1. 上海中医药大学康复医学院,上海,201203
2. 上海中医药大学基础医学院,上海,201203
3. 上海市徐汇区中心医院中医科,上海,200031
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邓海燕, 赵杨, 李坤, 等. 复方藜芍片对硝酸甘油致慢性偏头痛大鼠血中促炎因子的影响[J]. 上海中医药杂志, 2019,53(4):71-76.
DENG Haiyan, ZHAO Yang, LI Kun, et al. Effect of Fu-Fang-Li-Shao Pill on pro-inflammatory factors in blood of rats with chronic migraine induced by nitroglycerin[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(4):71-76.
邓海燕, 赵杨, 李坤, 等. 复方藜芍片对硝酸甘油致慢性偏头痛大鼠血中促炎因子的影响[J]. 上海中医药杂志, 2019,53(4):71-76. DOI: 10.16305/j.1007-1334.2019.04.019.
DENG Haiyan, ZHAO Yang, LI Kun, et al. Effect of Fu-Fang-Li-Shao Pill on pro-inflammatory factors in blood of rats with chronic migraine induced by nitroglycerin[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(4):71-76. DOI: 10.16305/j.1007-1334.2019.04.019.
目的:通过观察硝酸甘油诱导慢性偏头痛大鼠血中促炎因子的水平变化,探讨复方藜芍片(FFLSP)改善肝阳上亢型慢性偏头痛的药理机制。 方法:将36只SD雄性大鼠随机分成6组:正常对照组,偏头痛组,复方藜芍片低、中、高剂量组和西比灵组。复方藜芍片低、中、高剂量组分别灌胃给予相应剂量(420、840、1 680 mg/kg)的复方藜芍片,西比灵组灌胃给予西比灵(1 mg/kg),正常对照组、偏头痛组分别灌胃给予等量0.9%NaCl溶液。各组均每天1次,共干预30天。除正常对照组外,其余5组均在干预的第18、21、24、27、30天皮下注射硝酸甘油(10 mg/kg)建立慢性偏头痛模型。采用qRT-PCR、ELISA法和Griess试剂检测各组大鼠血中促炎因子和5-HT的基因和蛋白水平。 结果:①与正常对照组比较,偏头痛组大鼠血浆iNOS、IL-1β、IL-6、TNF-α mRNA表达明显增加(P<0.001);FFLSP治疗后,血浆iNOS、IL-1β、IL-6、TNF-α mRNA含量则显著降低(P<0.001)。②与正常对照组比较,偏头痛组大鼠血清IL-1β、IL-6、TNF-α和NO产物水平也明显增加(P<0.05);FFLSP治疗后血清IL-1β、IL-6、TNF-α和NO产物水平则显著降低(P<0.05)。③与正常对照组比较,偏头痛组大鼠血清5-HT水平降低(P<0.05),FFLSP治疗后5-HT水平显著升高(P<0.05)。 结论:复方藜芍片可能通过降低血中促炎因子的基因和蛋白水平,减轻炎症反应并缓解肝阳上亢型偏头痛。
Objective:To explore the pharmacological mechanism of Fu-Fang-Li-Shao Pill (FFLSP) improving chronic migraine of the liver-yang hyperactivity type by observing changes in the levels of pro-inflammatory factors in plasma of rats with nitroglycerin-induced chronic migraine. Methods36 male Sprague-Dawley rats were randomly assigned into 6 groups:normal control (NC) group, migraine group, low-dose FFLSP (FFLSP-L) group, middle-dose FFLSP (FFLSP-M) group, high-dose FFLSP (FFLSP-H) group and flunarizine hydrochloride (FH) group. FFLSP at corresponding doses (420,0 and 1,0 mg/kg) was given to the FFLSP-L, FFLSP-M and FFLSP-H groups; FH (1 mg/kg) was given by gavage to the FH group, and an equal volume of 0.9% NaCl solution was given by gavage to the NC group and the migraine group. Each group was dosed once a day for 30 days. Except the NC group, migraine model was established by subcutaneous injection of nitroglycerin (10 mg/kg) to rats in the other 5 groups on days 18,1, 24,7 and 30 during treatment. The gene and protein levels of pro-inflammatory factors and 5-HT in plasma of rats in each group were detected with qRT-PCR, ELISA and Griess reagent. Results:①Compared with the NC group, the expression of iNOS, IL-1β, IL-6 and TNF-α mRNA in plasma increased significantly in the migraine group (P<0.001); the content of iNOS, IL-1β, IL-6 and TNF-α mRNA in plasma decreased significantly after FFLSP treatment (P<0.001). ②Compared with the NC group, the levels of IL-1β, IL-6, TNF-α and NO products in serum increased significantly in the migraine group (P<0.05); and they were reduced significantly after FFLSP treatment (P<0.05). ③Compared with the NC group, the level of 5-HT in serum decreased in the migraine group (P<0.05); and it increased significantly after FFLSP treatment (P<0.05). Conclusion:FFLSP may reduce inflammatory reactions and relieve migraine of the liver-yang hyperactivity type by reducing the gene and protein levels of pro-inflammatory factors in the blood.
偏头痛复方藜芍片促炎因子5-HT大鼠
migraineFu-Fang-Li-Shao Pillpro-inflammatory factors5-HTrats
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