【目的】探讨中药狼疮Ⅱ号对缺乏淋巴增殖基因(MRL/lpr)狼疮鼠Th1/Th2相关细胞因子谱的影响。【方法】选用自发性系统性红斑狼疮(SLE)模型MRL/lpr狼疮鼠40只,随机分为空白对照组、狼疮Ⅱ号组(中药组,剂量为20g·kg^-1·d^-1)、强的松组(西药组,剂量为6mg·kg^-1·-d^-1)、中西结合组(20g·kg^-1·d^-1狼疮Ⅱ号+6mg·kg^-1·d^-1强的松);连续用药8周后,采用Flowcytomix流式检测技术对血清中多种Th1/Th2细胞因子进行芯片式集成测定。【结果】与空白对照组比较,中西结合组粒细胞-巨噬细胞集落刺激因子(GM—CSF)水平显著降低(P〈0.05);各治疗组干扰素-γ(IFN-γ)、肿瘤坏死因子-α(TNF—α)水平显著降低,且中西结合组两因子水平显著低于单纯中药组及西药组(P〈0.05或P〈0.01);各治疗组白介素-2(IL-)水平显著升高,IL—17水平显著降低(P〈0.05或P〈0.01),但3组间比较差异无显著性意义(P〉0.05);各治疗组IL-4、IL-5、IL-10水平显著降低,且中西结合组IL—10水平显著低于单纯中药组和西药组(P〈0.05或P〈0.01);西药组和中西结合组IL石水平显著降低(P〈0.01),且中西结合组IL-6水平显著低于西药组(P〈0.05)。【结论】狼疮Ⅱ号可能通过调节Th1/Th2细胞因子网络的平衡,影响B细胞、T细胞过度活化而发挥治疗SLE的作用.
Objective To study the influence of Langchuang Ⅱ, a Chinese medicinal compound formula, on Th1/TH2 cytokines of MRL/lpr lupus mice. Methods Forty MRL/lpr mice with spontaneous systemic lupus erythematosus (SLE) were randomized into blank control group, Langchuang Ⅱ group (in the dose of 20 g · kg^-1 · d^-1), prednisone group ( in the dose of 6 mg · kg^-1 · d^-1 ), and the combination group ( Langchuang Ⅱ and prednisone). After medication for 8 continuous weeks, Flowcytomix technology was used for the detection of different kinds of serum Th1/Th2 cytokines. Results Compared with the blank control group, serum granulocyte-macrophage colony-forming unit (GM-CSF) level was decreased in the combination group ( P 〈 0. 05 ), interferon γ (IFN-γ) and tumor necrosis factor α (TNF-α) were lowered in the three medication groups, and the decrease was obvious in the combination group (P 〈0. 05 or P 〈 0. 01 ) ; interleukin-2 (IL-2) was increased and IL-7 was decreased in the three medication groups ( P 〈 0.05 or P 〈 0. 01 ), but the differences were insignificant between the three groups (P 〉0. 05); IL-4, IL-5 and IL-10 were all decreaed in the medication groups, and the decrease of IL-10 was obvious in the combination group (P 〈 0. 05 or P 〈 0. 01 ) ; IL-6 was lower in prednisone group and the combination group than that in the blank control group (P 〈 0. 01 ), and was the lowest in the combination group (P 〈0. 05 ). Conclusion The therapeutic mechansim of Langchuang Ⅱ for SLE is probably related with the inhibition of hyperactivation of B cells and T cells through regulating the balance of Th1/Th2 cytokines.