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大黄与粉防己碱抗实验性肝纤维化的对照研究
引用本文:陈颖伟,卫新革,展玉涛,张文竹,徐芹芳,李定国.大黄与粉防己碱抗实验性肝纤维化的对照研究[J].中华消化杂志,2003,23(8):476-479.
作者姓名:陈颖伟  卫新革  展玉涛  张文竹  徐芹芳  李定国
作者单位:200092,上海第二医科大学新华医院消化科
摘    要:目的 研究大黄和粉防己碱(Tet)对大鼠实验性肝纤维化的影响并探讨其可能的作用机制。方法 四氯化碳皮下注射法制备大鼠肝纤维化模型,分别给予大黄和Tet灌胃。酶动力法测定肝功能,放免法测定细胞外基质(ECM),HE、VG染色检测肝组织病理形态学改变,随机抽取样本电镜下观察超微结构改变。结果 大黄与Tet均可改善肝纤维化时的肝功能状态,降低ECM含量,降低肝纤维化程度,以大剂量大黄和小剂量Tet效果最显著。结论 大黄与Tet可保护肝细胞,抑制ECM合成,具有防治实验性肝纤维化和肝硬化的作用。

关 键 词:大黄  粉防己碱  抗实验性肝纤维化  对照研究  中药
修稿时间:2002年8月22日

A comparative study on the anti-hepatofibrosis mechanism of rhubarb and tetrandrine
CHEN Ying-wei,WEI Xin-ge,ZHAN Yu-tao,et al..A comparative study on the anti-hepatofibrosis mechanism of rhubarb and tetrandrine[J].Chinese Journal of Digestion,2003,23(8):476-479.
Authors:CHEN Ying-wei  WEI Xin-ge  ZHAN Yu-tao  
Institution:CHEN Ying-wei,WEI Xin-ge,ZHAN Yu-tao,et al. Department of Gastroenterology,Xinhua Hospital,Shanghai Second Medical University,Shanghai 200092,China
Abstract:Objective To study the anti-hepatofibrotic effects of rhubarb and tetrandrine in experimental rat model, and to explore its possible mechanism. Methods The experimental hepatic fibrosis was induced by subcutaneous injection of CCl 4. The rhubarb and tetrandrine were administered through gastric tube respectively. The liver function test was performed by enzyme kinetics and the extracellular matrix (ECM) contents were determined by radioimmunoassay. The pathological changes of liver tissues were detected by HE and VG staining; meanwhile, ultra microstructural changes were observed by electron microscope in randomly selected samples. Results Both rhubarb and tetrandrine could improve the liver function in liver fibrosis, decrease the contents of ECM and reduce the degree of liver fibrosis, with the best results in rats receiving high dosage of rhubarb and low dosage of tetrandrine. Conclusions Rhubarb and tetrandrine could protect hepatocytes, inhibit the ECM synthesis, and thereby could prevent the development of liver fibrosis and cirrhosis in the experimental animal models.
Keywords:Rhubarb  Tetrandrine  Liver fibrosis
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