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凉血活血中药治疗放射性肺损伤的实验研究 被引量:12
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作者 杨明会 窦永起 +2 位作者 臧倩 冯林春 刘毅 《中国中西医结合杂志》 CAS CSCD 北大核心 2007年第9期827-831,共5页
Objective To investigate the effect of blood-cooling and promoting drugs (BCPD) on the dynamic changes of collagens and the expressions of interleukin-6 (IL-6)and transforming growth factor beta (TGF-β) in lung tissu... Objective To investigate the effect of blood-cooling and promoting drugs (BCPD) on the dynamic changes of collagens and the expressions of interleukin-6 (IL-6)and transforming growth factor beta (TGF-β) in lung tissue of rats with radiation-induced lung injury (RILI) to explore the effects and action mechanism of BCPD in preventing and treating RILI. Methods One hundred and sixty Wistar female rats were randomly divided into the radiation group, the treatment group, the blank control group and the drug control group. The rats in the first two groups received right hemithoracic fractionated radiation, and those in the treatment group were given BCPD. Rats in the other two groups were not irradiated and BCPD was given to rats in the drug control group. The rats were sacrificed in batches (8 of each group in every batch) at the 3rd, 5th, 8th, 12th and 26th week of the experimental period, and their lung was taken for observing the dynamic changes and distribution of collagen and the expressions of IL-6 and TGF-β with HE staining, picrosirius red staining and immunohistochemical staining respectively. Results The fibroblast proliferated obviously from the 3rd week after the first radiation in the radiation group, and the type Ⅰ collagen and the proportion of type Ⅰ and Ⅲ collagen were significantly elevated along the time going and the radiation dose increasing, became significantly higher than those in the treatment group at all the time points (P<0.01). In the radiation group the expression of IL-6 and TGF-β reached their peaks at the 8th and 12th week, respectively, and the levels was significantly lower in the treatment than that in the radiation group at any detecting time points (P<0.01). Conclusion BCPD applied in the early stage of radiation can suppress the inflammatory and fibrogenic cytokine expressions, inhibit the synthesis of collagens and adjust the proportion of type Ⅰ and Ⅲ collagen, so as to relieve the early-stage inflammatory reaction and the anaphase lung fibrosis in RILI rats. 展开更多
关键词 放射性肺损伤 中医药防治 凉血活血 胶原 白介素-6 转化生长因子-Β
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凉血活血中药对放射性肺损伤大鼠肺内TGF-β和胶原纤维动态变化的影响 被引量:10
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作者 杨明会 臧倩 +1 位作者 窦永起 刘毅 《陕西中医学院学报》 2007年第2期35-38,共4页
目的通过观察小剂量重复照射下不同时相大鼠肺组织转化生长因子-β(TGF-β)的表达和组织胶原纤维的动态变化,以及凉血活血中药早期干预的影响,探讨中药早期防治放射性肺损伤的作用及机理。方法120只Wistar种雌性大鼠随机分为照射组(40只... 目的通过观察小剂量重复照射下不同时相大鼠肺组织转化生长因子-β(TGF-β)的表达和组织胶原纤维的动态变化,以及凉血活血中药早期干预的影响,探讨中药早期防治放射性肺损伤的作用及机理。方法120只Wistar种雌性大鼠随机分为照射组(40只)、中药干预组(40只)和对照组(40只)。用直线加速器对照射组大鼠右肺进行分次照射(3Gy/次,2次/w,累积剂量最高为30Gy),于照射开始后第3、5、8、12、26W 5个时间点分别处死两组各8只大鼠,取材切片行胶原纤维天狼猩红染色、组织TGF-β免疫组化检测,对照观察各组大鼠肺组织不同时相TGF-β的表达和胶原纤维含量的病理改变。结果单纯照射组大鼠肺组织TGF-β于照射第3w增高,第12W达到表达高峰;胶原纤维合成在第3W开始,第12W明显增快,至26W达到高峰。中药干预组各时相大鼠肺组织TGF-β表达及胶原纤维增生程度均明显低于单纯照射组(P<0.01)。结论在小剂量重复照射过程中,组织TGF-β表达与组织胶原纤维合成有明显的同步性,而早期应用凉血活血中药可抑制TGF-β的表达,并减轻早期放射性肺炎的炎症反应和后期放射性肺纤维化的程度,因而对放射性肺损伤具有防治作用。 展开更多
关键词 放射性肺损伤 TGF—β 胶原纤维 凉血活血 中医药治疗
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