1. 中国中医科学院广安门医院肿瘤科
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李铮, 董广通, 伍晓慧, 等. 养阴清肺方对放射性肺炎大鼠外周血Th17/Treg平衡的影响[J]. 北京中医药, 2018,37(3):222-225.
LI Zheng, DONG Guang-tong, WU Xiao-hui, et al. Effects of Yangyin Qingfei Formula on the balance of Th17/Treg in peripheral blood of rats with radiationinduced pneumonia[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(3):222-225.
李铮, 董广通, 伍晓慧, 等. 养阴清肺方对放射性肺炎大鼠外周血Th17/Treg平衡的影响[J]. 北京中医药, 2018,37(3):222-225. DOI: 10.16025/j.1674-1307.2018.03.009.
LI Zheng, DONG Guang-tong, WU Xiao-hui, et al. Effects of Yangyin Qingfei Formula on the balance of Th17/Treg in peripheral blood of rats with radiationinduced pneumonia[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(3):222-225. DOI: 10.16025/j.1674-1307.2018.03.009.
目的观察养阴清肺方对放射性肺炎大鼠外周血Th17/Treg平衡的影响,探讨其对放射性肺炎防治作用的机制。方法将50只雌雄各半的SD大鼠随机分为空白组(C)、模型组(M)、激素组(J)、中药组(Z)、中药加激素组(X)各10只,直线加速器对空白组外的4组大鼠全胸单次照射,剂量为16 Gy。照射后第1天起各组予相应的药物灌胃。照射后4周,处死大鼠,取右肺中叶做HE和Masson染色,取全血标本进行流式细胞术检测。观察各组大鼠在照射后4周肺组织病理学改变及Th17、Treg和Th17/Treg的变化。结果照射后4周,与C组相比,M组Th17比例增高,差异有统计学意义(P=0.011),M、J、Z、X组任何两组比较,Th17比例差异均无统计学意义(P>0.05);与C组相比,M组Treg比例略增高,差异无统计学意义(P=0.062),J、Z、X组分别与M组比较,Treg比例均降低,差异有统计学意义(P<0.05),J、Z、X组两两比较,Treg比例差异无统计学意义(P>0.05);与C组相比,M组Th17/Treg比值增大,差异有统计学意义(P=0.023),M、J、Z、X组任何两组比较,Th17/Treg比值差异均无统计学意义(P>0.05)。结论放射性肺炎大鼠外周血存在Th17/Treg失衡,养阴清肺方可有效减轻放射性肺炎大鼠局部肺组织炎症和局部纤维化程度,其机制可能与抑制Treg有关。
Objective To observe the effects of Yangyin Qingfei Formula on the balance of Th17/Treg in peripheral blood of rats with radiation-induced pneumonia and explore its mechanism of prevention and treatment of this disease. Methods Fifty SD rats of half male and half female were randomly divided into blank group( C),model group( M),prednisolone group( J),TCM group( Z),TCM and prednisolone group( X). The whole chest of rats in four groups except the blank group was irradiated by a linear accelerator at a dose of16 Gy. From the first day after irradiation,each group was given the intervention. Four weeks after irradiation,10 rats in each group were sacrificed. HE and Masson staining were performed in the middle of right lung,and the whole blood samples were collected for flow cytometry. The pathological changes of lung tissue and the changes of Th17,Treg and Th17/Treg in 4 weeks after radiation were observed in each group. Results There was a significant difference in Th17 ratio between group M and group C at 4 weeks after radiotherapy( P = 0. 011 < 0. 05). There was no significant difference in Th17 between any two groups of group M,J,Z and X( P >0. 05). Compared with group C,the proportion of Treg in group M was slightly increased,but the difference wasn’t significant( P =0. 062 > 0. 05). The proportion of Treg in group J,Z and X was lower than that in group M( P < 0. 05). There was no significant difference in Treg between any two groups of group J,Z and X( P > 0. 05). The ratio of Th17/Treg in group M and C was increased with statistical difference( P = 0. 023 < 0. 05). There was no significant difference in Th17/Treg between any two groups of group M,J,Z and X( P > 0. 05). Conclusion Th17/Treg imbalance exists in the peripheral blood of rats with radiation-induced Pneumonia. Yangyin Qingfei Formula can effectively reduce inflammation and fibrosis in the local lung tissues of rats with radiationinduced pneumonia. The mechanism may be related to the inhibition of Treg.
养阴清肺方放射性肺炎SD大鼠Th17/Treg平衡
Yangyin Qingfei Formularadiation-induced pneumoniaSD ratTh17/Treg balance
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