补骨脂颗粒对顺铂致小鼠卵巢损伤的保护作用
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摘要
化疗作为主要抗癌治疗手段,对女性卵巢的结构、功能均可产生严重损害,造成卵巢早衰及相关不孕。因此,如何在肿瘤治疗的同时保存妇女的卵巢功能,有着巨大的医学需求,是一个值得研究的重要课题。西医方面一般情况下采用雌激素替代疗法(hormone replacement therapy, HRT),但增加了雌激素依赖性肿瘤的发病风险。植物雌激素则具有双向调节的作用,避免了HRT的高副作用,是安全性更高的治疗成分。基于中医理论,本实验室对多种具有滋肾益精,调和气血的中药进行筛选,发现这些中药有植物雌激素样的作用。补骨脂就是其中的一味。
     此外,近年来补骨脂对于缓解化疗后副作用的研究也日渐趋多,主要是针对一些肾毒性,免疫功能退化等连锁效应。对于使用补骨脂颗粒对损伤的小鼠卵巢进行保护的实验研究很少。结合本实验室关于植物雌激素在妇科疾病的应用理论和研究经验,选用补骨脂颗粒对小鼠顺铂损伤的卵巢进行干预,观察其是否具有保护作用,并对临床用药提供新的依据和指导。
     本课题针对补骨脂颗粒对顺铂损伤的卵巢的保护机制进行两个水平的研究:
     1整体水平的研究
     顺铂是具有细胞毒作用的非特异性药物,具有较强的广谱抗癌作用。同时具有强烈的肝肾毒性作用。补骨脂对其保护作用体现在整体方面。
     1.1补骨脂颗粒不同剂量灌胃对顺铂损伤后小鼠形态和体重的影响
     顺铂腹腔注射后的小鼠毛色灰暗且炸立,目光呆滞,蜷卧少动,饮食量下降,体重急剧减少。停止注射顺铂,体重都有所回升,但症状改善差别明显。补骨脂颗粒不同剂量灌胃后,小鼠的形态和体重恢复良好,程度不一。
     1.2补骨脂颗粒不同剂量灌胃对小鼠肝、脾、肾脏器质量的影响
     顺铂对肝、肾毒性作用研究较多,腹腔注射顺铂造成肝、肾、脾脏器的损伤,如质量下降,脏器系数降低的等。用药补骨脂颗粒后,小鼠各项脏器系数的值都较模型组高,尤其是肾脏系数值。这也表明了补骨脂的补肾护肾的作用。
     1.3补骨脂颗粒不同剂量灌胃对小鼠卵巢和子宫质量和形态的影响
     顺铂对女性生殖器官的影响临床似于卵巢早衰,主要表现为(1)小鼠子宫和卵巢分泌功能下降,雌、孕激素水平紊乱,异于正常值。小鼠的卵巢和子宫质量及系数值有所下降;(2)HE染色可以观察到损伤后小鼠卵巢组织闭锁卵泡增多。免疫组化可以看到芳香化酶的表达减少。
     补骨脂颗粒大、中、小剂量组不同幅度的调节小鼠的激素水平与回归于正常值,并提高卵巢和子宫质量及系数。且增加发育中的卵泡数量,提高芳香化酶的表达,从而促进底物转化为雌激素。
     2细胞水平的研究
     2.1药理血清作用不同时间对卵巢颗粒细胞形态的影响
     顺铂损伤后,细胞形态发生改变:细胞破碎,贴壁不好,细胞内凹,核周出现空泡,胞质内的细胞器基本消失。补骨脂药理血清组的颗粒细胞相对规则,细胞碎屑较少。
     2.2药理血清作用不同时间对卵巢颗粒细胞数量的影响
     顺铂损伤前用CCK-8活细胞计数法测出的吸光度值,和顺铂作用后用MTT计数法测出的吸光度值进行比较。顺铂作用前,从吸光度值反映的卵巢颗粒细胞的数量可以作为基数。与顺铂作用后,间接反映的细胞数量对比,可以反映出补骨脂药理血清体外对卵巢颗粒细胞的保护作用,这个主要反映在细胞数量较模型组多。
     2.3药理血清作用不同时间对雌激素分泌的影响
     颗粒细胞芳香化酶的活性底,且底物含量较低,加入卵泡雌激素(FSH)刺激后,快速提高芳香化酶的活性,从而促进底物大量转化成雌激素,然后随着时间的迁移雌激素分泌量逐渐下降。补骨脂药理血清可以缓慢长久的提高芳香化酶的活性,使雌激素分泌量在一定时间内近于稳,维持在一定的范围内。
     综上所述,补骨脂颗粒可以在一定的剂量下对顺铂所致的卵巢损伤表现出良好的保护作用,可以在今后的临床用药方面提供理论指导。
Chemotherapy as the main anti-cancer treatment, which can cause serious damage to the female ovarian structure and function, and lead to premature ovarian failure and related infertility. Therefore, how to treat the tumors while preserving women's ovarian function is a huge medical need, as well as is an important topic worthy of study. Western medicine generally used estrogen replacement therapy (hormone replacement therapy, HRT), but increased risk of estrogen-dependent cancer. Phytoestrogens are a bi-directional regulatory role, avoiding the high side of the HRT and are are the more secure ingredients of treatment. Based on traditional Chinese medicine theory, our laboratory has screened a variety of Zishen Yijing to reconcile qi and blood Chinese medicine, Found that these Chinese medicines have been the role of plant estrogen-like. Psoralen is one of them.
     In recent years, the researches on psoralea alleviating the side effects after chemotherapy were increasingly more, mainly for some renal toxicity, immune function degradation, etc. Little research has been conducted in applying Psoralen to protect cisplatin induced ovarian dysfunction. Based on theoretical explanation and experimental activities on applying phytoestrogen to treat gynaecopathia in our laboratory, Psoralen Particles was selected to act on ovary cisplatin- induced. This study may observed whether Psoralen Particles had the protection, and provide theoretical guidance and guidance for clinical use of drugs in the future.
     The topic for a two-class research of protective effects of Psoralen on cisplatin induced ovarian dysfunction:
     1 The overall level of research
     Cisplatin is a cytotoxic non-specific drug, with strong broad-spectrum anti-cancer effects. At the same time it has a strong liver and kidney toxicity. Protective effect of psoralen is reflected in its Entirety.
     1.1 The change of morphology and body weight in cisplatin injury mice with gavaging different doses of psoralen Particles
     Intraperitoneal injection of cisplatin in mice, then the mice showed dull colour coat and erected-hair, dead-eyes, lying curled, decline in food and weight loss. Stop injection of cisplatin, weight has gone up, but clear differences between the symptoms improved in each group. Particles of different doses of psoralen gavage the mice, they have a good recovery of morphology and body weight in varying degrees.
     1.2 The change of Liver, spleen, kidney, device quality in cisplatin injury mice with gavaging different doses of psoralen Particles
     There were many studies on cisplatin on liver and kidney toxicity. Intraperitoneal injection of cisplatin result in liver, kidney, spleen injury, such as the decline in the quality, organ coefficient reduced and so on. After psoralen particles gavage, the mice of the organ coefficient values are higher than the model group, especially kidney coefficient. This also shows that the psoralen in the role of nourishing and protecting kidney.
     1.3 The change of the quality and morphology of ovarian and uterine in cisplatin injury mice with gavaging different doses of psoralen Particles
     The clinical impact of Cisplatin on female genital mutilation is like in premature ovarian failure, mainly for the:(1) Secretion function of mouse uterus and ovaries have gone down. Mice ovary and uterus quality and coefficient decreased. (2) HE staining can be observed in mice ovarian tissue after injury an increase in atretic follicles. HE staining can be observed in mice ovarian tissue after injury an increase in atretic follicles. Immunohistochemistry can be seen the expression of aromatase decrease.
     Psoralen large, medium and small-dose group mice with different ranges of regulating hormone levels return to normal, and to improve the quality and coefficient of ovary and uterus. And the increase in the number of developing follicles to enhance the expression of aromatase, thereby contributing to the substrate converted to estrogen.
     2 The cell level of research
     2.1 Effects on the morphology of ovarian granulosa cells of pharmacological serum at different time
     After the effects of cis-platinum, cell morphology changed:cell disruption, poor adhesion, cell concave, perinuclear vacuoles appearance, and Organelles within the cytoplasm disappearance. Granulosa cells of psoralen pharmacological serogroups were relatively regular, and cell debris was less.
     2.2 Effects on the amount of ovarian granulosa cells of pharmacological serum at different time
     Comparison of the measured absorbance value with CCK-8 cell counting method before Cis-platinum damage, and the measured absorbance value with MTT cell counting method after Cis-platinum damage. Cisplatin before, from the absorbance values reflect the number of ovarian granulosa cells can be used as the base. Cis-platinum after, the value changes that have occurred indirectly reflected the protective effect of ovarian granulosa cells of psoralen in serum pharmacology. This conclusion is mainly manifested in the the number of cells of psoralen group more than the model group.
     2.3 Effects on the estrogen secretion of pharmacological serum at different time
     Granulosa cell aromatase activity is low, and the lower substrate concentration. After adding estrogen follicles (FSH) stimulation, aromatase activity was rapidly increased, then Catalytic substrate into a large number of estrogens. Over time, the amount of estrogen secretion gradually decreased. Psoralen pharmacological serum can slowly and long-term increase aromatase activity, so that the amount of estrogen at a certain range within a certain period of time maintained.
     To sum up, psoralen particles at a certain dose showed good protective effect, on cisplatin-induced ovarian damage. This conclusion may provide theoretical guidance for clinical use of drugs in the future.
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