雷公藤多苷联合甲氨蝶呤治疗类风湿关节炎活动期患者的疗效及对血清CD62p、CD41的影响

目的:探讨雷公藤多苷联合甲氨蝶呤治疗类风湿关节炎(RA)活动期患者的疗效及对血清释放黏附分子CD62p、CD41的影响。方法:选择2015年6月至2017年6月我院接诊的90例类RA活动期患者作为研究对象,通过随机数表法分为观察组(n=45)和对照组(n=45),对照组口服甲氨蝶呤治疗,观察组联合雷公藤多苷片治疗,均连续用药12周。比较两组临床疗效、治疗前后临床症状评分、实验室指标[红细胞沉降率(ESR)、C反应蛋白(CRP)、血小板计数(PLT)]及血清CD62p、CD41的变化,并比较治疗期间不良反应。结果:观察组临床疗效总有效率为91.11%(41/45),明显高于对照组的66.67%(30/45)(P0.05);治疗后,两组临床症状评分及实验室指标较治疗前均显著降低(P0.05),观察组晨僵时间、关节疼痛、关节肿胀、关节压痛评分及ESR、CRP、PLT均明显比对照组,比较均具有显著差异(P0.05);治疗后,两组血清CD62p、CD41较治疗前均显著降低(P0.05),观察组血清CD62p、CD41均明显低于对照组[(16.58±2.10)%vs(25.46±2.58)%,(67.83±11.03)%vs(76.40±13.45)%](P0.05);两组治疗期间肝肾功能均未发生异常,两组头痛、皮疹、胃肠道反应、感染、脱发发生率均无显著差异(P0.05)。结论:在RA活动期患者中使用雷公藤多苷联合甲氨蝶呤效果显著,可有效改善临床症状及实验室指标,其内在机制可能和降低血清CD62p、CD41的表达相关,且联合用药安全性高,值得应用推广。     

Biosynthesis of pyridine alkaloids from Tripterygium wilfordii

Nicotinic acid-6-¹⁴C and nicotinamide adenine dinucleotide-carbonyl-¹⁴C were rapidly metabolized in T. wilfordii Hook. with formation of all compounds in the pyridine nucleotide cycle. Nicotinic acid-6-¹⁴C and the nicotinamide moiety of NAD were efficiently incorporated into wilfordic acid and hydroxywilfordic acid, the pyridinium moieties of the ester alkaloids. The structures of wilfordic acid and hydroxywilfordic acid were confirmed using GLC-MS. The molecular formulae of the four isolated alkaloids were determined by high resolution MS and agreed with earlier results based on elemental analysis.     

雷公藤植物组织培养物的生长及其中二萜内酯积累动态的研究

培养的雷公藤植物组织经不断筛选获得优良无性系D_(121(y))。经测定,该无性系在培养后的第七周干重、鲜重、二萜内酯含量、二萜内酯的产量达到最大值;在第五周,培养细胞生长最快;在第七周,干燥率产生一个峰值。因此,雷公藤组织培养的最佳转接时期为培养的第五周,以收获二萜内酯为目的的最佳收获期应在培养后的第七周。     

芪地固肾方对膜性肾病大鼠肾组织足细胞裂孔隔膜蛋白Nephrin和Podocin表达的影响

摘要 目的：探讨芪地固肾方治疗膜性肾病（MN）大鼠的效果及其可能的机制。方法：将40只SD雄性大鼠随机分为模型组（等剂量生理盐水尾静脉注射）、雷公藤多甙片组（10 mg/kg雷公藤多甙片）、芪地固肾方低剂量组（15.425 g/kg芪地固肾方）、芪地固肾方高剂量组（61.7 g/kg芪地固肾方）四组,另取10只未造模大鼠作为空白组（等剂量生理盐水尾静脉注射）,连续干预28天后,检测24小时尿蛋白定量（U-TP）、血清总蛋白（TP）、白蛋白（ALB）、谷丙转氨酶（ALT）、谷草转氨酶（AST）、血肌酐（Scr）、尿素氮（BUN）的变化;HE染色、透射电镜观察大鼠肾组织病理学改变;RT-PCR检测肾组织中nephrin蛋白、podocin mRNA的表达。结果：与空白组比较,模型组24 hU-TP、足细胞nephrin和podocin mRNA显著升高,血清TP和ALB显著降低（P<0.01）;与模型组比较,各给药组24 hU-TP降低,血清TP和ALB显著升高（P<0.05）;肾组织免疫复合物沉积减少,肾小球基底膜增厚减轻;足细胞nephrin和podocin mRNA表达升高（P<0.05）。结论：芪地固肾方能够降低MN模型大鼠的尿蛋白水平,减轻肾脏病理损伤,上调肾组织中足细胞裂孔隔膜蛋白nephrin和podocin mRNA的表达,延缓膜性肾病的进展。     

HPLC在雷公藤上的应用研究进展

近年来高效液相色谱测定技术(HPLC)在雷公藤种源筛选,有效成分分析,制剂质量控制方面的应用,体现了该项技术的优越性,也表明雷公藤产业要发展,必须依靠先进、可靠的检测分析技术从源头到研发、生产再到临床应用等进行系统监测,以保障雷公藤的用药安全。     

Effects of triptolide from Tripterygium wilfordii on ERα and p53 expression in two human breast cancer cell lines

The aim of the study was to discover possible differential cytotoxicity of triptolide towards estrogen-sensitive MCF-7 versus estrogen-insensitive MDA-MB-231 human breast cancer cells. Considering that MCF-7 cells express functional Estrogen receptor α (ERα) and wild-type p53, whereas MDA-MB-231 cells which are ERα-negative express mutant p53, the anti-proliferation effect of triptolide on MCF-7 and MDA-MB-231 cells were examined, the apoptotic effect and cell cycle arrest caused by triptolide were investigated, ERα and p53 expression were also observed in this paper. The results showed that the anti-proliferation effects were induced by triptolide in both cell lines. But the value of IC₅₀ in MCF-7 cells for its anti-proliferation effect was about one tenth of that in MDA-MB-231 cells, which indicated that the effect is more potent in MCF-7 cells. Condensed chromatin or fragmented nuclei could be found in MCF-7 cells treated with only 40 nM triptolide but in MDA-MB-231 cells they couldn’t be observed until the concentration reached to 400 nM. Triptolide induced significant S cell cycle arrest along with the presence of sub-G0/G1 peak in MDA-MB-231 cells, whereas there was only slightly S cell cycle arrest on cell cycle distribution in MCF-7 cells. The role of p53 in two breast cancer cells was examined, the results showed that the mutant p53 in MDA-MB-231 cells was suppressed and the wild-type p53 in MCF-7 was increased. Moreover, triptolide could down regulate the expression of ERα in MCF-7 cells. The results showed that triptolide is much more sensitive to ERα-positive MCF-7 cells than to ERα-negative MDA-MB-231 cells, and the sensitivity is significantly associated with the ERα and p53 status.     

东北雷公藤三萜成分的研究

从东北雷公藤(Tripterygium regeli)根的乙醇提取物分得10种三萜化合物,经波谱分析和化学转化,鉴定为雷公藤内酯甲(wilforlide A 1)、雷公藤内酯乙(wilfo rlide B 2)、黑蔓内酯(regelide 3)、3β-羟基-11,13(18)-齐墩果二烯(3β-hydroxy-olean-11,13(18)-diene4)、orthosphenic acid(5)、salaspermic acid(6)、3-epikatonic acid(7)、maytenfolic acid(8)、3β-acecyl-oleanolic acid(9)和南蛇藤素(celastrol 10)。化合物3—10首次从该植物分得,3是新化合物.     

昆明山海棠的杀虫活性及有效成分

【目的】从天然产物尤其是植物中寻找杀虫活性物质是杀虫剂创制的重要途径。【方法】采用生物活性追踪、分离等方法,研究了昆明山海棠Tripterygium hypoglaucum (Levl.) Hutch对6种鳞翅目昆虫的杀虫活性及有效成分。【结果】昆明山海棠根皮石油醚提取物、甲醇提取物和乙酸乙酯提取物对粘虫3龄幼虫均具有拒食活性,24 h的拒食毒力AFC₅₀值分别为1 165.7 μg/mL、104.3 μg/mL和 47.3 μg/mL。昆明山海棠根皮甲醇提取物对粘虫4龄幼虫具有触杀活性,其LD₅₀值为100.4 μg/头。从昆明山海棠根皮甲醇提取物中分离出雷公藤春碱、雷公藤吉碱、雷公藤定碱和雷公藤榕碱 4个杀虫活性化合物,雷公藤春碱和雷公藤吉碱对粘虫具有胃毒麻醉活性,对粘虫3龄幼虫8 h的麻醉中量（ND₅₀）分别是18.1 μg/头和7.4 μg/头。雷公藤定碱和雷公藤榕碱对粘虫具有触杀麻醉活性,对粘虫4龄幼虫24 h的ND₅₀分别是0.33 μg/头和0.06 μg/头;对3龄小地老虎具有胃毒麻醉活性,24 h的麻醉中量ND₅₀分别是5.62 μg/头和1.24 μg/头。【结论】昆明山海棠对所测试的6种鳞翅目昆虫均有一定的杀虫活性,其主要杀虫活性成分为雷公藤春碱、雷公藤吉碱、雷公藤定碱和雷公藤榕碱4个化合物。     

不同采收期雷公藤甲素测定及其动态积累

采用HPLC法测定不同采收期雷公藤根、茎、叶的主要活性成分雷公藤甲素含量,掌握雷公藤甲素的动态积累。结果表明,雷公藤甲素浓度在7.75～250 μg·mL^-1范围内线性关系良好(R²=0.9997),雷公藤加样回收率为99.21%,RSD值为1.578%,该方法回收率较好。雷公藤甲素的含量在不同生长期、不同部位存在一定差异,不同部位甲素含量由高到低依次为叶、根、茎,雷公藤叶片具有资源开发利用潜力。7～8月采收的雷公藤叶片甲素含量最高,11～12月雷公藤根部甲素含量达最高。雷公藤不同器官均具有较高的药用价值,研究结果为雷公藤人工采收、质量评价和资源开发提供一定的科学依据。