大黄素对肝纤维化大鼠肺损伤的保护作用

 目的:探讨不同剂量大黄素对肝纤维化大鼠肺损伤的保护作用。方法:采用复合致病因素法（CCl 4、乙醇、高脂、高胆固醇和低胆碱）建立肝纤维化大鼠模型并以不同剂量（20 mg/kg和40 mg/kg）大黄素进行治疗。4周后，测定肝指数，检测血清内毒素、同型半胱氨酸、反映肝功能的指标白蛋白、天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、总胆红素、总胆固醇、甘油三酯和肝纤维化指标透明质酸、层黏连蛋白、Ⅳ型胶原蛋白、Ⅲ型前胶原蛋白的含量，观察肝组织病理学改变; 测定肺指数，光镜下行肺组织病理学观察,检测肺组织匀浆肿瘤坏死因子α(TNF-α)、丙二醛(MDA)、一氧化氮(NO)和过氧亚硝基阴离子(ONOO-)含量。结果:大鼠肝纤维化模型复制成功，模型组大鼠肺指数明显增加，肺脏发生水肿、炎症反应，肺匀浆TNF-α、MDA、NO和ONOO-含量明显增加；大黄素治疗组肺指数较模型组下降，肺组织病理性损伤明显减轻，肺组织TNF-α、MDA、NO和ONOO-含量明显降低。结论:大黄素对肝纤维化大鼠的肺损伤具有一定的保护作用。

Protective effect of emodin on lung injury induced by hepatic fibrosis in rats

AIM:To explore the protective effect of emodin on lung injury induced by hepatic fibrosis in rats. METHODS:The hepatic fibrosis rat model was established with multiple pathogenic factors (CCl 4, ethanol, high fat, high cholesterol and low choline) and treated with different doses (20 mg/kg and 40 mg/kg) of emodin for 4 weeks. The hepatic index was measured. The biochemical indexes, endotoxin, homocysteine, albumin, aspartate aminotransferase,alanine aminotransferase, total bilirubin, total cholesterol and triglyceride, and hepatic fibrosis indexes, hyaluronic acid, laminin, collagen IV and procollagen Ⅲ, were detected. The histopathological changes of the liver were observed. The pulmonary index was determined. The histopathological changes of the lungs were observed. The levels of tumor necrosis factor α (TNF-α), malondialdehyde (MDA), nitric oxide (NO) and peroxynitrite (ONOO-) in the lung tissues were analyzed. RESULTS:The rat hepatic fibrosis model was successfully established. In model group, lung edema and inflammation occurred, and the pulmonary index and the levels of TNF-α, MDA, NO and ONOO- in the lung tissues were increased significantly. In emodin treatment groups, the pulmonary indexes were lower than that in model group. The pathological injury of the lung tissues was alleviated. The levels of TNF-α, MDA, NO and ONOO- in the lung tissues were decreased. CONCLUSION:Emodin has a protective effect on lung injury induced by hepatic fibrosis in rats.