岩黄连总碱对实验性肝损伤的保护作用及其机制研究
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:研究岩黄连总碱(Corydalis saxicola Bunting Total Alkaloids,CSBTA)对肝脏的保护作用,并探讨其保肝和抗肝纤维化的作用机制。
     方法:通过复制四氯化碳(Carbon tetrachloride,CCl4)所致的小鼠急性肝损伤模型观察CSBTA的保肝作用;通过皮下注射四氯化碳,复制大鼠慢性肝纤维化模型,观察CSBTA的抗肝纤维化作用及其可能的作用机制。采用比色法测定ALT、AST、TP、ALB、MDA、SOD、Hyp含量,放射免疫法测定HA、LN含量,小鼠急性肝损伤和大鼠慢性肝纤维化肝组织进行HE染色并在光镜下观察其形态学变化,免疫组织化学染色观察慢性肝纤维化大鼠肝组织TGF-β1和MMP-9的表达情况。
     结果: CSBTA可显著地降低大、小鼠血清中的ALT、AST含量(P<0.01, P<0.05),并能显著降低两者肝组织中MDA的水平(P<0.01, P<0.05)升高肝组织中SOD的活性(P<0.01, P<0.05);CSBTA也能降低大鼠肝组织中Hyp的含量(P<0.01, P<0.05)和大鼠血清TP、ALB含量(P<0.01, P<0.05),大鼠血清肝纤维化指标HA、LN也较模型组有明显下降(P<0.01, P<0.05);光镜下CSBTA给药组与模型组比较,可明显减少急性肝损伤时肝组织中的炎症细胞浸润、肝细胞变性和坏死,也可抑制慢性肝纤维化时肝假小叶的形成和胶原纤维沉积(P<0.01, P<0.05);免疫组化显示CSBTA可明显降低由CCl4引起的TGF-β1和MMP-9的升高, CSBTA给药组与模型组比较,两者的表达量明显降低(P<0.01, P<0.05)。
     结论:岩黄连总碱对四氯化碳所致急性肝损伤具有明显保护作用,也可抑制大鼠慢性肝纤维化的形成。其机制可能与抗脂质过氧化、抑制胶原蛋白合成,促进细胞外基质降解有关。
OBJECTIVE: To investigate protective effects of Corydalis saxicola Bunting Total Alkaloids(CSBTA) on liver ,and to explore its possible mechanisms of protecting liver and anti-hepatic fibrosis.
     METHODS: Animal model of acute liver injury induced by cabron tetrachloride was used to observe the protective effect of CSBTA on liver,model of chronic hepatic fibrosis established by subcutaneous injection of cabron tetrachloride was used to observe anti-fibrosis effect of CSBTA and to search its possible mechanisms.Colorimetry was used to measure the contents of ALT , AST , TP , ALB , MDA , SOD and Hyp.Radioimmunoassay( RIA ) was used to determine the contents of serum HA and LN.Light microscopic examination was used to watch morphological changes of hepatic tissue of acute liver injury and chronic hepatic fibrosis.The content of hepatic tissue TGF-β1 and MMP-9 were detected by immunohistochemical technique.
     RESULTS:CSBTA could obviously decrease ALT and AST of animal model of acute liver injury induced by carbon tetrachloride and rat model of chronic hepatic fibrosis induced by subcutaneous injection of cabron tetrachloride(P<0.01, P<0.05),significantly decrease MDA level of liver tissue(P<0.01, P<0.05),increase activity of SOD of liver tissue (P<0.01, P<0.05),markedly increase levels of serum TP and ALB of hepatic fibrotic rats(P<0.01, P<0.05) and decrease Hyp level of liver tissue of hepatic fibrotic rats(P<0.01, P<0.05).The levels of HA and LN were also obviously decreased(P<0.01, P<0.05) in the rat model of chronic hepatic fibrosis.CSBTA could down-regulate the expression of TGF-β1 and MMP-9 of rat hepatic tissue(P<0.01, P<0.05).Under light microscopy,the CSBTA therapy groups could both significantly decrease the infiltration of inflammatory cells,hepatic cell degeneration,and necrosis in acute liver injury model,but also inhibit the generation of hepatic pseudolobuli and the sedimentation of collagenous fibers as compared with model group(P<0.01, P<0.05).
     CONCLUSION:CSBTA has obviously protective effects on acute liver injury induced by carbon tetrachloride,and can block the formation of rat hepatic fibrosis produced by carbon tetrachloride. Its possible mechanisms may be related to the effect of anti-oxidation,inhibiton of collagen protein synthesis and promotion of extracellular matrix(ECM) degradation.
引文
[1]庄辉.第八次全国病毒性肝炎学术会议纪要.中华传染病学杂志,1997,10(3):183-208.
    [2]程明亮,杨长青,主编.肝纤维化的基础研究及临床.北京:人民卫生出版社,2002:92.
    [3] Kim YJ,Kim KM,Nan JX,et al.Introduction of apoptosis by Tanshinone 1 via cytochrome C release in activated hepatic stellate cells.Pharmacol Toxicol, 2003, 92(4):195-200.
    [4] Paradis V,Dargere D,Bonvoust F,et al.Effects and regulation of connective tissue growth factor on hepatic stellate cells.Lab Invest,2002,82(6):767-769.
    [5] Peter J,Lewindon,Tamara N,et al.The role of hepatic stellate cells and transforming growth factor-β1 in cystic fibrosis liver disease.Am J Pathol, 2002, 160(5):1705-1715.
    [6] Czsja MJ,Weiner FR,Takahashi S,et al.γ-interferon treatment inhibits collagen deposition in murine schstosomiasis.Hepatology,1998,10(11):795-800.
    [7]赵东强,赵晓岚,姜慧卿. TNF-α与肝星状细胞.世界华人消化杂志,2001,9(10):947-948.
    [8]柳丽娟,朱勇强,吴秋芳.病毒性肝炎患者血清TNF-α,IL-6与肝纤维化指标关系的探讨.中国现代医学杂志,2003,13(22):132-133.
    [9]吴秉毅.肝纤维化的机制.国外医学·消化系统分册,1992,12(2):66-68.
    [10]李春辉,潘理会,朴东明.肝纤维化形成过程中血清学与形态学相关性的实验研究.临床肝胆病杂志,2004,20(6):373-376.
    [11]曹友钊,张忠平.肝病患者血清III型前胶原、透明质酸及一氧化氮、内皮素的临床评价.江西医学院学报,2004,44(6):108-109.
    [12] Nanji AA,Griniuviene B,Yacoub LK,et al.Intercellular adhesion molecule expression in experimental alcoholic liver disease: relationship to endotoxemia and TNF alpha messenger RNA.Exp Mol Pathol,1999,62(9):42-51.
    [13] Qian S,Wang Z,Lee Y,et al.Hepatocyte induced apoptosis of activated T cells,a machanism of liver transplant tolerance is related to the expression of ICAM-1 and hepatic lectin.Transplant Proc,2001,11(33):226.
    [14] Aplin,Andrew E.Cell adhesion molecule regulation of nucleocytoplasmic trafficking.FEBSLetters,2003,534(2):11-14.
    [15]周永兴,主编.现代肝硬化诊断治疗学.北京:人民卫生出版社,2000:384.
    [16]黄玲,谈博.中草药防治纤维化的研究.现代中西医结合杂志,2000,9(3):201-203.
    [17]柯珉珉,张宪德,吴练中.岩黄连有效成分的研究.植物学报,1982, 24(3):124-125.
    [18]尹华.岩黄连与丹参注射液合用对慢性乙型肝炎肝纤维化的影响.实用医学杂志,2001,17(8):782-783.
    [19]任仲轩.岩黄连治疗病毒性肝炎33例疗效分析.临床荟萃,2003,18(2):94-95.
    [20]谢沛珊,李爱媛,周芳中.中草药抗肿瘤筛选的实验研究.时珍国医国药,1996,7(1):19-20.
    [21]童鲲,吴练中,梁益永.岩黄连总生物碱对小鼠免疫功能的影响.免疫学杂志,1995,11(4):238-241.
    [22]孙兆翠.岩黄连注射液配合介入疗法治疗原发性肝癌的疗效观察及护理.青海医药杂志,2003,33(4):39-40.
    [23]中国医学科学院药物研究所.中药志(第1册).北京:人民卫生出版社,1979:253.
    [24]陈奇.中药药理研究方法学.北京:人民卫生出版社,l993:724.
    [25]徐叔云,卞如濂,陈修.药理实验方法学.第三版.北京:人民卫生出版社,2002:l346-1347.
    [26]王丽春,赵连三.肝纤维化的实验动物模型.中国实验动物学报.2004,12(4):248-250.
    [27]王宝恩,王惠吉,朱家璇,等.中药复方不同剂型治疗肝纤维化的实验研究与临床观察.肝脏病杂志,1993,1(2):69-72.
    [28]赵敏崎,韩得伍,马学惠,等.甘草酸、甘草次酸与柴胡皂甙对防治大鼠实验性肝硬化的作用.药学学报, 1983, 18(5):325.
    [29]于建国,白薇,刘福义.肝纤维化与肝硬化.临床军医杂志, 2004, 32(1): 102-103.
    [30]武忠粥.病理学(第3版).北京:人民卫生出版社, 1991:325.
    [31]蔡卫民,孙永良,张立煌,等.慢性肝病患者血清十项指标的检测结果及其与肝纤维化的关系.胃肠病学和肝病学杂志,1999,3(3):192-196.
    [32]卢业成,石亚玲,易俊卿.血清HA、LN、IVC、PCIII含量与慢性肝炎炎症活动度与纤维化程度的关系初探.广州医学院学报,2000,28(4):16-19.
    [33]王建鑫,关玉盘.血清3项标记物在肝硬化诊断中的价值.青海医药杂志,2000,30(4):1-2.
    [34]张鲁榕,孙宪涛.透明质酸在疾病中改变的研究进展.国外医学消化疾病分册,1991,11(1):26-29.
    [35] Timpl R,et al.Laminin-a glycoprotein from basement membranes.J Biol Chem,1999,25(4):933-939.
    [36] Srebrow,Anabella,Blaustein,et al.Regulation of fibronectin alternativesplicing by a basement membrane-like extracellular metrix.FEBS Letters,2002,514(2):285-289.
    [37] Kinnman N,Andersson U,Hulterantz R.In situ expression of transforming growth factor-betal-3,latent transforming growth factor-beta binding protein and tumor necrosis factor-alpha in liver tissue from patients with chronic hepatitisC. Scand J Gastroenterol 2000;35:1294-1300.
    [38] Friedman SL.Closing in on the signals of hepatic fibrosis. Gastoenterology, 1997,112(9):1406-1409.
    [39] Roulot D,Sevcsik AM,Coste T,et al.Role of transforming growth factor beta typeII receptor in hepatic fibrosis:studies of human chronic hepatitis C and experimental fibrosis in rats.Hepatology,1999,29(8):1730-1738.
    [40]周俊英,甄真,李兵顺,等.肝组织TGF-β1、TIMP-1及MMP-2表达与纤维化关系的实验研究.中国组织化学与细胞化学杂志2004,13(1):33-37.
    [41] Sato M,Shegogue D,Gore EA,Smith EA,McDermott PJ,Trojanowska M.Role of p38 MAPK in transforming growth factor beta stimulation of collagen production by scleroderma and healthy dermal fibroblasts.J Invest Dermalol,2002, 118:704-711。
    [1]马会慧,姚集.肝纤维化基因治疗的研究进展.国外医学内科学分册,2000,27(9):386-392
    [2]李兆申,主编.内科学理论与技术新进展(第一版) .上海:第二军医大学出版社,2001,400-404.
    [3] Solis-Herruzo JA,de la Torre P,Munoz-Yague MT.Hepatic stellates:architects of hepatic fibrosis.Rev Esp Enferm Dig,2003,95:438.
    [4] Safadi R , Friedman SL.Hepatic fibrosis-role of hepatic stellate cell activation.Med Gen Med,2002,4:27-30.
    [5] Paradis V,Dargere D,Vidand M,et al.Expression of connective tissue growth factor in experimental rat and human liver fibrosis. Hepatology, 1999, 30:968-976.
    [6]David KS,Alan BW.Liver fibrosis and inflammation.A review.Annals of Hepatol,2003,2:159-163.
    [7] Rockey DC.Gene therapy for hepatic fibrosis bringing treatment into the new millennium.Hepatology,1999,30:816
    [8] Castillo MB,Berchtold MW,Rulicke T,et al.Ectopic expression of the calclum binding protein parvalbumin in mouse liver endothelial cells.Hepatology,1997,25(5):11541.
    [9] Guluvov MV,Stoyanov HD,Juliano VAE,et al.Immunohistochemical detection of collagen typeIII and IV in relation with transformation of Ito cells in liver sinsoids of patients with reactive biliary hepatitis . Acta-Histochem, 1999,101(2):213.
    [10] Kanzler S,Lohse AW,Keil A,et a1.TGF-1 in liver fibrosis:aIl inducibletransgenic mouse model to study liver fibrogenesis.Am J Physiol Gastrointest Liver Physiol,1999,276(4):1059.
    [11] Wranna JL,Attissano L,Wieser R,et a1.Mechanismfor activation of the transforming growth factor-βreceptor. Nature, 1994, 370(6): 341-347.
    [12] Massague J.Transforming growth factor-βsignal transduction[J].Annu Rev Biochem,1998,67:753-791.
    [13] Attisano L,Tuen Lee-Hoeflich S.The Smads[J].Genome Biol,2001, 2(8): 3010.
    [14] Miyazono K,TGF2beta signaling by Smad proteins[J].Cytokine Growth Factor Rev,2000,11(122):15-22.
    [15] Ross R,Raines EW,Bowen-pope DF.The biology of platelet derived grpwth factor.Cell,1996,46:155.
    [16] Borhham-Kamphorst E,Herrmann J,Stoll D,et al.Dominate negative soluble PDGF-beta receptor inhibits hepatic stellate cell active and attenuates liver fibrosis.Lab Invest,2004,84:766-777.
    [17] Di Sario A,Bendia E,Svegliati-Baroni G,et al.Rearrangement of the cytoskeletal network induced by platelet derived growth factor in rat hepatic stellate cells:role of different intracellular signaling pathways.J Hepatol, 2002, 36:179-190.
    [18]刘学松,张锦生,张月娥.血小板衍生生长因子对肝星状细胞基质分解素-1及其抑制因子基因表达的调节.中华肝脏病杂志,2000,29(1):27-29.
    [19]王爱民,王宝恩,江龙安,等.血小板衍生生长因子对大鼠肝星状细胞增殖和胶原及血小板源生长因子基因表达的影响.中华实验外科杂志, 2000, 17(3):241-242.
    [20] Ihle JN.The STAT family in cytokine signaling.Curr Opin Cell Biol, 2001,13:211-217.
    [21] Kitamura K,Nakamoto Y,Akiyama M,et al.Pathogenic roles of tumor necrosis factor receptor p55-medicated signals indimethylnitrosamine-induced murine liver fibrosis.Lab Invest,2002,82(5):571.
    [22] Radaeva S,Jaruga B,Kim WH,et al.Interferon-gamma inhibits interferon-alpha signaling in hepatic cells:evidence for the involvement of STAT1 introduction and hyperexpression of STAT1 in chronic hepatitic C. Biochem J,2004,379:199-208.
    [23] Inagaki Y,Nemoto T,Kushida M,et al.Interferon-alpha down-regulates collagen gene transcription and suppresses experimental hepatic fibrosis in mice. Hepatology,2003,38(4):890-899.
    [24] Rockey DC,Maherr JJ,Jarnagin WR,et al.Inhibition of rat hepatic lipocyte activation inculture by interferon-γ.Hepatology,1992,16(4):776-778.
    [25]王毅.拉米夫定治疗乙型病毒性肝炎的现状及展望.医学综述, 2000, 6(9):427~428.
    [26]陈新月,汪俊韬.泛昔洛韦对慢性乙型肝炎的治疗作用.胃肠病学和肝病学杂志, 2000,3,9(1): 77-78.
    [27]王雅凡,李平,李奇芬,等.肝纤维化大鼠血清脯肽酶变化及维生素E治疗的研究.现代中西医结合杂志,2003,12(2):126-127.
    [28] Wellington K,Jarvis B.Silymarin:a review of its clinical properties in the management of hepatic disorders.BioDrugs,2001,15(7):465-489.
    [29] Beno DW,Rapp UR,Davis BH.Prostaglandin E suppression of platelet-derived-grpwth-factor induced Ito cell mitogenesis occurs independent of rat perinuclear translocation and nuclear protooncogene expression.Biochem Biophys Acta,1994,1222(2):292-300.
    [30] Ryhanen L,Stenback F,Ala KL,et al.The effect of malotilate on type III and type IV collagen,laminin and fibronectin metabolism in dimethylnitrosamine-induced liver fibrosis in the rat.Hepatology,1996, 24(2): 238-245.
    [31] Yu Q,Shao R,Qian HS,et al.Gene tranfer of the neuronal NO synthese isoform to cirrhotic rat liver ameliorates portal hypertension.J Clin Invest, 2000, 105(6):741-748.
    [32] Lv T,Yao XX.Comparision of protocatechuic aldchyde in Radix Salvia miltiorrhiza and corresponding pharmacological sera from normal and fibrotic rats by high performance liquid chromatography.World J Gastroenterol, 2006, 12(14):2195-2200.
    [33]陶艳艳,刘成海.丹参及其化学成分抗肝纤维化作用机制研究进展.中西医结合学报,2004,2(2): 145-148.
    [34]王吉耀,刘维田,胡美玉,等.甘草酸对成纤维细胞I、III型前胶原mRNA表达的抑制作用.中华消化杂志,1997,17(1):60-61.
    [35]王吉耀,郭津生,刘淑玲,等.甘草酸对肝硬化动物模型肝脏内NF-kB结合活性的抑制作用.中华肝脏病杂志,1999,7(1):42-43.
    [36]甘乐文,王国俊,李玉莉.氧化苦参碱对大鼠肝纤维化的影响.第二军医大学学报,1999,20(7):445-448.
    [37]宋健,张兴荣,朱深,等.苦参素对成纤维细胞增殖及III型胶原mRNA表达的影响.第二军医大学学报, 1999, 20(6):356-358.
    [38]陈岳祥,李石,张兴荣,等.牛磺酸对四氯化碳诱导大鼠肝纤维化的抑制作用.中华消化杂志,1999,19(3):185-188.
    [39]姬成伟,刘晋敏,李亮成,等.川芎嗪阻抑大鼠肝纤维化作用实验研究.山西医科大学学报,2003,34(4):293-295.
    [40]王要军,权启镇,孙自勤.抗肝纤维化的中草药及其机理.滨州医学院学报,1998,21(4):407-409.
    [41]时昭红,张介眉等.银杏叶提取物对实验性大鼠肝纤维化的逆转作用.中国中西医结合消化杂志,2005,13(3):148-152.
    [42] Ueki T,Okamoto E,Takeuchi M,et al.Persectives on postgenome medicine: Gene therapy for liver fibrosis.Nippon Rinsho,2001,59(1):152-156.
    [43] Prieto J,Qian C,Hernandez-Alcoceba R,et al.Gene therapy of liver diseases. Expert Opin Biol Ther,2004,4(7):1073-1091.
    [44] Prieto J,Herriaiz M,Sangro B,et al.The promise of gene therapy in gastrointestinal and liver diseases.Gut,2003,52Suppl2:1149-1154.

© 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