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β-内啡肽、环氧化酶-2与多巴胺受体D2对右向左分流偏头痛患者焦虑状况的预测价值
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作者 郑瑶 贾琳楠 +5 位作者 王智慧 曲海丽 丁鉴 王宝月 王平 邢文静 《国际医药卫生导报》 2025年第2期284-288,共5页
目的探究β-内啡肽(β-EP)、环氧化酶-2(COX-2)、多巴胺受体D2(DRD2)对右向左分流(RLS)偏头痛患者焦虑状况的预测价值。方法本研究采用回顾性分析,选取2023年3月至2024年3月吉林省一汽总医院收治的300例RLS偏头痛患者(RLS组),其中男171... 目的探究β-内啡肽(β-EP)、环氧化酶-2(COX-2)、多巴胺受体D2(DRD2)对右向左分流(RLS)偏头痛患者焦虑状况的预测价值。方法本研究采用回顾性分析,选取2023年3月至2024年3月吉林省一汽总医院收治的300例RLS偏头痛患者(RLS组),其中男171例,女129例,年龄范围23~58岁,病程范围1~9年。根据头痛分级分为少量、中量、大量RLS偏头痛,分别144例、99例、57例;根据汉密尔顿焦虑量表(HAMA)评分分为焦虑组(96例)与非焦虑组(204例)。另选取50例同期健康体检人员作为对照(对照组),其中男28例、女22例,年龄范围24~54岁。比较各组β-EP、COX-2及DRD2水平,利用Pearson分析相关指标的相关性,构建受试者操作特征曲线(ROC),分析各指标在RLS偏头痛患者发生焦虑状况中的预测效能,采用t检验、方差分析、χ^(2)检验进行统计分析。结果RLS组β-EP为(83.30±11.60)ng/L、COX-2为(1639.90±206.18)ng/L、DRD2为(1375.63±164.57)ng/L,对照组分别为(146.85±23.31)ng/L、(834.91±95.69)ng/L、(2911.35±332.23)ng/L,两组比较差异均有统计学意义(均P<0.05)。少量、中量、大量RLS偏头痛组的β-EP、COX-2、DRD2水平比较[(91.58±10.24)ng/L比(79.67±9.14)ng/L比(68.68±7.72)ng/L、(1462.35±155.24)ng/L比(1762.28±181.59)ng/L比(1875.90±193.22)ng/L、(1538.40±164.81)ng/L比(1289.59±138.57)ng/L比(1113.85±127.65)ng/L],差异均有统计学意义(均P<0.05)。焦虑组β-EP为(63.25±7.56)ng/L、DRD2为(1175.68±131.71)ng/L,均低于非焦虑组[(92.73±10.67)ng/L、(1469.72±163.11)ng/L],COX-2为(1852.52±193.28)ng/L,高于非焦虑组的(1539.84±171.66)ng/L,两组比较差异均有统计学意义(均P<0.05)。Pearson显示,RLS偏头痛患者的β-EP、DRD2与HAMA评分呈负相关(r=-0.696、-0.534,均P<0.001),COX-2水平与HAMA评分呈正相关(r=0.557,P<0.001)。ROC结果表明,β-EP、COX-2、DRD2联合预测的曲线下面积(AUC)值(0.976)、灵敏度(97.9%)、特异度(97.5%)均高于β-EP(0.943、94.8%、90.7%)、COX-2(0.852、68.8%、89.2%)、DRD2(0.897、81.2%、87.3%)单独预测。结论β-EP、COX-2及DRD2对RLS偏头痛患者焦虑状况有着良好的预测价值。 展开更多
关键词 Β-内啡肽 环氧化酶-2 多巴胺受体D2 右向左分流 偏头痛 焦虑
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Function and regulation of cholecystokinin-octapeptide, β-endorphin and gastrin in anorexic infantile rats treated with ErBao Granules 被引量:14
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作者 Yong Ping Du1 Yue Ping Zhang2 +2 位作者 Shou Chuan Wang3 Jian Shi1 Shao Hua Wu1,1.Department of Traditional Chinese Medicine. Xijing Hospital, theFourth Military Medical University. Xi an 7101132, Shaanxi Province,China 2.Department of Pediatrics. Xijing Hospital, the Fourth Military MedicalUniversity. Xi’an 710032. Shaanxi Province. China 3.Department of Pediatrics. Nanjing University of Traditional ChineseMedicine, Nanjing71011?l, Jiangsu Province. China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第2期275-280,共6页
AIM To study the role of cholecystokinin- octapeptide (CCK-8). β-endorphin (β-EP). and gastrin in an anorexic infantile rat model and no subsequent regulation of nose peptides by the Yunpi complex prescription Er... AIM To study the role of cholecystokinin- octapeptide (CCK-8). β-endorphin (β-EP). and gastrin in an anorexic infantile rat model and no subsequent regulation of nose peptides by the Yunpi complex prescription ErBao Granule. METHODS We fed infantile rats with special prepared forage. A liquid extract of ErBao Granule was administered to the rats daily for 3 weeks, CCK-8, β-EP, and gastrin concentrations in hypothalamus, gastric antrum, and plasma of the rats were measured by radioimmunoassay, and were compared with controls. RESULTS Treatment of rats with ErBao Granule inhibited CCK-8 secretion and increased β-EP and gastrin secretion. CCK-8 concentration in hypothalamus and plasma of model control group increased significantly and correlated negatively with food intake of models, respectively. β-EP concentration in gastric antrum and plasma of model control group decreased significantly and showed a positive correlation with food intake of models, respectively. Hypothalamus concentration of β -EP was similar in models and controls. Gastrin concentration in gastric antrum of models was lower than in the blank control group, and correlated positively to food intake of models. Finally, CCK-8 concentrations in plasma of rats showed a positive correlation with plasma β-EP (r=-0.68, P<0.05). CONCLUSION The increased plasma and hypothalamus concentration of CCK-8, decreased gastric antrum and plasma level of β -EP, and decreased gastric antrum concentration of gastric are associated significantly with the anorexia of infantile anorexic rat models produced by special forage. ErBao Granule can reverse these changes, which may be the major mechanisms of ErBao Granule simulating feeding. 展开更多
关键词 anorexia/infancy and childhood SINCALIDE ENDORPHINS hypothalamus feeding and eating disorders of childhood GASTRINS
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Changes in beta-endorphin neuron numbers and serum hormone levels in the arcuate nucleus of ovariectomized rats undergoing treadmill exercise
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作者 Weijie Zhang Xiyi Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第11期1208-1211,共4页
BACKGROUND: The arcuate nucleus, when damaged in young rats, can lead to pathological changes in adults, such as osteoporosis. Ovariectomized rats suffer from osteoporosis at eight weeks following surgery and the num... BACKGROUND: The arcuate nucleus, when damaged in young rats, can lead to pathological changes in adults, such as osteoporosis. Ovariectomized rats suffer from osteoporosis at eight weeks following surgery and the number of β -endorphin immunoreactive neurons in the arcuate nucleus of the hypothalamus is significantly decreased. OBJECTIVE: To establish a rat model of osteoporosis using ovariectomy and to explore changes in the number of β-endorphin neurons and to correlate any such change with serum hormone levels in response to exercise or rest. DESIGN, TIME AND SETTING: The completely randomized block design, neural morphology study was performed at the Key Laboratory of Physiology, Guangdong Medical College, China between March 2004 and January 2005. MATERIALS: Sixteen healthy female rats were selected for ovariectomy. METHODS: Following model establishment, rats were assigned to either rest or exercise groups and each rat was housed individually. Rats in the exercise group underwent an exercise regimen using a treadmill. MAIN OUTCOME MEASURES: Eight weeks following exercise, radioimmunoassay was performed to detect serum growth hormone, estrogen and osteocalcin levels. Immunohistochemistry was used to measure changes in the number of β -endorphin neurons in the arcuate nucleus of the hypothalamus. Changes in bone metabolism were assessed using bone histomorphometry. RESULTS: In the exercise group, the β -endorphin immunoreactive neurons were high in number, darkly stained, and the nucleus was not obvious. In the rest group, the β -endorphin immunoreactive neurons were low in number and lightly stained. The number of β-endorphin immunoreactive neurons in the exercise group was higher compared with the rest group (t = 2.83, P 〈 0.05). Estrogen levels were similar between the rest and exercise groups (P 〉 0.05). Serum osteocalcin and growth hormone levels were significantly higher in the exercise group compared with the rest group (t = 2.78, 2.32, P 〈 0.05). Compared with the rest group, the percentage of trabecular bone area, trabecular thickness, and trabecular number were significantly increased, but trabecular separation was significantly reduced (t=2.48, 2.57, 2.32, 3.06, P 〈 0.05) in the exercise group. In the exercise group, the trabeculae of the tibia were arranged regularly and were high in number. In the rest group, the trabeculae of the tibia were organized in a disorderly manner and were low in number, with many fat particles. CONCLUSION: Exercise promotes bone growth and delays osteoporosis by inducing an increase in the number of β-endorphin immunoreactive neurons in the arcuate nucleus of the hypothalamus and by increasing serum growth hormone and osteocalcin levels. 展开更多
关键词 EXERCISE arcuate nucleus β-endorphin immunoreactive neurons OVARIECTOMY OSTEOPOROSIS
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Effects of plasma β-endorphin on hemorrhagic shock in acute hypoxic rats
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作者 高京生 田景亮 刘燕 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期169-172,共4页
Forty rots were randomized into 2 groups and naloxone or saline were injected to therats after they were inflicted with hemorrhagic shock at sea level and at a simulated altitude of4000m respectively to observe the ef... Forty rots were randomized into 2 groups and naloxone or saline were injected to therats after they were inflicted with hemorrhagic shock at sea level and at a simulated altitude of4000m respectively to observe the effects of naloxone on left ventricular systolic pressure(LVSP),left ventricular diastolic pressure(LVDP),the maximal changing rate of LVSP(dp/dt max),heartrate(HR),and survival time of the animals.Plasma β-endorphin(β-EP)was determined beforeand after hemorrhage to observe the relationship between β-EP and hemorrhagic shock.It wasfound that the circulatory parameters of hemorrhagic shock changed more markedly at high alti-tude than at sea level,naloxone could restore these parameters and prolong the survival time inboth the animals of the sea level and high altitude groups,and plasma β-EP level was elevatedafter hemorrhage especially in those animals at high altitude.These findings indicate:(1)Hemorrhagic shock at high altitude is usually accompanied with severe clinical manifestations,rapid progression,and high mortality.(2)β-EP seems to participate in the pathologicalmanifestafions of hemorrhagic shock at high altitude,and its depressive action on myocardialcontraction may be one of the factors inducing hemorrhagic shock.(3)Naloxone possesses defi-nite property to comet hemorrhagic shock at high altitude. 展开更多
关键词 HEMORRHAGIC shock ALTITUDE survival NALOXONE Β-endorphin animal RATS
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Changes of Immunoreactive β-Endorphin in Plasma, Pituitary and Hypothalamus of Rats during Oxygen-Induced Convulsions
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作者 陶恒沂 倪国坛 《Journal of Medical Colleges of PLA(China)》 CAS 1989年第1期85-89,共5页
We observed for the first time the differences of immunoreactive β-endorphin(IR -β- EP) content in plasma, pituitary and hypothalamus of rats under various conditionsusing radioimmunoassay (RIA) and the effects of n... We observed for the first time the differences of immunoreactive β-endorphin(IR -β- EP) content in plasma, pituitary and hypothalamus of rats under various conditionsusing radioimmunoassay (RIA) and the effects of naloxone and β - endorphin (β- EP) antiserumon initial time of convulsions (ITC), severity of convulsions(SOC) and mortality on surface(MOS) of rats to hyperbaric oxygen(HBO). The results suggest thatβ- EP may partici-pate in the course of oxygen - induced convulsions and be one of endogenous convulsion - causingagents. 展开更多
关键词 Β-endorphin oxygen-induced CONVULSIONS naloxone radioimmunoassay ANTISERUM RATS
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Plasma β-Endorphin Levels in Women with Early Threatened Abortion before and after the Treatment of Integrated Chinese and Western Medicine
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作者 SUN Fei(孙斐) YU Jin (俞瑾) 《Journal of Reproduction and Contraception》 CAS 1999年第1期12-17,共6页
To observe plasm a β-endorphin (β-EP) and gonadotrophin releasing horm one (GnRH), hum an chorionic gonadotrophin (hCG), progesterone (P4) levelsin w om en w ith early threatened abortion and w ith a history of re... To observe plasm a β-endorphin (β-EP) and gonadotrophin releasing horm one (GnRH), hum an chorionic gonadotrophin (hCG), progesterone (P4) levelsin w om en w ith early threatened abortion and w ith a history of recurrent spontaneous abortions (RSA). Tw enty patientsw ith threatened abortion at7~8 w eeksof gestation w ere re- cruited, allof them had a history of 3 or m ore recurrentunexplained abortions. They w ere treated w ith psychologicalconsultation accompanied by traditionalChinese herbs. Blood samples w ere taken to m easure β-EP, GnRH, hCG and P4 levels by radioim - m unoassay (RIA). The treatm ents w ere continued till10~12 w eeks, blood w astaken during this period to compare changes in these peptides / horm ones. Tw enty norm al pregnantw om en at7~8 and 10~12 w eeksand 20 patientsw ith incompleteabortion at 10~12 w eeksw ererecruited for comparativestudies. Results: (1) In norm alpregnant w om en, plasm a β-EP, GnRH, hCGand P4 levelsat10~12 w eeksw ere significantly higher than thatat7~8 w eeks (P< 0.01). (2) In patients w ith threatened abortion and a history of RSA, plasm a β-EP levels at7~8 w eeks w ere significantly higher than those of norm al pregnantw om en (P< 0.01); on the contrary, plasm a GnRH, hCGand P4 levelsin these patientsw ere significantly low er than thosein norm alcases (P< 0.01). After treatm ent, 16 of the 20 patients succeeded in m aintaining their pregnancies, the levels of the four plasm a contents at10~12 w eeks w ere sim ilar to thosein norm alpregnantw om en (P> 0.05). (3) Plasm a β-EPlevelsin patientsw ith incomplete abortionsat10~12 w eeksw ere dram atically higher and GnRH, hCGand P4 levelsw ere low er than in norm alpregnantw om en (P< 0.01). β-EP m ightplay a role in the pathophysiology of spontaneousabortion. 展开更多
关键词 Threatened abortion Β-endorphin Gonadotrophin releasing horm one (GnRH) Hum an chorionic gonadotrophin(hCG) Progesterone(P4)
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Effects of Peripherally Acting Opioid Ligands on Central Opioid Receptors and <i>β</i>-Endorphin Release in Stressed Rats
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作者 Sergey K. Sudakov Valentina G. Bashkatova +1 位作者 Tatiyana V. Proskuriakova Alexey E. Umriukhin 《Journal of Behavioral and Brain Science》 2012年第2期162-166,共5页
Using the radioreceptor binding assay, μ-opioid receptor (MOR) affinity in the midbrain of stressed rats was higher than in naive controls. MOR density in the rat frontal cortex was reduced after stress. Intragastric... Using the radioreceptor binding assay, μ-opioid receptor (MOR) affinity in the midbrain of stressed rats was higher than in naive controls. MOR density in the rat frontal cortex was reduced after stress. Intragastric administration of the MOR antagonist naloxone methiodide was followed by an increase in the number of MORs in the frontal cortex. However, the MOR agonist loperamide significantly decreased the density of MORs in the frontal cortex and midbrain of naive animals. Loperamide and naloxone methiodide were shown to prevent an increase in MOR affinity and a decrease in MOR density in the midbrain of rats after restraint stress. The restraint stress was accompanied by an increase in the release of β-endorphin (BE) in the ventral tegmental area (VTA) of control rats. After administration, loperamide slightly decreased the release of BE, naloxone methiodide significantly increased the release of BE in the cingulate cortex (CC) of untreated animals, while drugs had no effect on the release of BE in the VTA. The drugs significantly increased the extracellular level of BE in the CC of stressed animals. Loperamide abolished the increase in the stress-induced release of BE in the VTA. By contrast, naloxone methiodide significantly increased the release of BE in the VTA of stressed rats. Our data indicated that activation of peripheral MORs induces depression of the central part of the μ-opioid system, but suppression of peripheral MOR activity induces activation of the central μ-opioid system, the interaction of which can be modulated by stress. 展开更多
关键词 Peripheral OPIOID RECEPTORS Emotional Stress Β-endorphin Microdialysis RADIOLIGAND Binding Density of μ-Opioid RECEPTORS
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EFFECTS OF β-ENDORPHIN ON PHYTOHEMAGGLUTININ-INDUCED LYMPHOCYTE PROLIFERATION AND MOUSE PLAQUE-FORMING CELL RESPONSE VIA AN OPIOID RECEPTOR MECHANISM
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作者 林嘉友 鲁刚 翁佳玉 《Chinese Medical Sciences Journal》 CAS CSCD 1994年第4期245-247,共3页
The effects of opioid peptides on iminune responses were investigated. It was found that β-endorphin (β-END) can depress proliferative responses to PHA in rat splenocytes but enhance those in mice, and it could also... The effects of opioid peptides on iminune responses were investigated. It was found that β-endorphin (β-END) can depress proliferative responses to PHA in rat splenocytes but enhance those in mice, and it could also inhibit the plaque-forming cell (PFC) response to sheep red blood cells when mouse splenocytes immunized in vivo were cultured in vitro with the peptide. The peptide antagonist naloxone was able to reverse β-END suppression of the PFC response. The data indicate that β-END suppresses antibody production or secretion via a specific opioidreceptor-mediated mechanism. 展开更多
关键词 lymphocyte transformation Β-endorphin NALOXONE
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The effect of low frequency electromagnetic field on plasma β-endorphin in human brain
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作者 ZHOU Wei dong,YIN Jing hai Electronic Engineering Department, Shandong University, Jinan 250100, China, E mail: wdzhou@usa.net 《Chinese Journal of Biomedical Engineering(English Edition)》 2000年第2期92-94,共3页
The effect of electromagnetic field on plasma β endorphin in 30 patients with migraine were studied in the experiment. All subjects received a 20 minute repetitive transcranial magnetic stimulation (Frequency 10Hz, A... The effect of electromagnetic field on plasma β endorphin in 30 patients with migraine were studied in the experiment. All subjects received a 20 minute repetitive transcranial magnetic stimulation (Frequency 10Hz, Average intensity 8mT) per time, and the total experiment lasted 20 times. Before and after the experiment, the EEG and plasma β endorphin were tested. The results show that the level of plasma β endorphin in patients blood increased significantly from (73.486±26.002)mg/ml to (116.934±67.592)mg/ml (p<0.01), and the EEG average magnitude of the migraine patients were improved obviously from 41.77μV to 47.42μV. 展开更多
关键词 ELECTROMAGNETIC FIELD TRANSCRANIAL magnetic stimulation(TMS) athermal biological EFFECT MIGRAINE Β-endorphin
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瑞芬太尼调节IL-10/β-内啡肽信号通路对坐骨神经损伤大鼠疼痛的影响
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作者 封雪 赵滨滨 任蓁 《河北医药》 CAS 2024年第7期988-992,共5页
目的探讨瑞芬太尼对坐骨神经损伤(SNI)大鼠疼痛的影响及作用机制。方法建立SNI大鼠模型,大鼠分为假手术组、模型组、瑞芬太尼低剂量组(5μg·kg^(-1)·min^(-1))、瑞芬太尼高剂量组(20μg·kg^(-1)·min^(-1))和瑞芬太... 目的探讨瑞芬太尼对坐骨神经损伤(SNI)大鼠疼痛的影响及作用机制。方法建立SNI大鼠模型,大鼠分为假手术组、模型组、瑞芬太尼低剂量组(5μg·kg^(-1)·min^(-1))、瑞芬太尼高剂量组(20μg·kg^(-1)·min^(-1))和瑞芬太尼+抑制剂组(20μg·kg^(-1)·min^(-1)的瑞芬太尼+10μL IL-10抗体),评估大鼠疼痛阈值,统计坐骨神经指数(SFI),Masson染液评价靶肌肉萎缩情况,酶联免疫吸附法(ELISA)检测白介素(IL)-1β、IL-6、肿瘤坏死因子(TNF)-α的含量,免疫荧光检测微管相关蛋白(MAP2)的表达,Western blot检测IL-10、β-内啡肽蛋白表达。结果与假手术组比较,模型组大鼠疼痛阈值、SFI和IL-10、β-内啡肽蛋白的表达水平下降,肌肉萎缩、IL-1β、IL-6、TNF-α、MAP2表达增加(P<0.05);与模型组比较,瑞芬太尼低、高剂量组大鼠疼痛阈值、SFI和IL-10、β-内啡肽蛋白的表达水平升高,肌肉萎缩、IL-1β、IL-6、TNF-α、MAP2表达降低,且呈剂量依赖性(P<0.05);与瑞芬太尼高剂量组比较,瑞芬太尼+抑制剂组大鼠疼痛阈值、SFI和IL-10、β-内啡肽蛋白的表达水平下降,肌肉萎缩、IL-1β、IL-6、TNF-α、MAP2表达增加(P<0.05)。结论瑞芬太尼可能通过激活IL-10/β-内啡肽信号通路抑制SNI大鼠的疼痛行为。 展开更多
关键词 瑞芬太尼 坐骨神经损伤 疼痛 白介素-10/β-内啡肽
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脑脊液β-EP,3-NT水平与脑胶质瘤患者术后神经损伤程度及预后的关系研究
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作者 秦慧兵 刘红钊 程曼 《实用癌症杂志》 2024年第9期1453-1456,共4页
目的研究脑脊液β-内啡肽(β-EP)、3-硝基酪氨酸(3-NT)水平与脑胶质瘤患者术后神经损伤程度及预后的关系。方法选择脑胶质瘤76例患者作为观察组,选择同期采集脑脊液标本非脑胶质瘤且无神经损伤的76例受试者作为对照组,检测两组脑脊液β... 目的研究脑脊液β-内啡肽(β-EP)、3-硝基酪氨酸(3-NT)水平与脑胶质瘤患者术后神经损伤程度及预后的关系。方法选择脑胶质瘤76例患者作为观察组,选择同期采集脑脊液标本非脑胶质瘤且无神经损伤的76例受试者作为对照组,检测两组脑脊液β-EP、3-NT水平,采用美国国立卫生研究院卒中量表(NIHSS)评估观察组患者神经损伤程度,并比较两组脑脊液β-EP、3-NT水平的差异,研究各因子与脑胶质瘤患者术后脑神经损伤程度及预后的关系。结果观察组患者脑脊液β-EP、3-NT水平均较对照组高(P<0.05);中度、重度脑胶质瘤患者脑脊液β-EP、3-NT水平较轻度高(P<0.05),重度脑胶质瘤患者脑脊液β-EP、3-NT水平较中度高(P<0.05);脑脊液β-EP、3-NT水平与脑胶质瘤患者神经损伤程度呈正相关(P<0.05),脑脊液β-EP表达与3-NT表达呈正相关(P<0.05);当脑脊液β-EP的截断值>42.03 ng/L时,其Youden指数为0.586,曲线下面积(AUC)为0.746,预测脑胶质瘤预后敏感度为66.67%,特异度为91.94%;当脑脊液3-NT的截断值>8.93μg/L时,其Youden指数为0.459,AUC为0.753,预测脑胶质瘤预后敏感度为55.56%,特异度为90.32%。结论脑胶质瘤患者脑脊液β-EP、3-NT水平随着神经损伤程度的加重而上升,且是造成不良预后的原因,有望作为评估脑胶质瘤进展的有效生物学标志物。 展开更多
关键词 脑脊液 Β-内啡肽 3-硝基酪氨酸 脑胶质瘤 神经损伤
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肝气调和针刺法对慢性非特异性腰痛患者疼痛及负性情绪影响研究
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作者 林文飞 许磊 +4 位作者 王超 王轩 殷继超 刘诗若 樊旭 《辽宁中医药大学学报》 CAS 2024年第12期72-76,共5页
目的探讨肝气调和针刺法对慢性非特异性腰痛(chronic nonspecific low back pain,CNLBP)患者的临床疗效及负性情绪的影响。方法将80例患者随机分成观察组(40例)与对照组(40例)。对照组予常规针刺治疗(取穴L2~L5夹脊穴、肾俞、大肠俞、... 目的探讨肝气调和针刺法对慢性非特异性腰痛(chronic nonspecific low back pain,CNLBP)患者的临床疗效及负性情绪的影响。方法将80例患者随机分成观察组(40例)与对照组(40例)。对照组予常规针刺治疗(取穴L2~L5夹脊穴、肾俞、大肠俞、腰阳关);观察组在对照组治疗基础上增加肝气调和选穴处方。各组每日治疗1次,连续治疗6 d后休息1 d,共治疗2周。比较两组患者治疗前后Roland-Morris,功能障碍量表(roland-morris disability questionnaire,RMDQ)评分、焦虑量表(self-rating anxiety scale,SAS)评分、抑郁量表(self-rating depression scale,SDS)评分、疼痛灾难指数(pain catastrophizing scale,PCS)评分及血清皮质醇(cortisol,COR)、β-内啡肽(β-endorphin,β-EP)水平。结果治疗后,两组患者RMDQ评分、SAS评分、SDS评分、PCS评分较治疗前均降低(P<0.05),组间比较差异均无统计意义(P>0.05)。两组患者血清COR、β-EP水平较治疗前均升高(P<0.05);且观察组β-EP水平高于对照组(P<0.05),两组患者COR水平比较差异无统计学意义(P>0.05)。随访时,两组患者RMDQ评分、SAS评分、SDS评分、PCS评分较治疗前均降低(P<0.05),且观察组优于对照组(P<0.05)。结论肝气调和针刺法在改善CNLBP患者疼痛的同时,能在一定程度上改善患者的负性情绪,且远期疗效较好,适合临床推广应用。 展开更多
关键词 慢性非特异性腰痛 肝主筋 针刺 皮质醇 Β-内啡肽
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蜂毒镇痛作用的昼夜变化及对外周血P物质β-内啡肽和IL-1β水平的影响
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作者 董泓 李振彬 +2 位作者 高囡囡 郭静波 郭栋梁 《河北医学》 CAS 2024年第3期393-398,共6页
目的:探讨小鼠疼痛模型的昼夜节律和注射用蜂毒(Bee venom for injection,BVI)镇痛作用的昼夜差异及其相关机制。方法:采用热板法、辐射热甩尾法建立小鼠疼痛模型,在6个授时(Zeitgeber time,ZT)时间点(ZT2、ZT6、ZT10、ZT14、ZT18、ZT22... 目的:探讨小鼠疼痛模型的昼夜节律和注射用蜂毒(Bee venom for injection,BVI)镇痛作用的昼夜差异及其相关机制。方法:采用热板法、辐射热甩尾法建立小鼠疼痛模型,在6个授时(Zeitgeber time,ZT)时间点(ZT2、ZT6、ZT10、ZT14、ZT18、ZT22)测量痛阈并分析其昼夜节律。将合格昆明小鼠随机分为注射用蜂毒大剂量(Bee venom for injection-High dose,BVI-H)、注射用蜂毒中剂量(Bee venom for injection-Medium dose,BVI-M)、注射用蜂毒低剂量(Bee venom for injection-low dose,BVI-L)、吗啡(Morphine,MOR)和模型(Model,MOD)组;每组再根据小鼠痛阈的昼夜节律分为两个亚组,分别在痛阈的峰值和谷值2个时间点给药。观察各组对热板法、辐射热甩尾法和扭体法疼痛模型小鼠行为学影响的动态变化;ELISA法检测血清P物质(Substances P,SP)、β-内啡肽(Beta-endorphin,β-EP)和IL-1β(interleukin-1β,IL-1β)水平。结果:小鼠疼痛模型的痛阈显示出峰值在明中期(ZT6)、谷值在暗后期(ZT22)的昼夜节律。BVI三个剂量组和MOR组均显示出明显的镇痛作用,并且BVI在热板法和扭体法模型的镇痛作用具有剂量依赖性。在热板法和辐射热法疼痛模型中,BVI于ZT22给药比ZT6给药显示出更强的镇痛作用。蜂毒对疼痛模型小鼠血清β-EP水平未显示上调作用;但可明显降低血清SP含量,且具有ZT22给药低于ZT6给药的昼夜变化(P<0.05);对扭体法和辐射热法(仅ZT22给药组)疼痛模型小鼠血清IL-1β水平显著下调,而在热板法则显示IL-1β水平明显增高。结论:小鼠的痛阈存在峰值在明中后期、谷值在暗后期的昼夜节律;BVI对小鼠多种疼痛模型均具有镇痛作用,且存在昼夜差异;BVI的镇痛作用及其昼夜变化可能与调节内源性疼痛介质有关。 展开更多
关键词 蜂毒 疼痛 昼夜节律 时间治疗 P物质 Β-内啡肽 白细胞介素-1Β
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调气法针刺联合加巴喷丁治疗带状疱疹后遗神经痛的疗效观察及对血清β-EP和NK-1水平的影响 被引量:2
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作者 张禹 孟晓敏 +1 位作者 张猛 国海超 《上海针灸杂志》 CSCD 2024年第3期301-306,共6页
目的 观察调气法针刺联合加巴喷丁治疗带状疱疹后遗神经痛(postherpetic neuralgia, PHN)的临床疗效及对患者血清β-内啡肽(beta endorphin, β-EP)、神经激肽1-受体(neurokinin-1 receptor, NK-1)和P物质(substance P, SP)水平的影响... 目的 观察调气法针刺联合加巴喷丁治疗带状疱疹后遗神经痛(postherpetic neuralgia, PHN)的临床疗效及对患者血清β-内啡肽(beta endorphin, β-EP)、神经激肽1-受体(neurokinin-1 receptor, NK-1)和P物质(substance P, SP)水平的影响。方法 将102例PHN患者随机分为对照组及治疗组,每组51例。对照组给予单纯加巴喷丁治疗,治疗组给予调气法针刺联合加巴喷丁治疗。观察两组治疗前后视觉模拟疼痛量表(visual analog scale, VAS)、睡眠状况自评量表(self-rating scale of sleep, SRSS)、汉密顿焦虑量表(Hamilton anxiety scale, HAMA)、世界卫生组织生存质量量表(World Health Organization quality of life assessment,WHOQOL)及血清β-EP、NK-1和SP水平,并比较两组临床疗效。结果 治疗后,两组VAS、SRSS及HAMA评分均低于治疗前(P<0.05),且治疗组VAS、SRSS及HAMA评分低于对照组(P<0.05)。治疗后,两组WHOQOL各维度评分均高于治疗前(P<0.05),且治疗组均高于对照组(P<0.05)。治疗后,两组血清β-EP水平升高(P<0.05),血清NK-1和SP水平降低(P<0.05),且治疗组优于对照组(P<0.05)。治疗组的总有效率为94.1%,高于对照组的82.4%(P<0.05)。结论 调气法针刺联合加巴喷丁治疗PHN疗效较好,可有效减轻患者不适症状,提高生活质量,有效降低血清NK-1、SP水平,升高血清β-EP水平。 展开更多
关键词 针药并用 神经痛 疱疹后 针刺疗法 调气法 Β-内啡肽 神经激肽1-受体 P物质
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微波疗法联合递增负荷连续离心训练在慢性肌骨疼痛中的应用及对肌肉适能、疼痛介质的影响 被引量:1
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作者 聂书剑 郑文涓 《转化医学杂志》 2024年第1期75-81,共7页
目的探讨微波疗法联合递增负荷连续离心训练在慢性肌骨疼痛中的应用及对肌肉适能、疼痛介质的影响。方法选取2021年9月—2022年9月收治的慢性肌骨疼痛189例,根据干预方案不同将其分为A、B和C组3组各63例,A组给予微波疗法联合递增负荷连... 目的探讨微波疗法联合递增负荷连续离心训练在慢性肌骨疼痛中的应用及对肌肉适能、疼痛介质的影响。方法选取2021年9月—2022年9月收治的慢性肌骨疼痛189例,根据干预方案不同将其分为A、B和C组3组各63例,A组给予微波疗法联合递增负荷连续离心训练,B组给予递增负荷连续离心训练,C组给予微波疗法。比较3组治疗前和治疗1、2个疗程疼痛程度[视觉模拟评分法(VAS)]、疼痛性质(ID pain评分)、肌肉适能(峰力矩、力矩加速能量、平均功率)、疼痛介质[前列腺素E_(2)(PGE_(2))、P物质、β-内啡肽(β-EP)]和匹兹堡睡眠质量指数(PSQI)评分,以及治疗前和治疗2个疗程简明健康生活状况调查表(SF-36)、国际骨性关节炎评分标准(Lequesne)评分。结果治疗1和2个疗程,A组VAS和ID pain评分均低于B组和C组;治疗2个疗程,A组峰力矩、力矩加速能量和平均功率屈肌和伸肌均高于B组和C组,B组峰力矩、力矩加速能量和平均功率屈肌和伸肌均低于C组(P<0.05)。治疗1和2个疗程,A组血清PGE_(2)和P物质低于B组和C组,血清β-EP高于B组和C组;B组血清PGE_(2)和P物质低于C组,血清β-EP高于C组(P<0.05)。治疗前及治疗1、2个疗程,3组组内PSQI评分呈降低趋势(P<0.05)。治疗1和2个疗程,A组PSQI评分均低于B和C组(P<0.05)。治疗2个疗程,3组组内SF-36评分均高于治疗前,Lequesne评分均低于治疗前(P<0.01);A组SF-36评分高于B组和C组,Lequesne评分低于B组和C组(P<0.05)。结论微波疗法联合递增负荷连续离心训练可用于慢性肌骨疼痛治疗中,能促进患者肌肉适能指标、疼痛介质改善,从而恢复患者睡眠质量、日常生活质量及骨关节功能。 展开更多
关键词 微波疗法 递增负荷连续离心训练 肌骨骼疾病 疼痛 峰力矩 P物质 Β-内啡肽 匹兹堡睡眠质量指数
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骨痛灵酊对腰椎间盘突出症患者血清5-HT和β-EP水平的影响
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作者 张慧慧 李波 《中华养生保健》 2024年第11期26-29,共4页
目的探讨与分析骨痛灵酊对腰椎间盘突出症患者血清5-羟色胺(5-hydmzytryptamine,5-HT)和β-内啡肽(β-Endorphins,β-EP)水平的影响。方法选择2019年4月—2023年1月在新疆生产建设兵团医院城北分院诊治的120例腰椎间盘突出症患者作为研... 目的探讨与分析骨痛灵酊对腰椎间盘突出症患者血清5-羟色胺(5-hydmzytryptamine,5-HT)和β-内啡肽(β-Endorphins,β-EP)水平的影响。方法选择2019年4月—2023年1月在新疆生产建设兵团医院城北分院诊治的120例腰椎间盘突出症患者作为研究对象,根据1:1随机抽签法把120例患者分为骨痛灵酊组60例与对照组60例。对照组给予常规药物治疗,骨痛灵酊组在对照组治疗的基础上给予骨痛灵酊治疗,连续治疗观察8周,检测两组患者血清5-羟色胺和β-内啡肽水平变化情况,判定临床疗效、腰屈曲范围与疼痛MPQ评分变化情况。结果治疗8周后骨痛灵酊组的疗效优良率显著高于对照组,差异有统计学意义(P<0.05)。两组治疗8周后的疼痛MPQ评分都明显低于治疗前,差异有统计学意义(P<0.05),骨痛灵酊组治疗8周后的疼痛MPQ评分与对照组相比明显降低,差异有统计学意义(P<0.05)。两组治疗8周后的腰屈曲范围都明显高于治疗前,差异有统计学意义(P<0.05),骨痛灵酊组治疗8周后的腰屈曲范围与对照组相比明显升高,差异有统计学意义(P<0.05)。两组治疗8周后的血清5-羟色胺、β-内啡肽含量低于治疗前,差异有统计学意义(P<0.05),骨痛灵酊组治疗8周后血清5-羟色胺、β-内啡肽含量与对照组相比也显著降低,差异有统计学意义(P<0.05)。结论骨痛灵酊在腰椎间盘突出症患者中的应用能抑制血清5-羟色胺、β-内啡肽的表达,能促进缓解疼痛,提高患者的总体治疗效果,还可改善患者的腰屈曲范围。 展开更多
关键词 骨痛灵酊 腰椎间盘突出症 5-羟色胺 Β-内啡肽 腰屈曲范围
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β内啡肽、环氧合酶-2、多巴胺受体D2在右向左分流合并有先兆偏头痛患者血清中的表达及其与焦虑状况的关联性
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作者 郑瑶 王宝月 +2 位作者 贾琳楠 曲海丽 孙晖 《中国医药导报》 CAS 2024年第7期101-104,109,共5页
目的 研究β内啡肽(β-EP)、环氧化酶-2(COX-2)、多巴胺受体D2(DRD2)在右向左分流(RLS)合并有先兆偏头痛患者血清中的表达及其与焦虑状况的关联性。方法 选取2022年7月至2023年7月吉林省一汽总医院收治的214例检查存在RLS的有先兆偏头... 目的 研究β内啡肽(β-EP)、环氧化酶-2(COX-2)、多巴胺受体D2(DRD2)在右向左分流(RLS)合并有先兆偏头痛患者血清中的表达及其与焦虑状况的关联性。方法 选取2022年7月至2023年7月吉林省一汽总医院收治的214例检查存在RLS的有先兆偏头痛患者,记作RLS偏头痛组,50例检查无RLS的有先兆偏头痛患者作为对照组,比较两组血清β-EP、COX-2、DRD2水平及焦虑自评量表(SAS)评分。另将RLS偏头痛组患者根据检查结果分为少、中、大量RLS偏头痛组(78例),分别为90、46、78例,比较三组血清β-EP、COX-2、DRD2水平及SAS评分。采用Spearman相关系数分析RLS偏头痛组患者血清β-EP、COX-2、DRD2水平与RLS分级、SAS评分的关系。结果 RLS偏头痛组血清β-EP、DRD2水平均低于对照组,COX-2水平及SAS评分高于对照组,差异有统计学意义(P<0.05)。中、大量RLS偏头痛组血清β-EP、DRD2水平低于少量RLS偏头痛组,大量RLS偏头痛组低于中量RLS偏头痛组,差异有统计学意义(P<0.05)。中、大量RLS偏头痛组血清COX-2水平、SAS评分高于少量RLS偏头痛组,大量RLS偏头痛组高于中量RLS偏头痛组,差异有统计学意义(P<0.05)。相关性分析结果显示,RLS偏头痛组患者血清β-EP、DRD2水平与RLS分级、SAS评分呈负相关(rs<0,P<0.05),血清COX-2水平与RLS分级、SAS评分呈正相关(rs>0,P<0.05)。结论 随着RLS合并有先兆偏头痛患者RLS分级的升高,其血清β-EP、DRD2表达降低,COX-2表达升高,且三者均与患者的焦虑状态密切相关。 展开更多
关键词 有先兆偏头痛 右向左分流 Β内啡肽 环氧合酶-2 多巴胺受体D2 焦虑
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温阳通络针法联合刺络拔罐治疗腰椎间盘突出症疗效及对患者腰椎活动度、血浆β-内啡肽、炎症因子的影响
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作者 齐好雯 齐月雯 +1 位作者 陈建华 高丽华 《陕西中医》 CAS 2024年第10期1419-1423,共5页
目的:探究温阳通络针法联合刺络拔罐治疗腰椎间盘突出(LDH)的临床疗效及对患者腰椎活动度、血浆β-内啡肽、炎症因子的影响。方法:选取84例LDH患者,按照随机数字表法分为对照组和联合组,各42例,对照组行刺络拔罐治疗,联合组行温阳通络... 目的:探究温阳通络针法联合刺络拔罐治疗腰椎间盘突出(LDH)的临床疗效及对患者腰椎活动度、血浆β-内啡肽、炎症因子的影响。方法:选取84例LDH患者,按照随机数字表法分为对照组和联合组,各42例,对照组行刺络拔罐治疗,联合组行温阳通络针法联合刺络拔罐治疗。比较两组患者临床疗效、中医症状积分,治疗前后腰椎活动度(前屈、后伸、左右侧屈)、疼痛程度、血清炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、基质金属蛋白酶3(MMP-3)]、血浆β-内啡肽(β-EP)及不良反应。结果:联合组治疗总有效率高于对照组(P<0.05);治疗后,两组腰腿疼痛、活动受限、遇寒加重、四肢冰凉症状积分均下降(P<0.05),且治疗后联合组低于对照组(P<0.05);治疗后,两组腰椎前屈、后伸、右侧屈曲、左侧屈曲活动范围均增加(P<0.05),且治疗后联合组高于对照组(P<0.05);治疗后,两组VAS评分均下降(P<0.05),JOA评分均升高(P<0.05),且治疗后组间比较差异具有统计学意义(P<0.05);治疗后,两组IL-6、TNF-α、MMP-3水平均下降(P<0.05),β-EP均升高(P<0.05),且治疗后两组间比较差异具有统计学意义(P<0.05);治疗期间,对照组出现1例皮疹,联合组出现2例局部红肿,1例皮疹,均在2~3 d后自然恢复。结论:温阳通络针法联合刺络拔罐可改善LDH患者的腰椎活动度,降低炎症因子水平,减轻疼痛,抑制病情进展。 展开更多
关键词 腰椎间盘突出 腰椎活动度 温阳通络针 刺络拔罐 炎症因子 β-内啡肽
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黄芪甲苷调节IL-10/β-EP信号通路对腰椎间盘突出症模型大鼠神经根损伤的影响
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作者 朱倚慧 陈博来 伍泽鑫 《河北医药》 CAS 2024年第3期349-353,共5页
目的探究黄芪甲苷调节白介素-10(IL-10)/β-内啡肽(β-EP)信号通路对腰椎间盘突出症(LDH)大鼠神经根损伤的影响。方法随机选择10只大鼠记为假手术组(Sham组),其余大鼠通过移植髓核构建LDH大鼠模型,将造模成功大鼠随机分为LDH组、黄芪甲... 目的探究黄芪甲苷调节白介素-10(IL-10)/β-内啡肽(β-EP)信号通路对腰椎间盘突出症(LDH)大鼠神经根损伤的影响。方法随机选择10只大鼠记为假手术组(Sham组),其余大鼠通过移植髓核构建LDH大鼠模型,将造模成功大鼠随机分为LDH组、黄芪甲苷组(20 mg/kg黄芪甲苷)、AS10组(0.5 mg/kg IL-10/β-EP信号通路抑制剂AS10)、黄芪甲苷+AS10组(20 mg/kg黄芪甲苷+0.5 mg/kg AS10),每组10只,Sham组和LDH组给予等量0.9%氯化钠溶液。机械刺激敏感性实验以及热刺激敏感性实验检测大鼠机械缩足阈值(PWT)以及热痛阈(TWL);ELISA法检测血清白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平;免疫荧光染色测定小胶质细胞和星形胶质细胞活性;TUNEL染色检测细胞凋亡;Western blot检测IL-10、β-EP蛋白表达。结果与Sham组比较,LDH组PWT值、TWL值、IL-10、β-EP蛋白水平显著减小(P<0.05),细胞凋亡率、TNF-α、IL-1β水平、离子钙接头蛋白分子1(Iba1)、胶质纤维酸性蛋白(GFAP)阳性细胞数量均显著升高(P<0.05);与LDH组比较,黄芪甲苷组PWT值、TWL值、IL-10、β-EP蛋白水平显著升高(P<0.05),细胞凋亡率、TNF-α、IL-1β水平、Iba1、GFAP阳性细胞数量均显著降低(P<0.05),而AS10组趋势相反(P<0.05);AS10组逆转了黄芪甲苷对LDH大鼠神经根损伤的改善作用。结论黄芪甲苷可能通过激活IL-10/β-EP信号通路减轻大鼠炎性反应,进而减轻LDH大鼠神经根损伤。 展开更多
关键词 黄芪甲苷 IL-10/β-EP信号通路 腰椎间盘突出症 神经根损伤
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清胃健脾丸治疗小儿厌食的活性成分及药理作用机制研究
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作者 任翔宇 葛慧 +9 位作者 赵纳 张伯峰 孙娟 马荣荣 莫蕊辰 于晨 陈朝阳 纪葛龙一 张慧敏 任雪 《世界中医药》 北大核心 2024年第20期3067-3076,共10页
目的:基于网络药理学探讨清胃健脾丸治疗小儿厌食(IA)的作用机制。方法:利用中药系统药理学数据库与分析平台(TCMSP)、人类疾病相关基因与突变位点信息数据库(DisGeNET)、生物信息学和化学信息学数据库(DrugBank)、人类基因数据库(GeneC... 目的:基于网络药理学探讨清胃健脾丸治疗小儿厌食(IA)的作用机制。方法:利用中药系统药理学数据库与分析平台(TCMSP)、人类疾病相关基因与突变位点信息数据库(DisGeNET)、生物信息学和化学信息学数据库(DrugBank)、人类基因数据库(GeneCards)、美国国家生物技术信息中心(NCBI)、人类孟德尔遗传在线数据库(OMIM)、遗传药理学与药物基因组学数据库(PharmGKB)、疗效靶点数据库(TDD)分析组方活性成分及潜在作用靶点,构建“药物-成分-靶点”和蛋白质-蛋白质互相作用(PPI)网络,并对核心靶点进行基因本体(GO)富集分析和京都基因和基因组百科全书(KEGG)通路富集分析,应用CB-Dock2平台对组方活性成分及核心靶点进行分子对接。使用特制饲料建立幼龄大鼠厌食模型,观察大鼠的进食量、体质量、胃排空率及小肠推进率,采用酶联免疫吸附(ELISA)法检测血清胃泌素(GAS)、胃动素(MTL)、β-内啡肽(β-EP)水平,进行网络药理学预测结果的实验验证。结果:组方筛选出活性成分74种,其中核心成分包括木犀草素(Luteolin)、槲皮素(Quercetin)、汉黄芩素(Wogonin)、β-谷甾醇(Beta-Sitosterol)、山柰酚(Kaempferol)、豆甾醇(Stigmasterol)、氢化小檗碱(Berlambine)、柚皮素(Naringenin)、川陈皮素(Nobiletin);与治疗IA对应的交集靶点共185个,其中度值较高的靶点包括细胞肿瘤抗原p53(TP53)、RAC-α丝氨酸/苏氨酸蛋白激酶(AKT1)、促分裂原活化的蛋白激酶3(MAPK3)、促分裂原活化的蛋白激酶1(MAPK1)、环AMP响应元素结合蛋白1(CREB1)、雌雄素受体(ESR1)。GO功能富集分析共得到2 902个条目,KEGG通路分析涉及脂质和动脉粥样硬化、PI3K-AKT信号通路、化学致癌-受体激活、人巨细胞病毒感染、流体剪切应力和动脉粥样硬化等184条通络。分子对接结果显示,组方核心成分(R)-氢化小檗碱(R)-Canadine与关键靶点CREB1、荷包牡丹碱(Bicuculline)与CREB1、β-胡萝卜素(Beta-Carotene)与MAPK3具有良好的结合力。验证实验显示,清胃健脾丸可明显提高低龄厌食大鼠进食量、体质量、胃排空率及小肠推进率,还可提升厌食大鼠血清胃泌素GAS、MTL和β-EP水平。结论:清胃健脾丸可通过多靶点、多通路调控低龄厌食大鼠的血清胃肠激素水平,进而增进胃动力和食欲,其作用机制可能与作用于MAPK1、MAPK3、AKT1等信号通路调节胃肠道有关,通过动物实验进一步验证其能促进胃肠蠕动并影响胃肠激素分泌,为清胃健脾丸进一步开发提供参考。 展开更多
关键词 清胃健脾丸 网络药理学 分子对接 小儿厌食 大鼠 胃泌素 胃动素 Β-内啡肽
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