BJ-JN抗肝纤维化作用及其机理的研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
利用D-半乳糖胺(D-GalN)、四氯化碳(CCl_4)、卡介苗加脂多糖(BCG+LPS)分别诱导小鼠急性肝损伤、大鼠肝纤维化与小鼠免疫性肝损伤模型,研究了BJ-JN(3,6,12g生药·kg~(-1)·d~(-1))对上述不同原因所诱导肝损伤的防治作用及其作用机理。并且用血清药理学方法研究了BJ-JN含药血清体外对肝星状细胞(HSC)功能的影响。主要结果概括如下:
     1.BJ-JN对D-GalN诱导小鼠急性肝损伤的保护作用
     BJ-JN高剂量组可明显降低D-GalN升高的小鼠肝脏指数和血清丙氨酸氨基转移酶(ALT)水平;病理组织学结果表明,BJ-JN三个剂量组均使D-GalN诱导的肝细胞损伤减轻,但无显著性差异。
     2.BJ-JN对CCl_4致大鼠肝纤维化的保护作用
     BJ-JN三个剂量均能使CCl_4升高的血清ALT、天门冬氨酸氨基转移酶(AST)、一氧化氮(NO)和肝脏丙二醛(MDA)降低,使CCl_4降低的血清白蛋白/球蛋白(A/G)、肝脏超氧化物歧化酶(SOD)含量、胸腺指数增加;BJ-JN三个剂量均明显减轻CCl_4所致的肝纤维化程度,不仅降低血清透明质酸(HA)含量,而且减轻肝脏纤维化的病理组织学改变,第19周尤为显著;BJ-JN高剂量组可明显抑制肝纤维化大鼠HSC的增殖和胶原分泌。表明本品对大鼠CCl_4性肝纤维化有明显的防治作用。并提示该药抗肝纤维化作用可能与其抗氧化作用、免疫调节作用和抑制HSC的功能有关。
     3.对BCG+LPS诱导小鼠免疫性肝损伤的保护作用
     BJ-JN三个剂量均可明显降低升高的血清ALT水平,同时改善异常的免疫学指标,使低下的刀豆蛋白A(Concanavalin A,ConA)诱导脾淋巴细胞的增殖反应上升,使过高的腹腔巨噬细胞(MΦ))产生白细胞介素-1(Interleukin-1,IL-1)
    
    安徽医科大学硕士学位论文
    和肿瘤坏死因子(Tumor neerosis factor, TNF)水平下降。BJ一州高剂量可明显减
    轻肝细胞损伤和间质炎细胞浸润,低剂量与高剂量组均明显促进肝细胞再生。
    提示本品对小鼠免疫性肝损伤,有保护作用,该作用可能与其抗炎和免疫调节
    作用有关。
    4.BJ一JN血清药理学研究
     BJ一JN的含药血清对大鼠肝星状细胞株(HSC一T6)的体外研究结果表明,
    BJ一JN(1 2 9 .kg一,)的含药血清可以显著抑制Hsc一T6细胞的增殖和胶原分泌,提
    示该品的含药血清对HSC一T6细胞有直接抑制作用。
     体内外实验结果综合表明,对D~Ga1N、CC14与BCG十LPS分别诱导小鼠急
    性肝损伤、大鼠肝纤维化与小鼠免疫性肝损伤,BJ一JN不仅具有明显的防治作用,
    而且有抗氧化和纠正异常的免疫功能的作用,还可明显抑制肝纤维化大鼠HSC的
    增殖和胶原分泌。BJ一州含药血清体外可直接抑制HSC一T6细胞的增殖和胶原分
    泌。提示本方的抗肝损伤作用与其抗氧化、抗炎、和免疫调节等作用有关。HSC
    可能是BJ一州产生抗肝纤维化的的作用靶点之一。
To explore the effect of BJ-JN on liver injury and liver fibrosis, several experimental liver injury models were adopted. The protective mechanism of BJ-JN (3, 6, 12 g. kg-1 d-1) on hepatic damage was analyzed preliminarily. The method of serum pharmacology was used to observe the effect of drug-contained serum of BJ-JN on HSC-T6 cell line in vitro. The main results are as follows.
    1. Effect of BJ-JN on D-GalN induced acute liver injury in mice
    The liver index and the serum content of ALT induced by D-GalN were significantly reduced by high dose of BJ-JN. Three dosage of BJ-JN alleviated the degree of hepatocytes injury induced by D-GalN in pathological examination.
    2. Effect of BJ-JN in CCl4 induced chronic liver injury in rats
    The elevation of serum ALT, AST, MDA and NO level were significantly reduced and the reduction of liver T-SOD content, serum A/G and thymus index was increased by BJ-JN. Three dosage of BJ-JN obviously alleviated the degree of liver fibrosis induced by CCl4. Not only the elevation of HA level in serum was reduced, but also the severity of liver fibrosis was significantly relieved in pathological examination, especially in rats injured by CCl4 for 19 weeks. The proliferation and collagen secreting of HSC isolated from liver fibrotic rats were remarkably inhibited by high-dose BJ-JN treatment. The results showed that BJ-JN has obviously anti-fibrosis effect and the mechanism of action might be related to its anti-oxidative activity, immune regulation and the inhibitory effect on HSC function.
    3. Effect of BJ-JN on BCG+LPS induced immunologyical liver injury in mice
    
    
    
    The elevation of serum ALT content was obviously reduced by three dosage of BJ-JN. It was also found that BJ-JN could restore the diminished splenocyte proliferation induced by ConA and reduced IL-1 and TNF-a production by peritoneal macrophages(M ) in BCG + LPS injured mice. The high-dose BJ-JN obviously alleviated the degree of hepatocytes injury and the infiltration of inflammatory cell induced by BCG+LPS. BJ-JN remarkably promoted hepatocytes regeneration in pathological examination. These results showed that BJ-JN not only has the protective effective, but also has anti-inflammatory and immunoregulatory effects on immunologyical liver injury in mice.
    4. The serum pharmacology study of BJ-JN
    The results showed that the drug-contained serum of BJ-JN (12 g. kg-1) significantly
    restrained the proliferation and collagen secreting of HSC-T6 cell in vitro.
    To sum up, BJ-JN has the protective effects on three experimental models (acute, chronic and immunological liver injury). The results in vivo and in vitro suggested that its mechanism of action might be associated with the anti-oxidative activity, immunoregulation and anti-inflammatory effect as well as the inhibitory effect on the function of HSC.
引文
1.何德华,詹镕洲.肝胆病理学.第二军医大学出版社.1997;12:序
    2.刘耕陶.治疗肝炎药物的现状及今后研究.中国科学技术协会工作部编.病毒性肝炎防治。北京:中国科学技术出版社,1991:337-341
    3.李萍.中医药抗肝纤维化研究进展.湖北中医杂志,2001;23(3):52-54
    4.刘永刚,陈厚昌,蒋毅萍.中草药抗肝纤维化的研究.中药材,2001;24(3):212-214
    5.白云峰,彭康.抗肝纤维化中药研究进展.中药药理与临床,2001;14(4):48-50
    6. Friedman SL, Lalazar A, Crong L, et al. HSC-T6 cells, an immortalized rat hepatic stellate cell line. Hepatology, 1997; 26(4Pt): 338A
    7.范维珂.氨基半乳糖实验性肝损伤动物模型.郭瑶编:人类疾病的动物模型.人民卫生出版社,1982;279-228
    8.张均田等,现代药理实验方法.北京:北京医科大学、中国协和医科大学联合出版社,1998:1398-1400
    9. Kim YM and Son K. A Nitric oxide production bioassary for interferon-γ. J Immuno method, 1996; 198:203-209
    10. Glanfranco A, Philips J, Benjamin, et al. Recent advances in the isolation of liver cells. Hepatology, 1994; 20 (2): 494-498
    11.陈原稼,王宝恩,马雪梅,等.大鼠贮脂细胞的分离.肝脏病杂志,1993;(1):17
    12. Knittel T, Fellmer P, Ramadori G. Gene expression and regulation of plasminoge activator inhibition type Ⅰ in hepatic stellatte cells of rat liver. Casteroenterology, 1996; 111:745
    13.张均田等,现代药理实验方法.北京:北京医科大学、中国协和医科大学联合
    
    出版社,1998:1401-1408
    14.宋少刚,杨雁,陈敏珠.大鼠肝贮脂细胞、枯否细胞的同时分离和培养.中国临床药理学与治疗学,2000;5(4):321-353
    15. Rockey D, Maher J, William R, et al. Inhibition of rat hepatic lipocyte activation in culture by interferion-γ. Hepatology, 1992, 16 (3): 777
    16. Geerts A, Vrijsen R, Rauterberg J, et al. In vitro differentiation of fat-storing cells parallels marked increase of collagen synthesis and secretion. J Hepatology, 1989; 9(1): 56
    17. Wang GS, Liu GT. Role of nitric oxide in immuneologic liver damage in mice. Biochem Pharmmacol, 1995; (2): 277-281
    18. Nagai H, Yakuo I, Yamada H, et al. Involvement of tumor necrosis factor-α in the pathogensis of activated macrophage-mediated hepatitis in mice. Gastroenterol, 1990; 99 (3): 758-765
    19. Wang Gen-sheng, Zhang You-Hui, Liu Geng-Tao. Involvement of tumor necrosis Factor-α in immunological liver injury in mice and its relation to hepatic macrophages. Chines Journal of Pharmacology and Toxicology. 1996; 10 (4):255-259
    20.梁君山,魏伟,周爱武,等.白细胞介素-1的检测及白芍总苷对其产生的影响.中国药理学通报,1989;5(6)656-357
    21.王斌,陈敏珠,徐叔云.白芍总苷对大鼠腹腔巨噬细胞产生肿瘤坏死因子的影响.中国药理学通报,1995;11(1):36-38
    22.刘成海,刘平,刘成,等.抗肝纤维化有效中药复方血清药理学方法探讨.中国实验方剂学杂志,1998;4(2)16-19
    23.吴健宇,穆静,李仪奎.血清药理实验中异种动物血清对细胞的毒性作用和灭活后的减毒作用.中国药理学通报,2000;16(1):117-119
    24.李仪奎.中药血清药理学实验方法的若干问题.中药新药与临床药理,1999;10(2):21-23
    
    
    25.关于血清药理学的若干问题思考.中国中西医结合杂志,1999;19(5):263-266
    26.全国病毒性肝炎防治方案(试行).中华传染病杂志,1995;13(4):241-244
    27.王吉耀 主编.现代肝病治疗——理论与进展.上海:上海医科大学出版社,1999:12:99。
    28. Bissell DM. Hepatic fibrosis as wound repair: a progress report. J Castroenteral, 1998; 33:295
    29. Lee KS, Lee SJ, Park HJ, et al. oxidative stress effect on the activation of hepatic stellate cells. Yonsei Med J, 2001; 42 (1): 1-8
    30. Kim KY, Chio T, Kim SS. Progression of hepatic stellate cell activation is associated with the level of oxidative stress rather cytokines during CC1_4 induced fibrogenesis. Mol Cells, 2000; 10(3): 289-300
    31.张均田等,现代药理实验方法.北京:北京医科大学、中国协和医科大学联合出版社,1998:1398
    32. Parola M, Leonarduzzi G, Bisai F, et al. Vitamin E dietary supplementation protects against carbon tetrachloride-induced chronic liver damage and cirrhosis. Hepatology, 1992; 16(4): 1014-1020
    33. Burk BF, Lane JM, Patel K. Relationship of oxygen and glutathion in protection against carbon tetrachloride-induced hepatic microsomal lipip peroxidation and covalent binding in the rat. J Clin invest, 1984; 74:1996-2001
    34. Mcmillan J M, Jollow D J. Galactosamine: hepatotoxicity effect ofgalactosamine on glutathione resynthesis in rat primary hepatocyte cultures [J]. Toxicol Appl Pharmacol, 1992; 115:234-240
    35. Schanne F A X, Pfac R G, Farber J 1, Galactosamine-induced cell death in primary cultures of rat hepatocytes [J]. Am J Pathol, 1980; 100:25-38
    36. Liehr H, Grun M, Seeling H. On the pathogenesis of galactosamine hepatitis, death [J]. Virchows Arch B Cell Pathol, 1978; 26:331-334
    37. Kasravif B, Wang L, Wang X D, et al. Bacterial translocation in acute liver injury by
    
    D-galactosamine [J]. Hepatology, 1996; 23:97-103
    38.胡恒龙,马连虎.D-氨基半乳糖诱导肝损伤的过氧化机理及锌的保护作用.中国药理与毒理学杂志.1993,7(2):81
    39.王根生.一氧化氮和肿瘤坏死因子在小鼠免疫性肝损伤中的作用及抗肝炎新药SY-801和SY-640的影响.生理科学进展,1996;27:47-49
    40.邢卉春,谢文轩,王守义.一氧化氮在肝损伤中作用的实验研究.中华肝脏病杂志,1999;7(1):2
    41.滕书玲 习玲 武希润大鼠急性肝损伤中一氧化氮及自由基的变化.中华肝脏病杂志1998;(2):113-114
    42.章国良,林志彬,张波.诱导型一氧化氮合酶选择性抑制剂对大鼠免疫性肝损伤的影响.中华医学杂志,1998;78(7):540-543
    43.杨惠青,田耕.一氧化氮在实验性大鼠肝纤维过程中的作用.长治医学院学报,2002;16(2):82-91
    44.卢放根,伍汉文,凌奇荷.急性肝炎,肝硬化患者血IL-8,NO水平与肝损伤的关系.湖南医学,1999;16(2):99-100
    45.周俊英,李兵顺,刘金星,等.肝纤维化的发生机制.河北医科大学学报,2002;23(1):50-52
    46.王吉耀主编.现代肝病治疗——理论与进展,上海医科大学出版社,1999,12,109-111。
    47. Kanzler S. Lohse AW, Keil A, et al. TGF-betal in liver fibrosis: an inducible transgenic mouse model to study liver fibrogrnesis. Am J Physiol, 1999,276(4):1059
    48.邓存良,陈国民,余光开,等.重组人白细胞介素-1受体拮抗剂抗肝纤维化的实验研究.中华微生物和免疫学杂志,2002,20(2):140
    49. Nagai H, Yakuo I, Yamada H, et al. Liver imjury model in mice for immunopharmacological study. Japam J Pharmacology, 1988; 46(3): 247-254
    50.刘沛,周子文,李志伟,等.IL-1增强TNF所致小白鼠肝损伤的活性研究.中
    
    华消化杂志,1993;13(5):253-255
    51.周晓东,张宝凤,任红.肿瘤坏死因子单克隆抗体及肝细胞生长多肽对实验肝坏死的保护作用.中华传染病杂志,1996;14(3):137-140
    52. Gressner AM, Transdifferentiation of hepatic setllate cell (Ito cells) to myofibroblasts: a key event in hepatic fibrogenesis. Kidney Int, 1996; 46(54): 39-44
    53. Arthur MJ, Mann DA, Iredale JP. Tissue inhibitors of metalloproteinases, hepatic stellate cells and liver fibrosis, J Gastro Hepatol, 1998; 13(9): 33-38
    54. Ileda H, Wu GY, Wu CH, et al. Lipocytes from fibrotic rat liver have an impaired feedback response to procollagen propetides. Am J Physiol, 1993; 264(1): 157-162
    55. Iredale JP, Benyon RC, Arthur MJ, et al. Tissue inhibitor of metalloprotein-ase-1 messenger RNA expression is enhanced relative to interstitial collagenase messenger RNA in experimental liver injury and fibrosis. Hepatology, 1996;24:179-184
    56. Knittel T, Mehde M, Kobold D, et al. Expression patterns of matrix metelloproteinases and their inhitors in parenchymal and non-parenchymal cells of rat liver: regulation by TNF-alfa and TGF- beta. JHepatol, 1999; 30:48-60
    57. Jezequel AM. Ballardini G, Mancini R, et al. Modulation of extracellular matrix components during dimethy (nitrosamine) induced cirrhosis. J Hepatol, 1990,11(2):206
    58. Friedman Sl, Arthur MJ. Activation of cultured rat hepatic lipocytes by kupffer cell conditioned medium. Direct enhancement of matric synthesis and stimulation of cell proliferation via induction of platelet-derived growth factor receptors. J Clin Invest, 1989; 87(6): 1780
    59.李石.肝纤维化发生机制.中华消化杂志,1999:19(1):48-50
    60.张群豪,陈克冀.血清药理学在中药及复方研究中应用的评价.中国中西医结合杂志,1996;16(3):131
    61.崔晓兰,贺玉琢,高英杰,等.中药药理研究的新思路----中药血清药理学.中
    
    国中医药科技,1997;4(4):229

© 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