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1.
Chin J Integr Med ; 22(9): 674-84, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25847777

RESUMO

OBJECTIVE: To investigate the protective effects and mechanisms of Radix Astragali Injection on multiple organs of rats with obstructive jaundice (OJ). METHODS: A total of 180 rats were randomly divided into the sham-operated, model control and treated groups (60 in each group). On 7, 14, 21 and 28 days after operation, the serum contents of alanine aminotransferase (ALT), aspartate aminotransferase (AST), r-glutamyl transpeptidase (r-GT), total bilirubin (TBil), direct bilirubin (DBil), blood urine nitrogen (BUN), and creatinine (CREA) were determined. And the pathological changes of livers, kidneys and lungs, and protein expressions of toll-like receptor-4 (TLR-4) of livers, intercellular adhesion molecule-1 (ICAM-1) of lungs, Bax and nuclear factor-kappa B (NF-κB), as well as apoptotic indexes of multiple organs were observed, respectively. RESULTS: The pathological severity scores of multiple organs (including livers on 7, 14, 21 and 28 days, kidneys on 14 and 28 days, and lungs on 14 days), serum contents of ALT (14 and 21 days), AST (14 days), TBil (7, 14, 21 and 28 days), DBil (14 and 21 days), BUN (28 days), protein expressions of TLR-4 (in livers, 28 days), Bax (in livers and kidneys, 21 days), and apoptotic indexes in livers (7 and 21 days) in the treated group were significantly lower than those in the model control group (P<0.05 or P<0.01). CONCLUSION: Radix Astragali Injection exerts protective effects on multiple organs of OJ rats by improving the pathological changes of lung, liver and kidney, decreasing the serum index of hepatic and renal function as well as inhibiting the protein expression of TLR-4 and Bax in the livers and Bax in the kidneys.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Icterícia Obstrutiva/tratamento farmacológico , Especificidade de Órgãos , Substâncias Protetoras/uso terapêutico , Alanina Transaminase/sangue , Animais , Apoptose/efeitos dos fármacos , Aspartato Aminotransferases/sangue , Astragalus propinquus , Bilirrubina/sangue , Nitrogênio da Ureia Sanguínea , Creatinina/sangue , Medicamentos de Ervas Chinesas/farmacologia , Imuno-Histoquímica , Injeções , Molécula 1 de Adesão Intercelular/metabolismo , Icterícia Obstrutiva/sangue , Rim/efeitos dos fármacos , Rim/patologia , Fígado/efeitos dos fármacos , Fígado/patologia , Pulmão/efeitos dos fármacos , Pulmão/patologia , Masculino , NF-kappa B/metabolismo , Especificidade de Órgãos/efeitos dos fármacos , Extratos Vegetais/farmacologia , Substâncias Protetoras/farmacologia , Ratos Sprague-Dawley , Receptor 4 Toll-Like/metabolismo , Proteína X Associada a bcl-2/metabolismo , gama-Glutamiltransferase/metabolismo
2.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 35(7): 860-5, 2015 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-26380451

RESUMO

OBJECTIVE: To evaluate efficacies of three commonly used oral drugs including Berbamine Hydrochloride Tablet (B), Qijiao Shengbai Capsule (Q), and Leucogen Tablet (L) (by single drug, two drugs or three drugs) combined with granulocyte colony-stimulating factor (G-CSF) for treat ment of chemotherapy related leukocytopenia in mice. METHODS: Totally 156 Kunming male mice were divided into the normal control group (A, n=24), the model group (B, n=24), the G-CSF group (C, n =24), the G-CSF+Q group (D, n=12), G-CSF+ B (E, n=12), the G-CSF+L group (F, n=12), the G-CSF + Q + B group (G, n=12), the G-CSF + Q + L group (H, n=12), the G-CSF + L + B group (I, n=12), and the G-CSF + L + Q + B (J, n=12). Mouse models of chemotherapy related leukocytopenia were established by intraperitoneal injection of cyclophosphamide (CTX). A G-CSF group was set up as a positive control. Mice were treated by a single oral drug, a single oral drug combined with G-CSF, and two or three drugs combined with G-CSF respectively, and the death rate calculated. Hemocytes [such as white blood cells (WBC) and its classification, red blood cells (RBC), platelet (PLT), hemoglobin (Hb)] were calculated by hematology analyzer. Mice were anatomized and important organs weighed. Organ indices were calculated. RESULTS: There was no statistical difference in the mortality rate among all groups (P > 0.05). Compared with Group B, WBC was elevated in all other groups (P < 0.01). WBC and PLT were elevated most in Group J, Hb and RBC were also increased at the same time (P < 0.05, P < 0. 01). Compared with Group B, RBC increased in Group E, F, G, I, and J (P < 0.01); Hb obviously increased in Group C, E, F, H, I, and J (P<0.01). Compared with Group B and D, the promotion of erythroid hematopoiesis by G-CSF could be elevated in any group contained drug B and L (P < 0.05, P < 0.01). The spleen index of model mice could be significantly improved in Group C, D, and G (P < 0.01). The thymus index of model mice could be significantly improved in Group H (P < 0.05). CONCLUSIONS: The best scheme to treat mice with chemotherapy related leukopenia or decreased three blood series was to administrate three commonly oral drugs combined with G-CSF. Authors speculated that G-CSF and Q might have a certain effect on CTX induced immune inhibition.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/tratamento farmacológico , Medicamentos de Ervas Chinesas/farmacologia , Fator Estimulador de Colônias de Granulócitos/metabolismo , Leucopenia/induzido quimicamente , Administração Oral , Animais , Plaquetas , Ciclofosfamida , Contagem de Eritrócitos , Hematopoese , Hemoglobinas , Contagem de Leucócitos , Leucócitos , Leucopenia/tratamento farmacológico , Masculino , Camundongos , Preparações Farmacêuticas
3.
Chin J Integr Med ; 20(6): 474-80, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24474675

RESUMO

Obstructive jaundice (OJ) is classified as extrahepatic OJ or intrahepatic OJ. Extrahepatic OJ is attributed to a variety of intricate etiological factors. Research has begun with Chinese medicine (CM), which can be used as an adjunctive therapy for extrahepatic OJ. Particular attention has been paid to the therapeutic effects and their mechanisms of single CM herb and relevant extracts. The roles of single CM or their extracts during adjunctive therapy for extrahepatic OJ have been described briefly. This review focuses on the effects and their mechanisms of relevant herbal medicines.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Icterícia Obstrutiva/tratamento farmacológico , Extratos Vegetais/uso terapêutico , Animais , Humanos
4.
J Ethnopharmacol ; 150(1): 181-6, 2013 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-23993908

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: The deer velvet antler is well known for its traditional medicinal value, and is widely used in the clinic. It is recorded in the Compendium of Materia Medica that the deer velvet antler replenishes vital essence and strengthens the bone. AIM OF THE STUDY: The goal of this study was to investigate the anti-osteoporotic effect of total velvet antler polypeptides from Cervus elaphus Linnaeus (TVAPL) on ovariectomized rats (OVX), and their possible mechanism of the action. MATERIALS AND METHODS: Wistar rats were divided into five groups: sham-operated group, OVX group, and OVX rats treated with 20, 40, or 60 mk/kg TVAPL for 12 weeks. Calcium and phosphorus levels, bone weight coefficient (BWC), bone mineral density (BMD), and bone mineral content (BMC) were evaluated. The MTT assay was used to measure the activities of interleukin-1 (IL-1) and interleukin-6 (IL-6). In addition, cartilage cells and osteoblast-like cells were exposed to TVAPL, natural velvet antler polypeptides (nVAP), and synthetic velvet antler polypeptides (sVAP), to determine their effects on cell proliferation using the tritiated thymidine incorporation assay. Finally, the enzyme-linked immunosorbent assay was used to determine the effects of nVAP and sVAP on cytokines related to bone metabolism. RESULTS: The administration of TVAPL for 12 weeks significantly reversed osteoporosis in OVX rats, thereby improving the BWC, BMD, BMC, and bone microarchitecture. IL-1 and IL-6 were significantly activated in the OVX group, and their activation was inhibited by TVAPL. In addition, nVAP and sVAP promoted the proliferation of cartilage and osteoblast-like cells (p<0.01 or p<0.001), and inhibited the secretion of IL-1α from THP-1 monocytic cells in vitro. CONCLUSION: These results suggest that TVAPL are effective in preventing bone loss in OVX rats. The effect of TVAPL on osteoporosis is due to inhibition of IL-1 and IL-6 by nVAP, and promotion of mitosis. sVAP has similar bioactivity as nVAP. Thus, both TVAPL and sVAP may be potential therapeutic agents for the treatment of postmenopausal osteoporosis.


Assuntos
Chifres de Veado/química , Conservadores da Densidade Óssea/uso terapêutico , Cervos , Osteoporose/tratamento farmacológico , Peptídeos/uso terapêutico , Animais , Densidade Óssea/efeitos dos fármacos , Conservadores da Densidade Óssea/farmacologia , Linhagem Celular , Feminino , Interleucina-1/metabolismo , Interleucina-1alfa/metabolismo , Interleucina-6/metabolismo , Osteoporose/metabolismo , Osteoporose/fisiopatologia , Ovariectomia , Peptídeos/farmacologia , Ratos , Ratos Wistar , Tíbia/efeitos dos fármacos , Tíbia/fisiologia , Fator de Necrose Tumoral alfa/metabolismo
5.
J Zhejiang Univ Sci B ; 13(11): 919-31, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23125085

RESUMO

OBJECTIVE: To investigate the protective effects and mechanisms of action of dexamethasone and Salvia miltiorrhiza on multiple organs in rats with severe acute pancreatitis (SAP). METHODS: The rats were divided into sham-operated, model control, dexamethasone treated, and Salvia miltiorrhiza treated groups. At 3, 6, and 12 h after operation, the mortality rate of different groups, pathological changes, Bcl-2-associated X protein (Bax) and nuclear factor-κB (NF-κB) protein expression levels in multiple organs (the pancreas, liver, kidneys, and lungs), toll-like receptor 4 (TLR-4) protein levels (only in the liver), intercellular adhesion molecule 1 (ICAM-1) protein levels (only in the lung), and terminal deoxynucleotidy transferase mediated deoxyuridine triphosphate (dUTP) nick end labeling (TUNEL) staining expression levels, as well as the serum contents of amylase, glutamate-pyruvate transaminase (GPT), glutamic-oxaloacetic transaminase (GOT), blood urea nitrogen (BUN), and creatinine (CREA) were observed. RESULTS: The mortality rate of the dexamethasone treated group was significantly lower than that of the model control group (P<0.05). The pathological changes in multiple organs in the two treated groups were relieved to different degrees (P<0.05 and P<0.01, respectively), the expression levels of Bax and NF-κB proteins, and apoptotic indexes of multiple organs were reduced (P<0.05 and P<0.01, respectively). The contents of amylase, GPT, GOT, BUN, and CREA in the two treated groups were significantly lower than those in model control groups (P<0.05 and P<0.01, respectively). The expression level of ICAM-1 protein in the lungs (at 3 and 12 h) in the dexamethasone treated group was significantly lower than that in the Salvia miltiorrhiza treated group (P<0.05). The serum contents of CREA (at 12 h) and BUN (at 6 h) of the Salvia miltiorrhiza treated group were significantly lower than those in the dexamethasone treated group (P<0.05). CONCLUSIONS: Both dexamethasone and Salvia miltiorrhiza can reduce the inflammatory reaction, regulate apoptosis, and thus protect multiple organs of rats with SAP.


Assuntos
Dexametasona/farmacologia , Pancreatite/tratamento farmacológico , Extratos Vegetais/farmacologia , Salvia miltiorrhiza/química , Doença Aguda , Amilases/sangue , Animais , Aspartato Aminotransferases/sangue , Nitrogênio da Ureia Sanguínea , Creatinina/sangue , Modelos Animais de Doenças , Molécula 1 de Adesão Intercelular/metabolismo , Rim/efeitos dos fármacos , Rim/metabolismo , Rim/patologia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Pulmão/efeitos dos fármacos , Pulmão/metabolismo , Pulmão/patologia , Masculino , NF-kappa B/metabolismo , Pancreatite/metabolismo , Pancreatite/patologia , Fitoterapia/métodos , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Estatísticas não Paramétricas , Receptor 4 Toll-Like/metabolismo , Proteína X Associada a bcl-2/metabolismo
6.
Hepatobiliary Pancreat Dis Int ; 10(6): 632-7, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22146628

RESUMO

BACKGROUND: Severe acute pancreatitis (SAP) is characterized by fatal pathogenic conditions and a high mortality. It is important to study SAP complicated with multiple organ injury. In this study we compared the protective effects of three traditional Chinese medicines (Ligustrazine, Kakonein and Panax Notoginsenoside) on the small intestine and immune organs (thymus, spleen and lymph nodes) of rats with SAP and explored their mechanism of action. METHODS: One hundred forty-four rats with SAP were randomly divided into model control, Ligustrazine-treated, Kakonein-treated, and Panax Notoginsenoside-treated groups (n=36 per group). Another 36 normal rats comprised the sham-operated group. According to the different time points after operation, the experimental rats in each group were subdivided into 3-, 6- and 12-hour subgroups (n=12). At various time points after operation, the mortality rate of rats and pathological changes in the small intestine and immune organs were recorded and the serum amylase levels were measured. RESULTS: Compared to the model control groups, the mortality rates in all treated groups declined and the pathological changes in the small intestine and immune tissues were relieved to different degrees. The serum amylase levels in the three treated groups were significantly lower than those in the model control group at 12 hours. The pathological severity scores for the small intestinal mucosa, thymus and spleen (at 3 and 12 hours) in the Ligustrazine-treated group, for the thymus (at 3 and 12 hours) and spleen (at 3 and 6 hours) in the Kakonein-treated group, and for the thymus (at 3 hours) and spleen (at 3 hours) in the Panax Notoginsenoside-treated group were significantly lower than those in the model control group. The pathological severity scores of the small intestinal mucosa (at 6 and 12 hours) and thymus (at 6 hours) in the Ligustrazine-treated group were significantly lower than those in the Kakonein- and Panax Notoginsenoside-treated groups. CONCLUSIONS: All the three traditional Chinese drugs significantly alleviated the pathological changes in the small intestine and immune organs of SAP rats. Ligustrazine was the most effective one among them.


Assuntos
Medicamentos de Ervas Chinesas/farmacologia , Imunidade/efeitos dos fármacos , Intestino Delgado/efeitos dos fármacos , Isoflavonas/farmacologia , Tecido Linfoide/efeitos dos fármacos , Pancreatite Necrosante Aguda/prevenção & controle , Pirazinas/farmacologia , Animais , Apoptose/efeitos dos fármacos , Modelos Animais de Doenças , Intestino Delgado/imunologia , Intestino Delgado/patologia , Ligusticum , Tecido Linfoide/imunologia , Tecido Linfoide/patologia , Pancreatite Necrosante Aguda/imunologia , Pancreatite Necrosante Aguda/patologia , Ratos , Ratos Sprague-Dawley , Índice de Gravidade de Doença , Vasodilatadores/farmacologia
7.
Hepatobiliary Pancreat Dis Int ; 9(5): 537-46, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20943465

RESUMO

BACKGROUND: Intestinal mucosa injury in cases of severe acute pancreatitis (SAP) or obstructive jaundice (OJ) is one of the main reasons for the accelerated aggravation of these diseases. Besides being an organ to digest and absorb nutrients, the intestine is also a unique immune organ. When SAP and OJ develop, the destruction of the intestinal mucosa barrier is an important contributing factor for the development of bacterial translocation, systemic inflammatory response syndrome, and multiple organ dysfunction syndrome. It is important to protect the intestinal mucosa in the therapy for SAP and OJ. In this study, we determined the effect of Radix Salviae Miltiorrhizae (Danshen) injection on apoptosis and NF-κB P65 protein expression in the intestinal mucosa of rats with SAP or OJ, and explored the protective mechanism of Danshen in their mucosa. METHODS: Sprague-Dawley rats were used in the SAP and OJ experiments. These rats were randomly divided into sham-operated, model control, and treated groups. At various times after operation, the mortality rates were calculated. Subsequently, the rats were killed to assess the pathological changes, the expression levels of Bax and NF-κB proteins, and the apoptosis indices in the intestinal mucosa. RESULTS: Compared to the corresponding model control group, the number of SAP or OJ rats that died in the treated group decreased but showed no statistically significant difference. At all time points after operation, there was no significant difference between the treated and model control groups in the staining intensity as well as the product of staining intensity and positive staining rate of Bax protein in the intestinal mucosa of SAP and OJ rats . At 3 hours after operation, the apoptosis index of the intestinal mucosa of SAP rats in the treated group was lower than that in the model control group (P<0.01). At 12 hours after operation in SAP rats and 28 days after operation in OJ rats, the staining intensity as well as the product of staining intensity and positive staining rate of NF-κB protein of the intestinal mucosa in the treated group were lower than those in the model control group (P<0.01). CONCLUSION: Danshen exerts protective effects on the intestinal mucosa of SAP and OJ rats perhaps by inhibiting apoptosis and down-regulating NF-κB protein.


Assuntos
Apoptose/efeitos dos fármacos , Medicamentos de Ervas Chinesas/farmacologia , Mucosa Intestinal/efeitos dos fármacos , Mucosa Intestinal/metabolismo , NF-kappa B/efeitos dos fármacos , NF-kappa B/metabolismo , Doença Aguda , Animais , Distribuição de Qui-Quadrado , Medicamentos de Ervas Chinesas/uso terapêutico , Enteropatias/etiologia , Enteropatias/prevenção & controle , Mucosa Intestinal/patologia , Icterícia Obstrutiva/complicações , Icterícia Obstrutiva/tratamento farmacológico , Icterícia Obstrutiva/metabolismo , Masculino , Pancreatite/complicações , Pancreatite/tratamento farmacológico , Pancreatite/metabolismo , Preparações de Plantas/farmacologia , Substâncias Protetoras/farmacologia , Ratos , Ratos Sprague-Dawley , Salvia miltiorrhiza , Estatísticas não Paramétricas , Fatores de Tempo , Proteína X Associada a bcl-2/metabolismo
8.
World J Gastroenterol ; 15(23): 2862-9, 2009 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-19533807

RESUMO

AIM: To observe the protective effect of Radix Astragali injection on immune organs (lymph nodes, spleen and thymus) of rats with obstructive jaundice (OJ) and its mechanism. METHODS: SD rats were randomly divided into sham-operation group, model control group and Radix Astragali treatment group. On days 7, 14, 21 and 28 after operation, mortality rate of rats, pathological changes in immune organs, expression levels of Bax and nuclear factor (NF)-kappaB p65 proteins, apoptosis indexes and serum tumor necrosis factor (TNF)-alpha level in spleen and thymus were observed, respectively. RESULTS: Compared to model control group, the number of dead OJ rats in Radix Astragali treatment group decreased (P > 0.05). The TNF-alpha level (27.62 +/- 12.61 vs 29.55 +/- 18.02, 24.61 +/- 9.09 vs 31.52 +/- 10.95) on days 7 and 21, the pathological severity score for spleen [0.0 (0.0) vs 0.0 (2.0) on days 7 and 14 and for lymph nodes [0.0 (1.0) vs 1.0 (2.0), 1.0 (0.0) vs 2.0 (1.0)] on days 21 and 28, the product staining intensity and positive rate of Bax protein in spleen [0.0 (0.0) vs 1.0 (2.0), 0.0 (1.0) vs 2.0 (1.5) and thymus [0.0 (0.0) vs 1.0 (2.0), 0.0 (1.0) vs 2.0 (1.5)] on days 14 and 28, the apoptotic indexes [0.0 (0.0) vs 0.0 (0.01)] in spleen and thymus [0.0 (0.0) vs 0.0 (0.01) on days 14 and 21 were significantly lower in Radix Astragali treatment group than in model control group (P < 0.05). CONCLUSION: Radix Astragali has protective effects on immune organs of OJ rats by relieving the pathological changes in immune organs, reducing TNF-alpha level and inhibiting Bax expression and apoptosis in spleen and thymus.


Assuntos
Astrágalo/química , Medicamentos de Ervas Chinesas/uso terapêutico , Icterícia Obstrutiva/tratamento farmacológico , Extratos Vegetais/uso terapêutico , Animais , Mucosa Intestinal/metabolismo , Icterícia Obstrutiva/patologia , Linfonodos/metabolismo , Linfonodos/patologia , Masculino , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Baço/metabolismo , Baço/patologia , Timo/metabolismo , Timo/patologia , Fator de Transcrição RelA/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Proteína X Associada a bcl-2/metabolismo
9.
J Zhejiang Univ Sci B ; 10(3): 193-202, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19283874

RESUMO

OBJECTIVE: To investigate the therapeutic effects and mechanisms of Salvia miltiorrhizae (Danshen) in the treatment of severe acute pancreatitis (SAP)- or obstructive jaundice (OJ)-induced heart injury. METHODS: A total of 288 rats were used for SAP- (n=108) and OJ-associated (n=180) experiments. The rats were randomly divided into sham-operated, model control, and Salvia miltiorrhizae-treated groups. According to the difference of time points after operation, SAP rats in each group were subdivided into 3, 6 and 12 h subgroups (n=12), whereas OJ rats were subdivided into 7, 14, 21, and 28 d subgroups (n=15). At the corresponding time points after operation, the mortality rates of the rats, the contents of endotoxin and phospholipase A2 (PLA2) in blood, and pathological changes of the hearts were investigated. RESULTS: The numbers of dead SAP and OJ rats in the treated groups declined as compared with those in the model control group, but not significantly (P>0.05). The contents of endotoxin (at 6 and 12 h in SAP rats and on 7, 14, 21, and 28 d in OJ rats, respectively) and PLA2 (at 6 and 12 h in SAP rats and on 28 d in OJ rats, respectively) in the treated group were significantly lower than those in the model control group (P<0.01 and P<0.001, respectively). Besides, myocardial pathological injuries were mitigated in SAP and OJ rats. CONCLUSION: In this study, we found that Salvia miltiorrhizae improved myocardial pathological changes, reduced the content of PLA2 in blood, and decreased the mortality rates of SAP and OJ rats, exerting protective effects on the hearts of the rats.


Assuntos
Traumatismos Cardíacos/tratamento farmacológico , Icterícia Obstrutiva/tratamento farmacológico , Pancreatite/tratamento farmacológico , Fitoterapia , Salvia/química , Animais , Endotoxinas/sangue , Traumatismos Cardíacos/sangue , Traumatismos Cardíacos/etiologia , Traumatismos Cardíacos/patologia , Icterícia Obstrutiva/sangue , Icterícia Obstrutiva/complicações , Masculino , Microscopia Eletrônica , Pancreatite/sangue , Pancreatite/complicações , Fosfolipases A2/metabolismo , Ratos , Ratos Sprague-Dawley , Taxa de Sobrevida
10.
Hepatobiliary Pancreat Dis Int ; 8(1): 85-92, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19208522

RESUMO

BACKGROUND: Severe acute pancreatitis (SAP) features fatal pathogenetic conditions and high mortality rate. The study of SAP complicated with multiple organ injuries is of important significance. In this study, we explored the protective effect of baicalin on multiple organs of SAP rats and compared it with that of octreotide through light and electron microscopic observations of the pathological changes. METHODS: The improved Aho method was used to prepare SAP rat models. These rats were then randomly divided into a sham-operated group (n=45), a model control group (n=45), baicalin-treated group (n=45) and octreotide-treated group (n=45). Based on the difference in time points after operation, these groups were subdivided into 3, 6 and 12 hour subgroups (n=15). At the corresponding time point after operation, the mortality rate of rats was recorded, and then the rats were humanely killed to take samples of multiple organs that were subsequently examined for pathological changes under light and electron microscopy. RESULTS: At 12 hours after operation, the mortality rate of rats in the baicalin- and octreotide-treated groups was lower than that in the model control group (P<0.05). Compared to the model control group, the pathological changes and pathological scores in the baicalin- and octreotide-treated groups were mitigated and relieved to varying degrees. The pathological changes under electron microscopy were also improved. CONCLUSIONS: Both baicalin and octreotide show good protective effects on multiple organs of SAP rats. Baicalin as a new drug has good prospects in the treatment of SAP.


Assuntos
Flavonoides/farmacologia , Insuficiência de Múltiplos Órgãos/tratamento farmacológico , Insuficiência de Múltiplos Órgãos/patologia , Octreotida/farmacologia , Pancreatite/tratamento farmacológico , Pancreatite/patologia , Doença Aguda , Animais , Anti-Inflamatórios não Esteroides/farmacologia , Fármacos Gastrointestinais/farmacologia , Mucosa Intestinal/patologia , Rim/patologia , Fígado/patologia , Pulmão/patologia , Linfonodos/patologia , Masculino , Medicina Tradicional Chinesa/métodos , Insuficiência de Múltiplos Órgãos/mortalidade , Pâncreas/patologia , Pancreatite/mortalidade , Ratos , Ratos Sprague-Dawley , Índice de Gravidade de Doença , Baço/patologia
11.
Zhonghua Wei Chang Wai Ke Za Zhi ; 10(6): 550-4, 2007 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-18000778

RESUMO

OBJECTIVE: To explore the effect of immune-enhanced enteral nutrition (IEN) together with recombined human growth hormone (rhGH) on patients after total gastrectomy. METHODS: Forty-eight patients after total gastrectomy were randomly divided into EN group (n=16), IEN group (n=16) and IEN+ rhGH(n=16) group. Nitrogen balance, nutritional status, immune function and lassitude degree were compared among 3 groups. RESULTS: IEN+rhGH group had better efficacy as compared to EN and IEN group in improving postoperative nutritional status, immune function, nitrogen balance and lassitude degree, and recovered to normal level after 7 days. All the indexes of IEN+rhGH group except CD8 were improved significantly on the 10th day after operation as compared to those of EN group[total protein(66.8 +/- 2.0)g/L vs (65.8 +/- 0.9)g/L, CD3(66.1 +/- 6.3)% vs (60.5 +/- 5.6)%, Christensen score (4.6 +/- 0.9) vs (6.3 +/- 0.9), all P<0.05]. CONCLUSION: Early application of IEN combined with rhGH plays an effective role in improving protein metabolism and immune function for patients after total gastrectomy in short period.


Assuntos
Nutrição Enteral/métodos , Hormônio do Crescimento Humano/uso terapêutico , Proteínas Recombinantes/uso terapêutico , Neoplasias Gástricas/terapia , Idoso , Emulsões Gordurosas Intravenosas , Feminino , Gastrectomia , Hormônio do Crescimento Humano/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Prospectivos , Proteínas Recombinantes/imunologia
12.
JOP ; 8(6): 704-14, 2007 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-17993723

RESUMO

This review summarizes the effects and mechanisms of traditional Chinese medicine and herb extracts in treating severe acute pancreatitis. Substances used in traditional Chinese medicine can inhibit pancreatic enzymes and improve microcirculation as well as immunoregulation by blocking the pathological progress of severe acute pancreatitis. Extracts of Chinese herbs not only act on the pancreas, stomach and intestine, but also have markedly therapeutic effects on other viscera damaged as a result of the systemic inflammatory response to acute pancreatitis. Therefore, the application of extracts of Chinese herbs for treating severe acute pancreatitis has significant clinical value and good prospects.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Medicina Tradicional Chinesa/métodos , Pancreatite/tratamento farmacológico , Doença Aguda , Humanos , Microcirculação , Pâncreas/enzimologia
13.
Hepatobiliary Pancreat Dis Int ; 6(5): 527-36, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17897919

RESUMO

BACKGROUND: The good therapeutic effects of large dose of dexamethasone on severe acute pancreatitis (SAP) patients have been proved. This study was designed to investigate the influence of dexamethasone on apoptosis of acinar cells in the pancreas of rats with SAP and the protein expression of the apoptosis-regulating genes Bax and Bcl-2. METHODS: Ninety Sprague-Dawley rats with SAP were randomly divided into a model group and a dexamethasone treated group (45 rats in each group), and another 45 rats formed the sham operation group. Survival rates were calculated and gross pathological changes in the pancreas of each group were observed under a light microscope 3, 6 and 12 hours after operation. Tissue microarray technology was applied to prepare pancreatic tissue sections. The changes in Bax and Bcl-2 protein expression levels of pancreatic tissues from each group were assessed by immunohistochemical staining, and TUNEL staining was used to evaluate changes in apoptosis index. RESULTS: The model and treated groups did not differ in mortality at each time point. The pathological score for the pancreas in the treated group was significantly lower than that in the model group at 3 and 6 hours. The positive rates of Bax protein expression in the head and tail of the pancreas in the treated group at all time points were all markedly higher than those of the model group. The positive rate of Bcl-2 protein expression in the head of the pancreas in the treated group was significantly higher than that of the model group at 3 hours. TUNEL staining showed that the pancreas head and tail apoptosis indices of the treated group were markedly higher than those of the model group after 6 hours. CONCLUSIONS: Apoptosis may be a protective response to pancreatic cell injury. The mechanism of action of dexamethasone in treating SAP may be related to the apoptosis of acinar cells in the pancreas induced by apoptosis-regulating genes such as Bax and Bcl-2. The advantages of tissue microarrays in pathological examination of the pancreas include saving of time and energy, efficiency and highly representative.


Assuntos
Apoptose/efeitos dos fármacos , Dexametasona/uso terapêutico , Glucocorticoides/uso terapêutico , Pancreatite Necrosante Aguda/patologia , Análise Serial de Tecidos/métodos , Animais , DNA/genética , Dexametasona/administração & dosagem , Modelos Animais de Doenças , Expressão Gênica/efeitos dos fármacos , Glucocorticoides/administração & dosagem , Marcação In Situ das Extremidades Cortadas , Masculino , Pancreatite Necrosante Aguda/tratamento farmacológico , Pancreatite Necrosante Aguda/metabolismo , Proteínas Proto-Oncogênicas c-bcl-2/biossíntese , Proteínas Proto-Oncogênicas c-bcl-2/genética , Ratos , Ratos Sprague-Dawley , Índice de Gravidade de Doença , Resultado do Tratamento , Proteína X Associada a bcl-2/biossíntese , Proteína X Associada a bcl-2/genética
14.
JOP ; 8(4): 400-12, 2007 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-17625291

RESUMO

CONTEXT: Pancreas, lung, kidney and liver injury has been proven to play an important role in severe acute pancreatitis. OBJECTIVE: To observe the protective effects of dexamethasone on multiple organs (pancreas, lung, kidney and liver) in rats with severe acute pancreatitis. ANIMALS: One hundred and thirty-five Sprague-Dawley rats. DESIGN: Ninety rats were prepared as severe acute pancreatitis models and were randomly divided into a control group and the dexamethasone treatment group (45 rats in each group). Another 45 rats were selected to be the sham operation group. Each group was randomly subdivided into 3 subgroups which were observed at 3, 6, and 12 h after surgery (15 rats in each subgroup). MAIN OUTCOME MEASURES: The survival, gross and pathological findings under the light microscope, and the pathological scores of multiple organs in each group were recorded. RESULTS: There was no significant difference in survival between the dexamethasone treatment group and the control group (P=0.494). The pancreas pathological score was significantly lower in the dexamethasone treatment group than in the control group at the various time intervals (overall: P<0.001; 3 h: P=0.019; 6 h: P=0.010, 12 h: P<0.001). The lung pathological score was significantly lower in the dexamethasone treatment group than in the control group at 6 and 12 h (P=0.023 and P<0.001, respectively). The kidney (P<0.001) and liver (P=0.009) pathological scores were also significantly lower in the overall dexamethasone treatment group than in the overall control group, but significant differences were found only in some time intervals (kidney: 6 and 12 h, P=0.006 and P=0.044, respectively; liver: 12 h, P=0.046). CONCLUSION: Intravenous injection of dexamethasone can alleviate pancreas, lung, kidney and liver injury of rats with severe acute pancreatitis and may have protective effects on multiple organ injury.


Assuntos
Dexametasona/farmacologia , Insuficiência de Múltiplos Órgãos/prevenção & controle , Pancreatite/patologia , Substâncias Protetoras/farmacologia , Doença Aguda , Animais , Dexametasona/uso terapêutico , Avaliação Pré-Clínica de Medicamentos , Rim/efeitos dos fármacos , Rim/patologia , Rim/ultraestrutura , Fígado/efeitos dos fármacos , Fígado/patologia , Fígado/ultraestrutura , Pulmão/efeitos dos fármacos , Pulmão/patologia , Pulmão/ultraestrutura , Masculino , Microscopia de Polarização , Insuficiência de Múltiplos Órgãos/mortalidade , Insuficiência de Múltiplos Órgãos/patologia , Pâncreas/efeitos dos fármacos , Pâncreas/patologia , Pâncreas/ultraestrutura , Pancreatite/complicações , Pancreatite/mortalidade , Placebos , Substâncias Protetoras/uso terapêutico , Ratos , Ratos Sprague-Dawley
15.
J Zhejiang Univ Sci B ; 8(2): 147-52, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17266191

RESUMO

Severe acute pancreatitis (SAP) is a common acute abdomen clinical problem characterized by high mortality, multiple complications, complicated pathogenesis and difficult treatment. Recent studies found traditional Chinese medicine (TCM) monomers have markedly good effect for treating SAP. Many TCM monomers can inhibit pancreatin, resist inflammation, improve microcirculation and immunoloregulation, etc. to block the pathological progress of SAP in multiple ways, reduce complications and lower mortality with rapid effects. It is significant for enhancing SAP treatment to deeply understand the current situation in TCM monomers for treating SAP and take precious references therein. This article summarizes the treating effects and mechanisms of TCM monomers for SAP in recent years.


Assuntos
Medicamentos de Ervas Chinesas/administração & dosagem , Medicina Tradicional Chinesa/tendências , Pancreatite Necrosante Aguda/tratamento farmacológico , Combinação de Medicamentos , Humanos , Resultado do Tratamento
16.
Chem Biodivers ; 4(1): 84-8, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17256737

RESUMO

A new taxoid metabolite with a new substitution pattern was isolated from the methanol extract of the seeds of Taxus mairei, and its structure was established as 5alpha,15-dihydroxy-7beta,9alpha-diacetoxy-11(15-->1)abeo-taxa-4(20),11-dien-13-one (1) on the basis of spectral analysis including (1)H- and (13)C-NMR, HMQC, HMBC, NOESY, and confirmed by HR-FAB mass spectrometry.


Assuntos
Extratos Vegetais/química , Sementes/química , Taxus/química , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Espectrometria de Massas de Bombardeamento Rápido de Átomos
17.
Zhonghua Yu Fang Yi Xue Za Zhi ; 40(5): 328-31, 2006 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-17166423

RESUMO

OBJECTIVE: To compare the effects of soy isoflavone with supplemental calcium to soy isoflavone or Ca alone on preservation of bone mineral density (BMD) and the expression of insulin-like growth factor (IGF)-I. METHODS: Sprague-Dawley (SD) female Rats, 6 months old, were ovariectomized and randomized into five groups: sham-operated group (n = 10) or ovx (n = 40) group. Shams were fed a 3.272 g/kg Ca diet. Ovx rats were randomized to a 3.272 g/kg Ca diet alone (OVX) or with soy isoflavone (SI) extract (37.95 mg/kg.bw) or to a supplemental Ca diet (Ca, 4.676 g/kg) alone or a supplemental Ca diet with the isoflavone extract (SI + Ca) for 12 weeks. BMD of femur was measured by scanner of bone mineral density. The level of IGF-1 mRNA expression was measured by reverse transcriptase-polymerase chain reaction (RT-PCR), respectively. RESULTS: There was no significant difference between group Sham (0.267 +/- 0.008) and group SI + Ca (0.263 +/- 0.007) g/cm(2) (P > 0.05) on femur BMD of distal end. Femur BMD of distal end in group Sham and group SI + Ca was greater (P < 0.05) as compared to group OVX (0.245 +/- 0.005) g/cm(2), SI (0.258 +/- 0.011) g/cm(2) or Ca (0.255 +/- 0.004) g/cm(2), P < 0.05. The liver tissue IGF-1 mRNA contents (IGF-1 cDNA/B-actin cDNA) were significantly decreased in group Sham (0.200 +/- 0.023) g/cm(2), SI (0.278 +/- 0.019) g/cm(2), Ca (0.302 +/- 0.026) g/cm(2) or SI + Ca (0.231 +/- 0.025) g/cm(2) as compared to group OVX (0.362 +/- 0.031) g/cm(2), P < 0.05; The liver tissue IGF-1 mRNA contents (IGF-1 cDNA/B-actin cDNA) were significantly decreased in group SI + Ca (0.231 +/- 0.025) g/cm(2) compared to group SI (0.278 +/- 0.019) g/cm(2) and Ca (0.302 +/- 0.026) g/cm(2), P < 0.05. CONCLUSIONS: Soy isoflavones combined with supplemental Ca are more protective against the loss of femur BMD than soy isoflavones or supplemental Ca diet alone. The dose of SI (37.95 mg/kg.bw) might significantly restrain the rising of the liver tissue IGF-1 mRNA contents caused by ovariectomy.


Assuntos
Densidade Óssea/efeitos dos fármacos , Cálcio da Dieta/farmacologia , Fator de Crescimento Insulin-Like I/biossíntese , Isoflavonas/farmacologia , Fígado/efeitos dos fármacos , Animais , Feminino , Fator de Crescimento Insulin-Like I/genética , Fígado/metabolismo , Ovariectomia , RNA Mensageiro/genética , Ratos , Ratos Sprague-Dawley , Glycine max
18.
Hepatobiliary Pancreat Dis Int ; 5(4): 501-4, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17085332

RESUMO

BACKGROUND: Acute pancreatitis (AP) is a common acute abdomen with high mortality, multiple complications and complicated causes. There is no effective therapy for AP. Radix salviae miltiorrhizae (Danshen), a traditional herbal medicine, has a low price and a wide range of clinical applications. It is effective to promote blood flow, eliminate stagnancy, and relieve pain. It is also found to be effective in treating AP. We reviewed the progress in research into the mechanism of Radix salviae miltiorrhizae in treatment of AP. DATA SOURCES: An English-language literature search was conducted using MEDLINE (1988-2005) on Radix salviae miltiorrhizae (Danshen) and acute pancreatitis. RESULTS: The mechanisms of Danshen in the treatment of AP include improvement of microcirculatory disturbances; elimination of oxygen free radicals; modulation of the metabolism of lipid inflammatory mediator; and blocking of calcium inflow and prevention of calcium overload. CONCLUSION: Danshen can effectively reduce the mortality and complications of AP.


Assuntos
Pâncreas/efeitos dos fármacos , Pancreatite/tratamento farmacológico , Fitoterapia , Extratos Vegetais/farmacologia , Salvia miltiorrhiza , Doença Aguda , Cálcio/metabolismo , Humanos , Mediadores da Inflamação/metabolismo , Microcirculação/efeitos dos fármacos , Pâncreas/irrigação sanguínea , Pâncreas/metabolismo , Pancreatite/metabolismo , Extratos Vegetais/uso terapêutico , Espécies Reativas de Oxigênio/metabolismo
19.
Biomed Environ Sci ; 17(1): 33-9, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15202862

RESUMO

OBJECTIVE: Elevation of reactive oxygen species (ROS), especially the level of superoxide is a key event in many forms of cardiovascular diseases. To study the mechanism of tea polyphenols against cardiovascular diseases, we observed the expressions of ROS-related enzymes in endothelial cells. METHODS: Tea polyphenols were co-incubated with bovine carotid artery endothelial cells (BCAECs) in vitro and intracellular NADPH oxidase subunits p22phox and p67phox, SOD-1, and catalase protein were detected using Western blot method. RESULTS: Tea polyphenols of 0.4 microg/mL and 4.0 microg/mL (from either green tea or black tea) down-regulated NADPH oxidase p22phox and p67phox expressions in a dose-negative manner (P < 0.05), and up-regulated the expressions of catalase (P < 0.05). CONCLUSIONS: Tea polyphenols regulate the enzymes involved in ROS production and elimination in endothelial cells, and may be beneficial to the prevention of endothelial cell dysfunction and the development of cardiovascular diseases.


Assuntos
Camellia sinensis/química , Células Endoteliais/enzimologia , Flavonoides/farmacologia , Fenóis/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Animais , Artérias Carótidas/citologia , Catalase/biossíntese , Bovinos , Células Cultivadas , Regulação para Baixo , Células Endoteliais/efeitos dos fármacos , Células Endoteliais/metabolismo , Flavonoides/isolamento & purificação , Proteínas de Membrana Transportadoras/biossíntese , NADPH Desidrogenase/biossíntese , NADPH Oxidases , Fenóis/isolamento & purificação , Fosfoproteínas/biossíntese , Polifenóis , Superóxido Dismutase/biossíntese , Superóxido Dismutase-1 , Regulação para Cima
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