肿节风防护腮腺放射性损伤的作用机理研究
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摘要
目的:观察肿节风对腮腺放射性损伤的防护作用,研究其可能的防护机制以及腮腺放射性损伤的作用机理。
     方法:(1)采用实验用巴马小型猪作为实验对象,建立肿节风干预下的腮腺放射性损伤实验动物模型:将45头小型猪随机分入空白对照组(空白组)、单纯照射组(单照组)以及肿节风+照射组(药照组),每组15头;照射方式采用γ射线双侧单后野垂直照射腮腺组织,DT 15Gy/1次;给药方式为照射前一周开始按照0.3g/Kg体重的药量经口腔给予肿节风配方颗粒溶液,直到观察结束。建立起肿节风干预下的腮腺放射性损伤实验动物模型,同时观察小型猪的行为体征以及体重变化,取照射后10天、40天、90天3个时间点,随机摘取每组5头小型猪的腮腺进行研究。(2)用RT-PCR法及Western blotting法分别检测照射后10天、40天、90天腮腺中Bcl-2、Bax、P53和Caspase3 mRNA和蛋白表达的变化:比较各组相同时段不同基因mRNA及蛋白的表达差异,组内不同时段同一基因mRNA及蛋白表达的变化,研究腮腺放射损伤后细胞的凋亡和增殖,明确腮腺放射性损伤作用机理的同时探寻肿节风抗放射性损伤的防护机制。
     结果:(1)成功建立起肿节风干预下的腮腺放射性损伤实验动物模型;药照组的小型猪对放射性损伤的耐受较单照组好,恢复较单照组快。(2) RT-PCR与Western blotting的结果呈现出相同变化趋势:与空白组相比,单照组和药照组中Bax、P53及Caspase3的mRNA和蛋白表达水平均有所提高,三者的组间差异具有统计学意义(P<0.05),其中单照组高于药照组; Bcl-2的表达,空白组高于药照组,药照组高于单照组,差异具有统计学意义(P<0.05)。各组内,空白组中各mRNA和蛋白的表达无明显变化;单照组中Bax、P53及Caspase3的表达水平呈逐渐增高趋势,Bcl-2则为逐渐降低趋势;药照组中,Bax、P53及Caspase3的表达水平呈先高后低的改变,Bcl-2则为先低后高的变化趋势。
     结论:(1)单次15Gy双侧单后野垂直照射腮腺组织可成功建立起腮腺放射性损伤的实验动物模型;(2)射线导致的腺细胞凋亡增加可能是腮腺放射性损伤的机制之一;(3)肿节风能够较好的防护放射线引起的腮腺损伤,其可能的防护机制为抑制腺细胞的过度凋亡、促进细胞的修复增殖。
Objective: To observe the effect of anti-radiation damage of Sarcandra glabra to the parotid gland and figure the mechanism of it, and discover the mechanism of damage of the salivary gland.
     Methods: (1) Model parotid radioactive damage: 45 pigs randomly divided into the placebo, radiotherapy group (R group) and Sarcandra glabra+radiotherapy group (SR group), 15 pigs per group. Illuminating parotid gland issues with theγray DT 15Gy single dose and oral administration with 0.3g/Kg till the end of experiment. Observing and recording the changes of pig’s weight and behaviors of daily living, and researching the parotid of pig’s which being irradiated after 10days 40days and 90days.(2) Using RT-PCR and Western blotting method to detect Bcl-2,Bax, P53 and Caspase3 mRNA and protein expression of parotid gland of pig’s which being irradiated after 10 days 40 days and 90 days.
     Results: (1) Established the model of parotid radioactive damage intervened by Sarcandra glabra successfully. And the recovery of pigs in SR group were better than R group.(2) The result of RT-PCR and Western blotting showed the same trend: The expression of mRNA and protein of Bax, P53 and Caspase3 in radiotherapy group (R group) and Sarcandra glabra+radiotherapy group (SR group) were higher than placebo, and the R group was higher than SR group (P<0.05); But the expression of Bcl-2 in placebo was higher than SR group, and SR group was higher than R group (P<0.05). The expression of each factor was stable. But it became higher increasingly in R group, and lower after firstly high in SR group. The trend of Bcl-2 took the opposite way in each group.
     Conclusions:(1) It can model parotid radioactive damage successfully with illuminating parotid gland issues with theγray DT 15Gy single dose;(2) The increased apoptosis might be one of the mechanisms of radioactive damage result from ray. (3)Sarcandra glabra can protect the function of parotid gland very well and the mechanism may be that restrained the excessive apoptosis and facilitated the repair of normal cell.
引文
[1] Leslie MD,Dische S.The early changes in salivary gland function during and after radiotherapy given for head and neck cancer[J].Radiother Oncol.1994;30(1):26-32
    [2] Semba SE, Mealey BL, Halimon WW.The head and neck radiotherapy patient: Part1-Oral manifestations of radiation therapy[J].Compendium.1994;15(2):250-261
    [3] Fisher J,Scott C,Scarantino CW,et al.PhaseⅢquality-of-life study results: impact on patients' quality of life to reducing xerostomia after radiotherapy for head-and-neck cancer-RTOG 97-09[J].Radiat Oncol Biol Phys.2003; 6(3):832-836
    [4] Muhvic-Urek M,Bralic M,Curic s,Pezelj-Ribaric S,Borcic J,Tomac J. Imbalance between apoptosis and proliferation causes late radiation damage of salivary gland in mouse[J].Physiol Res.2006,55(1):89-95.
    [5] Elmore S. Apoptosis: a review of programmed cell death [J]. Toxicol Pathol, 2007, 35(4): 495-516.
    [6] Chowdhury I, Tharakan B, Bhat GK. Current concepts in apoptosis: the physiological suicide program revisited [J].Cell Mol Biol Lett.2006,11(4):506-525.
    [7]曾益新.肿瘤学[M].第2版.北京:人民卫生出版社,2003:104,214.
    [8] Brooks C, Dong Z. Regulation of mitochondrial morphologicaldynamics during apoptosis by Bcl-2 family proteins: a key in Bak[J].Cell Cycle.2007,6(24): 3043-3047
    [9] Guan QH,Pei DS,Xu TL,et al. Brain ischemia/reperfusion-induced expression of DP5 and its interaction with Bcl-2,thus freeing Bax from Bcl-2/Bax dimmers are mediated by c-Jun N-terminal kinase (JNK) pathway[J]. Neuroscience Letters,2006,393(2-3):226 -230.
    [10] Shwart SM. Cell death and the caspase coscede [J].Circulation,1998, 97(3): 227-229.
    [11] Zhang H,Li Q,Li Z,et al.The protection of Bcl-2 overexpression on rat cortical neuronal injury caused by analogous ischemia/reperfusion in vitro[J].Neurosic Res,2008,62(2):140-146.
    [12]中华人民共和国药典.2005.154-155.
    [13]王文凯,雷丹.中药肿节风的研究概况[C].中华中医药学会中药炮制分会2008年学术研讨会论文集,2008:189-194.
    [14]王仁生,黄国军,韦波,蒋伟哲,吴芳,刘文其.肿节风浸膏溶液对鼻咽癌细胞系CNE-2的放射增敏作用.广西医科大学学报,2009,26(2): 208-210.
    [15]秦俭,王仁生,滕家安等.肿节风浸膏对氧自由基作用的研究[J].时珍国医国药,2007,18(12):2945-2946.
    [16]秦俭,王仁生等.肿节风浸膏对腮腺急性放射损伤作用的实验研究[J].中华放射医学与防护杂志,2008,28(4):628-631.
    [17]秦俭,王仁生等.肿节风浸膏对腮腺早期放射损伤作用的实验研究[J].中国辐射卫生,2008,17(4):386-391.
    [18]韦波,王仁生,秦俭,等.肿节风水提物减轻放射性口干的临床疗效观察[J].广西医科大学学报,2009,26(2):206-208.
    [1]李坚,王仁生.鼻咽癌患者放疗后并发症及其改善措施[J].中国肿瘤临床与康复,2004,11(6):562-565.
    [2]秦俭,王仁生等.肿节风浸膏对腮腺急性放射损伤作用的实验研究[J].中华放射医学与防护杂志,2008,28(4):628-631.
    [3]韦波,王仁生,秦俭,等.肿节风水提物减轻放射性口干的临床疗效观察[J].广西医科大学学报,2009,26(2):206-208.
    [4]沈映君.中药药理学[M].北京:人民卫生出版社,2000:70-71.
    [5]吴端生,张健.现代实验动物学技术[M].北京:化学工业出版社,2006:466.
    [6]申文江,文绿化.放射治疗损伤[M].北京:中国医药科技出版社,2001:72-73.
    [7] Marc WM,Christian PK.Evaluation of salivary gland function after treatment of head-and-neck tumors with intensity-modulated radiotherapy by quantitative pertechnetate scintigraphy[J].Int J Radiat Oncol Biol Phys,2004,58(1):175-184.
    [8] Vissink A,’s-Gravenmade EJ, Ligeon EE,et al. A functional and chemical study of radiation effects on rat parotid and submandibular/sublingual glands. Radiat Res,1990,124(3): 259-265.
    [9] Coppes RP, Rofel AF, Zeilstra LJ, et a1. Early radiation effects on muscarinic receptor-induced secretory responsiveness of the parotid gland in the freely moving rat[J]. Radiat Res, 2000,153(3): 339-346.
    [10] Coppes RP, Zeilstra LJ, Kampinga HH, et al. Early to late sparing of radiation damage to the parotid gland by adrenergic and muscarinic receptor agonists[J].Br J Cancer,2001,85(7): 1055-1063.
    [11] Coppes RP,Meter A,Latumalea SP,Roffel AF,Kampinga HH. Defects in muscarinic receptor-coupled signal transduction in isolated parotid gland cells after in vivo irradiation: evidence for a non-DNA target of radiation[J].Br J Cancer, 2005, 92(3):539-546.
    [12]中华人民共和国药典.2005.154-155.
    [13]王文凯,雷丹.中药肿节风的研究概况[C].中华中医药学会中药炮制分会2008年学术研讨会论文集,2008:189-194.
    [14]王仁生,黄国军,韦波,蒋伟哲,吴芳,刘文其.肿节风浸膏溶液对鼻咽癌细胞系CNE-2的放射增敏作用.广西医科大学学报,2009,26(2): 208-210.
    [15]汤春园,王仁生等.肿节风水提取物抗放射诱导氧化损伤的临床观察.国际检验医学杂志,2008,29(10):883-887.
    [1] Zhang H,Li Q,Li Z,et al.The protection of Bcl-2 overexpression on rat cortical neuronal injury caused by analogous ischemia/reperfusion in vitro[J].Neurosic Res,2008,62(2):140-146.
    [2] Coppes RP,Meter A,Latumalea SP,Roffel AF,Kampinga HH. Defects in muscarinic receptor-coupled signal transduction in isolated parotid gland cells after in vivo irradiation: evidence for a non-DNA target of radiation[J].Br J Cancer,2005,92(3):539-546
    [3] Nagler RM. The enigmatic mechanism of irradiation-induced damage to the major salivary glands[J].Oral Dis,2002,8(3):141-146.
    [4] Muhvic-Urek M,Bralic M,Curic s,Pezelj-Ribaric S,Borcic J,Tomac J. Imbalance between apoptosis and proliferation causes late radiationdamage of salivary gland in mouse[J].Physiol Res,2006,55(1):89-95.
    [5] Tateishi Y,Sasabe E,Ueta E,Yamamoto T.Ionizing irradiation induces apoptotic damage of salivary gland acinar cells via NADPH oxidase 1-dependent superoxide generation[J].Biochem Biophys Res Commun, 2008,366(2):301-307.
    [6] Michael K.M. Kam, Sing-Fai Leung, Benny Zee,et al. Prospective Randomized Study of Intensity-Modulated Radiotherapy on Salivary Gland Function in Early-StageNasopharyngeal Carcinoma Patients[J]. Journal of clinical oncology,2007,31(25):4873-4879.
    [7] Coppes RP, Zeilstra LJ, Kampinga HH, et al. Early to late sparing of radiation damage to the parotid gland by adrenergic and muscarinic receptor agonists[J].Br J Cancer,2001,85(7): 1055-1063.
    [8] Antonadou D, Pepelassi M, Synodinou M, et al. Prophylactic use of amifostine to prevent radiochemotherapy-induced mucositis and xcros tomia in head-and-neck cancer [J].Int J Radiat Oncol Biol PhYs ,2002 , 52(3):739-747.
    [9] Murdoch-Kinch CA, Russo N, Griffith S, et al.Recovery of salivary epidermal growth factor in parotid saliva following parotid sparing radiation therapy: a proof-of-principle study[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2011,111(1):64-70.
    [10] Baum BJ,Zheng C,Cotrim AP,et al.Transfer of the AQP1 cDNA for the correction of radiation-induced salivary hypofunction[J]. Biochim Biophy Acta,2006,1758(8): 1071-1077.
    [11] Muhvic-Urek M,Bralic M,Curic s,Pezelj-Ribaric S,Borcic J,Tomac J. Imbalance between apoptosis and proliferation causes late radiation damage of salivary gland in mouse[J].Physiol Res.2006,55(1):89-95.
    [12]殷蔚伯,谷铣之.肿瘤放射治疗学[M].第4版.北京:中国协和医科大学出版社,2008:233.
    [13] Chowdhury I, Tharakan B, Bhat GK. Current concepts in apoptosis: the physiological suicide program revisited [J].Cell Mol Biol Lett.2006,11(4):506-525.
    [14]曾益新.肿瘤学[M].第2版.北京:人民卫生出版社,2003:104,214.
    [15] Takahashi S Shinzato K Nakamura S et al.Cell death and cell proliferation in the regeneration of atrophied rat submandibular glands after duct ligation[J].J Oral Pathol Med,2004, 33(1)23-29.
    [16] Brooks C, Dong Z. Regulation of mitochondrial morphological dynamics during apoptosis by Bcl-2 family proteins: a key in Bak[J].Cell Cycle.2007,6(24): 3043-3047
    [17] Guan QH,Pei DS,Xu TL,et al. Brain ischemia/reperfusion-induced expression of DP5 and its interaction with Bcl-2,thus freeing Bax from Bcl-2/Bax dimmers are mediated by c-Jun N-terminal kinase (JNK) pathway[J]. Neuroscience Letters,2006,393(2-3):226 -230.
    [18] Takahashi S,Yoshimura Y,Yamamoto T,et al.Cellular expression of Bcl-2 and Bax in atrophic submandibular glands of rats[J].Int J Exp Pathol,2008,89(5):303-308.
    [19] Carlsson G,Aprikyan AA,Tehranchi R,et al.Kostmann syndrome:severe congenital neutropenia associated with defective expression of Bcl-2,constitutive mitochondrial release of cytochrome c,and excessive apoptosis of myeloid progenitor cells[J].Blood,2004, 103(9):3355-3361.
    [20] Domen J,Cheshier SH,Weissman IL.The role of apoptosis in the regulation of hematopoietic stem cells:Overexpression of Bcl-2 increasesboth their number and repopulation potential[J].Exp Med,2000,191(2):253-264.
    [21] Shwart SM. Cell death and the caspase coscede [J].Circulation,1998, 97(3): 227-229.
    [22] Voutsadakis IA. Apoptosis and the pathogenesis of lymphoma[J]. Acta Oncol. 2000,39:151-156.
    [23] Miura M,Chen XD,Allen MR,et al.A crucial role of caspase-3 in osteogenic differentiation of bone marrow stromal stem cells[J].J Clin Invest,2004,114(12):1704-1713.
    [24] Qa’Dan M,Ramsey M,Daniel J,et al.Clostridium difficile toxin B activates dual caspase-dependent and caspase-independent apoptosis in intoxicated cells[J].Cellular microbiology,2002,4(7):425-434.
    [25] Zhang H,Li Q,Li Z,et al.The protection of Bcl-2 overexpression on rat cortical neuronal injury caused by analogous ischemia/reperfusion in vitro[J].Neurosic Res,2008,62(2):140-146.
    [26]程强,张新叶,黄敏仁.定时定量RT-PCR技术及在植物基因表达分析中的应用[J].中国生物工程杂志,2005,25(4):82-86.
    [27]张莉萍,蒋纪恺.Western-blot检测蛋白表达的方法改进及初步应用[J].第三军医大学学报,2001,23(10):1242-1243.
    [28]中华人民共和国药典.2005.154-155.
    [29]王文凯,雷丹.中药肿节风的研究概况[C].中华中医药学会中药炮制分会2008年学术研讨会论文集,2008:189-194.
    [30]姜桂林.肿节风注射液配合化疗治疗老年中晚期非小细胞肺癌的临床观察[J].山西医药杂志,2005,34(4):318-319.
    [31]黄嶷波,张育荣.肿节风注射液配合放疗佐治鼻咽癌[J].中国临床医生,2005,33(6):63.
    [32]王仁生,黄国军,韦波,蒋伟哲,吴芳,刘文其.肿节风浸膏溶液对鼻咽癌细胞系CNE-2的放射增敏作用.广西医科大学学报,2009,26(2): 208-210.
    [33]秦俭,王仁生,滕家安等.肿节风浸膏对氧自由基作用的研究.时珍国医国药.2007,18(12):2945-2946.
    [34]秦俭,王仁生,周英琼.分次照射豚鼠腮腺早期放射性损伤的病理学观察.现代口腔医学杂志,2009,23(5):528-531.
    [35]秦俭,王仁生等.肿节风浸膏对腮腺急性放射损伤作用的实验研究.中华放射医学与防护杂志,2008,28(4):628-631.
    [36]汤春园,王仁生等.肿节风水提取物抗放射诱导氧化损伤的临床观察.国际检验医学杂志,2008,29(10):883-887.
    [37]韦波,王仁生,秦俭,张勇,滕家安.肿节风水提物减轻放射性口干的临床疗效观察.广西医科大学学报,2009,26(2):206-208.
    [1]Lugovskoy A A,Zhou P,Chou JJ,et al.Solution structure of the CIDE-N domain of CIDE-B and a model for CIDE-N/CIDE-N interactions in the DNA fragmentation pathway of apoptosis[J].Cell,1999, 99(7):747-755.
    [2]Concha NO,Abdel-Meguid SS.Controlling apoptosis by inhibition of caspases [J].Curr Med Chem,2002,9(6):713-726.
    [3]Dotto GP,Silke J.More than cell death:Caspases and caspases inhibition on the move[J].Dev cell,2004,7(1):2-3.
    [4]Thornberry NA,Lazebnik Y.Caspases:Enemies within[J].Science,1998, 281:1312-1316.
    [5]Shiozaki EN,Shi Y.Caspases,IAPs,and Smac/DIABLO:Mechanisms from structural biology[J].Trends Biochem Sci, 2004, 29(9):486-494.
    [6]Daigle I,Simon HU.Critical role for caspases-3 and -8 in neutrophil but not eosinophil apoptosis[J].Int Arch Allergy Immunol,2001,126(2): 147-156.
    [7]Shiokawa D,Shika Y,Tanuma S.Indentification of two functional nuclear localization signals in DNase gamma and their roles in its apoptotic DNase activity [J].Biochem J,2003,376(Pt2):377-381.
    [8]Tsukaharas S,Yamamoto S,Shew TT,et al.Inhalation of low-level for maldehyde increases the bcl-2/bax expression ratio in the hippocampus of immunologically sensitized mice[J].Neuro immunomodulation, 2006,3(2): 6-8.
    [9]Mathai JP,Ger main M,Shore GC1BH32 only B IK regulates BAX,BAK dependent release of Ca2+ from endoplasmic reticulum stores and mitochondrial apoptosis during stress-induced cell death [J]. J Biol Chem, 2005, 280:23829-23836.
    [10]Chami M,Prandini A,Campanella M,et al.Bcl-2 and Bax exert opposing effects on Ca2+ signaling, which do not depend on their putative poreforming region [J].J Biol Chem, 2004, 279: 54581 -54589.
    [11]Voehringer DW,Meyn RE.Redox aspects of Bcl-2 function[J].Antiox Redox Signal,2000,2: 537-550.
    [12]Métrailler-Ruchonnet I,Pagano A,Carnesecchi S,et al.Bcl-2 protects against hyper oxia induced apop tosis through inhibition of the mitochondria-dependent pathway[J].Free Radic Biol Med,2007,42(7): 1062-1074.
    [13]Ellerby LM,Ellerby HM,Park S M,et al.Shift of the cellularoxidation-reduction potential in neural cells exp ressing Bcl-2[J].J Neurochem 1996,67:1259-1267.
    [14]Brooks C, Dong Z. Regulation of mitochondrial morphological dynamics during apoptosis by Bcl-2 family proteins: a key in Bak [J]. Cell Cycle 2007, 6 (24): 3043-3047.
    [15]Vaux DL,Cory S,Adems JM,et al.Bcl-2 genes promotes heamopoietic cells survival and cooperates with C-myc to immortalize pro-B-cell[J]. Nature, 1998,335 (6189) : 440-442.
    [16]李建玲,朱建华,荆照政,等.毒蝇碱型乙酰胆碱受体经Ras-ERK-1 /2信号通路上调Bcl2-2和磷酸化Bad表达[J]. 2003, 35 (1): 41-48.
    [17] Willis SN, Chen L,Dews on G, et al. Proapoptotic Bak is sequestered by Mcl-1 and Bcl-xL, but not Bcl-2, until displaced by BH3-only proteins [J] .Genes Dev, 2005, 19 (11): 1294-1305.
    [18]Willis SN, Fletcher J I, Kaufmann T, et al. Apoptosis initiated when BH3 ligands engage multiple Bcl-2 homologs, not Bax or Bak [J]. Science, 2007,315 (5813): 856-859.
    [19]Capano M, Crompton M. Bax translocates to mitochondria of heart cells during simulated ischaemia: involvement of AMP-activated and p38 mitogen-activated protein kinases [J]. Biolchem J, 2006, 395 (1): 57- 64.
    [20]Li P,Nijhawan D,Budihardjo I,et al.Cytochrome and dATP-dependent formation of Apaf-1/caspase-9 complex intiates an apoptotic protease cascade [J].Cell,1997,91(4):479-489.
    [21]Pan G, O’Rourke K, Dixit VM. Caspase-9, bcl-x and apaf-1 form a ternary acomplex [J]. J Biol Chem, 1998, 273(10): 5841-5845.
    [22]宋晓晨,刘红艳,董福生,等. db/db自发性糖尿病小鼠颌下腺p53的表达及细胞凋亡[J].现代口腔医学杂.2006,20(3):287-289.

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