丹参酮ⅡA对高血压病血瘀证患者血清损伤后的内皮细胞的影响
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:研究丹参酮ⅡA(TanⅡA)对高血压病血瘀证患者血清损伤后的血管内皮细胞(VEC)的影响,进一步探讨TanⅡA保护VEC的作用机制。
     方法:利用15%的高血压病血瘀证患者血清损伤正常培养的人脐静脉内皮细胞(ECV-304),用不同浓度的TanⅡA(10μg/ml、20μg/ml、40μg/ml)作用于损伤后的细胞24h,运用四甲基偶氮唑蓝(MTT)法检测细胞的活性;硫代巴比妥酸法检测细胞上清液中丙二醛(MDA)含量;黄嘌呤氧化酶法检测细胞上清液中超氧化物歧化酶(SOD)的活力;单细胞凝胶电泳(SCGE)技术检测细胞DNA的损伤;逆转录-聚合酶链式反应(RT-PCR)技术检测内皮细胞血栓调节蛋白(TM)和血管性假血友病因子(vWF)mRNA的表达。
     结果:与模型组比较,20μg/ml和40μg/ml的TanⅡA能增加内皮细胞的活性(P<0.05);20μg/ml和40μg/ml的TanⅡA可降低细胞培养液中MDA的含量(P<0.05);40μg/ml的TanⅡA可增加SOD的活性(P<0.01);三个浓度的TanⅡA都能减轻内皮细胞DNA的损伤(P<0.01);三个浓度的TanⅡA都可以下调TMmRNA表达(P<0.01);20μg/ml和40μg/ml的TanⅡA可以下调vWFmRNA表达(P<0.01)。
     结论:TanⅡA对高血压病血瘀证患者血清损伤后的ECV-304有保护作用,其作用机制可能与TanⅡA抗氧化损伤,减轻细胞的DNA损伤有关。
Object:To study the effect of TanⅡA on the vascular endothelial cell(VEC) injury induced by the serum of the patients of blood stasis syndrome(BSS) associated with hypertension disease,and discuss the mechanism of this effect further.
     Methods:The human umbilicus vein endothelial cells(ECV-304) was injured by the 15% serum of the patients of BSS associated with hypertension disease,then treated with different concentrations of TanⅡA(10μg/ml、20μg/ml、40μg/ml) for 24 hours.And the activity of the VEC was determined by MTT assay.The content of Malondialdehyde(MDA) in cell medium was measured by thlobarbiturie acid reaction and the activity of superoxide dismutase(SOD) measured by xanthosine oxidase method.The DNA damage of the VEC was determined by Single cell gel electrophoresis(SCGE).The expression of the mRNA of thrombomodulin(TM) and von willebrand factor(vWF) was determined by the reverse transcriptase-Polymerase chain reaction(RT-PCR).
     Results:Compare with the model group,the 20μg/ml and 40μg/ml TanⅡA can increase the activity of the VEC and decrease the MDA content in cell medium(P<0.05),the 40μg/ml TanⅡA can increase the SOD activity in cell medium significantly(P<0.01),all the three doses TanⅡA can reduce the cell DNA damage and decrease the expression of the mRNA of TM significantly(P<0.01),and the 20μg/ml and 40μg/ml TanⅡA decreased the expression of the mRNA of vWF(P<0.05).
     Conclusion:TanⅡA has a protective effect on the VEC injured by the serum of the patients of BSS associated with hypertension disease,and its possible mechanisms are antioxidant and reduce the damage of the cell DNA.
引文
[1]Hirsch AT.Vascular disease,hypertension,and prevention"from endothelium to clinical events".JACC,2003,42(2):377-379
    [2]邓丽娅,张印新.活血化瘀药对血管内皮功能的影响.中西医结合心脑血管病杂志,2007,5(3):234-235
    [3]高永峰,朱玉云,高允生.丹参对血管内皮细胞药理作用的研究进展.泰山医学院学报,2007,28(6):474-476
    [4]方文贤.中药走向世界的几点思考.中国中药杂志,2001,26(6):363-365
    [5]高敏,严灿,邓中炎.对中医现代化发展的若干思考.中国中西医结合杂志,2001,21(11):860-861
    [6]范英昌,金树梅,赵桂峰.丹参酮ⅡA对EVC304细胞血管舒缩因子的影响.天津中医药大学学报,2006,25(4):215-218
    [7]张宏丽,羊裔明,孟文彤,邓承祺.丹参酮ⅡA对NB4所诱导的人ECV304细胞株促凝活性的影响.四川大学学报(医学版),2006,37(1):55-59
    [8]李永胜,王进,王照华,冯俊,梁黔生,郑智.丹参酮ⅡA对主动脉内皮细胞功能损伤的保护机制.中国急救医学,2007,27(8):720-723
    [9]崔广智,金树梅,赵桂峰,范英昌.丹参酮ⅡA对TNF-α诱导的ECV304细胞NF-κB、IκB-α表达及黏附分子ICAM-1、VCAM-1mRNA表达的影响.中国药理学通报,2007,23(12):1671-1675
    [10]陈利国,胡小勤.论病证结合血瘀证血管内皮细胞损伤模型的建立.中西医结合杂志,2007,27(3):267-269
    [11]冯向阳.辨证分型治疗高血压病112例.临床观察,2006,12(8):34-36
    [12]朱祖峰.辨证治疗高血压病119例.河南中医,2006,26(4):39-40.
    [13]袁肇凯.高血压病血瘀辨证与舌尖微观的初步研究.中医杂志,1982,23(11):65-66
    [14]李辉,徐贵成,刘坤.高血压病相关病证的临床调查分析.中西医结合心脑血管病杂志,2003,1(3):142-144
    [15]李玉幸,孙立权,王让,严以炳,李云春,高忠芳,钟立,舒娟.395例血瘀证的血液流变学研究.宁夏医学杂志,1993,16(4):196-197
    [16]程文力,乔占兵,陈郁生,王瑞民,杜宏举,吴继全.原发性高血压患者红细胞流变学异常与血瘀证关系临床研究.中国医药学报,2002,17(9):563
    [17]朱国强.高血压病中医证型与血液流变学关系的临床研究.南京中医药大学学报,1997,13(3):143-144
    [18]欧亚龙,彭素岚,徐应抒.高血压病血瘀关系的实验观察.四川中医,1991,9(6):324.
    [19]郭慧君,王知佳,王金荣,周杰峰.高血压病血瘀证与非血瘀证甲皱微循环的观察.中国微循环,2005,9(3):198-199
    [20]夏云,戴闺柱.血5-羟色胺在某些心血管病中的作用.中华医学杂志,1987,67(2):115-115
    [21]周志泳,左保华,常清康.高血压病患者血小扳聚集功能.中国高血压杂志,1994,2(4):248-248.
    [22]陈健,陈治卿,梁立新,余玲玲,刘莉莉.原发性高血压血瘀证患者活化血小板、胰岛素抵抗及动态血压变化特点.中国临床康复,2006,10(15):14-16
    [23]叶和军,林求诚.高血压病血瘀证与血小板内游离Ca~(2+)血浆TXB_2、6-Keto-PGF_(1a)系统关系临床研究.实用中西医结合临床,2001,1:7-8
    [24]祝之明,刘光耀,周正友,杨映波,刘怀琼,汪江淮.高血压病血管内皮细胞损害与血脂过氧化反应的关系.临床心血管病杂志,1991,7(2):712-713
    [25]胡世云,郑峰,郭云庚,郭进建.Ⅱ期高血压病血瘀证与中医证类关系的研究.中国中医急症,2002,11(5):373-374
    [26]陈利国,马民,屈援,张春玲,苗俊英,孙兆贵,张庆祥.高血压病、2型糖尿病血瘀证与非血瘀证患者白细胞HSP70基因表达研究.山东中医药大学学报,2005,29(1):21-23
    [27]马民,陈利国,屈援,张春玲,苗俊英,孙兆贵.高血压病、2型糖尿病血瘀证与非血瘀证患者白细胞c-fos基因表达研究.新中医,2004,36(5):22-23
    [28]黄焱明,何世银,邓水明.高血压患者红细胞免疫功能及其与血瘀证关系的研究.同济医科大学学报,1994,23(6):517-518
    [29]骆杰伟,陈慧,吴小盈,兰建姿,邱志洁,严晓华,张雪梅.高血压病血瘀证患者高敏C反应蛋白的临床分析.中国中西医结合杂志,2006,26(7):648-650
    [30]田军彪,苗华为,耿丽梅,刘晓明.补肾活血冲剂治疗老年高血压病肾虚血瘀证90例疗效观察.新中医,2005,37(4):27-28
    [31]陈业强.益气活血治疗老年高血压病58例疗效观察.广西医科大学学报,1999,16(3):361
    [32]段学忠,杨丁友,孙西庆,李士林,周次清.益脉降压流浸膏对老年气虚血瘀证高血压病患者血浆神经肽Y含量的影响.中国中西医结合杂志,2000,20(10):750-751 患者左心室肥厚的临床研究.上海中医药杂志,2003,37(12):7-9
    [34]王崇行,徐定海,钱岳晟,黄静芳,邱慧丽.高血压心气虚血瘀型病理生理学基础及气功治疗.中国中西医结合杂志,1995,15(8):454-458
    [35]陈修.心血管药理学.北京:人民卫生出版社,1997,第2版,123
    [36]宋国杰主编.分子心脏病学.天津:天津科学技术出版社,2001,第1版,129
    [37]许丹焰.P-选择素在心血管疾病中的研究进展.国外医学生理病理科学与临床分册,1997,17(3):252-255.
    [38]Dopheide SM,Yap CL,Jackson SP.Dynamic aspects of platelet adhesion under flow.Clin Exp Pharmacol Physiol,2001,28(5-6):355-363
    [39]Fenster BE,Tsao PS,Rockson SG.Endothelial dysfunction:clinical strategies for treating oxidant stress.Am Heart J,2003,146(2):218-226
    [40]赵保路.氧自由基和天然抗氧化剂.北京:科学出版社,1999,第1版,96-117
    [41]Lee KW,Blann AD,Lip GY.Inter-relationships of indices of endothelial damage/dysfunction [circulating endothelial cells,von Willebrand factor and flow-mediated dilatation]to tissue factor and interleukin-6 in acute coronary syndromes.International Journal of Cardiology,2006,111(2):302-308
    [42]Chong AY,Lip GY,Freestone B,Blann AD.Increased circulating endothelial cells in acute heart failure:Comparison with von Willebrand factor and soluble E-selectin.European Journal of Heart Failure,2006,8(2):167-172
    [43]K.Wojtkielewicz,M.Urban,M.Kowaleski,Peczynska,B.Glowinska.Tu-P7:121 Soluble thrombomd--ulin(sTM)-A molecular marker of endothelial cell injury in children and adolescents with type 1diabetes.Atherosclerosis Supplements,2006,7(3):211
    [44]Diego Mezzano,Rodrigo Tagle,Edgar Pais,Olga Panes,Marcos Perez,PatricioDowney,Blanca Munoz,Eduardo Aranda,Pilar Barja,Sergio Yhambo.Endothelial Cell Markers in Chronic Uremia:Relationship with Hemostatic Defectsand Severity of Renal Failure.Thrombosis Research,1997,88(6):465-472
    [45]Cottone S,Mule G,Nardi E,Vadala A,Guameri M,Briolotta C,Arsena R,Palermo A,Riccobene R,Cerasola G.Relation of C-Reactive Protein to Oxidative Stress and to Endothelial Activation in Essential Hypertension.American Journal of Hypertension,2006,19(3):313-318
    [46]罗文平,马爱群.血管内皮细胞的损伤与保护.医学综述,2000,6(7):297-299
    [47]沈伟哉,郭国庆.高血压大鼠大脑中动脉超微结构观察.解剖学杂志,2002,25(3):271-274
    [48]李晋红,林杰,李洁,曹永孝.自发性高血压大鼠内皮依赖性舒张功能降低的发生机制.南方医科大学学报,2007,27(3):329-331
    [49]汪红仪,陈洁,徐华娥,陶金,李胜男.Urocortin舒张自发性高血压大鼠胸主动脉与NO和K~+通道的关系.中国药理学通报,2005,21(10):1242-1245
    [50]于长青,祝之明,王利娟,王海燕.冷应激高血压人鼠血管舒缩功能的研究.高血压杂志,2002,10(2):163-165
    [51]胡信群,赵水平,周杏君.高血压病内皮依赖性血管舒张及分泌功能的变化.高血压杂志,2000,8(4):305
    [52]吴强,曾祖荫,张志高,雷鸣.不同期高血压病患者血浆一氧化氮和内皮素及循环内皮细胞计数的变化.临床荟萃,1999,14(8):341-342
    [53]Jurzik L,Froh M,Straub RH,Sch61merich J,Wiest R.Up-regulation ofnNOS and associated increase in nitrergic vasodilation in superior mesenteric arteries in pre-hepatic portal hypertension.Journal of Hepatology,2005,43(2):258-265
    [54]Ming-Hong Tai,Ling-Lin Wang,Kay L.H.Wu,Julie Y.H.Chan.Increased superoxide anion in rostral ventrolateral medulla contributes to hypertension in spontaneously hypertensive rats via interactions with nitric oxide.Free Radical Biology and Medicine,2005,38(4):450-462
    [55]刘加芳,张遂一.高血压病患者血浆ET和CGRP水平测定及其意义.浙江医学,2000,22(1):13-14
    [56]Ridker PM,Buring JE,Rifai N.Soluble P-selectin and the risk of future cardiovascular events.Circulation,2001,103:491-495
    [57]楼黎明,徐慧连,杨莉,周三军,黄兴友.高血压病患者血浆P-选择素、细胞间黏附分子-1的观察.浙江临床医学,2006,8(7):746
    [58]Hlubocka Z,Umnerova V,Heller S,Peleska J,Jindra A,Jachymova M,Kvasnicka J,Horky K,Aschermann M.Circulating intercellular cell adhesion molecule-1,endothelin-1 and von Willebrand factor markers of endothelial dysfunction in uncomplicated essential hypertension:the effect of treatment with ACE inhibitors.J Human Hypertension,2002,16(8):557-562
    [59]阮琬玉,袁杰,欧和生.高血压病及其并发症患者vWF、t-PA和PAI活性的临床研究.衡阳医学院院报,1992,20(1):7-10
    [60]马宏,张七一.原发性高血压血管内皮损伤与TM、vWF、PAI-1的研究.中原医刊,2005,32(19): 3-5
    [61]蔡钦朝,汪琼华,吴云智.血瘀证患者血管、内皮内分泌功能的观察.安徽中医学院学报,1998,17(2):61-63
    [62]韩崇旭,李锦堂,苏天水.心脑血管疾病止血与纤溶相关指标的临床研究.中华中两医结合杂志,2001,22(3):147-149
    [63]王佑华,王国维,张宏考,刘继军,李东升.冠心病血瘀证39例患者血浆DD、vWF改变研究.中医研究,2003,16(3):23-24
    [64]侯孟君,陈云波,王奇,梁伟雄,温泽淮,赖世隆.血瘀证兔模型血管内皮细胞中一氧化氮合酶的基因表达及其分泌一氧化氮的变化.广州中医药大学学报,2001,18(1):53-57
    [65]陈云波,侯孟君.血瘀证兔血清对培养的血管内皮细胞活性因子基冈表达的影响.广州中医药大学学报,2001,18(2):100-105.
    [66]王奇,陈云波,赖世隆,梁伟雄,温泽淮,程淑意.血瘀证血管内皮细胞损伤的抗凝与纤溶障碍研究.广州中医药大学学报,2001,18(2):97-100
    [67]庄小梅.活血化瘀方治疗原发性高血压及对血管内皮功能的影响.湖北中医杂忐,2003,25(7):10-11
    [68]顾旭,尚树忠,高建磊.加味血府逐瘀颗粒剂对冠心病血瘀证患者血管内皮功能的影响.中国实用医药,2007,2(27):75-76
    [69]蒋德菊.川芎嗪对缺氧内皮细胞分泌PGI_2、FT、NO的影响.中国妇幼保健,2007,22(14):1993-1994
    [70]朱晓琴,雷水生,胡祁生.川芎嗪对大鼠高胆固醇血症内皮细胞及血栓素A_2的作用.湖北中医杂志,2002,24(10):53
    [71]陈利国,屈援,葛红颖,胡小勤,聂优爱,何孟栖.补阳还五汤对血瘀证大鼠血.管内皮细胞黏附分子表达的影响.中草药,2005,36(5):706-709
    [72]李凤文,张立石,刘红,蔡永春,潘静华,贾晓元,丁家欣.水蛭、丹参及其复方对血瘀大鼠血管内皮细胞保护作用的研究.中国中药杂志,2001,26(10):703-706
    [73]Chan K,Chui SH,Wong DY,Ha WY,Chan CL,Wong RN.Protective effects of Denshensu from the aqueous extract of Salvia miltiorrhiza(Danshen) against homocysteine-induced endothelial dysfunction.LifeSci,2004,75(26):3157-3171.
    [74]张知新,高福云,李克明,潘琳,董希,陈玉武,孙瑞娟.丹参酚酸B镁对自由基损伤人主动脉 内皮细胞的影响.中国中西医结合杂志,2004,24(6):521-524
    [75]王东霞,王孝铭,许晶兰.复方丹参滴丸对人血管内皮细胞功能及形态保护作用的研究.中国病理生理杂志,2006,22(5):933-937
    [76]白娟,孙成全,李应东,李萍,张延英.丹参铬合剂对实验性动脉粥样硬化的内皮细胞的影响.甘肃中医学院学报,1995,12(1):11-12
    [77]诸玉芳,蒋凤荣,范俊,张旭,龚婕宁.丹参药物血清对病理条件下VEC血管调节物质和自由基的调控作用.南京中医药大学学报,2006,22(4):228-230
    [78]许晶兰,王孝铭,王东霞.复方丹参滴丸对过氧化氢损伤的人脐静脉血管内皮细胞的保护作用.中国病理生理杂志,2006,22(5):929-932
    [79]王维蓉,林蓉,彭宁,韩纯洁.丹参酮ⅡA对过氧化氢损伤人血管内皮细胞的保护作用.中药材,2006,29(1):49-51
    [80]吴开云,杨亚安,王晨,杨刚.丹参醇提取物对内皮细胞VCAM-1、ICAM-1表达的影响.解剖学杂志,2005,28(1):98
    [81]杜嵘,张伯礼,高秀梅,郭利平,张萌,刘洋,商洪才,王虹.丹酚酸B对缺氧损伤心脏微血管内皮细胞细胞间黏附分子表达的影响.中国新药与临床杂志,2004,23(9):616-618
    [82]Zhou Z,Liu Y,Miao AD,Wang SQ.Protocatechuic aldehyde suppresses TNF-alpha-induced ICAM-1 and VCAM-1 expression in human unbilical vein endothelial cells.Eur J Pharmacol,2005,513(1-2):1-8.
    [83]顾杨洪,张彩英,杨桂秋,王振义.丹参和丹参素对牛内皮细胞抗凝和纤溶的影响.上海第二医科大学学报,1990,10(3):208-211
    [84]Zhou Z,Liu Y,Miao AD,Wang SQ.Salivialic acid B attenuates plasminogen activator inhibitor type Ⅰ production in TNF-alpha treated human umbilical vein endothelial cells.Journal of cell Biochemistry,2005,96(1):109-116
    [85]李永胜,梁黔生,王进,王照华,杨光田,郑智.丹参酮ⅡA对猪主动脉内皮细胞受血管紧张素Ⅱ作用时产生NO及eNOS基因表达的影响.中国中西医结合杂志,2007,27(7):637-639
    [86]范英昌,金树梅,赵桂峰.丹参酮ⅡA对EVC304细胞血管舒缩因子的影响.天津中医药大学学报,2006,25(4):215-218
    [87]唐忠志,付立波.丹参注射液对冠心病患者血浆内皮素和一氧化氮水平的影响.华南国防医学杂志,2005,19(2):48-49
    [88]尹晓敏,彭解英,高义军,方厂云,庞丹琳,夏宇.丹参对槟榔碱诱导血管内皮细胞凋亡和Caspase-3活性的影响.中国现代医学杂志,2005,15(9):1368-1370
    [89]王海宁,邬洪波,杨洪军.清开灵、复方丹参、黄芪3种注射液对大鼠脑微血管内皮细胞凋亡影响的比较研究.中国中药杂志,2007,32(20):2206-2207
    [90]薛贵平,薄爱华,张辉,李卫东,董建峰.丹参注射液对脑挫裂伤皮质微血管保护作用的研究.陕西中医,2005,26(11):1243-1244
    [91]魏林树.丹参对脑缺血再灌注区白细胞与内皮细胞黏附的影响.西南国防医药,2006,16(6):596-597
    [92]张艳军,张发艳,范英昌.丹酚酸B、丹参酮ⅡA对家兔动脉粥样硬化模型内皮细胞功能的影响.天津中医药,2005,44(8):328-329
    [93]李凤文,张立石,刘红,蔡永春,潘静华,贾晓元,丁家欣.水蛭、丹参及其复方对血瘀大鼠血管内皮细胞保护作用的研究.中国中药杂志,2001,26(10):703-706
    [94]Mosmann T.Rapid colorimetic assay for celluar growth and survival:Application to proliferation and cytotoxicity assay.Journal of Immunological Methods,1983,65(1-2):55-63
    [95]田云,卢向阳,易克,何小解,黄成江,许亮.细胞凝胶电泳技术.生命的化学,24(1):77-78
    [96]Furchgott,Zawadzki.The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine.Nature,1980,288:373-376
    [97]陈彻,董建勇,刘凯,刘永琦,王雅丽.红芪总黄酮对过氧化氢致脐静脉内皮细胞损伤的抗氧化作用.中药材,2007,30(9):1099-1011
    [98]张勇,王志伟.过氧化氢对人血管内皮细胞表面黏附分子的影响.现代中西医结合杂志,2007,16(17):2343-2344
    [99]Kang PM,Haunstetter A,Aoki H,Usheva A,Izumo S.Morphological and molecular characterization of adult cardiomyocyte apoptosis during hypoxia and reoxygenation.Circ Res,2000,87(2):118-25
    [100]Cordis GA,Maulik G,Bagchi D,Riedel W,Das DK.Detection of oxidative DNA damage to Ischemic reperfused rat hearts by 8-hydroxydeoxyguanosine formation.J Mol Cell Cardiol,1998,30:1939-1944
    [101]李洪,杨天德,陶军,刘桥义.自由基在心肌细胞缺氧性DNA损伤和凋亡中的作用.重庆医学,2003,32(8):963-964
    [102]赵军,徐德民,赵强,郑世营,顾振纶,茅彩萍,杨吉成,盛伟华.缺氧对心肌细胞DNA链损伤 的体外实验研究.中国临床医学,2004,11(5):723-726
    [103]Woywodt A,Streiber F,de Groot K,Regelsberger H,Hailer H,Haubitz M.Circulating endothelial cells as markers for ANCA-associated small vessel-vasculitis.Lancet,2003,361(9353):206-210.
    [104]方玉强,黄岚,赵晓辉,尹阳光,康华丽,邓梦杨.内皮脂酶对人脐静脉内皮细胞黏附分子表达的影响.中国危重病急救医学,2007,19(12):705-707
    [105]Erem C,Hacihasanoglu A,Celik S,Ovali E,Ers6z HO,Ukinc K,Deger O,Telatar M.Coagulation and fibrinolysis parameters in type 2 diabetic patients with and without diabetic vascular complications.Med Princ Pract,2005,14(1):22-23
    [106]胥学伟,李小鹰,郑延松,詹晓蓉.低密度及氧化低密度脂蛋白对内皮细胞表达血栓调节蛋白的影响.中国微循环,2004,8(3):143-145
    [107]Varol E,Ozaydin M,Sahin M,Altinbas A,Kosar F.vWF levels as a circulating marker of endothelial dysfunction in patients with hypertrophic cardiomyopathy.Indian Heart J,2005,57(6):655-657

© 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