应用芪参益气滴丸治疗心肌病的效应与机制研究
Effect and mechanism of Qishen Yiqi Pills on adriamycininduced cardiomyopathy in mice
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摘要: 目的:通过构建小鼠阿霉素心肌病模型,观察芪参益气滴丸对小鼠心肌病的治疗作用,并初步探讨其机制。方法:取健康雄性昆明小鼠64只,分为1、阿霉素组(ADR组,16只):生理盐水1 mL/100 g/d灌胃,ADR 4 mg·kg-1腹腔注射,每周两次,连续4周。2、阿霉素+芪参益气滴丸①组(16只):ADR 4 mg·kg-1腹腔注射,每周两次,连续4周,第三周开始予芪参益气滴丸3.5 mg/100 g/d,灌胃给药,累计4周。3、阿霉素+芪参益气滴丸②组(16只):ADR 4 mg·kg-1腹腔注射,每周两次,连续4周,同时予芪参益气滴丸3.5 mg/100 g/d,灌胃给药。4、对照组(16只):生理盐水1 mL/100 g/d灌胃,同时生理盐水1mL·kg-1腹腔注射,每周两次,累计4周。实验第六周末测定小鼠心功能,制作病理HE切片,用光镜行形态学观察,western法检测小鼠Bcl-2、Bax蛋白的表达。结果:1、ADR组小鼠LVESD、LVEDD增大,LVEF明显降低,芪参益气滴丸给药两组小鼠心功能较ADR组均有改善,组间对比有统计学差异(P用药①组>用药②组>对照组,组间对比有统计学意义(P结论:芪参益气滴丸可有效改善阿霉素心肌病小鼠的心功能,纠正心衰,减轻心肌损害作用,且早期用药效果佳,其机制与抑制小鼠心肌细胞凋亡有关。Abstract: AIM:To study the effect and probable mechanism of Qishen Yiqi Pills on adriamycin(ADR)-induced cardiomyopathy in mice.METHODS:Sixty-four mice were randomly divided into(1) the ADR group:saline(1 mL/100 g) administered every day by intragavage,ADR(4 mg·kg-1) administered to each mouse by intraperitoneal injection twice a week for four weeks;(2) the ADR+Qishen Yiqi Pills I group:ADR(4 mg·kg-1) administered to each mouse by intraperitoneal injection twice a week for four weeks,and at the beginning of the third week Qishen Yiqi Pills(3.5 mg/100 g) administered by intragavage every day for four weeks;(3) the ADR+Qishen Yiqi Pills II group:ADR(4 mg·kg-1) administered to each mouse by intraperitoneal injection twice a week for four weeks,and at the same time Qishen Yiqi Pills(3.5 mg/100 g) administered by intragavage every day for four weeks;(4) the control group:saline(1 mL/100 g) administered every day by intragavage,saline(1 mL·kg-1) administered to each mouse by intraperitoneal injection twice a week for four weeks.Six weeks later,cardiac function,myocardial pathology,and expression of Bcl-2 and Bax were evaluated.RESULTS:1.The left ventricular diastolic diameter and the left ventricular systolic diameter were significantly increased(PPPCONCLUSIONS:Qishen Yiqi Pills can effectively improve the cardiac function of ADR-induced cardiomyopathy,and the earlier it is used is better.The probable mechanism of action may be the inhibition of the apoptosis of myocardial cells.