白虎加桂枝汤对急性痛风性关节炎大鼠关节肿胀度及炎症因子影响的研究
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R285.5

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佛山市医学类科技攻关项目(2017AB003873)


Baihu Jia Guizhi Tang Has Effect on Degree of Joint Swelling and Inflammatory Factors in Rats with Acute Gouty Arthritis
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    摘要:

    目的:观察白虎加桂枝汤对尿酸盐结晶诱导的急性痛风性关节炎(AGA)大鼠模型关节肿胀度及炎症细胞因子的影响并探讨其作用机制。方法:将 32 只 Wistar 大鼠随机分为对照组、模型组、秋水仙碱组、白虎加桂枝汤组,每组 8 只。除对照组外,其它 3 组采用踝关节注射尿酸钠晶体溶液的方法诱导 AGA 模型。模型制备成功后,秋水仙碱组、白虎加桂枝汤组分别灌胃秋水仙碱混悬液、白虎加桂枝汤治疗,对照组和模型组灌胃等量生理盐水。测量各时间点大鼠右踝关节直径,测定关节软组织白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、环氧化酶-2(COX-2)及一氧化氮(NO)的表达水平。结果:与对照组比较,模型组大鼠右踝关节直径及关节软组织 TNF-α、IL-1β、COX-2、NO 表达水平均明显升高 (P<0.05)。与模型组比较,秋水仙碱组及白虎加桂枝汤组大鼠右足踝关节直径及关节软组织 TNF-α、IL-1β、COX-2、NO 表达水平明显下降 (P<0.05)。白虎加桂枝汤组与秋水仙碱组以上各指标比较,差异无统计学意义(P>0.05)。结论:白虎加桂枝汤可明显改善 AGA 大鼠关节肿胀,抑制炎症因子 IL-1β、TNF-α、COX-2、NO 的表达,减轻炎症反应。

    Abstract:

    Abstract: Objective: To observe the effect of Baihu Jia Guizhi tang on degree of joint swelling and inflammatory cytokines in the rat models with acute gouty arthritis (AGA) induced by urate crystal, and to discuss its mechanism. Methods:A total of 32 Wistar rats were randomly divided into the control group,the model group,the colchicine group, and the group of Baihu Jia Guizhi tang,8 rats in each group. Except those in the control group,rats in the other three groups were given the injection of urate crystal into the ankle joint to induce the AGA model. After successful model establishment, the colchicine group was given gastric perfusion with colchicine suspension;the group of Baihu Jia Guizhi tang was given gastric perfusion with Baihu Jia Guizhi tang;the control group and the model group were given gastric perfusion with normal saline of same volume. The diameter of right ankle joint of rats was measured at each time point. The expression levels of interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α),cyclooxygenase-2(COX-2),and nitric oxide(NO) in soft tissue of joint were detected. Results: When compared with those in the control group, the diameter of right ankle joint and the expression levels of TNF-α,IL-1β,COX-2,and NO in soft tissue of joint in the model group were significantly increased (P<0.05). When compared with those in the model group, the diameter of right ankle joint and the expression levels of TNF-α,IL-1β,COX-2,and NO in soft tissue of joint in the colchicine group and the group of Baihu Jia Guizhi tang were significantly decreased(P<0.05); there was no significant difference being found in the comparison of each index above between the group of Baihu Jia Guizhi tang and the colchicine group(P>0.05). Conclusion: Baihu Jia Guizhi tang can significantly relieve joint swelling of AGA rats and inflammatory response,and inhibit the expression of inflammatory factors, namely,IL-1β,TNF-α,COX-2,and NO.

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周建华,张雷,黄豪杰,李沛兴,杨鸿川,胡锐明.白虎加桂枝汤对急性痛风性关节炎大鼠关节肿胀度及炎症因子影响的研究[J].新中医,2020,52(24):18-20

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  • 在线发布日期: 2020-12-22
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