HPA轴抑制大鼠感染性休克模型的建立及四逆汤对该模型的作用
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云南中医学院基础医学院,云南昆明650500

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R2855

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基金项目:云南省自然科学基金资助项目(NO:2008CC151) 收稿日期:2012—10—28修回日期:2012—11—07 作者简介:代蓉(1976~),女,云南丽江人,高级实验师,主要从事药理学和中药药理学的实验教学工作


HPA Axis Suppression and Septic Shock Model Established and the effects of Sini Decoction on it
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Yunnan University of TCM, Kunming Yunnan 650500

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    摘要:

    目的:复制HPA轴抑制大鼠感染性休克模型,探讨四逆汤对该模型的影响。方法:观察四逆汤对皮质酮致HPA轴抑制大鼠模型的影响,测定血清CORT、ACTH含量、肾上腺指数。取大鼠肾上腺做组织学病理检查,在HPA轴抑制模型基础上用LPS(4mg/kg)造成感染性休克模型,观察四逆汤的作用,记录休克前后血压变化。结果:每天1次,连续14d,皮下注射10mg/kg皮质酮,血清CORT含量低于正常组(P<005);与模型组比,四逆汤高、低剂量组大鼠血清CORT含量升高(P<005,P<001),四逆汤高剂量组血清ACTH含量升高(P<005),肾上腺重量增加(P<005),四逆汤高、低剂量组均能改善HPA轴抑制大鼠肾上腺被膜皱缩,球状带细胞、束状带细胞体积缩小、数目减少,胞质内脂滴空泡增多的状况;与模型组相比,阳性组(5mg/kgDEX)、四逆汤预防给药、治疗给药组,能抑制LPS(4mg/kg)致感染性休克大鼠的血压下降(P<001)。结论:四逆汤能改善HPA轴抑制状态,能减轻长期外源性GC造成肾上腺萎缩程度;改善HPA轴抑制感染性休克模型大鼠血压的下降。

    Abstract:

    Objective:The hypothalamic-pituitary-adrenal(HPA)axis suppression and septic shock model was duplicated and the effects of Sini Decoction was evaluated on that.Methods:We evaluated the effects of Sini Decoction on HPA axis suppression model by determining the levels of serum corticosterone( CORT)and ACTH, calculating the index of adrenal gland and observing the pathologic changes of bilateral adrenal gland. Blood pressure measurement was made before and after HPA axis suppression and septic shock model duplicated. Results:After subcutaneous injection of CORT (10mg/kg) for fourteen days,once a day, serum CORT of model group was lower compared with normal group(P<005). The large and small dose groups of Sini Decoction exhibited higher CORT than model group(P<005, P<001). ACTH and the weight of adrenal gland increased in high dose group of Sini Decoction(P<005).Pathologic examiniation showed, the shrinking of adrenal bilateral adrenal gland,sizes decreasing of zona glomerulosa and zona fasciculata cell and the increasing vacuoles in cell fat were improved in the low and high doses of Sini Decoction groups.In infectious shock model rats induced by LPS, blood pressure was decreased,however,it could be controlled in positive group(5mg/kgDEX), prophylactic and treatment groups of Sini Decoction(P<001).Conclusion:Administration of Sini Decoction improved the suppression of HPA axis, relieved the bilateral adrenal gland atrophy due to exogenous GC and elevated the blood pressure of HPA axis suppression and septic shock model rats.

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