摘要
目的:研究复方豨莶草胶囊治疗急性痛风性关节炎的作用机理。
方法:将复方豨莶草胶囊用于急性痛风性关节炎动物模型,通过足趾肿胀法、病理检查、ELISA酶联免疫法、免疫组织化学、RT-PCR等检测方法,测定细胞因子水平以及COX-2、VCAM-1和NF-KB的表达,并与抗炎药(扶他林)对照观察其对模型动物炎症的影响,并评价其抗炎效果。
结果:(1)复方豨莶草胶囊有明显的抗炎作用,可显著抑制痛风性关节炎大鼠踝关节肿胀,其抑制作用虽逊于扶他林,但其安全性高,大鼠无不良反应发生;(2)复方豨莶草胶囊能显著抑制痛风性关节炎大鼠病变关节局部炎性白细胞浸润及滑膜细胞的增生;(3)在病变关节局部,复方豨莶草胶囊能显著降低急性痛风性关节炎小鼠滑膜组织中组胺、IL-1β、IL-8、TNF-a含量,并降低关节滑膜内COX-2、VCAM-1和NF-κB的表达,从而抑止滑膜组织炎症发生。
结论:复方豨莶草胶囊治疗痛风性关节炎有确切疗效,可能与抑止组胺、IL-1β、IL-8、TNF-a的分泌以及COX-2、VCAM-1和NF-κB的表达有关。
Objective The aim of the study is to research the mechanism of therapyaction for acute gouty arthritis through complex prescription herbasiegesbeckiae capsule.
Methods The herb is used in the model of animal which get acute goutyarthritis. The method of the tumefaction on the toe of rats test, pathologicalexamination, ELISA euzymelinked immunosorbent assay, Immunohistochemistry, RT-PCR are used to determine the cytokine level andCOX-2, VCAM-1, NF-KB expression.We compare the treatment effect in rats ofherb to the effect of anti-inflammatory(Diclofenac) and evaluate the herb'scurative effect.
Results
1. The complex prescription herba siegesbeckiae capsule have evidentanti-inflammatory effect and can significant restrain the arthrocele ofankle-joints of rats which get acute gouty arthritis. The restrain effect is inferiorto the effect of Diclofenac, but herb is more safe and has no adverse effect..
2. The complex prescription herba siegesbeckiae capsule can significantrestrain leukocytic infiltrate of the rat's affection joints and the accrementitionof synovial cell of the rat's affection joints.
3. The complex prescription herba siegesbeckiae capsule can significantcut down the contents of beta-imidazolyle thylamine, IL-1β、IL-8、TNF-αofthe rats's affection joints membrana synovialis architecture, which can also cutdown COX-2, VCAM-1, NF-κB expression, then restrain the inflammation ofmembrana synovialis architecture.
Conclusion The complex prescription herba singesbeckiae capsule'santi-inflammation and analgesia mechanism may be related to inhibiting thebeta-imidazolyle thylamine, IL-1β、IL-8、TNF-αexcreting, acceleratingCOX-2、VCAM-1 and NF-κB expression.
引文
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