目的 研究痛麻杞宁方对大鼠坐骨神经损伤(SNI)的改善作用及机制。方法 采用夹闭法复制SNI大鼠模型。将模型大鼠随机分为模型对照组,甲钴胺组(甲钴胺6×10-4 g·kg-1),痛麻杞宁方高剂量组[30 g(生药)·kg-1]、中剂量组[15 g(生药)·kg-1]和低剂量组[7.5 g(生药)·kg-1],另设假手术组,每组10只。连续灌胃给药6周后,检测各组大鼠坐骨神经指数(SFI)和感觉传导速度(SNCV),腹主动脉取血,检测大鼠血液流变性(红细胞压积、血浆黏度、全血黏度高切值、全血黏度中切值和全血黏度低切值),取大鼠坐骨神经组织HE染色,免疫组化法分析大鼠坐骨神经组织中脑源性神经营养因子(BDNF)、神经生长因子(NGF)和血管内皮生长因子(VEGF)水平,Western blot测定大鼠坐骨神经组织中NGF和VEGF蛋白表达水平。结果 痛麻杞宁方能减轻SNI大鼠坐骨神经组织损伤,显著提高SNI大鼠SFI和SNCV(P<0.01),明显降低红细胞压积、血浆黏度、全血黏度高切值和全血黏度低切值(P<0.05),显著上调大鼠坐骨神经组织中的BDNF、NGF和VEGF的表达及NGF、VEGF的蛋白表达水平(P<0.01)。结论 痛麻杞宁方对大鼠实验性SNI具有改善性作用,其作用机制可能与改善血液流变性,促进血管新生,保护神经细胞有关。
Abstract
OBJECTIVE To study the effect and mechanism of Tongma Qining prescription(TQP) on improving sciatic nerve injury (SNI) in rats. METHODS The SNI model rats were replicated by using hemostatic forceps. The model rats were randomly divided into the model group, the mecobalamine group (mecobalamine 6×10-4 g·kg-1), the high-dose group (30 g ·kg-1), the medium-dose group (15 g·kg-1) and the low-dose group (7.5 g·kg-1), and the sham operation group was set(10 mice per group). After continuous intragastric administration for 6 weeks, sciatic nerve index (SFI), sensory conduction velocity (SNCV) and hemodynamic indexes were detected in each group. HE staining were employed to detect the pathological alterations of sciatic nerve tissues. Then the expression of BDNF, NGF and VEGF in sciatic nerve were detected by IHC-P, the protein expression of NGF and VEGF were detected by Western blot. RESULTS Tongma Qining prescription was able to alleviate sciatic nerve tissue injury in SNI rats, significantly improved SFI and SNCV (P<0.01), observably reduced the hematocrit, plasma viscosity and value of whole blood viscosity (high shearing and low sheating)(P<0.05), and markedly upregulated the expression level of BDNF, NGF, VEGF and the protein expression level of NGF, VEGF (P<0.01). CONCLUSION The Tongma Qining prescription can significantly improve SNI in rats. Its action mechanism may be related to improving blood rheology, promoting angiogenesis and protecting nerve cells.
关键词
坐骨神经损伤 /
痛麻杞宁方 /
血液流变性 /
脑源性神经营养因子 /
神经生长因子 /
血管内皮生长因子
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Key words
sciatic nerve injury /
Tongma Qining prescription /
hemodynamic index /
BDNF /
NGF /
VEGF
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中图分类号:
R965
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参考文献
[1] YUE X S, ZHU X L, ZHANG Y L, et al. Effect of acupoint injection of nerve growth factor on peripheral nerve injury in rats[J]. Chin J Gerontol(中国老年学杂志), 2017, 37(14):3449-3451.
[2] CHEN L, ZHANG Y Q, ZUO H Z. Advances in the application of nerve growth factor and basic fibroblast growth factor in peripheral nerve repair[J]. Chin J Neuro Surg (中华神经外科杂志), 2016, 32(2):207-209.
[3] GAO P, ZHOU Z, HUANG H T. Research progress of traditional Chinese medicine for peripheral nerve injury[J]. J Mod Integr Tradit West Med(现代中西医结合杂志), 2018, 27(1):111-114.
[4] LUO W, ZHOU Y L, SUN Z Y, et al. Application of Chinese herbal extracts in the treatment of peripheral nerve injury[J]. World Latest Med Infor(世界最新医学信息文摘), 2015, 15(3):29-30.
[5] WANG L, MENG Q Y, CAO X L, et al. Study on the hypoglycemic effect of Tongma Qining oral liquid on experimental diabetic mice[J]. J Hebei Tradit Chin Med Pharm(河北中医药学报), 2017, 32(6):36-39.
[6] ENGLISH A W, CUCORANU D, MULLIGA A, et al. Neurotrophin-4/5 is implicated in the enhancement of axon regeneration produced treadmill training following peripheral nerve injury[J]. Eur J Neurosci, 2011, 33(12):2265-2271.
[7] ZHANG L, WANG G, MA J, et al. Brain-derived neurotrophic factor (BDNF) in the rostral anterior cingulate cortex (rACC) contributes to neuropathic spontaneous pain-related aversion via NR2B receptors[J]. Brain Res Bull, 2016, 127: 56-65.
[8] HEI W H, ALANSOORI A A, SUNG M A, et al. Adenovirus vector-mediated ex vivo gene transfer of brain-derived neurotrophic factor (BDNF) tohuman umbilical cord blood-derived mesenchymal stem cells (UCB-MSCs) promotescrush-injured rat sciatic nerve regeneration[J]. Neurosci Lett, 2017, 643: 111-120.
[9] KARATZAS A, KATSANOS K, LILIS I, et al. NGF Promotes hemodynamic recovery in a rabbit hindlimb ischemic model through trkA- and VEGFR2-dependent pathways[J]. J Cardiovasc Pharmacol, 2013, 62(3):270-277.
[10] DIAO Y P, GUO L L, LIAN L S, et al. Effects of nerve growth factor gene transfection on angiogenesis and skeletal muscle fiber remodeling in ischemic limbs[J]. Chin J Bases Clin Gen Surg(中国普外基础与临床杂志),2015,22(2):166-171.
[11] SANG Q, SUN D, CHEN Z, et al. NGF and PI3K/Akt signaling participate in the ventral motor neuronal protection of curcumin in sciatic nerve injury rat models[J]. Biomed Pharmacother, 2018, 103: 1146-1153.
[12] ZACHARY I. Neuroprotective role of vascular endothelial growth factor: signalling mechanisms, biological function, and therapeutic potential[J]. Neurosignals, 2005, 14(5):207-221.
[13] ZUPANC H R H, ALEXANDER P G, TUAN R S. Neurotrophic support by traumatized muscle-derived multipotent progenitor cells: role of endothelial cells and vascular endothelial growth factor-A[J]. Stem Cell Res Ther, 2017, 8:226.
[14] TONG X X, MA T M. Classification of sciatic nerve injury and establishment of commonly used models[J]. Chin Mani Reha Med(按摩与康复医学), 2018, 9(8):8-10.
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脚注
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基金
河北省科技计划项目资助(1162777194)
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