[1]甄朋超△,阮安民,周乔,等.跌打万应膏治疗踝关节软组织损伤的实验研究[J].中国中医骨伤科杂志,2023,31(08):1-6+12.[doi:10.20085/j.cnki.issn1005-0205.230801 ]
 ZHEN Pengchao,RUAN Anmin,ZHOU Qiao,et al.Experimental Study of Diedawanying Ointment on the Treatment of Ankle Joint Soft Tissue Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(08):1-6+12.[doi:10.20085/j.cnki.issn1005-0205.230801 ]
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跌打万应膏治疗踝关节软组织损伤的实验研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年08期
页码:
1-6+12
栏目:
实验研究
出版日期:
2023-08-15

文章信息/Info

Title:
Experimental Study of Diedawanying Ointment on the Treatment of Ankle Joint Soft Tissue Injury
文章编号:
1005-0205(2023)08-0001-06
作者:
甄朋超1△阮安民2周乔1王磊1赵环宇1刘钢1
1北京中医药大学附属护国寺中医医院(北京,100035)
2北京市隆福医院
Author(s):
ZHEN Pengchao1△RUAN Anmin2ZHOU Qiao1WANG Lei1ZHAO Huanyu1LIU Gang1
1Huguo Temple Chinese Medicine Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100035,China; 2Beijing Longfu Hospital,Beijing 100005,China.
关键词:
跌打万应膏 踝关节 软组织损伤 机制
Keywords:
Diedawanying ointment ankle joint soft tissue injury mechanism
分类号:
R685
DOI:
10.20085/j.cnki.issn1005-0205.230801
文献标志码:
A
摘要:
目的:探讨跌打万应膏治疗踝关节软组织损伤的作用机制。方法:选取雄性大鼠72只,称重,随机分为6组,每组12只,分别为空白组、模型对照组、跌打万应膏高、中、低剂量组、对照组(冰敷),空白组不用药,其他组按体重各自给药。釆用经典的重锤坠落法造模建立大鼠踝关节急性软组织损伤模型,观察各组大鼠第3天和第7天后血清炎性递质IL-1β、TNF-α的水平以及应用荧光聚合酶链式反应(PCR)及蛋白质免疫印迹技术(Western Blot)检测各组大鼠受损软组织TLRs/MyD88/NF-κB通路表达水平的变化。结果:跌打万应膏可降低外周血中的IL-1β、TNF-α炎症因子水平,并显著抑制TLRs/MyD88/NF-κB信号通路TLR2、TLR4、MyD88、NF-κB基因及蛋白的激活和表达。结论:跌打万应膏外敷以中剂量疗效为佳,TLRs/MyD88/NF-κB信号通路可能是跌打万应膏的作用途径之一。
Abstract:
Objective:To investigate the mechanism of diedawanying ointment on the treatment of ankle soft tissue injury.Methods:72 male rats were selected and weighed and randomly divided into 6 groups,with 12 rats in each group,which were blank group,model control group,diedawanying ointment high-dose,medium-dose and low-dose groups,and control group(ice compress).Blank group was not given medicine,and other groups were given medicine according to body weight.Acute soft tissue injury model of the ankle joint in rats was established by the classical hammer fall method.The levels of serum inflammatory transmitters IL-1β and TNF-α were observed after 3 d and 7 d in each group,and the expression levels of TLRs/MyD88/NF-κB pathway in the damaged soft tissues of rats were detected by PCR and Western Blot.Results:Diedawanying ointment could decrease the levels of IL-1β and TNF-α inflammatory factors in peripheral blood,and significantly inhibit the activation and expression of TLR2,TLR4,MyD88 and NF-κB genes and proteins in TLRs/MyD88/NF-κB signaling pathway.Conclusion:Medium dose of diedawanying ointment has the best therapeutic effect.The action mechanism of diedawanying ointment is complex,and TLRs/MyD88/NF-κB signaling pathway is one of the action pathways of diedawanying ointment.

参考文献/References:

[1] 段戡,青恒臻,袁长深,等.十一方药酒治疗急性软组织损伤的临床研究[J].中国中医骨伤科杂志,2022,30(9):26-30.
[2] 甄朋超,戚晴雪,王倩倩,等.跌打万应膏治疗小鼠急性软组织损伤的实验研究[J].中国中医急症,2021,30(7):1165-1168.
[3] DAMLAR I,ESEN E,TATLI U.Effects of glucosamine-chondroitin combination on synovial fluid IL-1β,TNF-α and PGE2 levels in internal derangements of temporo mandibular joint[J].Med Oral Patol Oral Cir Bucal,2015,20(3):e278-e283.
[4] MOHAMMAD M,SEYED A M,ARMIN A,et al.Injury to skeletal muscle of mice following acute and sub-acute pregabalin exposure[J].Iranian Journal of Basic Medical Science,2017,20(3):256-259.
[5] 赵志军,李强,刘道忠,等.炎性细胞因子白细胞介素-1β和肿瘤坏死因子-α与大骨节病关系的研究进展[J].中华地方病学杂志,2018,37(9):769-771.
[6] 王青华,唐映红,朱敏丰,等.基于OPG/RANKL/RANK骨代谢通路探讨伤科黄水对急性软组织损伤模型大鼠的保护机制[J].中药材,2020,43(9):2264-2268.
[7] DROR E,DALMAS E,MEIER D T,et al.Postprandial macro-phage-derived IL-1β stimulates insulin,and both synergistically promote glucose disposal and inflammation[J].Nat Immunol,2017,18(3):283-292.
[8] 陈瑶,王洪林,安莉君,等.千山活血膏治疗大鼠急性软组织损伤的作用研究[J].药学研究,2020,39(1):11-15.
[9] 刘永利,邵先舫,李前,等.治伤巴布剂对急性软组织损伤患者血清TNF-α、IL-6水平的影响[J].湖南中医药大学学报,2020,40(3):377-380.
[10] CUZZOCREA S,ESPOSITO E.TNF-α as a therapeutic target in inflammatory diseases,ischemia-reperfusion injury and trauma[J].Current Medicinal Chemistry,2009,16(24):3152-3167.
[11] 董有康,向勇,王春林,等.牵伸松调法对颈椎病模型兔IL-6、TNF-α及Caspase-3的影响[J].四川中医,2018,36(6):79-81.
[12] 程延,赵晓芸,王敏娟,等.玄黄膏药对急性软组织损伤大鼠损伤组织中IL-1β、TNF-α含量的影响[J].陕西中医,2019,40(1):9-11.
[13] 付红英,李克群,李登凤,等.五水头孢唑林钠预防骨科术后切口感染效果及患者血清炎性因子变化分析[J].中华医院感染学杂志,2017,27(22):5183-5185.
[14] LAIRD M H,RHEE S H,PERKINS D J,et al.TLR4/MyD88/PI3K interactions regulate TLR4 signaling[J].J Leukoc Biol,2009,85(6):966-977.[15] 张旭东,刘宏岩.乌梅丸对溃疡性结肠炎大鼠TLRs/NF-κB/MyD88信号通路影响的研究进展[J].吉林中医药,2019,39(3):410-413.
[16] YOON Y D,HAN S B,KANG J S,et al.Toll-like receptor 4 dependent activation of macrophages by polysaeeharide isolated from the radix of platycodon grandiflomm[J].Int Immunopharmacol,2003,3(13/14):1873-1882.
[17] ANDO I,TSUKUMO Y,WAKABAYASHI T,et al.Safflower polysaccharides activate the transcription factor NF-κB via Toll-like receptor 4 and induce cytokine production by macrophagcs[J].Int Immunopharmacol,2002,2(8):1155-1162.
[18] 陈谱,阮安民,周俊,等.通络止痛凝胶治疗膝骨关节炎的实验研究[J].中国中医骨伤科杂志,2020,28(9):1-5.
[19] 金益,濮宗进,唐于平,等.当归-红花药对活血功效相互作用研究[J].中草药,2017,48(10):2087-2092.
[20] 刘立,段金廒,朱振华,等.当归-红花药物组合效应物质基础研究[J].中草药,2011,42(5):929-934.
[21] 礼梅,许世伟,苏玉娟.红花药物分析、化学成分及现代药理研究进展[J].中医药信息,2017,34(2):123-125.
[22] 侯晓丽,孙铭学,高焕焕,等.抗炎天然产物活性成分研究进展[J].药学实践杂志,2015,33(1):20-27.
[23] 宋锦叶,孟立强,李晓玫.黄茂与当归在肾脏微血管病变中的治疗应用前景[J].中国中西医结合杂志,2008,28(9):859-861.
[24] 马晓娟,殷惠军,陈可冀.血瘀证与炎症相关性的研究进展[J].中国中西医结合杂志,2007,27(7):669-672.
[25] 崔向宁,李玉波,李妍,等.活血、利水中药对脑出血大鼠脑组织肿瘤坏死因子-α、核转录因子-κB及水通道蛋白-4表达的影响[J].中国中西医结合杂志,2012,32(2):203-208.

备注/Memo

备注/Memo:
基金项目:首都卫生发展科研专项(首发2022-3-7029)
北京市第六批市级名老中医学术经验继承项目
通信作者 E-mail:pengchaozhen@163.com
更新日期/Last Update: 2023-08-01