Study on the mechanism of action of the classic compound Banxia Baizhu Tianma Decoction on ischemic stroke

  • LI Jiaren ,
  • ZHAO Shuran ,
  • LIU Jiayu ,
  • WU Wei ,
  • CHEN Xiao ,
  • HAO Xiaoqiong ,
  • SHI Ruili
Expand
  • Department of Physiology, Baotou Medical College, Baotou 014040, China

Received date: 2024-05-31

  Online published: 2025-03-26

Abstract

Objective: To investigate the mechanism of Banxia Baizhu Tianma Decoction (BBTD) on ischemic stroke. Methods: A total of 90 SD rats (245-280 g) were selected to prepare MCAO animal model by referring to Zea-longa's modified suture method. The cerebral infarction area of MCAO model animals was detected by TTC staining. The protein expression level of IL-6 in ischemic penumbra of ischemic brain tissue was detected by WB method, and the mRNA expression level of IL-6 in ischemic penumbra of ischemic brain tissue was detected by RT-PCR method. Results: Compared with the sham operation group, the percentage of cerebral infarction area in the model group increased, and the difference was statistically significant (P<0.05). Compared with the model group, the percentage of cerebral infarction area in BBTD and nimodipine treatment groups decreased to varying degrees, and the difference was statistically significant (P<0.05). Compared with the sham operation group, the protein expression level of inflammatory factor IL-6 in the model group was significantly increased, and the difference was statistically significant (P<0.05). Compared with the model group, the protein expression level of inflammatory factor IL-6 in the BBTD and nimodipine treatment groups was decreased to varying degrees, and the difference was statistically significant (P<0.05). Compared with the sham operation group, the mRNA expression level of inflammatory factor IL-6 in the model group was significantly increased, and the difference was statistically significant (P<0.05). Compared with the model group, the mRNA expression level of inflammatory factor IL-6 in BBTD and nimodipine treatment groups was decreased to varying degrees, and the difference was statistically significant (P<0.05). Conclusion: Classic Banxia Baizhu Tianma Decoction can effectively alleviate ischemic brain injury in stroke events, which may be related to the inflammatory response mediated by IL-6.

Cite this article

LI Jiaren , ZHAO Shuran , LIU Jiayu , WU Wei , CHEN Xiao , HAO Xiaoqiong , SHI Ruili . Study on the mechanism of action of the classic compound Banxia Baizhu Tianma Decoction on ischemic stroke[J]. Journal of Baotou Medical College, 2025 , 41(3) : 24 -29 . DOI: 10.16833/j.cnki.jbmc.2025.03.005

References

[1] Manning NW, Campbell BCV, Oxley TJ, et al. Acute ischemic stroke: time, penumbra, and reperfusion[J]. Stroke, 2014,45(2):640-644.
[2] Green TL, Mcnair ND, Hinkle JL, et al. Care of the patient with acute ischemic stroke (posthyperacute and prehospital discharge):update to 2009 comprehensive nursing care scientific statement: a scientific statement from the American heart association[J]. Stroke, 2021,52(5):e179-e197.
[3] Rahmani MR, Shamsizadeh A, Hakimizadeh E, et al. Monoacylglycerol lipase inhibitor is safe when combined with delayed r-tPA administration in treatment of stroke[J]. Inflammation, 2018,41(6):2052-2059.
[4] 李陆杰,陈仁寿,施铮,等. 经典名方中半夏炮制品的使用刍议[J]. 中国实验方剂学杂志,2020,26(7):1-7.
[5] 闫梦晗,李晓,姜月华. 半夏白术天麻汤的临床应用及药理研究进展[J]. 中西医结合心脑血管病杂志,2020,18(14):2265-2268.
[6] 徐男,孙蓉,崔焕月,等. 化学计量学结合信息熵赋权优选半夏白术天麻汤提取工艺[J]. 中草药,2020,51(4):995-1002.
[7] 黄继汉,黄晓晖,陈志扬,等. 药理试验中动物间和动物与人体间的等效剂量换算[J]. 中国临床药理学与治疗学,2004,9(9):1069-1072..
[8] Hong Q, Cai H, Zhang L, et al. Modulation of transforming growth factor-β-induced kidney fibrosis by leucine-rich -2 glycoprotein-1[J]. Kidney Int, 2022,101(2):299-314.
[9] Ashwal S, Tone B, Tian HR, et al. Core and penumbral nitric oxide synthase activity during cerebral ischemia and reperfusion[J]. Stroke, 1998, 29(5):1037-1046.
[10] Schmalbruch H. The early changes in experimental myopathy induced by chloroquine and chlorphentermine[J]. J Neuropathol Exp Neurol, 1980,39(1):65-81.
[11] 吴健隆,张潇,江文. 缺血性脑卒中神经保护药物的临床研究进展[J]. 中国实用神经疾病杂志,2023,26(10):1311-1316.
[12] 高欣,苏刚,柴苗,等.小胶质细胞中NLRP3炎症小体的研究进展:在缺血性脑卒中[J/OL].中国免疫学杂志,1-19[2024-01-30].
[13] Poledne R, Lorenzova A, Stavek P, et al. Proinflammatory status, genetics and atherosclerosis[J]. Physiol Res, 2009:S111-S118.
[14] 秦文秀,许军峰,杨婷,等. 丹参酮ⅡA治疗缺血性脑卒中后神经损伤的信号通路研究进展[J]. 中国临床药理学与治疗学,2023,28(6):705-713.
[15] 薛昊,陈仁寿. 经典名方半夏白术天麻汤源流与应用考[J].中国实验方剂学杂志,2020,26(15):14-19.
[16] 李晶晶. 半夏白术天麻汤联合针灸治疗对脑卒中风痰阻络证患者神经功能缺损的影响[J]. 数理医药学杂志,2021,34(9):1328-1330.
[17] Xu N, Li MC, Wang P, et al. Spectrum-effect relationship between antioxidant and anti-inflammatory effects of Banxia Baizhu Tianma Decoction: an identification method of active substances with endothelial cell protective effect[J]. Front Pharmacol, 2022,13:823341.
Outlines

/