升降散对流感病毒鼠肺适应株FM1感染小鼠免疫功能的影响

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目的:研究升降散对亚甲型流感病毒鼠肺适应株FM1感染小鼠免疫功能的影响。方法:建立亚甲型流感病毒鼠肺适应株FM1感染小鼠肺炎模型,用升降散全方、升降散拆方、升降散与麻黄杏仁甘草石膏汤合方治疗后,第5天用ELISA方法检测小鼠支气管肺泡、大小肠灌洗液中sIgA、血清中炎性细胞因子IL-1β、IL-6、TNF-α、IL-10、IL-lra、sTNFR的含量;流式细胞仪法测定外周全血中T细胞亚群CD4~+、CD8~+的百分比和CD4~+/CD8~+值;计算胸腺指数和脾指数。结果:模型组小鼠较正常组小鼠支气管肺泡、大小肠灌洗液中sIgA含量显著降低,血清IL-1β、IL-6、TNF-α、IL-10、IL-lra、sTNFR的含量显著升高,全血CD8~+的百分比增高,CD4~+百分比和CD4~+/CD8~+值下降,胸腺指数明显降低,但对脾指数无明显影响。升降散(4.55g/kg)能显著提升支气管肺泡、大小肠灌洗液中sIgA含量,降低血清IL-1βIL-6,TNF-α含量,升高IL-10、IL-lrα、sTNFR的含量、全血CD4~+百分比、CD4~+/CD8~+值及胸腺指数,升降散组对这些指标的改善作用优于拆方组而逊于合方组。结论:升降散增加黏膜分泌IgA,调控炎性因子和抗炎因子的平衡及提高T细胞亚群的比值,是其改善肺部炎症的机制之一,也是升降散治疗病毒性肺炎效用机制的初步阐明。 Objective: To study the effect of Shengjiang Powder on the immune function of FM1-infected mice induced by influenza A virus. Methods: A pneumonia model was established in mice infected with FM1 strain FM1. The mice were treated with Shengjiang Powder, Fangshengsanshangfang, Shengsan Powder and ephedra almond licorice gypsum soup, and then detected by ELISA method on the fifth day The levels of sIgA, IL-1β, IL-6, TNF-α, IL-10, IL-1ra and sTNFR in bronchoalveolar lavage fluid and large and small intestine lavage fluid in mice were measured by flow cytometry Whole blood T cell subsets CD4 ~ +, CD8 ~ + percentage and CD4 ~ + / CD8 ~ + value; calculated thymus index and spleen index. Results: Compared with the normal group, the sIgA level in the bronchoalveolar lavage fluid and the small intestine lavage fluid in the model group was significantly decreased, and the levels of IL-1β, IL-6, TNF-α, IL-10, IL-lra and sTNFR in the model group were significantly decreased The percentage of CD4 ~ + and CD4 ~ + / CD8 ~ + in whole blood increased, the thymus index decreased obviously, but had no obvious effect on spleen index. The level of sIgA in bronchoalveolar lavage fluid and bronchoalveolar lavage fluid was significantly increased ascending and descending powder (4.55g / kg), the content of IL-1βIL-6 and TNF-α and the content of IL-10, IL-1alpha and sTNFR in bronchoalveolar lavage fluid The percentage of CD4 ~ +, CD4 ~ + / CD8 ~ + and thymus index in whole blood were better than those in the uncooperative group. Conclusion: Ascending and descending sputum can increase mucosal secretion of IgA, regulate the balance between inflammatory and anti-inflammatory cytokines and increase the ratio of T lymphocyte subsets, which is one of the mechanisms of improving the lung inflammation, and also the primary mechanism of Shengjiang powder in treating viral pneumonia. Clarify.
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