血府逐瘀汤联合替莫唑胺对脑胶质瘤大鼠ERK/MAPK信号通路的调节作用
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Regulatory effect of Xuefu Zhuyu decoction combined with temozolomide on ERK/MAPK signal pathway in rats with glioma
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    摘要:

    【摘要】 目的 探讨血府逐瘀汤联合替莫唑胺对脑胶质瘤大鼠ERK/MAPK信号通路的调节作用。方法 将60只大鼠随机分为空白对照组、脑胶质瘤组、血府逐瘀汤组、替莫唑胺组及联合给药组,每组各12只,除空白对照组,其余各组大鼠采用颅内注射胶质瘤C6细胞的方法建立脑胶质瘤大鼠模型,血府逐瘀汤组按照20g/kg灌胃给予血府逐瘀汤,替莫唑胺组给予替莫唑胺(25mg/kg),联合给药组同时给予血府逐瘀汤及替莫唑胺,空白对照组及脑胶质瘤组给予蒸馏水,1次/d,连续5w,测定大鼠瘤重占脑重比、抑瘤率、外周血CD4+CD25+调节性T细胞及CD8+T细胞百分比,采用酶联免疫吸附法(ELISA)检测试剂盒测定肿瘤组织白介素-2(IL-2)、白介素-10(IL-10)、转化生长因子-β1(TGF-β1)水平,苏木精-伊红(HE)染色法检测病理学变化,实时定量聚合酶链式反应(qRT-PCR)检测脑胶质瘤组织ERK、p38MAPK mRNA水平,免疫印迹(Western blot)及免疫组化检测大鼠脑胶质瘤组织ERK、p38MAPK表达。 结果 与空白对照组比较,脑胶质瘤大鼠外周血CD4+CD25+调节性T细胞、IL-10、TGF-β1、肿瘤组织EPK及p38MAPK mRNA水平及蛋白水平、免疫组化IOD水平均增高(均P<0.05),CD8+T细胞数、IL2水平均降低(P<0.05)。与脑胶质瘤组大鼠比较,血府逐瘀汤组、替莫唑胺组及联合给药组大鼠瘤重占脑重比、外周血CD4+CD25+调节性T细胞数、肿瘤组织IL-10、TGF-β1、肿瘤组织ERK及p38MAPK mRNA水平及蛋白水平、免疫组化IOD水平均显著降低(P<0.05),抑瘤率、外周血CD8+T细胞数、肿瘤组织IL-2水平显著升高(P<0.05),且联合给药组上述指标变化与血府逐瘀汤组及替莫唑胺组比较差异均有统计学意义(均P<0.05)。 结论 血府逐瘀汤联合替莫唑胺能够抑制脑胶质瘤大鼠肿瘤进展,调节大鼠免疫功能,其机制可能与调节ERK/MAPK信号通路有关。

    Abstract:

    【Abstract】 Objective To explore the regulatory effect of Xuefu Zhuyu decoction on ERK/MAPK signal pathway in rats with glioma. Methods 60 rats were randomly divided into blank control group, glioma group, Xuefu Zhuyu decoction group, temozolomide group and combination group, with 12 rats in each group. Except for the blank control group, the rat model of glioma was established by intracranial injection of glioma C6 cells. Xuefu Zhuyu decoction group was given Xuefu Zhuyu decoction according to 20g/kg, and temozolomide group was given temozolomide (25mg/kg), and rats in combination group were given Xuefu Zhuyu decoction and temozolomide in the same time, once a day for 5 weeks. The ratio of tumor weight to brain weight, tumor inhibition rate, and the percentage of CD4+CD25+ regulatory T cells and CD8+T cells in peripheral blood were measured. The levels of IL-2, IL-10 and TGF-β1 in tumor tissue were determined by enzyme linked immunosorbent assay (ELISA) kit, and the pathological changes were detected by hematoxylin-eosin (HE) staining. The levels of ERK and p38MAPK mRNA in glioma tissue were detected by real time quantitative polymerase chain reaction (qRT-PCR), and the expression levels of ERK and p38MAPK in rat glioma tissue were detected by immunohistochemistry. Results Compared with glioma rats, the ratio of tumor weight to brain weight, the number of CD4+CD25+ regulatory T cells in peripheral blood, IL-10, TGF-β1, ERK and p38MAPK mRNA level, protein level and immunohistochemical IOD level in tumor tissue were significantly decreased in Xuefu Zhuyu decoction group, temozolomide group and combination group (P<0.05). The tumor inhibition rate, the number of CD8+T cells in peripheral blood and the level of IL-2 in tumor tissue were significantly higher than those in Xuefu Zhuyu decoction group and temozolomide group (P<0.05). Conclusion Xuefu Zhuyu decoction combined with temozolomide can inhibit the tumor progression and regulate the immune function of glioma rats. The mechanism may be related to the regulation of ERK/MAPK signal pathway.

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  • 在线发布日期: 2021-09-30
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