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肠激安方对腹泻型肠易激综合征模型大鼠T淋巴细胞和5羟色胺的影响           
肠激安方对腹泻型肠易激综合征模型大鼠T淋巴细胞和5羟色胺的影响

                       作者:唐洪梅,黄樱华,李得堂,丘振文,阎雪

【摘要】    【目的】观察肠激安方对腹泻型肠易激综合征(IBS)模型大鼠T淋巴细胞水平和5羟色胺(5HT)分泌的影响。【方法】选用新生SD大鼠46只,随机分成正常组,模型组,肠激安方低、中、高剂量组(中药低、中、高剂量组,剂量分别为094、188、376g·kg-1·d-1),补脾益肠丸组(剂量为676g·kg-1·d-1);采用直肠内醋酸刺激法复制肠道高敏感大鼠模型,经大鼠排便统计及肠道敏感性评估确认造模成功后,采用流式细胞术检测各组外周血CD+3、CD+4、CD+8T淋巴细胞亚群水平,采用免疫组化法观察各组大鼠肠组织5HT阳性细胞数和免疫染色强度。【结果】模型组大鼠排便量显著增加,肠道敏感性显著升高,CD+4水平及CD+4/CD+8比值显著降低,CD+8水平显著升高,5HT阳性细胞数及染色强度显著增加(均P<001);中药低、中、高剂量组可减少大鼠排便量(治疗第14天),降低肠道敏感性,升高CD+4水平及CD+4/CD+S比值,降低CD+8水平,减少5HT阳性细胞数及染色强度(均P<001)。【结论】肠激安方治疗IBS的作用可能与改善细胞免疫功能和肠道敏感性,减少5HT分泌有关。

【关键词】  肠激安方/药理学;肠易激综合征/中药疗法;肠易激综合征/免疫学;结肠/病理学;疾病模型,动物;大鼠

  Abstract: ObjectiveTo observe the effect of Changjian Prescription (CP) on T lymphocytes count and 5hydroxytryptamine (5HT) secretion in rats with diarrhea predominant irritable bowel syndrome (IBS). MethodsFortysix neonatal SD rats were randomized into normal group, model group, low, middle and highdose CP groups (094, 188 and 376g·kg-1·d-1 respectively), and Bupi Yifei Pills group (676g·kg-1·d-1). Continuous internal rectal stimulation with acetate was used to induce the rat model of intestinal hypersensitive IBS. Flow cytometer was used for the quantitative analysis of peripheral levels of T lymphocytes subsets CD+3 , CD+4 and CD+8 , and immunohistochemical method was used to observe 5HTpositive cells number and the immunostaining intensity in the bowels of rats .ResultsIn the model group, the defecation volume and the intestinal sensitivity were increased, CD+4 level and CD+4/CD+8 decreased, CD+8 level increased, 5HTpositive cells number and the immunostaining intensity elevated (P<001 compared with the normal group). The defecation volume 14 days after treatment and the intestinal sensitivity were decreased, CD+4 level and CD+4/CD+8 increased, CD+8 level

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