
浏览全部资源
扫码关注微信
1.中国中医科学院望京医院脾胃病(消化)科,北京 100102
2.黑龙江中医药大学,哈尔滨 150006
张涛,男,34岁,博士,主治医师。研究方向:炎症性肠病的临床与基础研究。
魏玮,E-mail:weiwei3816@mail.cintcm.ac.cn
收稿日期:2024-10-15,
纸质出版日期:2025-07-25
移动端阅览
张涛,钟卓泰,胡好颖,等.脾肾阳虚型溃疡性结肠炎大鼠模型的建立与评价[J].北京中医药,2025,44(7):861-866.
ZHANG Tao,ZHONG Zhuotai,HU Haoying,et al.Establishment and evaluation of ulcerative colitis rat model of spleen and kidney yang deficiency syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):861-866.
张涛,钟卓泰,胡好颖,等.脾肾阳虚型溃疡性结肠炎大鼠模型的建立与评价[J].北京中医药,2025,44(7):861-866. DOI: 10.16025/j.1674-1307.2025.07.010.
ZHANG Tao,ZHONG Zhuotai,HU Haoying,et al.Establishment and evaluation of ulcerative colitis rat model of spleen and kidney yang deficiency syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):861-866. DOI: 10.16025/j.1674-1307.2025.07.010.
目的
2
用番泻叶灌胃联合三硝基苯磺酸(TNBS)/乙醇混合物灌肠构建脾肾阳虚型溃疡性结肠炎(UC)大鼠模型,并从以方测证、方证不符2方面验证模型。
方法
2
第一阶段:番泻叶灌胃6周+TNBS/乙醇混合物灌肠后评价空白(A)组和造模大鼠的证候指标和疾病指标变化情况;第二阶段:将造模大鼠随机分为模型(B)组、以方测证(C)组、方证不符(D)组,各10只,分别灌胃饮用水、温肾健脾方、清热化湿调枢方后,进一步验证证候指标[进食量、体质量、握力、负重游泳时间、肛温,血清D-木糖、促肾上腺皮质激素(ACTH)、皮质酮/肾上腺酮(CORT)水平]和疾病指标[疾病活动指数(DAI)、组织学评分、结肠长度]变化情况。
结果
2
第一阶段:与A组比较,造模大鼠进食量、体质量、握力、负重游泳时间、肛温降低(
P
<
0.05),血清D-木糖、ACTH、CORT水平降低(
P
<
0.05),疾病指标(DAI、组织学评分)增高(
P
<
0.05),结肠长度缩短(
P
<
0.05)。第二阶段:与A组比较,B、C、D组大鼠进食量、体质量、握力、负重游泳时间仍降低(
P
<
0.05),血清中D-木糖、ACTH、CORT水平仍降低(
P
<
0.05)。C组各项证候指标(除肛温)和疾病指标均较B组改善,差异有统计学意义(
P
<
0.05);D组各项指标虽较B组改善,但差异无统计学意义(
P
>
0.05)。
结论
2
高剂量番泻叶灌胃联合TNBS/乙醇混合物灌肠可成功建立脾肾阳虚证UC大鼠模型,并且具有造模步骤相对简单、安全性高的优点。
Objective
2
To establish a rat model of ulcerative colitis(UC)with spleen and kidney
yang
deficiency syndrome by intragastric administration of high-dose Senna leaves combined with trinitrobenzene sulfonic acid(TNBS)/ethanol enema,and to validate the model from the perspectives of "prescription testing the syndrome" and "prescription-syndrome discrepancy".
Methods
2
In the first stage,changes in syndrome and disease indices were evaluated in a blank control group(A)and model rats after 6 weeks of Senna leaf gavage combined with TNBS/ethanol enema.In the second stage,the model rats were randomly divided into a model group (B),a prescription-testing-syndrome group(C),and a prescription-syndrome discrepancy group(D),each with 10 rats.Rats in groups B,C,and D received drinking water,
Wenshen Jianpi Formula
,and
Qingre Huashi Tiaoshu Formula
,respectively,by gavage,and changes in syndrome and
disease indices were further evaluated.
Results
2
In the first stage, compared with group A,model rats showed reduced food intake,body weight,grip strength,weight-bearing swimming time,and anal temperature (
P
<
0.05);serum D-xylose,ACTH,and CORT levels decreased(
P
<
0.05);disease indices(DAI,histological score)increased (
P
<
0.05);and colon length was shortened(
P
<
0.05).In the second stage,compared with group A,rats in groups B,C,and D still had decreased food intake,body weight,grip strength,and weight-bearing swimming time(
P
<
0.05),as well as lower serum D-xylose,ACTH,and CORT levels(
P
<
0.05).Compared with group B,all syndrome indices(except anal temperature)and disease indices in group C were significantly improved(
P
<
0.05),whereas indices in group D improved but without statistical significance(
P
>
0.05).
Conclusion
2
Intragastric administration of high-dose Senna leaves combined with TNBS/ethanol enema can successfully establish a UC rat model with spleen and kidney
yang
deficiency syndrome.The modeling procedure is relatively simple to implement and demonstrates high safety.
王师英 , 赵文樱子 , 钟彩铃 , 等 . 黄连通过调控肠黏膜上皮细胞AQPs蛋白表达改善溃疡性结肠炎腹泻的机制研究 [J ] . 北京中医药 , 2022 , 41 ( 9 ): 954 - 958 .
杨振斌 , 王庆娜 , 杨超 , 等 . 榆苋方保留灌肠对大肠湿热型溃疡性结肠炎大鼠PXR/NF-κB信号通路及炎症因子的调控作用研究 [J ] . 北京中医药 , 2023 , 42 ( 8 ): 847 - 851 .
蒋华 , 王为 . 111例溃疡性结肠炎患者证型分布及部分发病特点的回顾性分析 [J ] . 中外医学研究 , 2018 , 16 ( 7 ): 168 - 169 .
ZHU J , LIU S , GUO Y , et al . A new model of diarrhea with spleen-kidney yang deficiency syndrome [J ] . Evid Based Complement Alternat Med , 2018 : 4280343 .
刘雨然 , 连科迅 , 谷新利 . 几种炎症模型的小鼠造模方法研究进展 [J ] . 中国比较医学杂志 , 2022 , 32 ( 12 ): 120 - 126 .
徐叔云 , 卞如濂 , 陈修 . 药理实验方法学 [M ] . 北京 : 人民卫生出版社 , 2001 : 203 .
MURANO M , MAEMURA K , HIRATA I , et al . Therapeutic effect of intracolonically administered nuclear factor kappa B (p65) antisense oligonucleotide on mouse dextran sulphate sodium (DSS)-induced colitis [J ] . Clin Exp Immunol , 2000 , 120 ( 1 ): 51 - 58 .
DiELEMAN LA , PALMEN MJ , AKOL H , et al . Chronic experimental colitis induced by dextran sulphate sodium (DSS) is characterized by Th1 and Th2 cytokines [J ] . Clin Exp Immunol , 1998 , 114 ( 3 ): 385 - 391 .
吴玉泓 , 许雅清 , 李海龙 , 等 . 脾肾阳虚型溃疡性结肠炎大鼠模型的建立 [J ] . 中国实验动物学报 , 2016 , 24 ( 2 ): 116 - 119 .
高昂 , 朱莹 , 郑洁 . 脾肾阳虚型溃疡性结肠炎大鼠模型的建立及四神丸加味的反证效果 [J ] . 中医药导报 , 2016 , 22 ( 7 ): 28 - 31 .
王燚霈 , 朱莹 , 王璇 . 溃疡性结肠炎(脾肾阳虚证)大鼠模型的实验研究 [J ] . 中国中医急症 , 2015 , 24 ( 8 ): 1332 - 1334,1391 .
童骏峰 , 徐志伟 , 杨元宵 , 等 . 腺嘌呤与氢化可的松所致大鼠肾阳虚证模型比较研究 [J ] . 中华中医药杂志 , 2015 , 30 ( 11 ): 3901 - 3904 .
苏晓兰 , 刘倩 , 韩博宇 , 等 . 病证结合脾肾阳虚型IBS-D大鼠模型的建立与评价 [J ] . 北京中医药大学学报 , 2021 , 44 ( 3 ): 245 - 251 .
沈洪 , 唐志鹏 , 唐旭东 , 等 . 消化系统常见病溃疡性结肠炎中医诊疗指南(基层医生版) [J ] . 中华中医药杂志 , 2019 , 34 ( 9 ): 4155 - 4160 .
中国中西医结合学会 . 溃疡性结肠炎中西医结合诊疗专家共识 [J ] . 中国中西医结合杂志 , 2023 , 43 ( 1 ): 5 - 11 .
高昂 , 朱莹 , 郑洁 . 脾肾阳虚型溃疡性结肠炎大鼠模型的建立及四神丸加味的反证效果 [J ] . 中医药导报 , 2016 , 22 ( 7 ): 28 - 31 .
苏晓兰 , 姚梦茜 , 陈琳 , 等 . 清热化湿调枢方对葡聚糖硫酸钠诱导的结肠炎模型小鼠肠黏膜屏障及相关蛋白表达的影响 [J ] . 中医杂志 , 2022 , 63 ( 16 ): 1566 - 1572 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备 11010102006710号