摘要
目的:探讨逐瘀安脑丸对脑出血小鼠的保护作用及可能的作用机制。方法:将正常WT小鼠分为对照组、出血组(ICH组)和出血后药物处理组(ICH+药物组),TLR4敲除小鼠分为TLR4敲除出血组(TLR4+ICH组)和TLR4敲除组出血+药物处理组(TLR4+ICH+药物组),每组各15例。自体脑出血造模,对照组钻孔后不注射股动脉血,禁食12小时后灌胃器灌服蒸馏水;ICH组和TLR4+ICH组造模成功后,禁食12小时后灌胃器灌服蒸馏水;ICH+药物组、TLR4+ICH+药物组造模成功后,禁食12小时后灌胃器灌服6.25g/kg逐瘀安脑丸,各组均治疗7天。Longa评分法测定各组神经功能缺损评分,测量脑含水量测定,酶联免疫吸附法(ELISA)测定脑组织中炎症因子IL-6、IL-1β、TNF-α。结果:第3天和第7天,与ICH组比较,ICH+药物组、TLR4+ICH组、TLR4+ICH+药物组神经功能缺损评分显著降低(P<0.05)。与ICH组比较,ICH+药物组、TLR4+ICH组、TLR4+ICH+药物组脑含水量显著降低(P<0.05)。与对照组比较,ICH组炎症因子IL-6、IL-1β和TNF-α显著增加(P<0.05);与ICH组比较,ICH+药物组、TLR4+ICH组、TLR4+ICH+药物组炎症因子IL-6、IL-1β和TNF-α和显著降低(P<0.05)。结论:逐瘀安脑丸能够减轻脑出血小鼠脑水肿,降低炎症反应;TLR4能够介导小鼠脑出血引起的炎症损伤,逐瘀安脑丸可能通过降低TLR4表达发挥脑保护作用。
Objective: To explore the protective effect and possible mechanism of action of Zhuyu Annao Pill in mice with intracerebral hemorrhage. Methods: The normal WT mice were divided into controlled group,ICH group and ICH+drug group,TLR4 knockout mice were divided into TLR4+ICH group and TLR4+ICH+drug group,with 15 cases in each group. Model of autologous ICH was established in all groups. After drilling and 12 h of fasting,models in the controlled group,the ICH group and the TLR4+ICH group were all drenched with 10 ml/kg distilled water by intragastric administration,the ICH+drug group and the TLR4+ICH+drug group were drenched with 6.25 g/kg of Zhuyu Annao Pill by intragastric administration. All groups were treated for 7 d. Longa scoring method was used to measure theneurological defect scores and determine the brain water contents of all groups. ELISA was employed to detect the inflammatory factor IL-6,IL-1βand TNF-a in brain tissues. Results: At day 3 and 7,compared with the ICH group,the neurological deficit score of the ICH+drug group,the TLR4 group and the TLR4+ICH+drug group decreased significantly(P<0.05). Compared with the ICH group,the brain water contents of the ICH+drug group,the TLR4 group and the TLR4+ICH+drug group reduced significantly(P<0.05). Compared with the controlled group,the inflammatory factor IL-6,IL-1β,TNF-a of the ICH group increased significantly(P<0.05). Compared with the ICH group,the inflammatory factor IL-6,IL-1β,TNF-a of the ICH+drug group,the TLR4 group and the TLR4+ICH+drug group decreased significantly(P<0.05). Conclusion: Zhuyu Annao Pill can alleviate encephaledema for mice with ICH and reduce inflammatory responses. TLR4 can mediate inflammatory injury induced by ICH. Thus,Zhuyu Annao Pill can play a protective role for brains bydecreasing the expression of TLR4.
引文
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