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The therapeutic effect of Jiawei Danshen Decoction on myocardial ischemia-reperfusion injury by inhibiting H_(2)S-mediated autophagy signaling pathway 被引量:4
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作者 CHEN Cong LIU Yang +3 位作者 TONG Qiaozhen ZHANG Yi HU Xudong LIAO Jing 《Digital Chinese Medicine》 2021年第3期241-250,共10页
Objective To investigate the protective effects of Jiawei Danshen Decoction(加味丹参饮,JWDSD)on myocardial ischemia-reperfusion injury(MIRI)via the regulation of serum Hydrogen sulfide(H2S)and cardiac Beclin1,light Ch... Objective To investigate the protective effects of Jiawei Danshen Decoction(加味丹参饮,JWDSD)on myocardial ischemia-reperfusion injury(MIRI)via the regulation of serum Hydrogen sulfide(H2S)and cardiac Beclin1,light Chain 3 A/B(LC3 A/B),p62,and autophagy protein5(ATG5).Methods Seventy specific pathogen free(SPF)Sprague-Dawley(SD)rats were randomly assigned to seven groups(n=10 in each group),including normal control,sham operation,MIRI model(model),ischemic preconditioning,Na HS,JWDSD,and JWDSD+CSE inhibitor(JWDSD+PPG)groups,and orally administered the indicated drugs for 14 d.Two hours after the last administration,the left anterior decreased branch of the coronary artery of each rat in model,Na HS,JWDSD,and JWDSD+PPG groups was ligated for 30 min and subsequently reperfused for 90 min to establish the MIRI model,and the rats in the sham operation group were only exposed to the thorax after surgery without coronary ligation.Blood samples were collected to detect H2S levels using an enzyme-linked immunosorbent assay(ELISA).Heart tissues were harvested for histopathological and immunohistochemical examination and quantitative reverse transcription polymerase chain reaction analysis of Beclin1 and ATG5 m RNA expression and Western blot analysis of Beclin1,LC3 A/B,and p62 protein expression.Results(1)The serum H2S content in model group rats was significantly reduced(P<0.01),JWDSD significantly increased the serum H2S content of model group rats(P<0.01),and the CSE inhibitor(PPG)significantly reduced H2S levels in the JWDSD group rats(P<0.01).(2)Compared with the normal control group,the myocardial tissue necrosis and cell destruction occurred in the MIRI model group,and JWDSD could alleviate the myocardial tissue necrosis of model rats,but the ameliorative effect of JWDSD could be reversed by PPG.(3)Beclin1,LC3 A/B,and p62 expression levels in the heart tissues of the model group were significantly increased(P<0.001),whereas decreased by JWDSD(P<0.05,P<0.01,and P<0.001,respectively),and the inhibitory effects of JWDSD on Beclin1,LC3 A/B,and p62 expression were partially reversed by PPG(P<0.01,P<0.05,and P<0.01,respectively).(4)The expression levels of autophagy-related genes Beclin1 and ATG5 were significantly increased in the model group(P<0.001).JWDSD clearly downregulated the expression levels of Beclin1 and ATG5(P<0.05 and P<0.001,respectively),which were reversed by PPG(P<0.001).Conclusion Our experimental data show that JWDSD can exhibit an anti-MIRI role by increasing endogenous H2S generation,and downregulating the expression of Beclin1,LC3 A/B,p62 and ATG5,which are related to inhibiting autophagy signaling. 展开更多
关键词 Jiawei danshen Decoction(加味丹参 JWDSD) Myocardial ischemia-reperfusion injury(MIRI) Hydrogen sulfide(H2S) AUTOPHAGY Light chain 3A/B(LC3A/B) P62 BECLIN1 Autophagy protein5(ATG5)
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小陷胸汤合丹参饮加味联合西药治疗痰瘀互结型稳定型心绞痛合并H型高血压40例临床观察 被引量:22
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作者 徐佳萌 郑刚 +3 位作者 任耀龙 齐婧 杨聪 王艳琴 《中医杂志》 CSCD 北大核心 2020年第17期1541-1546,共6页
目的观察小陷胸汤合丹参饮加味联合西药治疗痰瘀互结型稳定型心绞痛合并H型高血压的临床疗效。方法将80例患者随机分为对照组和治疗组,每组40例。对照组结合病情采用抗心绞痛及降血压等治疗,治疗组在对照组基础上服用小陷胸汤合丹参饮加... 目的观察小陷胸汤合丹参饮加味联合西药治疗痰瘀互结型稳定型心绞痛合并H型高血压的临床疗效。方法将80例患者随机分为对照组和治疗组,每组40例。对照组结合病情采用抗心绞痛及降血压等治疗,治疗组在对照组基础上服用小陷胸汤合丹参饮加味,疗程均为28天。比较两组患者治疗前后中医证候积分、心绞痛发生情况、硝酸甘油使用量及血压、同型半胱氨酸(Hcy)水平,治疗后评价中医证候疗效及心电图疗效。结果两组中医证候疗效比较,治疗组总有效率(90.00%)显著高于对照组(72.50%)(P<0.05);心电图疗效比较,治疗组总有效率(65.00%)显著高于对照组(40.00%)(P<0.05)。治疗第21、28天两组中医证候积分与治疗前比较明显降低(P<0.05),治疗组第28天与第7天比较明显降低(P<0.05);治疗第21、28天时,治疗组的中医证候积分与对照组同时间比较均明显降低(P<0.05)。两组治疗第14、21、28天收缩压、舒张压与治疗前比较均明显降低(P<0.05),治疗组第28天与第7天及第14天比较均明显降低(P<0.05),治疗组第28天与第21天比较差异无统计学意义(P>0.05);治疗组治疗第14、21、28天与对照组同时间比较收缩压及舒张压均明显下降(P<0.05)。治疗后两组心绞痛发作次数减少、持续时间缩短,硝酸甘油使用量明显减少(P<0.05),且治疗组各指标均明显低于对照组(P<0.05)。治疗后两组患者血Hcy均下降(P<0.05),且治疗组较对照组下降更明显(P<0.05)。结论小陷胸汤合丹参饮加味联合西药能明显改善痰瘀互结型稳定型心绞痛合并H型高血压患者的临床症状,调节血压水平,缓解心绞痛发作情况,降低血Hcy水平。 展开更多
关键词 稳定型心绞痛 H型高血压 小陷胸汤 丹参 痰瘀互结
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