目的比较六味地黄汤全方(LW)及其拆方三补(地黄、山茱萸、山药)和三泻(茯苓、泽泻、牡丹皮)对快速老化小鼠(SAM)免疫功能的调节作用。方法分别灌胃给予SAM亚系小鼠(SAMP8)LW(10g/kg)、三补(6.4g/kg)和三泻(3.6g/kg),每日1次,连续60d;抗快速老化亚系小鼠(SAMR1)作为对照。采用3H-TdR掺入法检测脾脏淋巴细胞增殖能力,流式细胞术观察脾脏CD3+、CD4+、CD8+、CD19+淋巴细胞百分率。结果与SAMR1组相比,SAMP8组经刀豆蛋白A(ConA)和脂多糖(LPS)诱导的脾细胞增殖能力、脾脏CD3+、CD4+细胞百分率、CD3+/CD19+和CD4+/CD8+比值均显著下降,而CD19+细胞百分率显著上升;灌胃给予LW全方及折方对上述指标具有不同程度的改善作用,其中,LW对LPS诱导的脾细胞增殖能力、CD3+和CD19+细胞百分率、CD3+/CD19+比值、CD4+细胞百分率及CD4+/CD8+比值的改善作用优于三补和三泻;三补对升高ConA诱导的脾细胞增殖能力优于LW和三泻,对脾脏CD3+和CD19+细胞百分率、CD3+/CD19+细胞比值及CD4+细胞百分率的改善作用优于三泻;三泻升高CD4+/CD8+比值的作用优于三补。结论 LW可显著改善SAMP8低下的T、B淋巴细胞功能,纠正脾脏CD4+/CD8+T细胞亚群比例失衡,其作用优于单独应用三补和三泻;三补和三泻对SAMP8的免疫改善作用各有侧重,三补的作用可能在于调节T、B淋巴细胞的数量和功能,三泻则可能着重于调节T细胞亚群的比例。本研究提示LW对免疫功能的调节是三补和三泻相互协调综合作用的结果 ,该结果为揭示LW配伍规律及其科学内涵提供了一定的实验依据。
Objective To investigate the effects of Liuwei Dihuang decoction (LW),its San-bu (three tonics) and San-xie (three eliminators) ingredients on regulating the immune function of senescence-accelerated mice(SAM). Methods SAM-prone(SAMP)8 mice were orally administrated with LW (10 g/kg),San-bu (6.4 g/kg) and San-xie (3.6 g/kg) respectively,once per day for 60 days,while SAM-resistant(SAMR)1 mice administrated with distilled water as control group. 3H-TdR incorporation was applied for detecting splenocyte proliferation. Flow cytometry(FCM)was used to observe the percentage of CD3+,CD4+,CD8+ and CD19+ lymphocytes in the spleens. Results Compared with SAMR1 group,the splenocyte proliferation induced by ConA an LPS,percentages of CD3+,CD4+,CD8+ and CD19+ lymphocytes and ratios of CD3+/CD19+ and CD4+/CD8+ in spleens decreased,while percentage of CD19+ lymphocytes increased in SAMP8 group. After administration of LW,San-bu and San-xie,the above indexes were improved to various degrees. LW showed better effects on improving LPS-induced splenocyte proliferation,percentages of CD3+,CD19+ and CD4+ lymphocytes,and the ratios of CD3+/CD19+ and CD4+/CD8+ than San-bu and San-xie. San-bu showed better effect on improving ConA-induced splenocyte proliferation than LW and San-xie,and better effect on improving the percentages of CD3+,CD19+ and CD4+ lymphocytes in the spleens and the ratios of CD3+/CD19+ than San-xie,while San-xie had better effect on regulating CD4+/CD8+ ratio than San-bu. Conclusion These results suggest that LW regulates the function of T and B lymphocytes and the imbalance of subsets of CD4+ and CD8+ lymphocytes in the spleens of SAMP8. LW shows better effects than San-bu or San-xie used alone,while San-bu and San-xie have their particular effects. The effects of LW on regulating the immune function might be the integral results of San-bu and San-xie. The results provid some experimental evidences for revealing the c