复方斑蝥的抗肝癌作用研究
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摘要
目的探讨复方斑蝥对肝癌的作用效果和作用机制。
     方法用血清药理学方法制备复方斑蝥血清并处理人肝癌Bel-7402细胞, MTT方法观察其对人肝癌Bel-7402细胞增殖的抑制作用, RT-PCR技术检测其对c-Myc,P53基因表达的影响,流式细胞仪检测含药血清对细胞周期的作用;使用鼠肝癌细胞H22,建立肝腹水模型,观察复方斑蝥对荷腹水瘤小鼠生存质量及生存期的影响。
     结果复方斑蝥含药血清能够显著抑制人肝癌Bel-7402细胞的增殖。通过MTT实验观察不同含药浓度血清组对人肝癌Bel-7402细胞作用24h、48h、72h,复方斑蝥含药血清对人肝癌Bel-7402细胞的抑制作用呈现时间-浓度的依赖性。低浓度、中浓度、高浓度含药血清作用24h后对人肝癌Bel-7402细胞增殖的抑制率分别为:6%、12%、13%;作用48h后对人肝癌Bel-7402细胞增殖的抑制率分别为:13%、15%、27%;作用72h后对人肝癌Bel-7402细胞增殖的抑制率分别为:15%、32%、32%;与对照组血清相比较,含药血清对人肝癌Bel-7402细胞增殖抑制作用存在显著性差异(p<0.05)。通过含药血清对人肝癌Bel-7402细胞作用48h,RT-PCR实验检测到含药血清能够下调c-Myc,上调P53基因的表达;流式细胞仪观察不同浓度药物的含药血清将细胞阻滞在G2M期。其中中、高浓度药物组血清作用三个时间对后,与对照组相比较存在显著差异性(p<0.05)。复方斑蝥治疗肝腹水模型小鼠,对其生存期延长效果不明显,但对其生存质量(如毛色、活动能力、对环境的敏感性等)有明显提升作用。
     结论复方斑蝥能够抑制人肝癌细胞的增殖,其作用机制可能是通过影响P53、c-Myc基因表达,进而将细胞阻滞在G2M期来实现。体内实验显示复方斑蝥可能提高荷瘤小鼠的免疫力,从而改善荷瘤小鼠生存质量。血清药理学与分子生物学相结合能够有效地展示与药物作用相关的分子,可以作为研究复方药理的一个初步技术平台。
Objective To investigate the antitumor effect of compound mylabris on the hepatocellular carcinoma and its possible mechanism.
     Methods The compound mylabris serum was prepared based on serum pharmacology and was used to treat human hepatocarcinoma cell line bel-7402. Different concentrations of compound mylabris serum were used to treat bel-7402 cell for 24 h, 48 h, 78 h, and their inhibitory effect were detected by MTT assay. RT-polymerase chain reaction (RT-PCR) was used to evaluate c-Myc and p53 mRNA expressions in human Hepatocarcinoma cell bel-7402. Flow cytometry was used to detect the effect of compound mylabris serum on cell cycle of bel-7402. The H22 hepatoma ascites bearing mouse model was set up, and was used to investigate the effect of the compound mylabris on the life time of the model mouse.
     Results Compound mylabris serum could inhibit remarkably the proliferation of human hepatocarcinoma cell line bel-7402. The MTT results showed that inhibitory effect of compound mylabris serum on bel-7402 was time and concentration dependent. The inhibitory rates of the groups of low, middle and high concentration for 24 hours were 6%, 12%, 13%, respectively; while for the groups of 48 hours and 72 hours, they were 13%, 15%, 27% and 15%, 32%, 32%, respectively. In comparison with the control group, the groups of compound mylabris serum showed significant inhibitory effect (p < 0.05). The results of RT–PCR showed that the compound mylabris can downregulate c-Myc gene, while upregulate p53 gene. The flow cytometry showed that cell cycles of bel-7402 were blocked into the G2M phase after being treated by compound mylabris serum with middle and high concentration for 24, 48 and 72 hours (p < 0.05). The compound mylabris can not significantly lengthen the life span of H22 hepatoma ascites bearing mouse model, but it can remarkably improve their life quality, such as hair color, moving ability and sensitivity to the environment.
     Conclusion Compound mylabris can inhibit the proliferation of human hepatocarcinoma cell. This may be achieved by affecting the expressions of P53 and c-Myc gene, and thereby blocking the cell cycle into the G2M phase. Compound mylabris may improve the immunocompetence of the tumor bearing mouse and thus better its life quality. Serum pharmacology in combination with molecular biology can effectively disclose target molecules reacting with the drug, and therefore can be used as a preliminary technology platform for compound pharmacology.
引文
[1]李永浩.双柏散外敷治疗肝癌疼痛疗效观察[J].中医外治杂志,2004,13(3):26-27.
    [2]龚新雷,秦叔逵.原发性肝癌的分子靶向治疗研究新进展[J].临床肿瘤学杂志,2008,13(001):1-10.
    [3] Arbuthnot P, Kew M. Hepatitis B virus and hepatocellular carcinoma.[J]. Int J Exp Pathol,2001,82(2):77-100.
    [4] Bouchard M J, Schneider R J. The enigmatic X gene of hepatitis B virus.[J]. J Virol,2004,78(23):12725-12734.
    [5] Wang X W, Forrester K, Yeh H, et al. Hepatitis B virus X protein inhibits p53 sequence-specific DNA binding, transcriptional activity, and association with transcription factor ERCC3.[J].Proc Natl Acad Sci USA,1994,91(6):2230-234. factor ERCC3.[J]. Proc Natl Acad Sci U S A,1994,91(6):2230-2234.
    [6]吴江南,陈裕明,王翠玲.丙型、乙型肝炎病毒感染对原发性肝癌影响的荟萃分析[J].中华肝脏病杂志,2007,15(2):137-140.
    [7]苏德隆.饮水中蓝绿藻毒素与肝癌研究[J].医学研究通讯,2001,30(6):19-20.
    [8] Park H, Namikoshi M, Brittain S M, et al. [D-Leu(1)] microcystin-LR, a new microcystin isoplated from waterbloom in a Canadian prairie lake.[J]. Toxicon,2001,39(6):855-862.
    [9]邓敬桓,秦雪.原发性肝癌发生机制的研究进展[J].环境与健康杂志,2007:924-926.
    [10]方俊,刘伯齐,张庆镐,等.吸烟与肝癌关系的病例对照研究[J].延边大学医学学报,2003,26(2):106-107.
    [11]朱文昌,陈清,等. CYP1A1与GSTM1的多态性与原发性肝癌遗传易感性的关系研究[J].肿瘤防治杂志,2001,8(6):572-574.
    [12]丁建华,吴建中,高长明,等.乙醛脱氢酶2基因多态性和饮酒习惯与肝癌的易感性[J].肿瘤,2004,24(4):309-312.
    [13] Ker C G, Chen H Y, Juan C C, et al. Laparoscopic subsegmentectomy for hepatocellular carcinoma withcirrhosis.[J].Hepatogastroenterology,2000,47(35):1260-1263.
    [14] Torzilli G, Makuuchi M, Inoue K, et al. No-mortality liver resection for hepatocellular carcinoma in cirrhotic and noncirrhotic patients: is there a way? A prospective analysis of our approach.[J]. Arch Surg,1999,134(9):984-992.
    [15] Mazzaferro V, Regalia E, Doci R, et al. Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis[J]. New England Journal of Medicine, 1996,334(11):693-700.
    [16] Yao F Y, Ferrell L, Bass N M, et al. Liver transplantation for hepatocellular carcinoma: expansion of the tumor size limits does not adversely impact survival.[J]. Hepatology,2001,33(6):1394-1403.
    [17]樊嘉,周俭,徐泱,等.肝癌肝移植适应证的选择:上海复旦标准[J].中华医学杂志,2006,86(018):1227-1231.
    [18] Takayama T, Sekine T, Makuuchi M, et al. Adoptive immunotherapy to lower postsurgical recurrence rates of hepatocellular carcinoma: a randomised trial.[J]. Lancet,2000,356(9232):802-807.
    [19] Hargreaves G M, Adam R, Bismuth H. Results after nonsurgical local treatment of primary liver malignancies.[J]. Langenbecks Arch urg,2000,385(3):185-193.
    [20] Kew M C. Epidemiology of hepatocellular carcinoma.[J]. Toxicology,2002,181-182:35-38.
    [21]尹桂平,田思胜.原发性肝癌古今方药证治规律研究[J].辽宁中医杂志,2011,2.245-246.
    [22]方肇勤,李永健,唐辰龙,等. 2060例原发性肝癌患者证候特点分析[J].中医杂志,2004,45(001):53-54.
    [23]吕书勤.治疗肝癌勿忘祛湿[J].中西医结合肝病杂志,2004,14(002):117.
    [24]余水园.荡邪软坚补肝方治疗中晚期肝癌疗效观察[J]. MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE,2005,14(6).744-745.
    [25]殷常春,潘守杰,丰育来.蜂胶片治疗原发性肝癌36例临床报告[J].吉林中医药,2006,26(012):26-27.
    [26]顾小侠,刘书林,陶玉华.岩舒注射液治疗中晚期肝癌32例临床观察[J].吉林中医药,2005,25(009):19-20.
    [27]张华,张丽.中药介入治疗肝癌进展暨十年工作概述[J].
    [28]曲震,史彦芬,等. HLF方案合并复方斑蝥胶囊治疗原发性肝癌30例近期疗效观察[J].中国中医药科技,2002,9(6):336.
    [29]江洪,张太君,邓晓玲.复方斑蝥胶囊治疗原发性肺癌临床总结[J].实用中医药杂志,2006,22(003):166-167.
    [30]赵文英,程宜福.复方斑蝥胶囊联合化学治疗对转移性结直肠癌的疗效观察[J].中华消化杂志,2010,30(7).
    [31]吴光兴,杨志华,陈恩碧.化疗联合复方斑蝥注射液治疗恶性淋巴瘤临床观察[J].中国医师杂志,2005,7(010):1425-1426.
    [32]胡森,盛志勇.去甲斑蝥素致大鼠腹腔炎症与多脏器功能失常综合征[J].中国危重病急救医学,1998,10(10):603-605.
    [33]张蕻,粱小军,朴晋华,等.复方斑蝥胶囊体内外抗肿瘤作用的实验研究[J].山西中医学院学报,2003,4(2):17-19.
    [34]王志睿,林敬明,张忠义.刺五加化学成分与药理研究进展[J].中药材,2003,26(8):603-606.
    [35]邹箴蕾,吴启南.半枝莲的化学成分及药理作用研究进展[J].时珍国医国药,2005,16(2):149-150.
    [36]刘晓兰,陈家旭.去甲斑蝥素诱导HL60细胞凋亡的研究[J].北京中医药大学学报,2000,23(4):35-38.
    [37]刘建辉,饶荣生,等.爱迪注射液联合化疗治疗晚期肿瘤的疗效观察[J].肿瘤防治杂志,2001,8(6):667-668.
    [38] Chen X, Cheung S T, So S, et al. Gene expression patterns in human liver cancers.[J]. Mol Biol Cell,2002,13(6):1929-1939.
    [39] Ding X, Park Y N, Taltavull T C, et al. Geographic characterization of hepatitis virus infections, genotyping of hepatitis B virus, and p53 mutation in hepatocellular carcinoma analyzed by in situ detection of viral genomes from carcinoma tissues: comparison among six different countries.[J]. Jpn J Infect Dis,2003,56(1):12-18.
    [40] Patel J H, Mcmahon S B. Targeting of Miz-1 is essential for Myc-mediated apoptosis.[J]. J Biol Chem,2006,281(6):3283-3289.
    [41] Jonas J C, Laybutt D R, Steil G M, et al. High glucose stimulates early response gene c-Myc expression in rat pancreatic beta cell.[J]. J Biol Chem, 2001,276(38): 35375-35381.
    [42] Fields W R, Desiderio J G, Putnam K P, et al. Quantification of changes in c-myc mRNA levels in normal human bronchial epithelial (NHBE) and lung adenocarcinoma (A549) cells following chemical treatment.[J]. Toxicol Sci,2001,63(1):107-114.
    [43] Simile M M, De Miglio M R, Muroni M R, et al. Down-regulation of c-myc and Cyclin D1 genes by antisense oligodeoxy nucleotides inhibits the expression of E2F1 and in vitro growth of HepG2 and Morris 5123 liver cancer cells.[J]. Carcinogenesis,2004,25(3):333-341.
    [44] Zhao H, Xu Y H. Mad-overexpression down regulates the malignant growth and p53 mediated apoptosis in human hepatocellular carcinoma BEL-7404 cells.[J]. Cell Res,1999,9(1):51-59.
    [45]房德芳,王明艳.斑蝥酸钠抑制肝癌细胞生长的实验研究[J].辽宁中医杂志,2007,34(6):845-847.
    [46]徐虎.复方斑蝥胶囊对晚期原发性肝癌生存率的影响[J].湖北中医杂志,2009,31(4):23-24.
    [47]黄燕芬,洪行球,袁小凤.姜黄素水解衍生物对肝癌细胞增殖和凋亡调控因子的影响[J].中华中医药学刊,2008,26(8):1757-1759.
    [48]侯小萍,康永.中药及其复方血清药理学研究的方法学分析与评价[J]. INTERNATIONAL JOURNAL,2009,31(2).
    [49]米永杰,李健.中药血清药理学研究概述[J].四川解剖学杂志,2006,14(4):34-35.
    [50] Iwama H, Amagaya S, Ogihara Y. Effect of shosaikoto, a Japanese and Chinese traditional herbal medicinal mixture, on the mitogenic activity of lipopolysaccharide: a new pharmacological testing method.[J]. J Ethnopharmacol,1987,21(1):45-53.
    [51]徐海波.中药血清药理学研究进展[J].湖南中医药导报,1999,5(8):11-14.
    [52]蒙一纯,丁震.中药血清药理学应用研究展望[J].北京中医药大学学报,1999,22(4):42-43.
    [53]张志鹏,施旭光,等.关于中药血清药理学中血清供体动物是否造模的思考[J].中国中西医结合杂志,2001,21(5):388-389.
    [54] Aegeansoftware. NoteExpress[DB/CD]. 2.0 ed. 2005.
    [55] Patel J H, Mcmahon S B. BCL2 is a downstream effector of MIZ-1 essential for blocking c-MYC-induced apoptosis.[J]. J Biol Chem,2007,282(1):5-13.
    [56] Chan K T, Lung M L. Mutant p53 expression enhances drug resistance in a hepatocellular carcinoma cell line.[J]. Cancer Chemother Pharmacol,2004,53(6):519-526.
    [57]胡森,盛志勇.去甲斑蝥素致大鼠腹腔炎症与多脏器功能失常综合征[J].中国危重病急救医学,1998,10(010):603-605.
    [58]曲震,史彦芬,王义善. HLF方案合并复方斑蝥胶囊治疗原发性肝癌30例近期疗效观察[J]. CHINESE JOURNAL OF TRADITIONAL MEDICAL SCIENCE AND TECHNOLOGY,2002,9(6).
    [59] Cowling V H, Cole M D. Turning the tables: Myc activates Wnt in breast cancer.[J]. Cell Cycle,2007,6(21):2625-2627.
    [60]张振宇,张赤志,许汉林,等.皂荚提取物对人肝癌细胞相关癌基因表达的调控作用及端粒酶的影响[J].中西医结合肝病杂志,2008,18(2):93-95.
    [61]金伟,王亚威.斑蝥素对HL—60细胞和QGY7703细胞的作用研究[J].中医药学报,2001,29(004):42-43.
    [62]刘健,高建辉,刘晓秋.斑蝥素及其衍生物的研究进展[J].中药材,2003,26(006):453-455.
    [63] Chu L, Norota I, Ishii K, et al. Inhibitory action of the phosphatase inhibitor cantharidin on the endothelin-1-induced and the carbachol-induced negative inotropic effect in the canine ventricular myocardium[J]. J Cardiovasc Pharmacol,2003,41 Suppl 1:S89-S92.
    [64]顾伟,沈婕,翟笑枫.大鼠移植性肝癌模型生物学行为与分期的初步探讨[J].中西医结合学报,2005,3(2).
    [65]顾伟,沈婕,翟笑枫.大鼠移植性肝癌模型生物学行为与分期的初步探讨[J].中西医结合学报,2005,3(2).
    [66]彭海燕,章永红,杨早,等.豆楮方对艾氏腹水癌腹水型小鼠的体内作用研究[J].时珍国医国药,2007,18(2):404-405.
    [67]陈润涛,陈秉,夏源,等.性别对荷H22肝癌小鼠肿瘤生长的影响[J].中国职业医学,2008,35(004):283-285.
    [68]王剑锋,凌茂英,初海鹰.小鼠腹水型肝癌细胞系(H22-Fo/L)的建立及其生物学特性[J].中华病理学杂志,1991,20(1):65.
    [69] Dias N, Bailly C. Drugs targeting mitochondrial functions to control tumor cell growth.[J]. Biochem Pharmacol,2005,70(1):1-12.
    [70] Ji Y B, Chi W J, Zou X, et al. [Study on apoptosis effect induced by isothiocyanates in broccoli on HepG-2 cells and its mechanism].[J]. Zhongguo Zhong Yao Za Zhi,2007,32(7):612-615.
    [71] Cain K, Bratton S B, Langlais C, et al. Apaf-1 oligomerizes into biologically active approximately 700-kDa and inactive approximately 1.4-MDa apoptosome complexes.[J]. J BiolChem,2000,275(9):6067-6070.
    [72]周永兴.现代肝硬化诊断治疗学[J].第l版.北京:人民军医出版社,2000,14.
    [73]华海清.原发性肝癌病机特点探讨[J]. CHINESE JOURNAL OF BASIC MEDICINE IN TRADITIONAL CHINESE MEDICINE,2004,10(2).
    [74] Chan B, Lee W, Hu C X, et al. Adoptive cellular immunotherapy for non-small cell lung cancer: a pilot study.[J]. Cytotherapy,2003,5(1):46-54.
    [75]马健,李永华,罗京滨,等.瑞香狼毒协同化疗药物诱导耐药肝癌细胞凋亡作用研究[J].中医药学报,2007,35(006):15-16.
    [76]张若燕.中药斑蝥及复方斑蝥制剂在治疗恶性肿瘤中的作用[J].内科,2006,1(1).73-74.
    [77]张振凌,王正益.斑蝥不同炮制品药理作用的研究[J].中国中药杂志,1990,15(4):22-25.
    [78]张蕻,粱小军,朴晋华,等.复方斑蝥胶囊体内外抗肿瘤作用的实验研究[J].山西中医学院学报,2003,4(002):17-19.
    [79]李海金,董良,李英,等.艾迪注射液对晚期肿瘤患者T淋巴细胞亚群的影响[J].中国中医药信息杂志,2007,14(6):66-67.

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