痰瘀互结证哮喘大鼠模型的建立及评价
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上海中医药大学

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]国家自然科学基金(82104708);上海市市级科技重大专项(ZD2021CY001,ZXS004R4-1)


Establishing and Evaluating of Asthma Rat Model with Phlegm and Blood Stasis Syndrome
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Shanghai University of Traditional Chinese Medicine

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    摘要:

    目的 探索痰瘀互结证哮喘大鼠模型的建立及评价方法。方法 60只SD雄性大鼠随机分为5 组(正常组、哮喘模型组、病证结合组、地塞米松组、咳喘六味合剂组),每组12 只。通过卵清蛋白(OVA)诱导建立哮喘疾病模型;通过高脂饮食联合冰水浴法建立痰瘀互结证动物模型。通过动物行为学观察、病理切片观察、炎症指标检测、气道反应性测定评估哮喘疾病模型;通过体质量测定,证候观察,血糖、血脂、凝血功能、血液流变学指标检测,以及咳喘六味合剂干预后效果观察评估痰瘀互结证模型。结果 (1)OVA诱导后哮喘模型组、病证结合组大鼠均出现呼吸急促,张口喘息,腹部翕动,烦躁不安,易激惹等现象;HE染色见肺组织支气管黏膜上皮排列紊乱,局部脱落,基底膜增厚,支气管管壁增厚,管腔狭窄,大量炎性细胞浸润,毛细血管充血;血清中IL-4、IL-6、TGF-β1较正常组均上升(P<0.05);各浓度Mch激发后较正常组均表现出气道阻力值(Penh值)增高(P<0.05)。(2)造模结束后,病证结合组大鼠出现寒颤、蜷缩少动、爪甲紫暗,尾部可见紫黑瘀斑、便溏,肛周不洁等证候表现;与哮喘模型组比较,病证结合组大鼠体质量上升(P<0.05);血糖、甘油三酯、总胆固醇含量升高(P<0.05),凝血酶时间减少( P<0.05 ) ,纤维蛋白原含量增多( P<0.05),低、中、高切变率下全血黏度均升高( P<0.05 );咳喘六味合剂组以上各项指标较病证结合组有改善。结论 通过OVA诱导及高脂饮食联合冰水浴法建立痰瘀互结证哮喘大鼠模型,通过行为学观察、指标检测、以方测证综合评价该病证结合模型具有可行性。

    Abstract:

    Objective To explore the way to establish and evaluate the asthma rat model with phlegm and blood stasis syndrome. Methods 60 SD male rats were randomly divided into 5 groups:normal group,asthma model group,combination of disease and syndrome group(combination group),dexamethasone group,Kechuan Liuwei Mixture group),with 12 rats in each group. Asthma models were established by inducing ovalbumin (OVA) . Syndrome model of phlegm and blood stasis was established using a high-fat diet combined with ice water bath method. Evaluate asthma model through animal behavior observation,pathological section observation,inflammation index detection,and airway reactivity measurement; Evaluate phlegm and blood stasis syndrome model by measuring rat body mass,observing symptoms,detecting blood glucose,blood lipids,coagulation function,and hemorheological indexes,as well as syndrome determination by Kechuan Liuwei Mixture. Results ① After OVA inducing,the rats in the asthma model group and combination group showed symptoms such as shortness of breath,open mouth breathing,abdominal movement,restlessness,and irritability; HE staining showed disordered arrangement of the bronchial mucosa in lung tissue,local detachment,thickening of the basement membrane and the bronchial tube wall,narrowing of the lumen,extensive infiltration of inflammatory cells,and congestion of capillaries; compared with the normal group, IL-4,IL-6,TGF- β 1 in serum increased in rats of the asthma model group and combination group (P<0.05); Penh values increased after stimulation with various concentrations of Mch (P<0.05) .②Rats in the combination group showed symptoms such as chills,curling up with little movement,purple and dark claws,purple and black bruises on the tail,loose stools,and unclean perianal area; compared with the asthma model group,the body mass of rats in the combination group increased (P<0.05); blood glucose,triglycerides,and total cholesterol levels increased (P<0.05),thrombin time shortened (P<0.05),fibrinogen content increased (P<0.05),and whole blood viscosity significantly increased at low,medium,and high shear rates (P<0.05); the indexes were significantly improved after Kechuan Liuwei Mixture treating. Conclusion The asthma rat model with phlegm and blood stasis syndrome can be established through OVA inducing and high-fat diet combined with ice water bath. The model can be evaluated through behavioral observation,indexes detection,and syndrome determination by formulas.

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  • 收稿日期:2024-05-13
  • 最后修改日期:2024-09-13
  • 录用日期:2024-10-16
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