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人参皂苷联合地塞米松对刀豆蛋白所致肝损伤模型大鼠肝功能保护作用及相关机制研究
作者:时扣荣  陈伟成  李洁  谭朝丹  刘娟  顾伟鹰 
单位:上海市第七人民医院药学部, 上海 200137
关键词:人参皂苷 地塞米松 刀豆蛋白 肝损伤 
分类号:R575;R965
出版年·卷·期(页码):2016·35·第一期(58-62)
摘要:

目的:探讨人参皂苷(GS)联合地塞米松(Dex)对刀豆蛋白所致肝损伤模型大鼠肝功能的保护作用,并分析其相关机制。方法:将Wistar大鼠40只按随机数字表法分为5组(每组8只):模型组、GS组、Dex组、GS+Dex组及对照组。模型组即建立刀豆蛋白诱导肝损伤模型;GS组、Dex组即分别给药Dex和GS;GS+Dex组则使用Dex和GS联合给药;对照组不给予任何干预。观察记录血清丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、脂质过氧化物丙二醛(MDA)和超氧化物歧化酶(SOD)水平,肝组织中核转录因子kappa B(NF-κB)P65的表达及肿瘤坏死因子-α(TNF-α)和γ-干扰素(IFN-γ)含量变化。并进行肝组织病理学检查。结果:模型组的ALT和AST水平与对照组比较显著上升(t=4.570、4.513,P<0.01);GS和Dex单独及联合给药组的ALT和AST水平与模型组比较均明显降低(P<0.05);GS+Dex组ALT水平降低程度显著大于GS组和Dex组(t=2.263、3.072,P<0.05),AST水平也如此(t=2.829、2.765,P<0.05)。模型组大鼠肝匀浆中的MDA水平与对照组相比上升,而SOD活性显著降低(t=7.515、8.514,P<0.01),GS组的MDA水平、SOD活性与模型组比较差异无统计学意义(P>0.05),GS+Dex组MDA水平降低和SOD活性升高程度显著大于Dex组(t=2.287、2.722,P<0.05)。GS+Dex组大鼠体重显著高于模型组及GS组(t=2.942、2.327,P<0.05)。模型组的NF-κB P65的蛋白表达与对照组比较显著上调(t=9.428,P<0.01),GS+Dex组下调NF-κB P65蛋白表达的程度明显大于GS组和Dex组(t=6.428、5.246,P<0.05)。模型组的TNF-α和IFN-γ水平与对照组比较显著上升(t=19.235、25.171,P<0.01),GS+Dex组TNF-α水平降低程度显著大于GS组和Dex组(t=2.313、9.053,P<0.05),GS+Dex组IFN-γ水平降低程度亦显著大于GS组和Dex组(t=5.171、8.933,P<0.05)。结论:GS联合Dex可有效保护刀豆蛋白所致肝损伤模型大鼠的肝功能,其机制可能与抑制氧化应激、抑制NF-κB P65活性、下调TNF-α含量、调节免疫作用有关。

Objective:To explore the protective effects of ginsenoside(GS) combined with dexamethasone(Dex) on concanavalin incuced liver injury rats mode and analyse the related mechanism.Methods:40 Wistar rats were randomly divided into five groups(n=8):model group, GS group, Dex group, GS+Dex group and control group.The rats model with actue hepatic injury induced by injection of concanavalin was established.GS group and Dex group were administered Dex and GS separately.GS+Dex group used co-administration of GS and Dex.Control group was not given any intervention.Serum alanine aminotransferase(ALT), aspartate aminotransferase(AST), malondialdehyde(MDA) and superoxide dismutase(SOD) levels were recorded and the expression of liver tissue nuclear transcription factor kappa B(NF-κB) P65 and tumor necrosis factor-α(TNF-α) and γ-interferon(IFN-γ) levels were analyzed.liver tissue was histopathologically examined with hematoxylin-exsin(HE) staining.Results:ALT and AST levels of the model group was significantly higher than control group(t=4.570,4.513;P<0.01).ALT and AST levels of GS group,Dex group and GS+Dex group were significantly lower than model group(P<0.05).The decreased level of ALT in GS+Dex group significantly greater than GS group and Dex group(t=2.263,3.072;P<0.05).The same as AST(t=2.829,2.765;P<0.05).MDA levels of the model group was significantly higher than control group and SOD activity was lower than control group (t=7.515,8.514;P<0.01).MDA levels and SOD activity had no significantly difference between GS group and model group(P>0.05).MDA levels and SOD activity had significantly difference between Dex group and GS+Dex group(t=2.287,2.722;P<0.05).The weight of rats in GS+Dex group was significantly greater than control group and GS group(t=2.942,2.327;P<0.05).Protein expression of NF-κB P65 of the model group was significantly higher than control group(t=9.428,P<0.01).The increased level of NF-κB P65 in GS+Dex group significantly greater than GS group and Dex group(t=6.428,5.246;P<0.05).TNF-α and IFN-γ levels of the model group was significantly higher than control group(t=19.235,25.171;P<0.01).The decreased level of TNF-α in GS+Dex group was significantly greater than GS group and Dex group(t=2.313,9.053;P<0.05).The same as IFN-γ levels(t=5.171,8.933;P<0.05).Conclusion:Ginsenoside combined with dexamethasone can effectively protect the liver function of concanavalin-induced liver injury in rats.The mechanism may be related to inhibition of oxidative stress and activity of NF-κB P65 which can reduce TNF-α and regulate immune function.

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