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陆逸超, 凌嘉悦, 万小敏, 等. 人参、黄芪和甘草抗阿霉素致心肌损伤的实验研究[J]. 上海中医药杂志, 2016,50(3):78-82.
LU Yi-chao, LING Jia-yue, WAN Xiao-min, et al. Experimental study of ginseng, astragalus and liquorice against myocardial injury induced by adriamycin[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(3):78-82.
陆逸超, 凌嘉悦, 万小敏, 等. 人参、黄芪和甘草抗阿霉素致心肌损伤的实验研究[J]. 上海中医药杂志, 2016,50(3):78-82. DOI:
LU Yi-chao, LING Jia-yue, WAN Xiao-min, et al. Experimental study of ginseng, astragalus and liquorice against myocardial injury induced by adriamycin[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(3):78-82. DOI:
目的:比较三种常用补气中药人参、黄芪和甘草对阿霉素致小鼠急性心肌损伤的作用。 方法:采用腹腔注射阿霉素诱导小鼠心肌急性损伤。小鼠随机分为正常组、模型组、黄芪组(10 g/kg)、人参组(3 g/kg)和甘草组(3 g/kg),造模前4天开始给药,连续15天。检测血清中心肌酶及左心室病理组织学变化;测定血清中过氧化水平;HPLC法测定心肌组织中能量代谢物质含量。 结果:与正常组比较,模型组小鼠血清中心肌酶活性升高,心肌大面积水肿,出现肌纤维空泡化;血清抗氧化酶活性明显降低;心肌组织能量代谢异常。与模型组比较,人参、黄芪和甘草使血清心肌酶活性下降,改善心肌水肿;人参和黄芪能提高谷胱甘肽过氧化物酶(GSH-Px)活性;各药均有改善心肌能量代谢的作用趋势,其中黄芪最明显,人参次之;甘草能升高心肌组织中cAMP浓度。 结论:三种补气中药人参、黄芪和甘草对阿霉素急性心肌损伤均有对抗作用,其作用环节可能与调节心肌能量代谢和提高抗氧化酶活性有关。其中黄芪对心肌能量代谢有一定调节趋势,人参和黄芪的抗氧化作用明显,甘草提高cAMP浓度更为显著。
Objective:To investigate the protective effect on myocardium of three commonly used tonifying qi traditional Chinese medicine including ginseng, astragalus and liquorice in mice with acute myocardial injury induced by adriamycin. MethodsModel of acute myocardial injury was induced by adriamycin with intraperitoneal injection. Mice were randomly assigned to normal group, model group, astragalus group (10 g/kg), ginseng group (3 g/kg) and liquorice group (3 g/kg). Ginseng, astragalus and liquorice were given orally to mice continuously for 15 days starting at 4 days before modeling. The serum levels of myocardial enzymes including creatine kinase (CK), lactate dehydrogenase (LDH), and aspartate aminotransferase (AST), and the left ventricular histopathology were measured. The effect of anti-oxidative stress was detected and the cardiac energy metabolism was quantitatively determinated with HPLC method. Results:Compared with that in the normal group, the serum activities of myocardial enzymes were significantly increased, the myocardium had large area of edema, muscle fiber of vacuolization, the activities of antioxidant enzymes were decreased and myocardial energy metabolism was abnormal in the model group. Compared with that in the model group, the serum activities of myocardial enzymes in the ginseng, astragalus and liquorice groups were decreased significantly, and myocardial edema was alleviated. And ginseng and astragalus could improve the activity of GSH-Px. The three tonifying qi traditional Chinese medicine could improve myocardial energy metabolism slightly, among them the function of astragalus was the strongest, and the next was that of ginseng. Liquorice had a significant effect on increasing the concentration of cAMP of myocardial tissue. Conclusion:In conclusion, Ginseng, astragalus and liquorice have protective effect on acute myocardial injury induced by adriamycin in mice, and the function may be related to the regulation of myocardial energy metabolism and the increase of the activities on antioxidant enzymes. The significant trend of astragalus is regulating energy metabolism, and the antioxidant effect of ginseng and astragalus is remarkable. The effect of liquorice on increasing the concentration of cAMP is significant.
人参黄芪甘草阿霉素心肌损伤
ginsengAstragalusliquoriceAdriamycinmyocardial injury
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