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中医药调控PI3K/AKT信号通路干预溃疡性结肠炎研究进展 被引量:1
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作者 王浩 程丽敏 《河南中医》 2024年第3期453-461,共9页
通过干预磷脂酰肌醇3-激酶(phosphatidylinositol 3-kinase,PI3K)/蛋白激酶B(protein kinase B,AKT)信号通路中的相关因子而发挥治疗作用的中医药疗法可分为清热解毒燥湿、活血化瘀止血、健脾温肾祛湿和攻补兼施等,能有效遏制UC的发生发... 通过干预磷脂酰肌醇3-激酶(phosphatidylinositol 3-kinase,PI3K)/蛋白激酶B(protein kinase B,AKT)信号通路中的相关因子而发挥治疗作用的中医药疗法可分为清热解毒燥湿、活血化瘀止血、健脾温肾祛湿和攻补兼施等,能有效遏制UC的发生发展,其作用机制为:(1)通过抑制上游信号因子表皮生长因子受体,进而抑制PI3K/AKT通路,减少肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-1β(interleukin-1β,IL-1β)和白细胞介素-6(interleukin-6,IL-6)在内的促炎细胞因子的表达,降低结肠炎症反应,减轻炎症所引起的结肠组织损伤;(2)直接作用于PI3K-AKT通路,进而抑制核转录因子-κB(nuclear transcription factor-κB,NF-κB)的表达,减少细胞凋亡和促炎因子的表达,缓解肠黏膜组织损伤,修复肠黏膜屏障功能的完整性;(3)通过PI3K/AKT途径下调辅助性T细胞17(T helper cell 17,Th17)和辅助性T细胞3(T helper cell 3,Th3)的分化,调节免疫反应及细胞凋亡,改善肠黏膜屏障,缓解UC结肠炎症反应。中医药具有成分复杂,有效成分作用靶点多,治疗途径多样等特点,但其具体分子生物学作用机制尚未完全明确,今后,需对分子生物学作用机制进行深入研究,为临床治疗溃疡性结肠炎等易反复发作的消化性疾病和新药的开发提供新策略。 展开更多
关键词 溃疡性结肠炎 磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(AKT) 信号通路 中医药
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溃疡性结肠炎(UC)肠黏膜中IL-2、IL-4、IL-17和IL-10的表达特点及其与疾病活动度的关系 被引量:52
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作者 岳文杰 刘懿 +6 位作者 徐薇 董乐 罗晓婷 蒋蔚茹 孙旭 钟良 刘杰 《复旦学报(医学版)》 CAS CSCD 北大核心 2012年第5期454-459,488,共7页
目的探讨溃疡性结肠炎(ulcerative colitis,UC)患者肠黏膜中的细胞因子IL-2、IL-4、IL-17和IL-10的表达特点,并分析其与疾病活动度的关系。方法收集UC患者36例,采用Sutherland疾病活动指数评估UC的炎症活动度。行结肠镜检查时对UC患者... 目的探讨溃疡性结肠炎(ulcerative colitis,UC)患者肠黏膜中的细胞因子IL-2、IL-4、IL-17和IL-10的表达特点,并分析其与疾病活动度的关系。方法收集UC患者36例,采用Sutherland疾病活动指数评估UC的炎症活动度。行结肠镜检查时对UC患者的病灶部位及病灶周围正常肠黏膜组织进行活检,以半定量PCR法检测肠黏膜组织中的细胞因子IL-2、IL-4、IL-17和IL-10的表达水平。从中选取10例以免疫组化法检测肠黏膜组织中上述各细胞因子的表达,同时检测该10例UC患者外周血的血沉(erythrocyte sedimentationrate,ESR)及C反应蛋白(c-reactive protein,CRP)值。结果 IL-2在UC患者肠黏膜病灶部位中的表达水平明显高于周围正常黏膜。在UC患者不同活动度组间,IL-2的蛋白表达水平无显著差异,但轻度组的IL-2mRNA表达水平高于中、重度组。IL-4在病灶部位中的表达水平明显高于正常黏膜,其中重度UC患者中的IL-4表达水平明显高于轻、中度UC患者。IL-17在病灶部位中的表达水平高于正常黏膜,其中重度UC患者中的IL-17表达水平明显高于轻、中度UC患者。IL-10在病灶部位中的蛋白及mRNA表达水平均高于正常黏膜,但前者差异无统计学意义,其中轻度UC患者中的IL-10表达水平明显高于中、重度UC患者。UC患者肠黏膜中上述细胞因子的表达水平与ESR、CRP值均无明显相关性。结论 IL-2、IL-4、IL-17及IL-10通过发挥不同的促炎或抑炎作用可能参与介导了UC发病,其mRNA表达水平与UC的炎症活动程度存在一定相关性,其中IL-4、IL-17及IL-10的蛋白表达水平亦与UC的炎症活动程度存在一定相关性,可用来评估UC的炎症程度。 展开更多
关键词 IL-2 IL-4 IL-17 IL-10 溃疡性结肠炎(uc)
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基于肠道屏障探讨“脾主为卫”在溃疡性结肠炎发病与治疗中的作用机制 被引量:1
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作者 张安琪 吴玉琦 +1 位作者 姚海强 万瑾毅 《世界中医药》 CAS 北大核心 2024年第10期1455-1459,共5页
溃疡性结肠炎(UC)是一种以肠道屏障受损为特点,表现为直肠黏膜的持续性炎症反应、溃烂以及反复发作的炎症性肠病。脾与肠道屏障有密切联系,“脾主为卫”的功能失调是UC的重要病机,然而对UC中“脾主为卫”功能失调的微观机制尚不清楚。... 溃疡性结肠炎(UC)是一种以肠道屏障受损为特点,表现为直肠黏膜的持续性炎症反应、溃烂以及反复发作的炎症性肠病。脾与肠道屏障有密切联系,“脾主为卫”的功能失调是UC的重要病机,然而对UC中“脾主为卫”功能失调的微观机制尚不清楚。肠道屏障与“脾主为卫”的功能异曲同工,肠道屏障的破坏与UC互为因果,从肠道屏障的角度可以为中医“脾主为卫”理论做出新的科学阐释。现代医学尚缺乏对UC的有效治愈方法,药物治疗仍存在不良反应大、停药后加重、易复发等缺点。而中医基于“脾主为卫”理论的益气健脾治法可有效恢复肠道屏障功能,促进黏膜愈合,且无上述不良反应,对于促进UC的愈合以及防止其复发具有重要的临床价值。 展开更多
关键词 溃疡性结肠炎 肠道屏障 肠道黏膜免疫 肠道黏液层 肠道菌群 中医药 脾主为卫 益气健脾
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术砂豆仁汤对UC模型大鼠血清IL-6、IL-10、TNF-α水平的影响 被引量:5
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作者 白建民 时伟峰 +3 位作者 时伟红 郭万周 高菲 苏方静 《中国中医急症》 2016年第1期58-59,63,共3页
目的观察术砂豆仁汤对脾肾阳虚型溃疡性结肠炎大鼠的血清白细胞介素-6(IL-6)、白细胞介素-10(IL-10)及肿瘤坏死因子-α(TNF-α)水平的影响。方法健康SD雄性大鼠40只,随机分为4组,即正常组、模型组、SASP组、术砂豆仁汤组。采用5%的2、4... 目的观察术砂豆仁汤对脾肾阳虚型溃疡性结肠炎大鼠的血清白细胞介素-6(IL-6)、白细胞介素-10(IL-10)及肿瘤坏死因子-α(TNF-α)水平的影响。方法健康SD雄性大鼠40只,随机分为4组,即正常组、模型组、SASP组、术砂豆仁汤组。采用5%的2、4、6-三硝基苯磺酸(TNBS)125 mg/kg乙醇灌肠法建立溃疡性结肠炎大鼠模型,光镜观察大鼠结肠组织病理形态并评分,用酶联免疫吸附法测定大鼠血清IL-6、IL-10、TNF-α水平。结果模型组大鼠血清IL-6、TNF-α含量均高于正常组(均P<0.01),而IL-10含量低于正常组(P<0.01);术砂豆仁汤组血清IL-6、TNF-α水平均较模型组降低(P<0.01),IL-6含量则显著升高(P<0.01)。结论术砂豆仁汤可降低血清IL-6、TNF-α含量,提高IL-10含量,这可能是其治疗UC作用机理之一。 展开更多
关键词 溃疡性结肠炎 术砂豆仁汤 TNF-Α IL-10 IL-6
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妊娠合并活动期溃疡性结肠炎的诊疗过程 被引量:1
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作者 徐米 仝巧云 《巴楚医学》 2024年第2期24-26,共3页
溃疡性结肠炎(UC)表现为反复发作的腹痛、腹泻及脓血便,妊娠期初次发生UC临床比较罕见,但若诊断和治疗不及时,将严重影响孕妇和胎儿健康,甚至危及母婴生命。本文详细介绍妊娠合并活动期UC患者的诊治经过,并结合文献,为提高临床医生对妊... 溃疡性结肠炎(UC)表现为反复发作的腹痛、腹泻及脓血便,妊娠期初次发生UC临床比较罕见,但若诊断和治疗不及时,将严重影响孕妇和胎儿健康,甚至危及母婴生命。本文详细介绍妊娠合并活动期UC患者的诊治经过,并结合文献,为提高临床医生对妊娠合并UC的诊疗技术提供经验参考。 展开更多
关键词 妊娠 溃疡性结肠炎 炎症性肠病
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敲低长链非编码RNA H19(lncRNA H19)促进人结肠细胞自噬抑制脂多糖诱导的凋亡
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作者 陈瑞 张燕飞 +6 位作者 王军华 陶明华 冉剑涛 杨杰 王孜 潘丽 韩起 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2024年第6期538-543,共6页
目的 探讨lncRNA H19在溃疡性结肠炎(UC)患者中的表达水平及其在UC中的作用。方法 收集西藏军区总医院25名UC患者和25名健康体检者的结肠黏膜标本及血清标本,采用荧光定量PCR检测lncRNA H19表达水平,并对血清标本进行受试者工作特征(ROC... 目的 探讨lncRNA H19在溃疡性结肠炎(UC)患者中的表达水平及其在UC中的作用。方法 收集西藏军区总医院25名UC患者和25名健康体检者的结肠黏膜标本及血清标本,采用荧光定量PCR检测lncRNA H19表达水平,并对血清标本进行受试者工作特征(ROC)曲线分析。采用脂多糖(LPS)处理建立体外HT29结肠细胞炎性模型,并采用荧光定量PCR检测lncRNA H19在结肠细胞的表达。通过慢病毒技术构建lncRNA H19低表达的HT29细胞株,噻唑蓝(MTT)法检测HT29细胞存活率,流式细胞术检测细胞凋亡率,Western blot法检测凋亡和自噬蛋白表达情况。采用自噬激动剂雷帕霉素处理后,MTT法观察对HT29细胞存活的影响。结果 lncRNA H19在UC患者结肠黏膜组织和血清中高表达,ROC曲线下面积为0.786。LPS刺激后,HT29细胞lncRNA H19表达显著升高,并与刺激时间正相关。敲低lncRNA H19可促进HT29细胞存活并抑制细胞凋亡,促进细胞自噬水平增加;雷帕霉素处理后,细胞存活率明显升高。结论 敲低lncRNA H19促进结肠细胞自噬抑制LPS诱导的结肠细胞凋亡并促进其存活。 展开更多
关键词 溃疡性结肠炎(uc) lncRNA H19 自噬 凋亡
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温阳益气方对脾肾阳虚型UC模型大鼠Th17细胞的影响 被引量:3
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作者 安永康 张双喜 +3 位作者 吴芳 张串串 代岩 张相安 《河南中医》 2015年第11期2620-2623,共4页
目的:观察温阳益气方对脾肾阳虚型溃疡性结肠炎(UC)大鼠模型Th17细胞的影响。方法:40只SPF级Wistar大鼠运用TNBS造模法,成功制备出脾肾阳虚型UC大鼠模型后,随机分为4组:正常组、模型组、温阳益气(WYYQ)组、美沙拉嗪(MT)组。药物干预28 ... 目的:观察温阳益气方对脾肾阳虚型溃疡性结肠炎(UC)大鼠模型Th17细胞的影响。方法:40只SPF级Wistar大鼠运用TNBS造模法,成功制备出脾肾阳虚型UC大鼠模型后,随机分为4组:正常组、模型组、温阳益气(WYYQ)组、美沙拉嗪(MT)组。药物干预28 d后取标本。运用HE染色法进行UC大鼠结肠黏膜组织病理学观察,采用酶联免疫吸附试验(ELISA)检测大鼠血清中IL-17、IL-23的表达;采用实时荧光定量PCR法定量分析结肠组织中RORγt mRNA的表达;采用Western Blot法测定结肠组织中Stat3蛋白的表达。结果:病理切片HE染色后在光镜下观察,可见结肠黏膜水肿、糜烂、出血,黏膜上皮缺损,溃疡灶形成。与模型组相比,WYYQ组和MT组镜下病理组织评分明显降低(P<0.05),血清IL-17、IL-23含量明显降低(P<0.05),结肠组织中RORγt mRNA的表达明显降低(P<0.05),Stat3蛋白的表达明显降低(P<0.05)。结论:温阳益气方能明显改善UC模型大鼠的炎症情况和黏膜组织的病理情况,降低血清IL-17、IL-23的含量,降低结肠组织中RORγtmRNA和Stat3的表达。抑制和降低UC模型大鼠结肠组织中Th17细胞的分化,可能是温阳益气方发挥其治疗溃疡性结肠炎的作用机制之一。 展开更多
关键词 溃疡性结肠炎 脾肾阳虚证 温阳益气方 TH17细胞 大鼠
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抗溃结复发方对UC模型大鼠血浆TXB_2、6-Keto-PGF_(1α)含量的影响 被引量:3
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作者 安贺军 王新月 +1 位作者 于玫 沈静 《湖南中医药大学学报》 CAS 2010年第11期15-17,共3页
目的探讨抗溃结复发方对溃疡性结肠炎(UC)模型大鼠血浆TXB2、6-Keto-PGF1α含量及TXB2/6-Keto-PGF1α比值的影响。方法用三硝基苯磺酸(TNBS)复制实验性大鼠UC模型,随机分为模型组、正常组、奥沙拉秦钠胶囊剂(畅美)对照组、抗溃结复发方... 目的探讨抗溃结复发方对溃疡性结肠炎(UC)模型大鼠血浆TXB2、6-Keto-PGF1α含量及TXB2/6-Keto-PGF1α比值的影响。方法用三硝基苯磺酸(TNBS)复制实验性大鼠UC模型,随机分为模型组、正常组、奥沙拉秦钠胶囊剂(畅美)对照组、抗溃结复发方组。结果给药10 d后,两个给药组皆可降低血浆TXB2水平及TXB2/6-Keto-PGF1α比值;给药30 d后,西药组血浆TXB2水平及TXB2/6-Keto-PGF1α比值低于中药组(P<0.01,P<0.05);停药10 d后,中药组TXB2/6-Keto-PGF1α比值低于西药组(P<0.01)。结论抗溃结复发方与奥沙拉秦钠胶囊剂(畅美)比较,发挥作用较晚,维持时间长,在抑制血小板活化方面远期效果优于西药畅美,可能在UC缓解期促进病情康复和减少复发方面发挥作用。 展开更多
关键词 抗溃结复发方 溃疡性结肠炎 TXB2 6-KETO-PGF1Α 大鼠 黄芪 白术 蒲黄
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血管活性肠肽调控滤泡辅助性T细胞/滤泡调节性T细胞平衡治疗溃疡性结肠炎的研究进展
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作者 杨铭杰 杨新棵 +2 位作者 李京涛 魏海梁 闫曙光 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2024年第5期455-459,共5页
溃疡性结肠炎(UC)是以结肠黏膜屏障持续损伤为病理基础的自身免疫性疾病。滤泡辅助性T(Tfh)细胞和滤泡调节性T(Tfr)细胞的异常表达与UC的发生发展密切相关,Tfh细胞具有分泌促炎因子、辅助B细胞产生抗体等作用,能够促进UC的发展,Tfr细胞... 溃疡性结肠炎(UC)是以结肠黏膜屏障持续损伤为病理基础的自身免疫性疾病。滤泡辅助性T(Tfh)细胞和滤泡调节性T(Tfr)细胞的异常表达与UC的发生发展密切相关,Tfh细胞具有分泌促炎因子、辅助B细胞产生抗体等作用,能够促进UC的发展,Tfr细胞则具有抑制Tfh细胞活性、分泌抗炎因子等作用,如何调节两者平衡已成为UC的潜在治疗靶点之一。血管活性肠肽(VIP)对UC具有防治作用,其机制与调控Tfh/Tfr细胞平衡密切相关,可对UC的治疗提供思路。 展开更多
关键词 溃疡性结肠炎(uc) 滤泡辅助性T(Tfh)细胞 滤泡调节性T(Tfr)细胞 血管活性肠肽(VIP) 发病机制 综述
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Integration between Genomic and Computational Statistical Surveys for the Screening of SNP Genetic Variants in Inflammatory Bowel Disease (IBD) Pediatric Patients*
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作者 Dago Dougba Noel Koffi N’Guessan Bénédicte Sonia +8 位作者 Dagnogo Olefongo Daramcoum Wentoin Alimata Marie-Pierre Mauro Giacomelli Dagnogo Dramane Eboulé Ago Eliane Rebecca Yao Saraka Didier Martial Diarrassouba Nafan Giovanni Malerba Raffaele Badolato 《Computational Molecular Bioscience》 2024年第3期146-191,共46页
Inflammatory bowel diseases (IBD) are complex multifactorial disorders that include Crohn’s disease (CD) and ulcerative colitis (UC). Considering that IBD is a genetic and multifactorial disease, we screened for the ... Inflammatory bowel diseases (IBD) are complex multifactorial disorders that include Crohn’s disease (CD) and ulcerative colitis (UC). Considering that IBD is a genetic and multifactorial disease, we screened for the distribution dynamism of IBD pathogenic genetic variants (single nucleotide polymorphisms;SNPs) and risk factors in four (4) IBD pediatric patients, by integrating both clinical exome sequencing and computational statistical approaches, aiming to categorize IBD patients in CD and UC phenotype. To this end, we first aligned genomic read sequences of these IBD patients to hg19 human genome by using bowtie 2 package. Next, we performed genetic variant calling analysis in terms of single nucleotide polymorphism (SNP) for genes covered by at least 20 read genomic sequences. Finally, we checked for biological and genomic functions of genes exhibiting statistically significant genetic variant (SNPs) by introducing Fitcon genomic parameter. Findings showed Fitcon parameter as normalizing IBD patient’s population variability, as well as inducing a relative good clustering between IBD patients in terms of CD and UC phenotypes. Genomic analysis revealed a random distribution of risk factors and as well pathogenic SNPs genetic variants in the four IBD patient’s genome, claiming to be involved in: i) Metabolic disorders, ii) Autoimmune deficiencies;iii) Crohn’s disease pathways. Integration of genomic and computational statistical analysis supported a relative genetic variability regarding IBD patient population by processing IBD pathogenic SNP genetic variants as opposite to IBD risk factor variants. Interestingly, findings clearly allowed categorizing IBD patients in CD and UC phenotypes by applying Fitcon parameter in selecting IBD pathogenic genetic variants. Considering as a whole, the study suggested the efficiency of integrating clinical exome sequencing and computational statistical tools as a right approach in discriminating IBD phenotypes as well as improving inflammatory bowel disease (IBD) molecular diagnostic process. 展开更多
关键词 Inflammatory Bowel Disease (IBD) Crohn Disease (CD) Ulcerative colitis (uc) Clinical Exome Analysis Computational Statistic SNP Genetic Variants
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血清miR-505和miR-15与溃疡性结肠炎内镜下活动度的关系
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作者 胡何英 翟慧敏 刘亚楠 《中国内镜杂志》 2024年第1期40-46,共7页
目的分析血清miR-505和miR-15与溃疡性结肠炎(UC)内镜活动度的关系。方法选取2020年5月-2022年5月该院收治的98例UC患者作为观察组,并选取同期80例肠易激综合征(IBS)患者作为对照组。采用改良Mayo评分,评估UC患者的内镜活动度,分析血清m... 目的分析血清miR-505和miR-15与溃疡性结肠炎(UC)内镜活动度的关系。方法选取2020年5月-2022年5月该院收治的98例UC患者作为观察组,并选取同期80例肠易激综合征(IBS)患者作为对照组。采用改良Mayo评分,评估UC患者的内镜活动度,分析血清miR-505和miR-15水平变化与UC患者内镜活动度的关系。结果观察组血清miR-505水平低于对照组,miR-15水平高于对照组,差异均有统计学意义(P<0.05)。活动期UC患者血清miR-505水平低于愈合期患者,血清miR-15水平高于愈合期患者,差异均有统计学意义(P<0.05)。E3型血清miR-505水平低于E2型和E1型,E3型血清miR-15水平高于E2型和E1型,E3型改良Mayo评分高于E2型和E1型,差异均有统计学意义(P<0.05)。血清miR-505与改良Mayo评分呈负相关(r=-0.51,P<0.05),血清miR-15与改良Mayo评分呈正相关(r=0.54,P<0.05)。受试者操作特征曲线(ROC curve)结果显示,miR-505截断值为0.93,评估UC患者内镜活动度的曲线下面积(AUC)为0.67(95%CI:0.659~0.785),敏感度和特异度分别为73.24%和68.55%;miR-15截断值为0.85,评估UC患者内镜活动度的AUC为0.69(95%CI:0.672~0.814),敏感度和特异度分别为76.38%和69.72%;两者联合评估UC患者内镜活动度的AUC为0.82(95%CI:0.809~0.912),敏感度和特异度分别为84.56%和68.49%。结论UC患者血清miR-505水平较IBS患者降低,血清miR-15较IBS患者升高,其水平与患者病变情况及内镜下活动度密切相关,血清miR-505和miR-15联合检测对UC患者内镜下活动度具有较好的评估价值。 展开更多
关键词 miR-505 miR-15 溃疡性结肠炎(uc) 内镜 活动度 相关性分析
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朱莹基于“土得木而达”理论治疗溃疡性结肠炎经验
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作者 陈姣姣 朱莹 《河南中医》 2024年第4期529-535,共7页
朱莹教授在论治溃疡性结肠炎时强调辨病论治与辨证论治相结合,溃疡性结肠炎临床常见证型为肝脾不和证、湿热郁滞证、肝郁血虚证、脾肾亏虚证、气滞血瘀证。朱教授治疗肝脾不和型溃疡性结肠炎常用柴芍六君子汤加减疏肝健脾;湿热郁滞型溃... 朱莹教授在论治溃疡性结肠炎时强调辨病论治与辨证论治相结合,溃疡性结肠炎临床常见证型为肝脾不和证、湿热郁滞证、肝郁血虚证、脾肾亏虚证、气滞血瘀证。朱教授治疗肝脾不和型溃疡性结肠炎常用柴芍六君子汤加减疏肝健脾;湿热郁滞型溃疡性结肠炎多用香砂六君子汤加黄芩、黄连、苦参、蒲公英清利湿热、调和肝脾、祛湿止泻;肝郁血虚型溃疡性结肠炎常用逍遥散、四物汤化裁;脾肾亏虚型溃疡性结肠炎常用四君子汤合参苓白术散加补骨脂、肉桂、熟地黄、杜仲、干姜等中药温补脾肾;气滞血瘀型溃疡性结肠炎运用分期祛瘀通络之法,在瘀病初期运用丹参、川芎、桃仁等配合白芍达到行气活血、养血合营、缓急止痛之效;滞瘀同病期配伍莪术、牛膝、牡丹皮以行滞通络;虚瘀同病期常用地龙、土鳖虫等血肉有情之品配合山药、当归以搜风通络、攻积破瘀、补脾益气,从而起到标本兼治之功。 展开更多
关键词 溃疡性结肠炎 “土得木而达” 肝脾不调证 湿热郁滞证 肝郁血虚证 脾肾亏虚证 气滞血瘀证 朱莹
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疮疡理论在溃疡性结肠炎治疗中的应用
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作者 安慎富 高宗跃 杨娅娟 《河南中医》 2024年第11期1660-1664,共5页
溃疡性结肠炎(ulcerative colitis,UC)与中医疮疡病在病因病机、治则治法等方面存在相似之处,在辨证论治过程中充分体现了异病同治的思维。疮疡理论注重辨证施治、调理阴阳、内外结合,根据病情的不同阶段采取消、托、补三法论治。故中... 溃疡性结肠炎(ulcerative colitis,UC)与中医疮疡病在病因病机、治则治法等方面存在相似之处,在辨证论治过程中充分体现了异病同治的思维。疮疡理论注重辨证施治、调理阴阳、内外结合,根据病情的不同阶段采取消、托、补三法论治。故中医药治疗UC时,亦注重辨证论治及分期论治。大肠湿热型UC以清热化湿、调和气血为治疗原则,选用芍药汤、白头翁汤、葛根芩连汤加减;脾虚湿盛型UC以健脾化湿、益气和中为治疗原则,方选参苓白术散、补中益气汤、五苓散加减;脾肾阳虚型UC以补脾益肾、温阳化湿为治疗原则,方选四神丸、附子理中丸及理中汤加减。对于活动期UC应以消法为主,清除湿热、化解瘀血、止血透脓,方选槐花散、葛根芩连汤、芍药汤、白头翁汤等;缓解期UC宜以托法为主,兼顾补益,方选托里消毒散、四逆散、补中益气汤、乌梅丸、柴胡桂枝干姜汤等加减;恢复期UC治疗宜攻补相结合、温补脾阳,方选附子理中丸、四神丸、补中益气汤、仙方活命饮等。 展开更多
关键词 溃疡性结肠炎 疮疡理论 辨证论治 分期论治 消法 托法 补法
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电针曲池、上巨虚对UC模型大鼠ChAT与a7nAChR等表达的影响 被引量:6
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作者 杨璐佳 张泓 +3 位作者 张雨辰 邓石峰 王珍珍 粟艳梅 《辽宁中医杂志》 CAS 北大核心 2015年第3期635-637,I0003,共4页
目的:观察电针溃疡性结肠炎(UC)模型大鼠大肠经经合穴"曲池"、下合穴"上巨虚"后对肿瘤坏死因子-α(TNF-α)、乙酰胆碱转移酶(ChAT)、烟碱型乙酰胆碱受体α7(α7nAChR)表达的影响并对其相关作用机制进行分析,初步探... 目的:观察电针溃疡性结肠炎(UC)模型大鼠大肠经经合穴"曲池"、下合穴"上巨虚"后对肿瘤坏死因子-α(TNF-α)、乙酰胆碱转移酶(ChAT)、烟碱型乙酰胆碱受体α7(α7nAChR)表达的影响并对其相关作用机制进行分析,初步探讨"合治内府"中"合"穴的相对特异性。方法:以TNBS(2-4-6三硝基苯磺酸)/乙醇溶液灌肠诱导建立SD大鼠UC模型,曲池组与上巨虚组造模成功后分别电针曲池穴和上巨虚穴,连续治疗10 d,末次治疗24 h后处死所有组大鼠,肉眼观察大鼠结肠溃疡评分,提取血清、结肠组织并制备标本,检测其ChAT,α7nAChR,TNF-α的表达。结果:1与空白组相比:模型组溃疡评分、TNF-α表达明显升高(P<0.01),ChAT,α7nAChR表达明显降低(P<0.01)。2与模型组相比:曲池组TNF-α表达明显降低(P<0.01)、α7nAChR表达明显升高(P<0.01),结肠溃疡评分降低和ChAT表达升高均有趋势但无统计学意义(P>0.05);上巨虚组溃疡评分、TNF-α的表达明显降低(P<0.01),ChAT、α7nAChR的表达明显升高(P<0.01)。3与曲池组相比:上巨虚组溃疡评分、TNF-α表达明显降低(P<0.01),ChAT、α7nAChR表达水平明显升高(P<0.05或0.01)。结论:1电针曲池、上巨虚均能降低UC模型大鼠结肠溃疡评分和TNF-α的表达,升高ChAT、α7nAChR的表达,说明电针对溃疡性结肠炎的治疗作用可能是通过调节TNF-α、ChAT、α7nAChR等来实现的;2比较而言:电针上巨虚的治疗作用优于曲池,说明"上巨虚"存在相对特异性;3本研究结果部分证实:"合治内府"中的"合"主要应指下合穴,其具体内涵仍需进一步研究。 展开更多
关键词 电针 uc模型大鼠 合穴 合治内府 胆碱能抗炎通路
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电针腧穴“肠病方”对UC模型大鼠IL-6及NF-кВp65的影响 被引量:5
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作者 祁超 闫丽萍 +3 位作者 燕平 双源 韩志敏 司原成 《山西中医学院学报》 2013年第4期2-4,共3页
目的:观察电针"肠病方"对溃疡性结肠炎(UC)模型大鼠血清白细胞介素-6(IL-6)及核因子-κB p65(NF-κB p65)含量的影响。方法:将24只清洁级SD大鼠随机分为空白组(n=6)、模型组(n=8)、肠病方组(n=10)。采用冰乙酸灌肠法建立UC大... 目的:观察电针"肠病方"对溃疡性结肠炎(UC)模型大鼠血清白细胞介素-6(IL-6)及核因子-κB p65(NF-κB p65)含量的影响。方法:将24只清洁级SD大鼠随机分为空白组(n=6)、模型组(n=8)、肠病方组(n=10)。采用冰乙酸灌肠法建立UC大鼠模型,观察电针"肠病方"后UC模型大鼠血清IL-6及NF-κB p65含量的变化。结果:与模型组比较,肠病方组大鼠血清中IL-6及NF-κB p65含量降低,差异有统计学意义(P<0.05)。结论:电针腧穴"肠病方"对UC模型大鼠的作用机制可能与降低IL-6及NF-κB p65的水平有关。 展开更多
关键词 溃疡性结肠炎 电针 肠病方 IL-6 NF-кB P65
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Therapeutic Effect and Mechanism of New Maixian Powder on DSS-induced UC Rats 被引量:1
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作者 Minjun FU Rongzhen SHI +2 位作者 Jianjun SHEN Meixia YANG Hongbin ZHENG 《Medicinal Plant》 CAS 2018年第3期58-61,共4页
[Objectives] To study the therapeutic effect and mechanism of New Maixian Powder on ulcerative colitis( UC) rats through observing its regulatory effect on the protein kinase R-like endoplasmic reticulum kinase( PERK)... [Objectives] To study the therapeutic effect and mechanism of New Maixian Powder on ulcerative colitis( UC) rats through observing its regulatory effect on the protein kinase R-like endoplasmic reticulum kinase( PERK)/eukaryotic translation initiation factor-2α( e IF-2α)/nuclear transcription factor-kappa B( NF-κB) signaling pathway. [Methods]First,60 SD rats were randomly divided into normal group,model group,mesalazine group,and New Maixian Powder low,medium and high dose groups,10 rats each group. Then,dextran sulfate sodium( DSS) was used to induce UC rats. The mesalazine group was given 0. 42 g/( kg·d) of mesalazine sustained-release granule suspension,New Maixian Powder low,medium and high dose groups were given 1. 5,3,and 6 g/( kg·d) of New Maixian Powder suspension,respectively,and other groups were given an equal volume of physiological saline,continuous intragastric administration for 14 d. Next,the disease activity index( DAI) of UC rats was evaluated; the expression of NF-κB in serum was measured by enzyme-linked immunosorbent assay( ELISA); the expression of PERK and e IF-2α protein and m RNA in colon tissue was detected by Western blot and real-time quantitative polymerase chain reaction( RT q-PCR). [Results] Compared with the normal group,the DAI score and serum NF-κB level in the model group were significantly higher( P < 0. 05),and PERK and e IF-2α protein and m RNA levels in the colon tissue were increased( P < 0. 05); compared with the model group,the DAI score decreased and serum NF-κB level declined in the New Maixian Powder group,and the expression of PERK and e IF-2α protein and m RNA in New Maixian Powder medium dose and high dose groups declined( P < 0. 05). [Conclusions]New Maixian Powder has good therapeutic effect on UC rats,and its mechanism may be connected with the inhibition of the activation of PERK/e IF-2α/NF-κB signaling pathway. 展开更多
关键词 New Maixian Powder Ulcerative colitis(uc) Protein kinase R-like endoplasmic reticulum kinase(PERK) Eukaryotic translation initiation factor-2α(eIF-2α) Nuclear transcription factor-kappa B(NF-κB)
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Systematic Evaluation and Meta-analysis of Modified Baitouweng Decoction in the Treatment of Ulcerative Colitis
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作者 Bing WEI Yi ZHANG +1 位作者 Ningning ZHAO Shiying TANG 《Medicinal Plant》 CAS 2019年第6期6-9,14,共5页
[Objectives]To evaluate the clinical efficacy and safety of Modified Baitouweng Decoction in the treatment of ulcerative colitis(UC).[Methods]A randomized controlled trial of Modified Baitouweng Decoction in the treat... [Objectives]To evaluate the clinical efficacy and safety of Modified Baitouweng Decoction in the treatment of ulcerative colitis(UC).[Methods]A randomized controlled trial of Modified Baitouweng Decoction in the treatment of ulcerative colitis was conducted,and the biased risk was evaluated in the included literature using a standardized method.A meta-analysis of the total effective rate and recurrence rate of the included literature was carried out.Sensitivity and safety analysis was carried out on the included literature.[Results]A total of 19 articles were included,involving a total of 1613 patients.The results of meta-analysis showed that the treatment of Modified Baitouweng Decoction alone or in combination with the western medicine is better than the treatment with the western medicine alone.[Conclusions]Modified Baitouweng Decoction is safe and effective in the treatment of ulcerative colitis.However,since the 19 articles included in this study are not high in quality,they have certain influence on the objectivity of the results. 展开更多
关键词 ULCERATIVE colitis(uc) Baitouweng DECOCTION Meta analysis Systematic evaluation
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Analyzing proteins in colonic tissues from mice with ulcerative colitis using the iTRAQ technology
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作者 Na Chen Zhongyin Zhou 《Oncology and Translational Medicine》 2019年第1期6-11,共6页
Objective The aim of the study was to investigate the expression of proteins in colonic tissues of mice with ulcerative colitis(UC) by using isobaric tags for relative and absolute quantitation(iTRAQ), probe into the ... Objective The aim of the study was to investigate the expression of proteins in colonic tissues of mice with ulcerative colitis(UC) by using isobaric tags for relative and absolute quantitation(iTRAQ), probe into the pathogenesis of UC, and find potential biomarkers of UC. Methods Forty C57 mice were randomly divided into the control and model groups(20 mice in each group). The mice in the model group were administered dextran sulphate sodium(DSS) for 7 consecutive days ad libitum to induce acute colitis, and the colon tissue was extracted on the 8 th day after the successful establishment of the UC model. Proteins were identified by the i TRAQ and tandem mass spectrometry techniques,and the identified proteins were analyzed by bioinformatics. Results A total of 4019 proteins were identified among the two groups. Among them, 317 significant differentially expressed proteins(DEPs) were detected according to the screening criteria for selecting DEPs, i.e. fold change ratios ≥ 1.5 or ≤ 0.67 and P-values < 0.05, of which 156 were upregulated and 161 were downregulated. In the Gene Ontology(GO) analysis, the DEPs were classified into 48 functional categories, which contained biological process, cellular component, and molecular function. Based on the 317 DEPs, the KEGG pathway analysis identified 160 vital pathways.Conclusion DEPs in colonic tissues of mice with UC were screened using the iTRAQ technique, which laid a foundation for further studies regarding the pathogenesis of UC. 展开更多
关键词 ULCERATIVE colitis (uc) ISOBARIC tags for relative and absolute QUANTITATION (iTRAQ) COLONIC tissue differentially expressed PROTEINS (DEPs)
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Diagnostic Value of Fecal Calprotectin and Serum MMP-9 in Diagnosing Disease Activity of Ulcerative Colitis
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作者 Ali Ghweil Ashraf Khodeary Shereen Philip Aziz 《Open Journal of Gastroenterology》 2018年第6期234-244,共11页
Background and Study Aim: Ulcerative colitis (UC) is a chronic, idiopathic inflammatory bowel disease characterized by remission of disease activity. Searching for laboratory markers which are simple, sensitive, speci... Background and Study Aim: Ulcerative colitis (UC) is a chronic, idiopathic inflammatory bowel disease characterized by remission of disease activity. Searching for laboratory markers which are simple, sensitive, specific and noninvasive is fundamental to assess the extent of inflammation, activity of the disease, evolution and prognosis which can be used to assess response to treatment and the possibility of relapse. Our aim of the work was to investigate the diagnostic role of fecal calprotectin and serum MMP-9 in determining the activity of ulcerative colitis. Patients and Methods: 71 patients were included in the study and fecal calprotectin, serum MMP-9, ESR and CRP were measured in these patients to determine the disease activity of ulcerative colitis. Results: Fecal calprotectin concentration in the patients with active UC was significantly higher than that in inactive disease and in controls (387.21 ± 44.07 μg/g vs 103.62 ± 119.67 μg/g, 12.44 ± 3.65 μg/g, p = 0.000). Serum MMP-9 was found to be higher in patients with active UC than in patients with inactive disease (11.02 ± 5.29 vs 4.01 ± 1.72 ng/ml, p = 0.000). A significant difference was also found in the patients with active UC of mild, moderate and severe degrees. Also, strong positive correlation was found between fecal calprotectin and serum MMP-9 and the severity of the disease. The area under the curve of the receiver operating characteristics (AUCROC) was 0.949 and 0.941 for fecal calprotectin and serum MMP-9 respectively. Conclusion: Fecal calprotectin and serum MMP-9 can be used to differentiate between active and inactive forms of UC. 展开更多
关键词 Inflammatory BOWEL Disease (IBD) ULCERATIVE colitis (uc) Matrix METALLOPROTEINASES (MMPs) FECAL CALPROTECTIN (FC)
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Mechanism and Research Progress of Fuyang Huoxue Jiedu Formula against Recurrence of Ulcerative Colitis
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作者 Yi LI Changan ZHOU +2 位作者 Rongrong LI Jiaojiao ZHANG Xingxing YU 《Medicinal Plant》 CAS 2022年第6期95-98,共4页
By introducing the composition and modern pharmacology of Fuyang Huoxue Jiedu Formula,the paper further explored the mechanism and research progress of Fuyang Huoxue Jiedu Formula against recurrence of ulcerative coli... By introducing the composition and modern pharmacology of Fuyang Huoxue Jiedu Formula,the paper further explored the mechanism and research progress of Fuyang Huoxue Jiedu Formula against recurrence of ulcerative colitis(UC).The formula can effectively improve the TCM syndromes of UC patients,reduce the recurrence rate,and improve clinical efficacy and patients’quality of life. 展开更多
关键词 Fuyang Huoxue Jiedu Formula Ulcerative colitis(uc) Traditional Chinese medicine(TCM) RECURRENCE Research progress
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