| 活血止痛汤对硬膜外瘢痕中线粒体凋亡途径相关基因的影响 |
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投稿时间：2010-03-26
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| 期刊信息：《中国骨伤》2010年，第23卷，第10期，第776-779页 |
| DOI：10.3969/j.issn.1003-0034.2010.10.018 |
| 基金项目:浙江省中医药管理局科技项目(编号：2008CB057) |
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中文摘要:
目的：探讨中药活血止痛汤对硬膜外瘢痕中线粒体凋亡途径及Caspase-3,-9,Bax,Bcl-2相关基因表达水平的影响。
方法：雌性新西兰白兔60只(体重：2.5～3.0 kg)按随机数目表分成假手术组(A)、空白对照组(B)、透明质酸钠组(C)和活血止痛汤组(D,主要药物有当归20 g、赤芍20 g、红花20 g、乳香15 g、没药15 g等11味),每组15只。除A组外，其余各组手术切除L4,5椎板，造成1.0 cm×1.0 cm硬脊膜裸露区。C组于硬膜囊外均匀地涂上一层透明质酸钠约0.5 ml,B、D组以等量生理盐水处理，术后2周内D组予活血止痛汤(2.5 ml/kg,每日1次，连续14 d)灌胃。术后第2、4、8周末每组各处死5只，逆转录酶链反应(RT-PCR)测定其硬膜外瘢痕组织中Caspase-3,-9,Bax,Bcl-2的表达水平。
结果：RT-PCR检测发现各组Caspase-3,-9,Bax,Bcl-2的表达水平在各个时期均与A组存在统计学差异(P<0.01).第2、4、8周时，C组和D组Caspase-3,-9,Bcl-2的表达水平均明显低于B组(P<0.05),Bax则明显高于B组(P<0.05);在第8周时，D组Caspase-3,-9,Bax,Bcl-2的表达水平与C组亦有统计学意义(P<0.05).
结论：活血止痛汤通过调节Caspase-3,-9,Bax,Bcl-2的表达，可进一步诱导线粒体的凋亡通路，从而达到预防硬膜外瘢痕增生、粘连的效果。 |
| 【关键词】瘢痕 线粒体 基因 动物，实验 中草药 |
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| Effects of Huoxuezhitong recipe on the pathway of mitochondrial apoptosis and the expression of related gene in epidural scar tissue |
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ABSTRACT
Objective: To study the effect of Huoxuezhitong recipe on the pathway of mitochondrial apoptosis and the expression of related gene(Caspase-3,-9,Bax,Bcl-2) in epidural scar tissue.
Methods: A total of 60 New Zealand rabbits,ranging in weight from 2.5 to 3.0 kg,were randomly divided into sham operative group (group A),control group (group B),sodium hyaluronate group(group C),Huoxuezhitong recipe group(group D,included Danggui 20 g,Chishao 20 g,Honghua 20 g,Ruxiang 15 g,Myrrh 15 g etc.) with 15 rabbits in each group. Except for group A,L4,5 vertebral plate were resected leading to 1.0 cm×1.0 cm dura mater exposed area,which were covered with 0.5 ml sodium hyaluronate in group C,covered with same amount of saline in group B and D. At 2 weeks after operation,the rabbits of group D were administered with Huoxuezhitong recipe (2.5 ml/kg,once a day,continuous 14 d). Five rabbits of each group were selected randomly and were killed at 2,4 and 8 weeks after operation;and the expression of Caspase-3,-9,Bax,Bcl-2 in scar tissue were surveyed by semiquantitative reverse transcription-polymerase chain reaction(RT-PCR).
Results: The results by RT-PCR showed significant different in expressions of Caspase-3,-9,Bax,Bcl-2 of group A and others groups at each period(P<0.01). At 2,4,8 weeks after operation,compared with group B,the expressions of Caspase-3,-9,Bcl-2 in group C and D were decreased (P<0.05),but the expression of Bax in group C and D were increased(P<0.05). At 8 weeks after operation,the expressions of Caspase-3,-9,Bax,Bcl-2 in group D was significant decreased compared with group C(P<0.05).
Conclusion: Huoxuezhitong recipe can regulate the levels of expression of Caspase-3,-9,Bax,Bcl-2 mRNA and further induce the pathway of mitochondrial apoptosis,thereby,achieve the effect of prophylaxis for the proliferation and conglutination of epidural scar tissue. |
| KEY WORDS Cicatrix Mitochondria Genes Animals,laboratory Drugs,Chinese herbal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 范希玲,周辉,夏志敏,牛海鑫,罗均君.活血止痛汤对硬膜外瘢痕中线粒体凋亡途径相关基因的影响[J].中国骨伤,2010,23(10):776~779 |
| 英文格式: | FAN Xi-ling,ZHOU Hui,XIA Zhi-min,NIU Hai-xin,LUO Jun-jun.Effects of Huoxuezhitong recipe on the pathway of mitochondrial apoptosis and the expression of related gene in epidural scar tissue[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(10):776~779 |
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