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截断逆挽方对慢加急性肝衰竭模型大鼠肝细胞增殖途径的影响 被引量:3
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作者 郝玉林 杨文龙 +4 位作者 侯伟欣 田甜 张秋云 高连印 杜宇琼 《中医药信息》 2018年第3期12-17,共6页
目的:观察"截断逆挽方"对慢加急性肝衰竭(Acute-on-Chronic Liver Failure,ACLF)大鼠肝组织中周期蛋白D1(Cyclin D1)、周期蛋白A(Cyclin A)、周期蛋白依赖激酶4(CDK4)、转录因子DP1表达的影响。探讨该方预防性干预ACLF大鼠肝... 目的:观察"截断逆挽方"对慢加急性肝衰竭(Acute-on-Chronic Liver Failure,ACLF)大鼠肝组织中周期蛋白D1(Cyclin D1)、周期蛋白A(Cyclin A)、周期蛋白依赖激酶4(CDK4)、转录因子DP1表达的影响。探讨该方预防性干预ACLF大鼠肝细胞增殖途径的作用机制。方法:SPF级Wistar雄性大鼠150只,随机分为正常对照组、模型组和截断逆挽方组,给予人血清白蛋白免疫诱导大鼠形成肝硬化模型,再联合D-氨基半乳糖(D-Gal N)与脂多糖(LPS)急性攻击,建立ACLF大鼠模型。截断逆挽方组在急性攻击前给予截断逆挽方连续灌胃3天。各组大鼠分别在急性攻击后4、8、12 h取材。蛋白质印迹法(Western Blot)检测DP1蛋白表达量,实时荧光定量qRT(Quantitative Real-Time,qRT)PCR法检测肝组织中CyclinD1、CyclinA、CDK4 mRNA的含量。结果:与正常组相比,模型4 h组CyclinD1、CyclinA、CDK4及DP1表达量升高(P<0.05);8 h、12 h随着时间的推移表达量逐渐降低。与对应时间点模型组相比,截断逆挽方4 h组CyclinD1、CyclinA、CDK4及DP1表达量无明显差异,8h CyclinD1、CyclinA、CDK4及DP1表达量有升高趋势,12 h组CyclinD1、CyclinA、CDK4及DP1表达量较模型组明显升高(P<0.01)。结论:截断逆挽方可能通过调节E2F1信号通路中CyclinD1、CyclinA、CDK4及DP1的表达量,促进了肝细胞的代偿性增殖,从而改善肝细胞的大面积坏死,抑制肝衰竭的发展。 展开更多
关键词 慢加急性肝衰竭 截断逆挽方 细胞增殖 E2F1信号通路
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特发性肺纤维化的中医药治法初探
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作者 刘欣妍 高连印 《继续医学教育》 2020年第8期153-154,共2页
特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)作为临床最常见的一种特发性间质性肺疾病,由于其病因和发病机制仍在不断探究中,现代医学暂无特异性治疗药物,而中医药在治疗本病时体现出独特优势,可缓解患者临床症状、延缓疾病进... 特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)作为临床最常见的一种特发性间质性肺疾病,由于其病因和发病机制仍在不断探究中,现代医学暂无特异性治疗药物,而中医药在治疗本病时体现出独特优势,可缓解患者临床症状、延缓疾病进程等。因此,临床中掌握中医药治疗IPF的思路与方法尤为重要。文章指出IPF应归属中医"肺痿"范畴,并结合中医治疗机理、名医经验及临床、实验研究,从宏观临床疗效和微观作用机制两层面综述近年中医药治疗IPF的进展,总结出扶正、扶正祛邪兼顾两大治则,分述温肺扶阳法、气津双补法、益气健脾法、补肾纳气法、祛痰下气法、益气活血法六种治法,以期为IPF的中医药防治和研究等提供参考依据。 展开更多
关键词 特发性肺纤维化 中医药 治法 治则 扶正 病名
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大思政背景下《伤寒论选读》课程育人价值及实现路径探讨
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作者 郑亚琳 高连印 安甜 《首都食品与医药》 2024年第11期9-12,共4页
中医经典理论课教学应积极响应党的号召,推动课程思政教育的常态化。《伤寒论选读》是中医经典理论课程中最重要的课程之一。该课程不仅充满了中医思辨的哲理与规矩准绳,而且富含德育内容,具有以德育人的丰富内涵。此文从大思政教育理... 中医经典理论课教学应积极响应党的号召,推动课程思政教育的常态化。《伤寒论选读》是中医经典理论课程中最重要的课程之一。该课程不仅充满了中医思辨的哲理与规矩准绳,而且富含德育内容,具有以德育人的丰富内涵。此文从大思政教育理念出发,探讨《伤寒论》的育人价值及其实现路径。首先,通过分析《伤寒论》的历史背景、文化内涵以及对于治学方法的贡献,揭示其在培养学生的人文素质、思辨能力和治学态度等方面的重要作用;其次,结合现代教育理念,探讨该课程思政教学的方式方法,在教师备课、课堂理论课、实践讨论课等各个环节贯穿思政教育,实现专业课程的智育、德育“两手抓”“两手硬”;最后,通过问卷星调查问卷调研并分析五年制中医学本科生对《伤寒论》课程的教学反馈,为该课程思政教学模式的改革提供依据。 展开更多
关键词 《伤寒论选读》 中医经典理论 育人价值 课程思政 德育 教学方法
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王融冰“调肠治肝”治疗慢性重型肝炎内毒素血症学术思想探讨 被引量:1
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作者 李爱红 赵梦培 +2 位作者 曹吴冰 高连印 王融冰 《湖北中医药大学学报》 2020年第6期105-108,共4页
中医肝病专家王融冰教授依据中医"肝与大肠相通"理论,结合临床多年对慢性重症肝炎症候学的研究,认为慢性重症肝炎至内毒素血症阶段为本虚标实之证,本为肝肾阴虚,标为浊毒泛溢,因此可通过"调肠治肝"治疗本证。"... 中医肝病专家王融冰教授依据中医"肝与大肠相通"理论,结合临床多年对慢性重症肝炎症候学的研究,认为慢性重症肝炎至内毒素血症阶段为本虚标实之证,本为肝肾阴虚,标为浊毒泛溢,因此可通过"调肠治肝"治疗本证。"调肠治肝"为中医药治疗慢性重型肝炎提供了新的思路。 展开更多
关键词 慢性重型肝炎 调肠治肝 王融冰 名医经验
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Efficacy of decoction from Jieduan Niwan formula on rat model of acute-on-chronic liver failure induced by porcine serum 被引量:3
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作者 Li Jinxia Zhang Qiuyun +2 位作者 gao lianyin Du Yuqiong Chen Yu 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2020年第4期602-612,共11页
OBJECTIVE:To dynamically observe the efficacy of Jieduan Niwan formula(JDNW)on a rat model of acute-on-chronic liver failure(ACLF).METHODS:Seventy Wistar rats were divided into control group(6 rats),model group(22 rat... OBJECTIVE:To dynamically observe the efficacy of Jieduan Niwan formula(JDNW)on a rat model of acute-on-chronic liver failure(ACLF).METHODS:Seventy Wistar rats were divided into control group(6 rats),model group(22 rats),JDNW group(21 rats),and SP600125 group(21 rats).13 weeks'porcine serum injection followed with D-galactosamine and lipopolysaccharide joint acute attack was used to establish ACLF model.Rats in JDNW group were orally given JDNW formula for 3 days before acute attack;rats in SP600125 group were injected with SP60012530 min ahead of acute attack.Rats were sacrificed respectively at 4,8 and 12 h after model established.Alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bilirubin(TBIL),Creatinine(CR),blood urea nitrogen(BUN),prothrombin activity(PTA)were examined by biochemical process,Tumor necrosis factor-alpha(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6),interleukin-10(IL-10),transformed growth factor-beta 1(TGF-β1),High mobility group box-1(HMGB-1),CD3,CD4,CD8 were analyzed by enzyme-linked immunosorbent assay,apoptotic index(AI)was detected by terminal-deoxynucleoitidyl transferase mediated nick end labeling staining,expression of Bad,phosphorylated Jun N-terminal kinases(p-JNK)and Cytochrome C(Cyt C)were detected by immunohistochemical analysis,Bax and Bid were detected by Western blot analysis.RESULTS:In model group,the levels of ALT,AST,TBIL,CR,BUN,IL-1β,IL-6,IL-10,TGF-β1 and HMGB-1 remarkably increased and PTA decreased compared with control group(P<0.05),as time goes on,ALT,AST,TBIL,CR,BUN,continued to grow,while IL-1β,IL-6,IL-10,HMGB-1,TGF-β1 and PTA gradually decreased;massive necrosis could be seen;the levels of TNF-α,CD3,CD4,CD8,AI,p-JNK,Bax,Bad,Bid and Cyt C increased at 4 h and peaked at 8 h,but decreased at 12 h(P<0.05).JDNW group,by contrast,showed less pathological injury,increased PTA level,and reduced ALT,AST,TBIL,TNF-α,IL-1β,IL-6,IL-10,TGF-β1,HMGB-1,CD3,CD4 and CD8 levels(P<0.05),moreover,the AI and expression of p-JNK,Bax,Bad,Bid and Cyt C were lower than model group at 4 and 8 h but were higher at 12 h(P<0.05).Similar results were observed in SP600125 group.CONCLUSION:An ACLF rat model with low mortality can be established by porcine serum joint with D-galactosamine+lipopolysaccharide induction;JDNW decoction can effectively suppress the inflammatory reaction,improve the immune system,and protect the liver of ACLF rats,the mechanism might involve the inhibition of the JNK-induced mitochondrial apoptotic pathway. 展开更多
关键词 Acute-on-chronic liver failure JNK mitogen-activated protein kinases APOPTOSIS Jieduan Niwan formula
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Lipopolysaccharide/Toll-like receptor 4 signaling pathway involved Qingdu decoction treating severe liver injury merging with endotoxemia
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作者 Cao Wubing Du Yuqiong +5 位作者 gao lianyin Che Niancong Zhang Qiuyun Fu Xiuwen Luo Jiajia Wang Rongbing 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2017年第3期371-377,共7页
OBJECTIVE: To investigate the protective effects and underlying mechanism of Qingdu decoction(QDD) on experimental rats with severe liver injury induced by thioacetamide(TAA).METHODS: A total of 40 Wistar rats were ra... OBJECTIVE: To investigate the protective effects and underlying mechanism of Qingdu decoction(QDD) on experimental rats with severe liver injury induced by thioacetamide(TAA).METHODS: A total of 40 Wistar rats were randomly divided into normal group(n = 10) and experimental group(n = 30). Rats were administrated the same content of saline in normal group. The rats inthe experimental group were pretreated with TAA at dose of 12 mg/kg lasting 8 weeks, and from 9th week to 12 th week, with TAA at concentration of 36mg/kg. During the 9th week to 12 th week period,the rats were randomly divided into three subgroups(n = 10 each) simultaneously based on the treatment categories: model group, lactulose(LA,3.5 m L/kg) group and QDD(5.95 g/kg) group, orally once per day respectively. At the 12 th week, the content of serum alanine transaminase(ALT), aspartate transaminase(AST), total bilirubin(TBIL), endotoxin(ET) and tumor necrosis factor α(TNF-α) was detected by automatic biochemical analyzer. The plasma prothrombin time(PT), prothrombin time-international normalized ratio(PTR) and prothrombin time activity(PTA) were measured by automatic coagulation analyzer. The level of lipopolysaccharide(LPS)-binding protein(LBP), cluster differentiation 14(CD14) and Toll-like receptor 4(TLR4) expressions was measured by both western blot(WB) and real-time polymerase chain reaction(real-time PCR).RESULTS: Compared with the model group, hepatic morphology in the QDD group was improved under light microscope and transmission electron microscope; at the same time, the contents of serum ALT, AST, TBIL, ET and TNF-α, and level of LBP, CD14 and TLR4 expressions in liver tissues were significantly decreased compared with the model group(P < 0.05), while PTA in the QDD group was enhanced(P < 0.05).CONCLUSION: QDD has the functional effect on improving the injured liver through inhibiting the LPS/TLR4 signaling pathway thus decreasing the level of the inflammatory medicators. 展开更多
关键词 THIOACETAMIDE Lipopolysaccharides Antigens CD14 Toll-like receptor 4 Endotoxin
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