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金骨莲胶囊治疗大鼠类风湿性关节炎的作用及其机制研究
引用本文:方兴刚,陈汉玉,陈曾凤,汪嫚,兰培敏.金骨莲胶囊治疗大鼠类风湿性关节炎的作用及其机制研究[J].临床和实验医学杂志,2020,19(2):132-136.
作者姓名:方兴刚  陈汉玉  陈曾凤  汪嫚  兰培敏
作者单位:湖北省十堰市太和医院(湖北医药学院附属医院)慢性病中心 湖北十堰 442000;湖北省十堰市太和医院(湖北医药学院附属医院)儿童医疗中心 湖北十堰 442000
摘    要:目的探讨金骨莲胶囊对大鼠类风湿性关节炎的治疗作用及相关机制。方法将60只大鼠随机分为6组,10只作为正常对照组,其余50只通过皮下注射Freund’s完全佐剂建立类风湿性关节炎大鼠模型。造模成功后随机分为五组,对照组不给于任何干预,另外四组分别给予塞来昔布、金骨莲胶囊(低剂量组,每次1粒,3次/d)、金骨莲胶囊(中剂量组,每次2粒,3次/d)以及金骨莲胶囊(高剂量组,每次3粒,3次/d)。观察各组大鼠给药后1 h与给药后7 d足关节肿胀度,给药后7 d血清白介素-17(IL-17)、白介素-23(IL-23)和肿瘤坏死因子-α(TNF-α)含量的变化;HE染色观察局部组织情况变化并应用关节组织病理学评分进行比较。结果给药后1 h与给药后7 d,模型组的足趾肿胀度高于正常对照组(P<0.05);与模型组比较,塞来昔布组、金骨莲胶囊组均可以明显减轻RA大鼠足关节肿胀度,差异有统计学意义(P<0.05),金骨莲胶囊组的作用呈剂量依赖性(P<0.05)。末次给药后7 d,与正常对照组比较,模型组大鼠血清IL-17、IL-35、TNF-α水平以及关节组织病理学评分均明显升高,差异有统计学意义(P<0.05)。与模型组比较,塞来昔布组以及金骨莲胶囊组的IL-17、IL-35、TNF-α以及关节组织病理学评分均明显降低,差异有统计学意义(P<0.05),金骨莲胶囊组的作用呈剂量依赖性(P<0.05)。结论金骨莲胶囊具有较好的治疗类风湿性关节炎作用,并且作用呈剂量依赖性,其作用机制可能与降低炎性因子的释放有关。

关 键 词:大鼠  类风湿性关节炎  金骨莲胶囊  白介素-17  白介素-23  肿瘤坏死因子-α

Effects of Jingulian capsule on the rheumatoid arthritis in rats and its mechanism
Institution:(Chronic Disease Rehabilitation Center,Affiliated Hospital of Hubei Medical College,Shiyan Hubei 442000,China;Department of Pediatrics,Taihe Hospital of Shiyan,Affiliated Hospital of Hubei Medical College,Shiyan Hubei 442000,China)
Abstract:Objective To study the effects and mechanism of Jingulian Capsule on the rheumatoid arthritis in rats.Methods Sixty rats were randomly divided into 6 groups,10 for normal control group and the remaining 50 for establishing rheumatoid arthritis rat model by subcutaneous injection of Freund’s complete adjuvant.After successful modeling,they were randomly divided into five groups:model control group(with no intervention),celecoxib group,low dose Jinlinglian capsule group(1 capsule each time,3 times a day),medium dose Jinlinglian capsule group(2 capsules each time,3 times a day)and high dose Jingulian capsule group(3 capsules each time,3 times a day).The degree of swelling of the rat toe joints was observed at 1 h and 7 d after administration.Serum interleukin-17(IL-17),interleukin-23(IL-23)and tumor necrosis factor-αwere detected 7 days after administration.The changes of the local tissues were observed and compared by joint histopathological scores.Results At 1 h and 7 d after drug administration,the degree of toe joints swelling in the model groups were significantly higher than that in the normal control group(P<0.05).Compared with the model control group,the degree of toe joints swelling in the celecoxib group and the Jingulian capsule group were significantly relieved,in a dose-dependent manner for Jinlinglian capsules(P<0.05).At 7 days after the last administration,serum IL-17,IL-35,TNF-αlevels and joint histopathology scores in the model groups were significantly higher than those in the normal control group(P<0.05).Compared with the model control group,IL-17,IL-35,TNF-αand joint histopathology scores in the celecoxib group and the Jingulian capsule groups were significantly lower(P<0.05),in a dose-dependent manner for Jinlinglian capsules(P<0.05).Conclusion Jingulian Capsule has a good therapeutic effect on rheumatoid arthritis in a dose-dependent manner.The mechanism may be related to the reduction of inflammatory cytokines release.
Keywords:Rats  Rheumatoid arthritis  Jingulian Capsule  Interleukin-17  Interleukin-23  TNF-α
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