补阳还五汤及其有效部位对VEC表达血管活性物质和粘附分子的影响及其信号转导机制研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:研究补阳还五汤及其有效部位(生物碱、苷)对凝血酶刺激的VEC表达血管活性物质和粘附分子的影响,探讨分子表达的信号转导途径,从内皮细胞环节揭示该方抗血栓形成的物质基础及作用机制。
     方法:体外培养ECV-304细胞,加入凝血酶(Thr)刺激,分组给予不同浓度补阳还五汤原方、生物碱、苷;MTT法测定OD值,观察细胞活力;比色法测定LDH活性,观察细胞损伤程度;重氮化反应法测定NO含量,分光光度法检测TNOS、iNOS(NOS_2)、eNOS(NOS_3)的活性;放免法测定ET-1、RT-PCR法检测ECE mRNA;放免法测定6-酮-PGF_(1α),RT-PCR法检测PGI_2合成酶mRNA;免疫细胞化学法检测细胞粘附分子PECAM-1(CD31)、ICAM-1(CD54)、E-selectin的表达;免疫细胞化学法观察细胞PKCα的表达。体外培养ECV-304细胞,分组给予Thr、Thr+H_7、PMA、PMA+H_7、Thr+CATG、Thr+原方、Thr+生物碱、Thr+苷,观察细胞PKCα、p38、NF-κB和ERK表达的差异。
     结果:①凝血酶可显著降低ECV-304细胞代谢活力,增加细胞的通透性(P<0.05),而补阳还五汤原方和有效部位生物碱和苷对凝血酶诱导的内皮细胞活力下降和LDH漏出增加无显著影响(P>0.05)。②凝血酶下调内皮细胞NO的分泌,降低eNOS的活性(P<0.05);补阳还五汤原方在100mg/ml时可使内皮细胞NO分泌显著增加,在50mg/ml浓度时也可抑制凝血酶诱导的NO分泌的减少(P<0.05),生物碱和苷对此无抑制作用(P>0.05)。③补阳还五汤原方在100mg/ml浓度时可促进内皮细胞PGI_2合成酶mRNA的表达(P<0.05)和PGI_2的释放,生物碱可促进PGI_2的释放(P<0.01)。④补阳还五汤原方和生物碱、苷对凝血酶诱导的内皮细胞ET-1分泌增加无抑制作用(P>0.05),且原方在25mg/ml、100mg/ml两种浓度时,还可使ET-1的分泌显著增加(P<0.05);凝血酶刺激ECV-304后对内皮素转化酶(ECE)mRNA的表达无显著影响(P>0.05),补阳还五汤及生物碱、苷对ECE mRNA表达也无显著影响(P>0.05)。⑤凝血酶刺激后内皮细胞表达粘附分子PECAM-1、ICAM-1和E-selectin的灰度值降低(P<0.05),提示三种粘附分子表达增强;与凝血酶组比较,补阳还五汤原方组这三种粘附分子表达的灰度值均增高(P<0.05),生物碱和苷组PECAM-1、ICAM-1表达的灰度值增高(P<0.05),但对于E-选择素的表达无显著影响。⑥凝血酶可促进内皮细胞PKCα的表达(P<0.01),而高、中剂量的原方、高剂量的生物碱和三种剂量的苷均可显著抑制PKCα的表达(P<0.01~P<0.05)。⑦凝血酶刺激后ECV-304细胞磷酸化p38MAPK及磷酸化ERK表达无变化(P>0.05),补阳还五汤原方及有效部位生物碱和苷对磷酸化p38MAPK及磷酸化ERK的表达亦无显著影响(P>0.05)。⑧凝血酶刺激后ECV-304细胞NF-κB的表达无显著变化(P>0.05),补阳还五汤原方及其有效部位亦元显著影响(P>0.05)。
     结论:补阳还五汤可促使内皮细胞分泌舒张血管物质NO和PGI_2,对缩血管物质ET-1的分泌无显著影响;补阳还五汤可下调内皮细胞粘附分子的表达,生物碱和苷可能是方中产生该作用的物质。对其机制研究表明,凝血酶激活血管内皮细胞的作用主要是通过PKC活化而介导的,p38MAPK、ERK、NF-κB信号通路并不是凝血酶活化血管内皮细胞的主要信号途径,补阳还五汤及其有效部位生物碱、苷可能通过抑制凝血酶激活PKC信号途径而发挥其抗凝血酶活化血管内皮细胞的作用。
Object:The first purpose of the study was to observe the effect of BYHW decoction and its active fractions on the expression of vasoactive substances and adhesion molecules induced by thrombin in human umbilical vein endothelium derived cell line ECV-304.The second was to research the possible action mechanism of BYHW decoction from cell signal transduction.
     Method:ECV-304 stimulated with thrombin were cultured in RPMI-1640 and then given different dose of BYHWD,alkaloid and glycoside.The activities and injury degree of ECV-304 were observed with MTT measuring the OD and LDH activity.The contents of NO and the activities of TNOS, iNOS and eNOS were measured in different groups.ET-1 and 6-keto-PGF_(1α) were measured with radioimmunoassay(RIA).PGI_2 synthase mRNA and ECE mRNA were examined by semi-quantitative reverse transcription polymerase chain reaction(RT-PCR).Immunohistochemical analysis was performed to evaluate the expression of PECAM-1,ICAM-1,E-Selectin, PKCα,p38MAPK,ERK and NF-κB.
     Results:The activities of ECV-304 were significantly decreased stimulated by thrombin(P<0.05).The cells' activities in BYHWD,alkaloid and glycoside groups were not increased comparing with the thrombin group(P>0.05).Thrombin lowered the secretion of NO and the activities of eNOS of ECV-304(P<0.05).Compared with thrombin group,the contents of NO in BYHWD groups were increased(P<0.05).In alkaloid groups and BYHWD groups,the level of 6-keto-PGF_(1α) and the expression of PGI_2 synthase mRNA were significantly higher than those in thrombin groups.The level of ET-1 in thrombin group was higher than in the blank group(P<0.05),while the difference between thrombin and drug groups had no statistic value(P>0.05).No distinct difference of the expression of ECE mRNA existed among all the groups of ECV-304(P>0.05).Thrombin improved significantly the expression of adhesion molecules,such as PECAM-1,ICAM-1 and E-selectin in ECV-304,while drugs lowered the level(P<0.05).Thrombin increased the expression of protein kinase C(PKC) of ECV-304,and the drugs restrained the effect(P<0.05).The expression of p38MAPK,ERK or NF-κB showed no remarkable difference among all groups of ECV-304(P>0.05).
     Conclusion:BYHWD and its active fractions could improve VECs releasing the vasodilator material—NO and PGI_2,but couldn't significantly affect the secretion of vasoconstrictive substance—ET-1.BYHWD could reduce the increasing expression of adhesion molecules in VECs stimulated by thrombin, and alkaloid and glycoside were the possible functional components. BYHWD could prevent the activating of PKC system,and then restrain VECs' activation stimulated by thrombin.The experiment result also suggested that alkaloid and glycoside may be associated with it.The drugs including BYHWD and its main effective fractions had no influence on the expression of p38MAPK,ERK or NF-κB in VECs.It suggested that the function of BYHWD on VECs may be related to other cell signal transduction pathway.
引文
[1]王永炎,鲁兆麟.中医内科学[M].北京:人民卫生出版社,1999:308-309
    [2]王清任.医林改错[M].北京:人民卫生出版社,2005
    [3]邓中甲.方剂学[M].北京:中国中医药出版社,2003:240
    [4]王晓霞.补阳还五汤对急性缺血性脑血管病血液流变学部分指标的影响.山东中医杂志,1998,17(6):255-257
    [5]林华,黄树莲,陈学芬.加味补阳还五汤对大鼠的活血化瘀作用.中药新药与临床药理,1997,8(4):239-241
    [6]李菲,胡奇芬,苏彦珍.补阳还五注射液对溶血卵磷脂引起脑微血管细胞增生和损伤的保护作用.中国中药杂志,1998,23(8):493-495
    [7]刘发益,文志斌,尚改萍等.补阳还五汤抗家兔动脉粥样硬化形成的实验研究.湖南医科大学学报,2000,25(1):33-35
    [8]刘志龙,宋含平,邓常青,等.补阳还五汤对沙土鼠脑缺血损伤能量代谢的影响.中国中西医结合急救杂志,2001,8(1):36-37
    [9]邓常青,邓奕晖,向华林,等.补阳还五汤及其有效部位对沙土鼠脑缺血后DND 脑能量代谢、NO和NOS的影响.中药药理与临床,1999,15(5):3-15
    [10]邓常青,刘志龙,葛金文,等.补阳还五汤抗脑缺血再灌注损伤作用机制的研究.中国中医基础医学杂志,1998,4(8):32-35
    [11]刘志龙,宋含平,邓常青,等.补阳还五汤对沙土鼠脑缺血后迟发性神经元坏死脑组织一氧化氮的影响.中国中西医结合急救杂志,2000,7(5):295-296
    [12]徐瑶,卞国武,杨解人.补阳还五汤对大鼠脑缺血损伤的保护作用.现代中西医结合杂志,2000,9(11):983-985
    [13]吴健宇,李仪奎,符胜光,等.补阳还五汤药物血清对自由基损伤的血管内皮细胞的保护作用.中药药理与临床,1999,15(2):3-6
    [14]邓常青,邓奕晖,贺福元,等.补阳还五汤和有效部位对沙土鼠脑缺血及再灌注后脑组织EAA的影响.中国实验方剂学杂志,2001,7(6):24-27
    [15]王沙燕,赖真,耿小英,等.补阳还五汤和黄芪对沙土鼠脑缺血再灌注后热休克蛋白HSP_(70)表达的影响.中国中医基础医学杂志,2001,7(12):27-29
    [16]贺石林,彭延古,李安国,等.补阳还五汤对血液凝固系统影响的实验研究.湖南中医学院学报,1989,9(4):212-214
    [17]李安国,贺石林,邓常青,等。补阳还五汤对血管壁抗血栓功能的影响.中西医结合杂志,1989,9(9):545-547
    [18]葛争艳,林成仁,周亚伟,等.活血化瘀经典方对家兔血小板聚集性的影响.中国中西医结合杂志,1994,4(8):489-490
    [19]张继平,张玉萍,文凤妮,等.补阳还五汤对家兔血液中血小板活化因子含量的影响.中国中医急症,1998,7(5):299-230
    [20]张继平,张玉萍,文凤妮,等.补阳还五汤对家兔血小板活化因子受体活性的影响.中国杂志,1998,39(10):621-623
    [21]韩东,廖福龙,李文,等.补阳还五汤及拆方对血栓形成大鼠梗塞灶、血管损伤半暗区、血浆tPA、PAI活性及ET含量的影响.中国实验方剂学杂志,2001,7(2):21-24
    [22]文志斌,尚改萍,刘发益,等.补阳还五汤对凝血酶诱导血管内皮细胞释放NO、vWF、TFPI及表达组织因子的影响.湖南医科大学学报,2002,27(4):313-318
    [23]邓常青,唐映红,贺福元.补阳还五汤各有效成分部位及其组方对小鼠脑缺血的影响.湖南中医学院学报,1999,19(4):1-3
    [24]唐映红,梁燕,杨静等.FeCl_3诱导的大鼠颈总动脉血栓模型血浆TXA_2、PGI_2、抗凝和纤溶活性的变化.中国药理学通报,2006,(11)
    [25]张淑萍,梁燕,邓常青.补阳还五汤及其有效部位对大鼠脑缺血再灌注后caspase 表达的影响.中草药,2006,(7)
    [26]薛庆善主编.体外培养的原理与技术[M].北京:科学出版社,2001.18
    [27]Hughes SE.Functional characterization of the spontaneously transformed human umbilical vein endotheiial cell line ECV-304:use in an in vitro model of angiogenesis[J],Esp Cell Res,1996,225(1):171-185
    [28]王敏,崔连群,张承俊,等。凝血酶诱导血管内皮细胞生长因子的表达及水蛭素的抑制作用.中国新药杂志,2004,13(3):226
    [29]Rabiet MJ,et al.Arterioscler Thromb Vasc Biol,1996,16:488
    [30]Sandoval R,et al.Am J Physiol Lung Cell Mol Physiol,2001,280:239
    [31]Gerlier D,Thomasset N.Use of MTT colormetric assay to measure cell activation.J Immunol Method,1986,94(1-2):57
    [32]王振义,李家增,阮长耿,等主编.血栓与止血基础理论与临床[M].上海:上海科学技术出版社,2004.21-22
    [33]de Wit C,Bolz SS,Pohl U.Interaction of endothelial autacoids in microvascular control.Z Kardiol,2000,8(Suppl 9):113-116
    [34]Bousette N,Glaid A.Endothelin-1 in atherosclerosis and other vasculopathies.Can J Physiol Pharmacol,2003,81:578-587
    [35]钱冠清.血管内皮细胞黏附分子与心血管疾病.基础医学与临床,1999,19(3):6
    [36]金惠铭,王建枝.病理生理学[M].北京:人民卫生出版社,2004,106-115
    [37]Sorian SG,Lipton SA,Wang YF,et al.Intercellular adhesion molecule-1(ICAM-1) -deficient mice are less suspectible to cerebral ischemia-reperfusion injury.Neurol,1996,39(5):618-624
    [38]辛颖,高红,韩玉昆,等.新生大鼠缺血性脑损伤脑细胞间黏附分子-1 mRNA 表达的研究.中华围产医学杂志,2000,11(4):224-226
    [39]Wang XK,Siren AL,Lin Y,et al.Up-regulation of Intercellular adhesion molecule-1(ICAM-1) on brain microvascular endothelial cell in rat ischemic cortex.Mol Brain Res,1994,26:61-68
    [40]钱冠清,刘会齐,赵永革.ICAM-1在缺氧-再氧化引起的白细胞与内皮细胞黏附中的作用.中国医学科学院学报,1999,21(2):130-133
    [41]宋今丹.医学细胞生物学.北京:人民卫生出版社,2005:244-258
    [42]李增刚,文志斌,汉建忠,等.凝血酶对牛主动脉内皮细胞组织因子活性的影响及其与PKC传导途径的关系.中华血液学杂志,1999,20(3):130-133
    [43]Ju H,Behm DJ,Nerurkar S,et al.p38 MAPK inhibitor ameliorate target organ damage in hypertension:Part 1,p38 MhPK-dependent endothelial dysfunction and hypertension[J].J Pharmacol Exp Ther,2003,307(3):932 - 938
    [44]McGinn S,Saad S,Poronnik P,Pollock CA.High glucose-mediated effects on endotheliai cell proliferation occur via p38 MAP kinase[J].Am J Physical Endocrinol Metab,2003,285(4):E708-717
    [45]Niwa K,Inanami O,Ohta T,et al.p38 MAPK and Ca~(2+) contribute to hydrogen peroxide-induced increase of permeability in vascular endothelial cells but ERK does not[J].Free Radic Res,2001,35(5):519-527
    [46]Kevil CG,Oshima T,Alexander JS.The rule of p38MAP kinase in hydrogen peroxide mediated endothelial solute permeability[J].Endothelium,2001,8(2):107-116
    [47]Kiemer AK,Weber NC,Furst R,et al.Inhibitor of p38 MAPK activation via induction of MKP-1:atrial natriuretic peptide reduces TNF-al-pha-induced actin polymerization and endothelial permeability[J].Cite Res,2002,90(8):874-881
    [48]Jersman HP,Hii CS,Ferrante JV,et al.Bacterial lipopolysaccha-ride and tumor necrosis factor alpha synergistically increase expression of human endothelial adhesion molecules through activation of NF-kappa B and p38mitogen-activated protein kinase signaling pathways[J].Infect Immun,2001,69(3):1273- 1279
    [49]Pueyo ME,Gonzales W,Nicoletti A,et al.Angiotensin Ⅱ stimulates endothelial vascular cell adhesion molecule-1 via nuclear factor-κB activation induced by intracellular oxidative stress[J],Arterioscler Thromb Vasc Biol,2000,20:40-43
    [50]王海蓉,李建军,蒋锡嘉等.血管紧张素Ⅱ对培养血管内皮细胞核因子-κB激活及厄贝沙坦干预研究,中华心血管病杂志,2004,32(1):64-67
    [51]孙勇.川芎嗪对凝血酶诱导血管内皮细胞组织因子表达的影响及机制研究.中南大学硕士学位论文,2006[0]