid-rich plaques:a prominent role for neovascularization? [J]. Cardiovasc Res. 1999,41(2):443-449.
    [141]Meigs JB, Hu FB, Rfai N, et al. Biomarkers of endothelial dysfunction and risk of type 2 diabetes mellitus[J]. JAMA,2004,28(16):1978-1986.
    [142]Mamputu JC, Renier G, Advanced glycation end-products increase monocyte adhesion to retinal endothelial growth factor-induced ICAM-1 expression:inhibitory effect of antioxidants[J]. Leukoc Bio,2004,75(6):1062-1069.
    [143]张伟丽,惠汝太.VEGF及其受体在动脉粥样硬化中的作用[J].中国分子心脏病学杂志,2005,5(3):568-573.
    [144]Ruhul A, Shaodong G, Takashi M, et al. Vascular Endothelial Growth Factor Activates PI3K/Akt/Forkhead Signaling in Endothelial Cells [J].Arterioscler Thromb Vasc Biol, 2004,24(2):294-300.
    [145]章燕幸,陈怀红.血管内皮生长因子与动脉粥样硬化[J].国际脑血管杂志,2006,14(6):452-455.
    [146]Tammela T, Enholm B, Alitalo K,et al. The biology of vascular endothelial growth factors [J]. Cardiovasc Res,2005,65(3):550-563.
    [147]Inoue M, Itoh H, Ueda M, et al. Vascular endothelial growth factor (VEGF) expression in human coronary atherosclerotic lesions:possible pathophysiological significance of VEGF in progession of atherosclerosis[J]. Circulation,1998,98(20):2108-2116.
    [148]Celletti FL, Hilfiker PR, Ghafouri P, et al. Effect of human recombinant vascular endothelial growth factor 165 on progession of atherosclerotic plaque[J]. J Am Coll Cardiol,2001,37(8):2126-2130.
    [149]王长谦,汤大鸣,王利民,等.VEGF对人血单核细胞基质金属蛋白酶表达及活性的影响[J].心脏杂志,2004,16(4):308-311.
    [150]王杰松,芮耀诚,吴久鸿,等.血管内皮生长因子增加内皮细胞通透性的基质金属蛋白酶-2机制[J].中华心血管杂志,2004,32(2):155-157.
    [151]王海珍.血管内皮生长因子与型糖尿病大血管病变的关系[J].中国煤炭工业医学杂志,2007,10(12):1381-1382.
    [152]Roy H, Bhardwaj S, Babu M, et al. VEGF-A, VEGF-D, VEGF receptor-1, VEGF receptor-2, NF-κ B, and RAGE in atherosclerotic lesions of diabetic Watanabe heritable hyperlipidemic rabbits[J]. FASEB J,2006,20(12):2159-2161.
    [153]Shai RM, Chen CD, Shi T,et al. Insulin growth factor-binding protein 2 is a candidate biomarker for PTEN status and PI3K/Akt pathway activation in glioblastoma and prostate cancer [J]. PNAS,2007,104(13):5563-5568.
    [154]Weng LP, Brown JL, and Eng C. PTEN induces apoptosis and cell cycle arrest through phosphoinositol-3-kinase/Akt-dependent and -independent pathways[J]. Hum. Mol. Genet,2001,10(3):237-242.
    [155]Dubrovska A, Kim S,Salamone RJ, et,al. The role of PTEN/Akt/PI3K signaling in the maintenance and viability of prostate cancer stem-like cell populations[J]. PNAS,2009,106(1): 268-273.
    [156]Huang J, Kontos CD. PTEN Modulates Vascular Endothelial Growth Factor-Mediated Signaling and Angiogenic Effects [J]. Biol. Chem,2002,277(13):10760-10766.
    [157]杨永健,张鑫,张继红,等.PTEN/磷脂酰肌醇3激酶通路参与高压力负荷心肌肥厚的机制[J].中国药理学通报,2006,22(7):823-827.
    [158]Huang J, Kontos CD. Inhibition of Vascular Smooth Muscle Cell Proliferation, Migration, and Survival by the Tumor Suppressor Protein PTEN[J]. Arterioscler Thromb Vasc Biol, 2002,22(5):745-751.
    [159]Huang J, Niu XL,Pippen AM,et.al. Adenovirus-Mediated Intraarterial Delivery of PTEN Inhibits Neointimal Hyperplasia[J]. Arterioscler Thromb Vasc Biol,2005,25(2):354-358.
    [160]Koide S, Okazaki M, Tamura M, et.al. PTEN reduces cuff-induced neointima formation and proinflammatory cytokines[J]. Am J Physiol Heart Circ Physiol,2007,292(6):H2824-H2831.
    [161]Rameh, L. E., and Cantley, L. C. The Role of Phosphoinositide 3-Kinase Lipid Products in Cell Function [J]. J. Biol. Chem,1999,274(13):8347-8350.
    [162]Morello F,Perino A,Hirsch E. Phosphoinositide 3-kinase signalling in the vascular system[J]. Cardiovasc Res,2009,82(2):261-271.
    [163]Khurana R, Simons M, Martin JF, et al. Role of Angiogenesis in Cardiovascular Disease:A Critical Appraisal[J]. Circulation,2005,112(12):1813-1824.
    [164]杨永宗.动脉粥样硬化性心血管病基础与临床[M].北京:科学出版社,2004,619-620.
    [165]Khan ZA, Chakrabarti S. Growth factors in proliferative diabetic retinopathy [J]. Exp Diabesity Res,2003,4(4):287-301.
    [166]李华婷,葛健.新生血管的生物学特性及其在相关疾病中的病理生理意义[J].中国现代眼科杂志,2005,2(9):810-812.
    [167]Nakagawa T. Uncoupling of the VEGF-endothelial nitric oxide axis in diabetic nephropathy: an explanation for the paradoxical effects of VEGF in renal disease [J]. Am J Physiol Renal Physiol,2007,292(6):F1665-F1672.
    [168]陈泽君,杨亦彬,柳飞,等.Ang-2和TM-1与糖尿病鼠肾新生血管生成关系的初步研究[J].中国中西医结合肾病杂志,2008,9(2):109-113.
    [169]Cai J, Ahmad S,. Jiang WG, et al. Activation of Vascular Endothelial Growth Factor Receptor-1 Sustains Angiogenesis and Bcl-2 Expression Via the Phosphatidylinositol 3-Kinase Pathway in Endothelial Cells[J] Diabetes,2003,52(12):2959-2968.
    [170]Aparicio CB, Renner O, Leal JF, et al. PTEN, more than the AKT pathway[J]. Carcinogenesis 2007,28(7):1379-1386.
    [1]尚文斌,杨颖,陈名道.人参及其主要成分抗糖尿病作用机制[J].国际内分泌代谢杂志,2007,27(2):115-117.
    [2]李世辉.人参皂甙RgI对2型糖尿病患者高凝状态作用的临床观察[J].中华实用中西医杂志,2004,4(17):702-703.
    [3]李敬远,朱珊珊,曾因明.人参皂甙抗离体大鼠心肌缺血再灌注损伤的作用[J].徐州医学院学报,2004,24(5):404-407.
    [4]李欣志,刘建勋,尚晓泓,等.不同部位人参皂苷对犬急性心肌缺血保护作用的比较研究[J].中药新药与临床药理,2006,17(2):83-86.
    [5]李静,刘德义.黄芪对链脲佐菌糖尿病模型大鼠抗氧化功能的影响[J].中兽医医药杂志,2009,28(4):48-50.
    [6]高美风,黄容,陈云芳.黄芪多糖的提取及其治疗糖尿病药理作用进展[J].辽宁中医药大学学报,2008,10(6):38-40.
    [7]唐爱华.黄芪注射液对糖尿病血液流变学的影响[J].现代中西医结合杂志,2001,10,(20):1924-1925.
    [8]王滨,姜博仁,周苏宁.黄芪防治心血管疾病的临床研究[J].中西医结合心脑血管病杂志,2005,3(2):162-164.
    [9]熊平,蒋灵芝,余俊龙.山药多糖研究述评[J].中医药学刊,2003,21(11):1847-1848.
    [10]郜红利,肖本见,梁文梅.山药多糖对糖尿病小鼠降血糖作用[J].中国公共卫生,2006,22(7):804-805.
    [11]何云,戚玉敏,刘景升,等.山药多糖对糖尿病大鼠胰岛素及血小板数的影响[J].河北北方学院学报(医学版),2009,26(1):29-31.
    [12]余传隆.中药辞海[M].北京:中国医药出版社,1993,711.
    [13]钱东生,罗琳,何敏,等.山茱萸乙醇提取液对Ⅱ型糖尿病大鼠的治疗效应[J].南通医学院学报,2000,20(4):337.
    [14]刘洪,许惠琴,时艳.山茱萸环烯醚萜总苷对2型糖尿病心脏病变大鼠胰岛素抵抗及血脂含量的影响[J].中药药理与临床,2007,23(3):36-40.
    [15]时艳,许惠琴.山茱萸环烯醚萜总苷对实验性糖尿病心脏病变的保护作用[J].南京中医药大学学报,2006,22(1):35-37.
    [16]郝海平,许惠琴,朱荃,等.山茱萸环烯醚萜总苷对由链脲佐菌素诱导的糖尿病血管并发症大鼠血清sICAM-1、TNF-a的影响[J].中药药理与临床,2002,18(4):13-14.
    [17]许惠琴,刘洪,郝海平,等.山茱萸环烯醚萜总苷对糖尿病大鼠胸主动脉血管内皮的保护作用[J].中国药理学通报,2003,19(6):713-715.
    [18]霍泳宁,黄一平,蔡雪珠,等.生地对大鼠血浆中SOD、GST-PX活性、丙二醛含量的影响[J].辽宁中医学院学报,2005,7(1):68-69.
    [19]赵润生,张一昕,苗冬雪,等.生地黄对血瘀模型大鼠血液流变性的影响[J].中药药理 与临床,2006,22(3)123.
    [20]王晓莉,张汝学,贾正平.地黄寡糖灌胃对糖尿病大鼠的降糖作用及对肠道菌群的影响[J].西北国防医学杂志,2003,24(2):121-123.
    [21]王洪超,张华.炎症性细胞因子致肝脏缺血再灌注损伤和丹参单体的保护作用[J].中国中西医结合杂志,2002,22(3):207.
    [22]杨泽平,蔡景英.丹参酮ⅡA磺酸钠治疗对2型糖尿病患者血管性假血友病因子和超敏C反应蛋白的影响[J].中国医师杂志,2007,9(11):1559-1560.
    [23]冯俊,郑智.丹参酮ⅡA对心肌细胞肥大及凋亡的影响[J].中国临床康复,2005,10(3):69-711.
    [24]常明.丹参酮ⅡA对心血管影响的研究进展[J].河南中医,2006,26(1):85-87.
    [25]迟诚,金苗苗,母义明,等.大黄酸上调糖尿病大鼠脂肪组织PPAR-γ及GluT-4表达并改善胰岛素敏感性[J].中国糖尿病杂志2008,16(12):746-748.
    [26]谭辉,宋开兰,刘娅.大黄对重度充血性心力衰竭患者细胞因子及氧化应激的影响[J].中国现代医学杂志,2003,13(22):99-101.
    [27]王翔飞,葛均波.大黄素通过p53途径抑制血管平滑肌细胞增殖的实验研究[J].中华心血管病杂志,2006,34(1):44-49.
    [28]李志刚,王章阳,刘松青.大黄素对家兔离体主动脉平滑肌细胞增殖影响的可能途径[J].中国临床康复,2005,9(27):135.
    [29]王苑铭,田林红,张娟.大黄多糖对糖尿病动脉粥样硬化大鼠血糖、血脂、肝脂酶活性的影响[J].中国现代医药杂志,2008,10(4):6-10.
    [30]田风胜,李振彬,王元松,等.大黄对糖尿病大鼠血管病变保护机制的研究[J].中国中药杂志,2008,33(6):673-677.
    [1]Wild S, Roglic G, Green A, et al. Global prevalence of diabetes:estimates for the year 2000 and projections for 2030[J]. Diabetes Care,2004,27(5):1047-1053.
    [2]中华医学会糖尿病分会糖尿病慢性并发症调查组.全国住院糖尿病患者慢性并发症及其相关危险因素10年回顾性调查分析[J].中国糖尿病杂志,2003,11(4):232-238.
    [3]纪立农.对2型糖尿病新的大型临床试验结果的解读和分析[J].中国糖尿病杂志,2008,16(11):642-647.
    [5]卫生部疾病控制司,中华医学会糖尿病学分会.《中国糖尿病防治指南》试行本节选[J].中国慢性病预防与控制,2004,12(6):283-285.
    [6]Mannami T, Katsuya T, Baba S.et al. Low potentiality of angiotensin-converting enzyme gene insertion/deletion polymorphism as a useful predictive marker for carotid atherogenesis in a large general population of a Japanese city:the Suita study[J]. Stroke,2001,32(6):1250-1256.
    [7]李小英,张翼飞.糖尿病大血管病变的发生机制[J].诊断学理论与实践,2007,6(2):97-101.
    [8]周智广,庞翠军.糖尿病大血管病变的发病基础与防治策略[J].中国医师杂志,2006,8(1):1-2.
    [9]李振中,尹翠梅,张玉栋,等.痰浊不化与糖尿病血管病变[J].北京中医,2006,25(2):84-85.
    [10]张冰冰,杨宇峰.益气养阴活血解毒法治疗糖尿病大血管病变机制探讨[J].辽宁中医药大·学学报,2008,10(11):31-32.
    [11]曾存信.益气养阴、祛浊化瘀治疗糖尿病性冠心病[J].深圳中西医结合杂志,2002,12(6):360-361.
    [12]高莹.辨证分型治疗糖尿病合并冠心病62例分析[J].中医药学刊,2003,2(21):151.
    [13]徐梓辉,陈大舜,周世文.糖尿病合并冠心病病机及治则探讨[J].中医杂志2003,44(7):485-487.
    [14]郝海平,许惠琴,朱荃,等.山茱萸环烯醚萜总苷对由链脲佐菌素诱导的糖尿病血管并发症大鼠血清sICAM-1、T NF-a的影响[J].中药药理与临床,2002,18(4):13-14.
    [15]许惠琴,刘洪,郝海平,等.山茱萸环烯醚萜总苷对糖尿病大鼠胸主动脉血管内皮的保护作用[J].中国药理学通报,2003,19(6):713-715.
    [16]李赛美,王志高,凌家杰,等.加味桃核承气汤含药血清对胰岛素诱导兔血管平滑肌细胞增殖的抑制作用[J].四川中医,2007,25(6):9-11.
    [17]朱德增,陶凯忠,张传森.酸味中药复方对糠尿病大鼠动脉硬化的作用[J].云南中医学院学报,2001,24(4):3-6.
    [18]张建伟,孙仁宇,唐代屹,等.温筋通对糖尿病大鼠心血管组织糖基化终产物的形成及其受体和ICAM-1表达的影响[J].中国病理生理杂志,2001,17(11)1067-1071.
    [19]李迎新,黄霖.活血降糖胶囊对糖尿病大鼠糖脂代谢及主动脉内膜粥样硬化病变的影响[J].中西医结合心脑血管病杂志,2007,5(7):599-601.
    [20]周艳萍,张正浩.复方苦荞麦对糖尿病大鼠血管并发症早期防治的研究[J].辽宁中医药大学学报,2007,9(6):185-186.
    [21]谢毅强,李军茹,张红敏,等参芪复方治疗2型糖尿病胰岛素抵抗的临床研究[J].中华实用中西医杂志,2005,18(17):844.
    [22]李荣光.糖尿病性心脏病辨治体会[J].中国中医急症,2007,16(12)1548.
    [23]牛国栋,牛廷银.糖尿病性心脏病的辨证论治[J].中国自然医学杂志,2001,3(4):207.
    [24]阴智敏,王宗录.辨病和辨证治疗糖尿病伴无症状性心肌缺血42例[J].陕西中医,2006,27(7):778-779.
    [25]袁嘉东,吴智兵.清热祛湿化瘀法防治动脉粥样硬化的机理研究[J].湖南中医杂志,2005,21(6):15-16.
    [26]刘冰.益气养阴活血法治疗糖尿病性冠心病60例疗效观察[J].湖南中医药导报,2002,8(8):474-475.
    [27]刘亚君.益气养阴活血法治疗糖尿病性冠心病[J].湖北中医杂志,2001,23(8):20.
    [28]竺培华,秦志仁,史燕敏.补肾益气活血法治疗糖尿病合并冠心病[J].上海中医药杂 志,2003,37(11):16-17.
    [29]金凤表,侯瑞田,刘晓艳,等.通心络对冠心病伴2型糖尿病的内皮功能影响研究[J].陕西中医,2007,28(2):138-140.
    [30]闫振文,陈谦,曹继萍.通心脉汤治疗糖尿病冠心病42例[J].中国民间疗法,2005,13(9):27.
    [31]陈璇,余江毅.六味地黄软胶囊和银杏叶片对早期2型糖尿病颈动脉内膜中层厚度的影响[J].中国中医药信息杂志,2007,14(12):68-69.
    [32]何文清,张伟霞.参麦合血塞通注射液治疗糖尿病并发心绞痛30例[J].国医论坛,2005,20(5):19-20.
    [33]高允珊,李惠林,赵恒侠.滋肾降糖丸对糖尿病大血管病变患者血清脂联素和血管内皮功能的影响[J].中国医药导报,2008,5(6):18-20.
    [34]刘宽芝,李静波,吕海莉,等.黄芪、三七总皂苷对2型糖尿病大血管病变患者MMP-9的影响[J].中国中药杂志,2004,29(3):264-266.

© 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