1. 南京中医药大学附属南京市中西医结合医院消化科,江苏,南京,210014
2. 中国药科大学江苏省新药筛选中心,江苏,南京,210009
3. 南京中医药大学,江苏,南京,210023
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杨璐, 刘万里, 颜延凤, 等. 通降合剂对大鼠单纯性胃食管反流模型脑-肠轴的影响[J]. 上海中医药杂志, 2018,52(12):96-100.
YANG Lu, LIU Wanli, YAN Yanfeng, et al. Effects of Tongjiang Mixture on brain-gut axis in rat model of simple gastroesophageal reflux[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(12):96-100.
杨璐, 刘万里, 颜延凤, 等. 通降合剂对大鼠单纯性胃食管反流模型脑-肠轴的影响[J]. 上海中医药杂志, 2018,52(12):96-100. DOI: 10.16305/j.1007-1334.2018.12.024.
YANG Lu, LIU Wanli, YAN Yanfeng, et al. Effects of Tongjiang Mixture on brain-gut axis in rat model of simple gastroesophageal reflux[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(12):96-100. DOI: 10.16305/j.1007-1334.2018.12.024.
目的:观察通降合剂对大鼠单纯性胃食管反流模型的作用及对脑-肠轴的影响。 方法:取健康雄性SD大鼠手术造模,建立大鼠单纯性胃食管反流模型。并将30只造模成功的大鼠随机分为模型组,通降合剂低、高剂量组,每组10只;另取10只健康雄性SD大鼠作为对照组(仅打开腹腔后缝合)。通降合剂低、高剂量组分别灌胃予10 ml/kg、20 ml/kg的通降合剂,对照组、模型组灌胃予20 ml/kg的0.9%NaCl溶液。各组均连续干预4周,观察胃电图,取样检测食管下段黏膜及胃液pH值、胃液中胃蛋白酶水平,ELISA法测定大鼠血浆及胃窦组织中胃肠活性物质水平,HPLC测定大鼠血浆神经递质水平,分离食管进行食管炎评分。 结果:①=1\*GB3与对照组比较,模型组大鼠胃电频率和振幅、食管下段黏膜pH值、血浆胃泌素水平、胃窦组织胃肠活性物质(胃泌素、胃动素、P物质)水平降低(P<0.05),胃液胃蛋白酶水平、血浆神经递质(去甲肾上腺素、5-羟色胺、多巴胺)水平、食管炎评分升高(P<0.05)。②=2\*GB3与模型组比较,通降合剂低、高剂量组大鼠胃电频率和振幅增加(P<0.05),食管下段黏膜pH值升高(P<0.05)。③=3\*GB3与模型组比较,通降合剂低、高剂量组大鼠血浆及胃窦组织胃泌素水平升高(P<0.05),通降合剂高剂量组大鼠血浆甲肾上腺素、多巴胺水平降低(P<0.05)。④=4\*GB3与模型组比较,通降合剂低、高剂量组大鼠食管炎评分减少(P<0.05)。 结论:通降合剂可以明显改善单纯性胃液食管反流模型大鼠的胃肠动力,抑制反流损伤,同时对与脑-肠轴相关的外周神经递质和胃肠活性物质具有调节作用。
Objective:To observe the effects of Tongjiang Mixture on rat model of simple gastroesophageal reflux and the influence on brain-gut axis. MethodsThe rat model of simple gastroesophageal reflux was established by surgery in healthy male SD rats. 30 successfully modeling rats were randomly divided into the model group and Tongjiang Mixture groups with low- and high-dose, 10 rats in each group. 10 healthy male SD rats were taken as the control group. The control group was only treated with suture after opening abdominal cavity. The Tongjiang Mixture groups with low- and high-dose were treated with Tongjiang Mixture at dose of 10 ml/kg and 20 ml/kg by intragastric administration, and the control group and model group were treated with 0.9% NaCl solution at dose of 20 ml/kg, with a course of 4 continuous weeks. The electrogastrogram (EGG) was observed. The pH value of mucous membrane of lower esophagus and gastric juice and the level of pepsin in gastric juice were detected. The levels of gastrointestinal active substances in rat plasma and gastric antrum tissue were measured by ELISA. The levels of neurotransmitter in rat plasma were detected by HPLC. The esophagus was isolated for esophagitis evaluation. Results:①Compared with the control group, the frequency and amplitude of EGG, the pH value of mucous membrane of lower esophagus, the gastrin level in plasma and the levels of gastrointestinal active substances (gastrin, motilin and substance P) in gastric antrum tissue were decreased in the model group (P<0.05), the levels of pepsin in gastric juice and neurotransmitter (norepinephrine, 5-hydroxytryptamine and dopamine) in plasma and the esophagitis score were increased (P<0.05). ②Compared with the model group, the frequency and amplitude of EGG in the Tongjiang Mixture groups with low- and high-dose were increased (P<0.05), and the pH value of mucous membrane of lower esophagus was increased (P<0.05). ③Compared with the model group, the gastrin levels in rat plasma and gastric antrum tissue were increased in the Tongjiang Mixture groups with low- and high-dose (P<0.05), and the plasma levels of norepinephrine and dopamine were decreased in the Tongjiang Mixture group with high-dose (P<0.05). ④Compared with the model group, the esophagitis score of rats in the Tongjiang Mixture groups with low- and high-dose was reduced (P<0.05). Conclusion:Tongjiang Mixture can obviously improve the gastrointestinal motility and inhibit the regurgitation injury in rat model of simple gastroesophageal reflux, and regulate the brain-gut axis related peripheral neurotransmitters and gastrointestinal active substances.
胃食管反流病大鼠通降合剂脑-肠轴去甲肾上腺素多巴胺胃泌素
gastroesophageal refluxratTongjiang Mixturebrain-gut axisnorepinephrinedopaminegastrin
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