目的 探究黄芩对妊娠晚期大鼠子宫运动节律及对前列腺素E(PGE)、环氧合酶2(COX2)水平的影响。方法 100只健康成年SPF级雌性大鼠、50只雄性大鼠适应性饲养7 d后,按照2∶1雌雄合笼交配,次日用无菌棉签给雌鼠作阴道涂片并进行镜检判断是否妊娠。取成功妊娠的40只大鼠,按体重排序随机分组法分为对照组及黄芩低、中、高剂量组,各10只。黄芩低、中、高剂量组于妊娠第19天时给予成人临床等效剂量的4、8、16倍(400、800、1600 mg/kg)灌胃(1次/d),对照组同时间给予等量生理盐水灌胃,当日观察大鼠胎鼠娩出情况;于妊娠第21天时,张力传感器测定大鼠子宫活动力、宫缩强度及宫缩频率;实时荧光定量PCR法、免疫印迹法分别检测大鼠子宫肌条组织中PGE、COX2 mRNA、蛋白水平。结果 黄芩低、中、高剂量组娩出鼠数分别为36、62、87只,较对照组(娩出0只)多;宫缩频率分别为(3.57±0.53)、(5.82±0.87)、(5.82±0.87)次/min,较对照组的(2.11±0.31)次/min高;宫缩强度分别为(1.97±0.29)、(2.58±0.38)、(3.26±0.50)g,较对照组的(1.06±0.23)g高;子宫活动力分别为(6.85±1.03)、(15.03±2.26)、(25.07±3.76)g/(次·min),较对照组(2.25±0.33)g/(次·min)高;子宫肌条组织中PGE mRNA分别为1.26±0.19、1.58±0.23、1.76±0.25,较对照组(1.00±0.15)升高;COX2 mRNA分别为1.33±0.19、1.62±0.25、1.83±0.30,较对照组(1.01±0.16)高;PGE蛋白分别为0.59±0.05、0.86±0.12、1.15±0.17,较对照组的(0.27±0.05)高;COX2蛋白分别为0.60±0.09、0.93±0.14、1.27±0.19,较对照组(0.37±0.06)高;上述差异均有统计学意义(均P<0.05)。结论 黄芩可能通过促进妊娠晚期大鼠子宫肌组织COX2及PGE合成及分泌,促进妊娠晚期子宫收缩进而促进分娩。
Abstract
Objective To explore the effect of Scutellaria baicalensis on the uterine movement rhythm and levels of prostaglandin E (PGE) and cyclooxygenase 2 (COX2) in rats in the third trimester of pregnancy.Methods One hundred healthy adult SPF female rats and 50 male rats were adaptively reared for 7 days before mating in a 2∶1 male-female co-cage. The next day, female mice were smeared with sterile cotton swabs and examined by microscopy to find out whether they were pregnant. The forty pregnant rats were randomly divided into the control group and Scutellaria baicalensis low, middle and high dose groups in order of body weight, with 10 rats in each group. In the low, middle and high dose groups of Scutellaria baicalensis, doses that were 4,8 and 16 times (400 mg/kg, 800 mg/kg, 1600 mg/kg) the clinical equivalent dose for adults were given to the rats at the 19th day of pregnancy (once a day), while the control group was given the same dose of normal saline by gavage at the same time. The delivery of rat fetuses was observed on the same day. On the 21st day of pregnancy, the uterine activity, intensity of contractions and frequency of contractions in rats were recorded. The levels of PGE and COX2 mRNA and protein were detected by real-time PCR and Western blotting respectively.Results In the low, medium and high dose groups of Scutellaria baicalensis, the number of rats delivered was 36, 62 and 87 respectively, but was zero in the control group. The frequency of uterine contractions was (3.57±0.53, 5.82±0.87 and 5.82±0.87) times/min respectively, which was higher than that of the control group (2.11±0.31) times/min. The intensity of uterine contractions was (1.97±0.29, 2.58±0.38 and 3.26±0.50) g respectively, which was higher than that of the control group (1.06±0.23) g. The uterine activities were (6.85±1.03, 15.03±2.26 and 25.07±3.76) g/(time·min) respectively, which were higher than those of the control group (2.25±0.33) g/(time·min). The PGE mRNA levels in uterine muscle strip tissues were (1.26±0.19, 1.58±0.23 and 1.76±0.25) respectively, which were higher than in the control group (1.00±0.15). The COX2 mRNA levels were (1.33±0.19, 1.62±0.25 and 1.83±0.30) respectively, higher than those of the control group (1.01±0.16). The PGE protein levels were (0.59±0.05, 0.86±0.12 and 1.15±0.17) respectively, which were higher than those of the control group (0.27±0.05). The COX2 protein levels were (0.60±0.09, 0.93±0.14, 1.27±0.19) respectively, which were higher than those of the control group (0.37±0.06), and the above differences were all statistically significant (all P<0.05).Conclusions Scutellaria baicalensis may promote the synthesis and secretion of COX2 and PGE in uterine muscle tissues of rats during late pregnancy.
关键词
妊娠晚期 /
黄芩 /
子宫运动节律 /
前列腺素E /
环氧合酶-2
Key words
late pregnancy /
Scutellaria baicalensis /
uterine movement rhythm /
prostaglandin e /
cyclooxygenase-2
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参考文献
[1] 胡德杰, 兰克红. 试析计划生育政策对国民经济发展的影响[J]. 中国集体经济, 2019, 599(15):167-168.
[2] 陈烨紫, 付中阳. 基于经济发展的中国计划生育政策研究—以2016-2018年的数据研究为例[J]. 中国市场, 2019, 15(23):115-117.
[3] 王占华. 用地诺前列酮栓与催产素对过期妊娠产妇进行引产的效果对比[J]. 当代医药论丛, 2019, 17(1):120-121.
[4] 钱金兰, 李志诚. 高危妊娠引产中催产素应用的有关问题[J]. 中国实用妇科与产科杂志, 2018, 53(1):37-38.
[5] Di Mascio D, Saccone G, Bellussi F, et al. Delayed versus immediate pushing in the second stage of labor in women with neuraxial analgesia: a systematic review and meta-analysis of randomized controlled trials[J]. Am J Obstet Gynecol, 2020, 223(2):189-203.
[6] Sleipness E, Gonzalez S. Epidural analgesia in a parturient with Brugada syndrome[J]. J Clin Anesth, 2020, 66(83):109944-109950.
[7] Siegrist K K, Deegan R J, Dumas S D, et al. Severe Cardiopulmonary Disease in a Parturient With Noonan Syndrome[J]. Semin Cardiothorac Vasc Anesth, 2020, 24(4):364-368.
[8] 思兰兰, 李 乐, 陈容娟, 等. 黄芩素和汉黄芩素联合应用对恩替卡韦耐药乙型肝炎病毒的抑制作用及最佳配比观察[J]. 山东医药, 2019, 59(36):22-26.
[9] 孔祥峰, 胡元亮, 孙峻岭, 等. 新促孕液及其加味方和组分药对家兔离体子宫运动的影响[J]. 中国畜牧兽医, 2006, 33(3):51-53.
[10] 谢红东, 杨 珂, 穆焕德, 等. 黄芩提取物对大鼠肾间质纤维化的作用及其抗氧化机制[J]. 中国中西医结合肾病杂志, 2009, 10(3):240-242.
[11] 冯 娜, 吕伟祯, 陈兴娟. 小鼠子宫中TRPC6通道在离体子宫收缩中的作用[J]. 中国药理学通报, 2020, 36(6):97-102.
[12] 刘 艳, 谢冠群, 李正富, 等. 范永升教授治疗系统性红斑狼疮合并高危妊娠1例[J]. 浙江中医药大学学报, 2020, 314(12):22-26.
[13] Wang L, Wang H, Jia L, et al. The impact of stage of labor on adverse maternal and neonatal outcomes in multiparous women: a retrospective cohort study[J]. BMC Pregnancy Childbirth,2020, 20(1):596-603.
[14] Peavey MC, Wu SP, Li R, et al. Progesterone receptor isoform B regulates the Oxtr-Plcl2-Trpc3 pathway to suppress uterine contractility[J]. Proc Natl Acad Sci USA, 2021, 118(11):e2011643118-e2011643123.
[15] Lesvenan C, Simoni M, Olivier M, et al. évaluation des pratiques professionnelles pour le suivi des grossesses prolongées dans un réseau de périnatalité[Prolonged and post-term pregnancies: a regional survey of French clinical practices[J]. Gynecol Obstet Fertil Senol, 2021, 25(21):47-57.
[16] 邢 晗, 宁 晨, 孔德璇, 等. 高抗肿瘤活性汉黄芩素衍生物GL-V9在大鼠体内的组织分布和排泄研究[J]. 中国临床药理学与治疗学, 2019, 24(8): 889-895.
[17] 罗元恺. 保产无忧散和生化汤新解[J]. 新中医, 1993, 25(6):12-13.
[18] Sel G, Arikan II, Harma M, et al. A new and feasible uterine compression suture technique in uterine atony to save mothers from postpartum hemorrhage[J]. Niger J Clin Pract, 2021, 24(3):335-340.
[19] Wei C N, Deng J L, Dong J H, et al. The Median Effective Dose of Oxytocin Needed to Prevent Uterine Atony During Cesarean Delivery in Elderly Parturients[J]. Drug Des Devel Ther, 2020, 14(26):5451-5458.
[20] Kim M, Park K H, Kim Y B. Identifying active compounds and targets of fritillariae thunbergii against influenza-associated inflammation by network pharmacology analysis and molecular docking[J]. Molecules, 2020, 25(17):3853-3859.
[21] Wang M M, Xue M, Xin Z H, et al. Panax notoginseng saponin attenuates gastric mucosal epithelial cell injury induced by dual antiplatelet drugs through COX and PI3K/Akt/ VEGF-GSK-3β-RhoA network pathway[J]. Chin J Integr Med, 2021, 15(23): 1-8.
[22] Achyut B R, Yoon E C, Han L, et al. Induction of DNMT3B by PGE2 and IL6 at distant metastatic sites promotes epigenetic modification and breast cancer colonization[J]. Cancer Res, 2020, 80(12): 2612-2627.
[23] 贾瑞喆, 刘晓梅. 足月妊娠PGE2及其受体表达与引产成功率的关系[J]. 中国组织化学与细胞化学杂志, 2009, 18(5): 536-540.
基金
2017年沈阳市科技计划项目(17-230-9-10)