The specific embodiment
In order to understand essence of the present invention better, test in animal body with herbal mixture of the present invention (VAOF) below and human clinical trial's result further specifies the present invention, but protection scope of the present invention is not limited to this.
Herbal mixture (VAOF): Fructus Ligustri Lucidi 15 ~ 35%, Radix Cirsii Japonici 10 ~ 25%, the Rhizoma Atractylodis Macrocephalae 5 ~ 20%, Radix Salviae Miltiorrhizae 5 ~ 20%, Rhizoma Coptidis 5 ~ 15%, Radix Notoginseng 5 ~ 15%, the Cortex Eucommiae 5 ~ 15% and Fructus Citri Sarcodactylis 5 ~ 15%.
Embodiment 1 VAOF goes the experimentation of testis osteoporosis rat in control
It is one of osteoporotic important pathogenic factor of elderly men that androgen reduces.The osteoporosis model of suffering from a deficiency of the kidney that this research adopts 8 monthly age male rats to go testis to duplicate, VAOF with various dose prevents and treats, and compare research with positive drug tridin (Tridin), be intended to inquire into the therapeutic mechanism of this herbal mixture treatment male osteoporosis, for the further developmental research of VAOF provides scientific basis.
1. material
(1) medicine: VAOF, provide (Fructus Ligustri Lucidi 15, Radix Cirsii Japonici 10, the Rhizoma Atractylodis Macrocephalae 10 by the Chinese medicine academy of Guangdong Pharmaceutical University, Radix Salviae Miltiorrhizae 10, Rhizoma Coptidis 5, Radix Notoginseng 5, the Cortex Eucommiae 10 and Fructus Citri Sarcodactylis 10), lot number: 100502, positive drug tridin (Tridin) provides lot number by Italian Rotta pharmaceutical factory: 2010024, and this medicine is used to treat the loaded European various countries of osteoporosis pharmacopeia.
(2) animal: select 60 of 8 monthly age male SD rats for use, body weight 280 ~ 300g, Guangdong Medical Lab Animal Center provides, the quality certification number: 05A018.
2. experimental technique
(1) modeling method: 60 laboratory animals are divided into 6 groups at random, 10 every group, are respectively normal control group, model group, the high, medium and low dosage group of VAOF and tridin group.Each organize rat all with 3% pentobarbital sodium by 1ml/kg body weight intraperitoneal injection of anesthesia after, the sham-operation of normal control group row, all the other respectively organize rat all from the capable complete bilateral testes enucleation of veutro approach.
(2) raising and route of administration: postoperative beginning in the 3rd day administration, normal control group, model group are irritated stomach with distilled water 6ml/kg every day, the tridin group gives tridin 60mg/kg and irritates stomach, be made into suspension before the use, the high, medium and low dosage group of VAOF gives high, medium and low dosage VAOF every day respectively and irritates stomach.All rats are all under equal conditions fed, and freely take the photograph water, control appetite.
3. observation index
(1) bone density detects: each is organized rat and used the U.S. QDR-2000 of HOLOGIG company type dual intensity X line absorption instrument (coefficient of variation (CV)<1.0%) scanning whole body bone mineral content and bone density in preceding 2 days under anesthesia in putting to death, and gets two sensitive spots of right femur and fl lower end respectively.
(2) mensuration of serum biochemistry index: before the modeling and put to death that to get the centrifugal back of blood before the animal respectively standby, radio immunoassay is measured testosterone (T), IL-6 and BGP content.IL-6, BGP test kit are put hands-free confession by PLA General Hospital Science and Technology Development Center, and T is put the box of being excused from an examination and provided by Tianjin DPC company, and gauge is a BECKMAN DP5500 type r enumerator.
Statistical procedures: all data all adopt mean+standard deviation (x+SD) expression, analyze with the SPSS statistical software, relatively use variance analysis between group, and significant difference is checked with q.
4. result
(1) take each dosage VAOF and tridin the control go testis rat body and left and right femur density (BMD) and bone calcium mineral content (BMC) all be higher than model group, difference has significance (P<0.05 ~ 0.01).
The influence that table 1:VAOF changes the castrated rats BMD (n=10 of x ± SD)
Group |
Dosage (g/kg) |
Right femur |
Fl |
The normal control group |
—— |
0.168±0.017 |
0.189±0.016 |
Model group |
—— |
0.135±0.009
** |
0.146±0.011
** |
Model+tridin |
0.06 |
0.168±0.019
▲▲ |
0.177±0.018
▲▲ |
Model+VAOF is low |
1 |
0.161±0.018
▲▲ |
0.171±0.014
▲▲ |
Among model+VAOF |
2 |
0.169±0.016
▲▲ |
0.177±0.016
▲▲ |
Model+VAOF height |
4 |
0.170±0.023
▲▲ |
0.183±0.018
▲▲ |
Annotate: compare with normal group,
*P<0.05,
*P<0.01; Compare with model group,
▲P<0.05,
▲ ▲P<0.01.
The influence that table 2:VAOF changes the castrated rats BMC (n=10 of X ± SD)
Group |
Dosage (g/kg) |
Right femur |
Fl |
The normal control group |
—— |
0.069±0.007 |
0.075±0.008 |
Model group |
—— |
0.053±0.004
** |
0.0561±0.006
** |
Model+tridin |
0.06 |
0.067±0.009
▲▲ |
0.071±0.007
* |
Model+VAOF is low |
1 |
0.063±0.009
▲▲ |
0.068±0.009
▲▲ |
Among model+VAOF |
2 |
0.066±0.008
▲▲ |
0.069±0.008
▲▲ |
Model+VAOF height |
4 |
0.068±0.008
▲▲ |
0.071±0.009
▲▲ |
Annotate: compare with normal group,
*P<0.05,
*P<0.01; Compare with model group,
▲ ▲P<0.05,
▲ ▲P<0.01.
(2) remove testosterone (T) content there was no significant difference before the testis (P〉0.05) between each group, went behind the testis 4 months, T is apparently higher than model group for the high, medium and low dosage group of VAOF, and difference has significance (P<0.05).
Table 3:VAOF is to the influence of removing testis rat TESTO (T) content (n=10 of X ± SD)
Group |
Dosage (g/kg) |
Before the art |
Postoperative 4 months |
The normal control group |
—— |
3.41±0.61 |
3.73±0.96
** |
Model group |
—— |
3.39±0.89 |
0.18±0.13 |
Model+tridin |
0.06 |
3.20±1.12 |
0.28±0.19 |
Model+VAOF is low |
0.75 |
3.10±0.92 |
0.39±0.21
▲ |
Among model+VAOF |
1.5 |
3.43±0.69 |
0.48±0.23
▲▲ |
Model+VAOF height |
4 |
3.32±0.85 |
0.79±0.45
▲▲ |
Annotate: compare with normal group,
*P<0.05,
*P<0.01; Compare with model group,
▲P<0.05,
▲ ▲P<0.01.
The preceding serum BGP content indifference of operation between (3) each is organized (P〉0.05), the postoperative administration is after 4 months, model group is apparently higher than normal group (P<0.01), and three groups and the tridin of VAOF control then are starkly lower than model group (P<0.05 ~ P<0.01).
Example 2 VAOF are to the osteoporotic preventive and therapeutic effect of ovariectomized rats
1. material
(1) medicine: VAOF, provide (Fructus Ligustri Lucidi 15, Radix Cirsii Japonici 10, the Rhizoma Atractylodis Macrocephalae 10 by the Chinese medicine academy of Guangdong Pharmaceutical University, Radix Salviae Miltiorrhizae 10, Rhizoma Coptidis 5, Radix Notoginseng 5, the Cortex Eucommiae 10 and Fructus Citri Sarcodactylis 10), lot number: 100502, positive drug calcareacarbonica sheet, White Cloud Mountain, Guangzhou brilliance pharmacy joint stock company limited, lot number: T90016; E
2Detection kit, Kemei Dongya Biological Technology Co., Ltd., Beijing provides, lot number: 110325.
(2) animal: selected for 32 ages in week for use, 72 of cleaning level, SD female rats, body weight (390 ± 20g), by Guangdong Province's experiment thing center laboratory animal feed formula, giving normal diet feeds, with reference to AIN-93M rodent feed formula, with the composition that derives from Semen sojae atricolor in the suitable substitution of materials feedstuff, to avoid of the interference of phytohormone such as soybean isoflavone to experimental result.Freely take the photograph water, throw light on round the clock that the light and shade time of replacing is 12 hours, adaptability was fed 7 days.
(3) instrument: Japanese NORLAND dual intensity bone density meter, coefficient of variation CV<0.1%, scanning times 2 times.Encircling the SN-6958B of a factory type wisdom Shanghai day puts and exempts from the r measuring instrument, CV<1.19%.
2. method
Modeling method: rat is through the pentobarbital sodium solution anesthesia of lumbar injection 30mg/kgBW, the dried ventrimeson in fixing back, abdomen position is apart from vaginal orifice 3 ~ 4cm unhairing, use iodine tincture wiping skin and alcohol disinfecting respectively, skin and the about 2 ~ 3cm of abdominal muscle are cut in dried slightly back, the visible white bag fat in the otch visual field, after pushing fat deposit aside and finding the uterus, gently a side cornua uteri is pulled out the ovary that is as seen wrapped up at its end by liparitosis.Fractionation of fatty group just can see pink ovary, clamps ovary with mosquito forceps, then fallopian tube under the ovary (comprising fat) is used the silk thread ligation, wipes out ovary (check and whether wipe out fully), takes advantage of a situation the uterus is sent back to again in the abdominal cavity, wipes out other side ovary with method.After abdominal muscle and skin layering are sewed up, sterilization once more.After hindlimb muscle is injected 20,000 U Aminomycin.Sham-operated control group (10) is opened and is sewed up after abdomen is wiped out a fritter fat.Postoperative 5 days, animal begins the administration of dividing into groups after recovering, and the grouping situation sees Table.Sham-operated control group and oophorectomize group give normal saline 10ml/kg, and spay (OVX)+Western medicine group (calcium carbonate) gives calcareacarbonica sheet 0.2g/kg; Spay+low dosage VAOF group gives VAOF0.135g/kg(and is equivalent to 5 times of clinical people's consumption); Spay+middle dosage VAOF group gives VAOF 0.27g/kg (be equivalent to clinical people's consumption 10 times); Spay+high dose VAOF group gives VAOF 0.54g/kg (be equivalent to clinical people's consumption 20 times).Every day gastric infusion once, all administrations 6 days, altogether 16 weeks of administration.Duration of test continues to feed and drinking-water according to normal diet.
3. observation index
(1) mensuration of index such as serum biochemistry: 16 week of modeling the back femoral artery get blood, blood sample this treated after, separation of serum, each group 10 samples is at random carried out serum measured by radioimmunoassay estradiol (E
2), interleukin-6 (IL-6); Complete taking-up right side femur is peeled off totally, claims weight in wet base; Separating uterus is weighed; Calculate the uterus index and the femur index of every 100g body weight.
(2) bone density: with the right side femur that takes out with Japanese NORLAND dual intensity bone density meter, scanning survey bone density and bone mineral content.
4. result
(1) changes of bone mineral density
Table 4 as seen, removal ovary is after 16 weeks, right femur density of oophorectomize group rat and bone mineral density all are starkly lower than Sham-operated control group, difference has significance (P<0.01), shows the modeling success.Compare with the oophorectomize group, dosage group and heavy dose also can obviously improve OVX rat femur BMC content (P<0.05 ~ P<0.01) among the VAOF, the heavy dose of group of content (P<0.05) that can obviously improve OVX rat femur BMD.
Table 4:VAOF to the influence of female OVX rat femur BMD, BMC (
± s)
Group |
n |
Dosage (g/kg) |
Right femur |
Right femur |
|
|
|
BMD(g/cm
2)
|
BMC(g) |
Sham operated rats |
10 |
—— |
0.141±0.005
** |
0.436±0.031
** |
The oophorectomize group |
10 |
—— |
0.131±0.006 |
0.382±0.030 |
Spay+calcareacarbonica sheet |
10 |
0.2 |
0.133±0.006 |
0.391±0.029 |
Spay+VAOF is low |
10 |
0.38 |
0.133±0.005 |
0.392±0.038 |
Among spay+VAOF |
10 |
0.75 |
0.135±0.008 |
0.416±0.039
* |
Spay+VAOF height |
10 |
1.5 |
0.139±0.009
* |
0.434±0.041
** |
Compare with model group:
*P<0.05,
*P<0.01.
(2) serum E
2Variation with IL-6
Table 5 as seen, removal ovary is after 16 weeks, oophorectomize group rat blood serum E
2Content significantly is lower than Sham-operated control group, and difference has significance (P<0.05), shows the modeling success.Dosage group and high dose group E in the Chinese medicine
2Content is apparently higher than model group, and difference has significance (P<0.05-P<0.01).
Table 5:VAOF is to female OVX rat E
2With the influence of IL-6 (
± s)
Group |
n |
IL-6(pg/ml) |
E
2(pmol/L)
|
Sham-operated control group |
10 |
81.8±34.6 |
141.6±34.8 |
The oophorectomize group |
10 |
63.8±31.5 |
53.8±16.8 |
Spay+calcareacarbonica sheet |
10 |
66.2±21.9 |
71.8±21.8 |
Spay+VAOF is low |
10 |
67.3±24.1 |
73.1±51.3 |
Among spay+VAOF |
10 |
69.2±25.1 |
86.9±33.8
* |
Spay+VAOF height |
10 |
77.5±43.9 |
111.3±40.3
* |
Compare with model group:
*P<0.05,
*P<0.01.
(3) uterus exponential sum femur index
As seen table 6 compares with sham operated rats, and oophorectomize group uterus index and femur index obviously reduce, and have statistical significance (P<0.05), prompting modeling success.Compare with the oophorectomize group, high dose group uterus index obviously increases (P<0.05); High, medium and low three dosage group femur indexes all obviously increase (P<0.05).
The table 6:VAOF to the exponential influence of female ovariectomized rat uterus exponential sum femur (
± s)
Group |
n |
Uterus index (g/100g) |
Femur index (g/100g) |
Sham-operated control group |
10 |
0.334±0.159
* |
0.353±0.019
* |
The oophorectomize group |
10 |
0.037±0.011 |
0.282±0.022 |
Spay+calcareacarbonica sheet |
10 |
0.059±0.046 |
0.313±0.021
* |
Spay+VAOF is low |
10 |
0.053±0.059 |
0.310±0.023
* |
Among spay+VAOF |
10 |
0.068±0.015 |
0.315±0.035
* |
Spay+VAOF height |
10 |
0.113±0.101
* |
0.323±0.049
* |
Compare with model group:
*P<0.05,
*P<0.01.
Discuss: above-mentioned experiment shows, compares with model group, and the present invention can obviously suppress rat blood serum E
2Level decline, the right femur weight in wet base of inhibition descend and the exponential decline in uterus, show that the present invention has the reduction of prevention climacteric estrogen level and the atrophy of bone density improving function and the preventative organ of energy, sexual function improving.
Influence to the sclerotin of the unusual rat model of lipid metabolism
1. experiment material
(1) main medicine: VAOF, hyperlipidemia medicine VAOF: the Chinese medicine academy of Guangdong Pharmaceutical University provides (Fructus Ligustri Lucidi 15, Radix Cirsii Japonici 10, the Rhizoma Atractylodis Macrocephalae 10, Radix Salviae Miltiorrhizae 10, Rhizoma Coptidis 5, Radix Notoginseng 5, the Cortex Eucommiae 10 and Fructus Citri Sarcodactylis 10); Lot number: 100502.XUEZHIKANG JIAONANG: Beijing big dimension letter bio tech ltd (lot number: 20091116).
(2) main agents and instrument see the following form
Table 7 main agents
Reagent |
Producer |
Lot number |
NaTDC |
Chemical Reagent Co., Ltd., Sinopharm Group |
F20070521 |
Propylthiouracil |
Guangdong Huanan Pharmaceutical Co., Ltd |
070501 |
Cholesterol |
Tianjin Da Mao chemical reagent factory |
20070518 |
Propylene glycol |
Guangzhou Chemical Reagent Factory |
20051203-1 |
Tween 80 |
Shen, Shanghai space medication chemistry company limited |
061201 |
Methyl methacrylate |
1Guanghua Chemical Plant Co., Ltd., Guangdong |
20080407 |
Dibutyl phthalate |
Tianjin big trade chemical reagent factory |
20080829 |
Benzoyl peroxide |
Tianjin good fortune chemical reagent in morning factory |
20071102 |
Hematoxylin |
Amresco.USA |
—— |
Poncean |
Sigma Chemical Co.USA |
—— |
Fuchsin acid |
Sigma Chemical Co.USA |
—— |
Phosphotungstic acid |
Sigma Chemical Co.USA |
—— |
Oranage G |
Sigma Chemical Co.USA |
—— |
Light green |
Sigma Chemical Co.USA |
—— |
Ferric chloride |
Sigma Chemical Co.USA |
—— |
2-Methyloxethyl acetate |
Sigma Chemical Co.USA |
13110MD |
Glacial acetic acid |
The Long Huagongshijichang of Chengdu section |
20080812 |
Dehydrated alcohol |
1Guanghua Chemical Plant Co., Ltd., Guangdong |
20090421 |
Anhydrous calcium chloride |
1Guanghua Chemical Plant Co., Ltd., Guangdong |
20081016 |
Dimethylbenzene |
Tianjin good fortune chemical reagent in morning factory |
20080902 |
Neutral gum |
New chemical plant is stood in Guangzhou |
20081202 |
Yihong |
Amresco |
0109 |
8 key instrument equipment
Instrument |
Producer |
T1000 type electronic balance |
The two outstanding test instrunment of Changzhou factory |
YM-III type Gypsum Fibrosum polisher |
Northwest medical apparatus and instruments Group Co.,Ltd |
RM2500 type microtome |
Leica Co.Germany |
SP1600 type veneer sawing machine |
Leica Co.Germany |
JB-2 type constant temperature blender with magnetic force |
New river rising in Ningxia and flowing into central Shaanxi subsidiary factory of Shanghai thunder magnetic instrument plant |
DHG-9145A type electric heating constant temperature air dry oven |
Shanghai one permanent Science and Technology Ltd. |
Bioquant-Osteo bone morphological images analytical system |
BIOQUANT USA |
(3) laboratory animal: rat SPF level Spague Dawla(SD) is provided the quality certification: 2007A003 by Guangdong Province's Experimental Animal Center.
Experimental technique
(1) animal model is set up and administration
Modeling is with the preparation of lipomul: the lipomul preparation method: get 50g Adeps Sus domestica, be heated to and make its dissolving about 100 ℃, add the 10g cholesterol, be stirred to dissolving fully.Add 1g propylthiouracil and 25mL Tween 80 again, fully stir.Add 30mL distilled water and 20mL1 in another beaker, the 2-propylene glycol is heated to about 60 ℃, adds the 2g NaTDC, fully stirs up to dissolving.With two kinds of abundant mixings of solution, make lipomul.
Grouping and administration: under the experimental situation, in the 1st week, the normal raising divided normal group, lipomul group at random.The 2nd week, normal group: normal diet, freely drink water.The lipomul group: normal diet, freely to drink water, every morning is pressed 10mL/kg perfusion lipomul; After perfusion last day (the 14th day), lipomul compositional model group, positive drug group (Xuezhikang group), the high, medium and low dosage group of VAOF.Beginning (i.e. the 3rd week) in the 15th day, except that normal group, other are respectively organized every morning and continue the perfusion lipomul, irritate stomach after 4 hours respectively and give relative medicine.Xuezhikang group: XUEZHIKANG JIAONANG 0.25g/kg, the high, medium and low dosage group of VAOF respectively: 6,3,1.5g/kg.6 weeks of successive administration.Put to death rat, dissect and take out tibia, separate muscle, connective tissue attached thereto, tibia places 10% formalin conventional fixing, is replaced by 70% alcoholic solution behind 24 ~ 48h, and 4 ℃ of preservations are stand-by.
Table 9 grouping and administration situation
Group name |
Label |
Used medicine |
Consumption |
Normal group |
Ctrl |
—— |
—— |
Model group |
Mod |
High lipoprotein emulsion |
10mL/kg |
The Xuezhikang group |
Xzk |
High lipoprotein emulsion+XUEZHIKANG JIAONANG |
10mL/kg+0.25g/kg |
Low medicament group |
VAOF-L |
High lipoprotein emulsion+VAOF |
10mL/kg+0.75 g/kg |
Middle medicament group |
VAOF-M |
High lipoprotein emulsion+VAOF |
10mL/kg+1.5 g/kg |
High medicament group |
VAOF-H |
High lipoprotein emulsion+VAOF |
10mL/kg+3 g/kg |
(2) osseous tissue morphometry method
Undecalcified osseous tissue sheet preparation: the embedding TX(shaft of tibia tuberosity of carrying out the undecalcified bone specimen of bone sample) and the PTM(proximal tibia) embedded block, cut on Leica RM2500 microtome, cut out the thin slice of 5 μ m, roasting sheet, be fixed on the cleaning processing of dewatering, dye on the microscope slide, mounting, be prepared into undecalcified osseous tissue sheet.Masson-Goldner Trichrome dyeing, after the dyeing, sclerotin is green, and bone marrow is red, and microscopically is observed bone trabecula quantity and its surperficial osteoblast and osteoclast.
:
1. the measuring range of measuring range: TX is the medullary cavity and the cortical bone of its transverse section; The measuring range of PTM to avoid elementary osteogenesis district, is down drawn 3 ㎜ from 1 ㎜ for 1 ㎜ that down draws from growth plate again.
2. the bone morphometry is measured and calculating parameter
This is tested all parameters and adopts the name of general international standard osseous tissue norphometry technics, directly measures with image analysis system.Chinese and English title, symbol and the unit of measurement parameter are shown in table 10 and table 11.But these parameters can't be used to analyze bone amount, bone structure, bone formation and bone resorption etc., the parameter that directly records are calculated by international formula, just can be used for analyzing.The Chinese of calculating parameter, symbol and computing formula are like shown in table 12 and the table 13.
Table 10: cortical bone measurement parameter
Chinese |
English name |
Symbol |
Unit |
Proximal tibia |
Proximal tibia |
PTM |
|
The shaft of tibia tuberosity |
Tibia shaft |
TX |
|
The osseous tissue gross area |
Total tissue area |
T.Ar |
mm
2 |
The bone marrow gross area |
Marrow area |
Ma.Ar |
mm
2 |
The periosteum girth |
Periosteal perimeter |
P-Pm |
mm |
The perimyelis girth |
Endocortical perimeter |
E-Pm |
mm |
Thickness of cortex of bone |
Cortical thickness |
Ct.Th |
mm |
Table 11 spongy bone measurement parameter
Chinese |
English name |
Symbol |
Unit |
The osseous tissue area |
Tissue area |
T.Ar |
mm
2 |
The bone trabecula area |
Trabecular bone area |
Tb.Ar |
mm
2 |
The bone trabecula girth |
Trabecular perimeter |
Tb.Pm |
mm |
The adherent girth of osteoclast |
osteoclast perimeter |
Oc.Pm |
mm |
The adherent girth of osteoblast |
osteoblast perimeter |
Ob.Pm |
mm |
Amount of osteoclast |
osteoclast number |
N.Oc |
# |
Osteoblast quantity |
osteoblast number |
N.Ob |
# |
Table 12 cortical bone calculating parameter and computing formula
Chinese |
Symbol |
Unit |
Formula |
The cortical bone area percent |
%Ct.Ar |
% |
(T.Ar- Ma.Ar)/T.Ar × 100 |
The medullary cavity area percent |
% Ma.Ar |
% |
Ma.Ar/ T.Ar × 100 |
Table 13 spongy bone calculating parameter Tab5 Calculations of cancellous bone(PTM)
Chinese |
Symbol |
Unit |
Formula |
The bone trabecula area percent |
%Tb.Ar |
% |
Tb.Ar/T.Ar×100% |
The bone trabecula width |
Tb.Th |
μm |
(2000/1.199)×(Tb.Ar/Tb.Pm) |
Bone trabecula quantity |
Tb.N |
#/㎜ |
(1.199/2)×(Tb.Pm/T.Ar) |
The bone trabecula separating degree |
Tb.Sp |
μm |
(2000/1.199)×(Tb.Ar-T.Ar)/Tb.Pm |
Unit bone trabecula girth osteoblast number |
Ob.N |
#/㎜ |
Ob.N/Tb.Pm |
Unit bone trabecula girth osteoclast number |
Oc.N |
#/㎜ |
Oc.N/Tb.Pm |
3. the meaning of calculating parameter
(1) TX parameter
A. cortex area percent (%Ct.Ar): reflection cortical bone shared ratio in the total osseous tissue area of TX bone cross section;
B. medullary cavity area percent (%Ma.Ar): reflection medullary cavity shared ratio in the total osseous tissue area of TX bone cross section.
(2) PTM parameter
A. (%Tb.Ar, %): phalanges girder area accounts for the percentage rate of osseous tissue area to the bone trabecula area percent, and the bone amount what reflect.This index is to estimate the most important index of bone quantitative changeization.
B. bone trabecula width (Tb.Th): be used to describe the bone trabecula morphosis, explain the variation of bone amount.Under the certain situation of quantity, width is thick more, and the bone amount is many more.
C. bone trabecula quantity (Tb.N): be used to describe the bone trabecula morphosis, explain the variation of bone amount.Under the certain situation of width, quantity is many more, and the bone amount is many more.
D. bone trabecula separating degree (Tb.Sp): the average distance between the phalanges girder is used for describing bone trabecular morphosis.Separating degree is big more, and the distance between the bone trabecula is just big more, and bone is just loose more.
E. osteoblast number (Ob.N): the osteoblast number on the unit bone trabecula girth, reflect the bone formation situation relevant with osteoblast.
F. osteoclast number (Oc.N): the osteoclast number on the unit bone trabecula girth, reflect the bone resorption situation relevant with osteoclast.
3. result
(1) high fat diet and VAOF are to the influence of rat TX morphometry
As shown in Table 14: there is not significant difference in each group in gross area index.
As shown in Table 14: compare with the Ctrl group, Mod group cortical bone area percent obviously reduces (P<0.05), and the medullary cavity area percent obviously increases (P<0.05).
Compare with the Mod group, VAOF-L, VAOF-M group and VAOF-H group rat cortical bone area percent all obviously raise (P<0.05), and result and Xzk group are similar.
Fig. 1 is seen in section photo as a result.
Table 14 high fat diet and VAOF are to the influence (n=10) of rat TX morphometry static parameter
Group Group |
Osseous tissue gross area T.Ar (mm
2)
|
Cortical bone area percent Ct.Ar (%) |
Medullary cavity area percent Ma.Ar (%) |
Ctrl |
1.26±0.22 |
75.72±3.12 |
24.28±3.12 |
Mod |
1.26±0.09 |
73.68±2.70
* |
26.32±2.70
* |
Xzk |
1.27±0.09 |
76.48±2.16
# |
23.52±2.16
# |
VAOF-L |
1.22±0.09 |
76.87±2.26
# |
23.13±2.26
# |
VAOF-M |
1.21±0.08 |
77.08±2.66
# |
22.92±2.66
# |
VAOF-H |
1.20±0.07 |
76.84±2.72
# |
23.16±2.72
# |
*P<0.05 VS Ctrl;
#P<0.05 VS Mod。
(2) high fat diet and VAOF are to the influence of P of Rats TM morphometry
As shown in Table 15: compare with the Ctrl group, bone trabecular bone amount and the width of Mod group rat significantly reduce (P<0.01), and the bone trabecula number obviously reduces (P<0.05), and separating degree obviously increases (P<0.05); Compare with the Mod group: bone trabecular bone amount and the width increase of VAOF-H group and two medicine group rats of VAOF-M group all reach utmost point significant level (P<0.01), and the result is identical with the Xzk group; In the bone trabecula number index, VAOF-H group increases and reaches significant level (P<0.01), and the result organizes near Xzk, and VAOF-M in this index a little less than preceding two groups, but also obviously increase (P<0.05); The VAOF-H group, VAOF-M group and Xzk group all obviously reduce bone trabecula separating degree (VAOF-H, M:P<0.05; Xzk:P<0.01).
Table 15 high fat diet and VAOF are to the influence (n=10) of P of Rats TM morphometry static parameter
Group Group |
Bone trabecula area percentage %Tb.Ar (%) |
Bone trabecula width Tb.Th (μ m) |
Bone trabecula number Tb.N (#/mm) |
Separating degree Tb.Sp (μ m) |
Ctrl |
22.93±6.53 |
72.89±12.31 |
3.14±0.74 |
259.52±78.69 |
Mod |
13.25±3.11
** |
54.56±5.36
** |
2.41±0.37
* |
371.44±84.11
* |
Xzk |
21.39±2.13
## |
62.01±7.80
# |
3.47±0.20
## |
227.42±11.61
## |
VAOF-L |
12.53±4.10
△△ |
52.47±2.43 |
2.10±0.73
△△ |
468.81±88.01
△△ |
VAOF-M |
19.14±3.93
## |
62.74±8.74
# |
3.05±0.50
# |
273.60±62.67
# |
VAOF-H |
20.40±3.13
## |
63.06±4.65
## |
3.23±0.36
## |
250.48±39.24
# |
Contrast with normal group (Ctrl)
*P<0.05,
*P<0.01; With model group (Mod) contrast,
#P<0.05,
##P<0.01; Compare with the Xzk group
△P<0.05,
△ △P<0.01.
As shown in Table 16: compare with the Ctrl group, Mod group rat unit bone trabecula girth osteoblast digital display work reduces (P<0.01); Compare with the Mod group, the middle and high dosage of VAOF group unit bone trabecula girth osteoblast digital display work increases (P<0.01), and the result is consistent with the Xzk group; Each unit's of group bone trabecula girth osteoclast number does not have meaning difference.
The section experimental result is seen Fig. 2.
Table 16 high fat diet and VAOF are to the influence of P of Rats TM morphometry cell parameters
Group Group |
The adherent girth of osteoblast (mm) |
The adherent girth of osteoclast (mm) |
The unit osteoblast is counted Ob.N (#/mm) |
The unit osteoclast is counted Oc.N (#/mm) |
Ctrl |
0.635±0.118
** |
0.157±0.047 |
30.83±4.92 |
5.69±0.71 |
Mod |
0.329±0.067 |
0.146±0.044 |
15.19±1.93
** |
5.65±1.05 |
Xzk |
0.710±0.203
## |
0.160±0.033 |
24.20±2.47
## |
4.78±1.33 |
VAOF-L |
0.248±0.091 |
0.107±0.025 |
14.87±3.25 |
5.08±1.81 |
VAOF-M |
0.555±0.065
## |
0.178±0.027 |
27.64±3.54
## |
6.38±1.29 |
VAOF-H |
0.506±0.095
## |
0.178±0.044 |
22.84±4.56
## |
5.70±1.33 |
*P<0.05 VS Ctrl;
**P<0.01 VS Ctrl;
#P<0.05 Vs Mod;
##P<0.01 Vs Mod;
△P<0.05 VS Xzk;
△△P<0.01 VS Xzk。
Embodiment 4:
VAOF brings out the influence of osteoporosis rat to hydrocortisone
It is one of osteoporotic important pathogenic factor of medicine source property that cortex alcohols medicine excessively uses.The bull rat is adopted in this research, the medicine source property osteoporosis model that the cortex alcohols medicine that subcutaneous injection hydrocortisone (36mg/kg) duplicates excessively brings out, VAOF with various dose prevents and treats, and compare research with tridin (Tridin), be intended to inquire into loyal art and transfer fat side's treatment cortex alcohols medicine excessively to use the medication of induced osteoporosis disease to imitate, transfer the further developmental research of fat side for loyal art the foundation of science is provided.
1. materials and methods
(1) medicine: VAOF provides (Fructus Ligustri Lucidi 15, Radix Cirsii Japonici 10, the Rhizoma Atractylodis Macrocephalae 10, Radix Salviae Miltiorrhizae 10, Rhizoma Coptidis 6, Radix Notoginseng 6, the Cortex Eucommiae 10 and Fructus Citri Sarcodactylis 10), lot number: 100503 by the Chinese medicine academy of Guangdong Pharmaceutical University; Positive drug tridin (Tridin) provides lot number by Italian Rotta pharmaceutical factory: 2010024, and this medicine is used to treat the loaded European various countries of osteoporosis pharmacopeia.
(2) animal: select 60 of adult male SD rats for use, body weight 280 ~ 300g, Guangdong Medical Lab Animal Center provides, the quality certification number: 09A018.
2. experimental technique
Be divided into 6 groups at random after 60 rats numbering weighed, every group 10, get wherein one group of subcutaneous injection normal saline as normal control group, one group of subcutaneous injection hydrocortisone (20mg/kg) as model group, one group of subcutaneous injection tridin (0.05g/kg) as the positive drug matched group, three groups of subcutaneous injection hydrocortisone (20mg/kg) are irritated the basic, normal, high dosage of stomach VAOF (0.75,1.5,3.0g/kg) more respectively in addition.Each group difference gastric infusion 1 time/day, normal control group and hydrocortisone group give the equal-volume normal saline, successive administration 30 days.All rats are all under equal conditions fed, and freely take the photograph water, control appetite.
3. observation index
Bone density detects: each is organized rat and used the U.S. QDR-2000 of HOLOGIG company type dual intensity X line absorption instrument (coefficient of variation (CV)<1.0%) scanning whole body calcium content of bone and bone density in preceding 2 days under anesthesia in putting to death, and gets two sensitive spots of right femur and fl lower end respectively.
4. statistical procedures
All data all adopt mean+standard deviation (x+SD) expression, analyze with the SPSS statistical software, relatively use variance analysis between group, and significant difference is checked with q.
5. experimental result
Left and right femur density of hydrocortisone induced osteoporosis rat (BMD) and the bone calcium mineral content (BMC) of taking each dosage VAOF control all are higher than model group, and difference has significance (p<0.05 ~ 0.01).
The influence that table 17 VAOF changes the hydrocortisone induced osteoporosis rat BMD (n=10 of x ± SD)
Group |
Dosage (g/kg) |
Right femur |
Fl |
The normal control group |
—— |
0.181±0.018 |
0.186±0.016 |
Model group |
—— |
0.136±0.009
** |
0.146±0.009
** |
Model+tridin |
0.05 |
0.173±0.017
▲▲ |
0.169±0.014
▲▲ |
Model+VAOF is low |
0.75 |
0.162±0.017
▲▲ |
0.167±0.015
▲▲ |
Among model+VAOF |
1.50 |
0.169±0.016
▲▲ |
0.175±0.018
▲▲ |
Model+VAOF height |
3.0 |
0.175±0.025
▲▲ |
0.181±0.019
▲▲ |
Annotate: compare with normal group,
*P<0.05,
*P<0.01; Compare with model group,
▲P<0.05,
▲ ▲P<0.01.
The influence that table 18 VAOF changes the hydrocortisone induced osteoporosis rat BMC (n=10 of X ± SD)
Group |
Dosage (g/kg) |
Right femur |
Fl |
The normal control group |
—— |
0.061±0.007 |
0.075±0.008 |
Model group |
—— |
0.049±0.006
** |
0.057±0.006
** |
Model+tridin |
0.05 |
0.058±0.009
▲▲ |
0.069±0.014
▲ |
Model+VAOF is low |
0.75 |
0.056±0.008
▲ |
0.067±0.008
▲▲ |
Among model+VAOF |
1.5 |
0.058±0.008
▲▲ |
0.069±0.007
▲▲ |
Model+VAOF height |
3.0 |
0.061±0.008
▲▲ |
0.073±0.009
▲▲ |
Annotate: compare with normal group,
*P<0.05,
*P<0.01; Compare with model group,
▲P<0.05,
▲ ▲P<0.01.
The preceding serum BGP content indifference of operation between each group (p〉0.05), administration is after 1 month after the modeling, and model group is apparently higher than normal group (p<0.01), and three group rules of VAOF control are starkly lower than model group (p<0.05 ~ p<0.01).
The clinical observation of embodiment 5 VAOF treatment osteoporosis
1. clinical data
(1) Western medicine diagnose standard: the diagnosing osteoporosis standard adopts and compares with local women's bone density peak value, and reducing 2 standard deviations (SD) above is osteoporosis.This research is with reference to China adult lumbar spine bmd value, and women's peak value is 1.004 ± 0.107g/cm
2, at 30 ~ 30 years old age bracket, standard deviation was 0.107, so with 0.790 g/cm
2Be the diagnosing osteoporosis standard, be lower than this value and be sufferers of osteoporosis face.Except secondary osteoporosis, idiopathic osteoporosis disease and took in 3 months and influence bone metabolism medicine person.
(2) tcm diagnosis standard: 1.Ache of the spinal column; 2.The shin knees soreness, hyposexuality; 3.Hiccough and deaf; 4.Shallow complexion; 5.The loss of hairs luxated tooth; 6.Spontaneous sweating; 7.The nocturia frequency; 8.Thready pulse without strength, light red tongue or purplish tongue.Possess above-mentioned 1,2,3 and add 2 persons, examine and be to suffer from a deficiency of the kidney the insufficiency of vital energy and blood card.
(3) case is selected: between in January, 1999 ~ calendar year 2001 December, outpatient service is diagnosed as primary osteoporosis insufficiency of vital energy and blood card patient 32 examples of suffering from a deficiency of the kidney, 50 ~ 80 years old age, average 64.5 years old; 1 ~ 30 year women's menopause time, average 12.8.Be divided into treatment at random and organize 20 examples, matched group 12 examples, two groups of ordinary circumstances are no significant difference (P〉0.05) relatively, sees Table 22.
Table 22 liang group ordinary circumstance comparison (
± s)
Project |
VAOF treatment group |
The XIANLING GUBAO JIAONANG matched group |
Age (year) |
62.3±12.5 |
63.8±10.9 |
The menopause time limit (y) |
14.2±9.6 |
13.5±10.3 |
Height (cm) |
158.1±9.8 |
157.9±9.4 |
Body weight (kg) |
54.6±8.6 |
54.9±8.9 |
2. method
The treatment group gives VAOF capsule (Fructus Ligustri Lucidi 18, Radix Cirsii Japonici 10, the Rhizoma Atractylodis Macrocephalae 10, Radix Salviae Miltiorrhizae 10, Rhizoma Coptidis 5, Radix Notoginseng 6, the Cortex Eucommiae 10 and Fructus Citri Sarcodactylis 10 are provided by the Chinese medicine academy of Guangdong Pharmaceutical University), lot number: 100505), each 3, every day 2 times, serve on 6 months.Matched group: (Guizhou Tongjitang Pharmaceutical Co., Ltd produces, lot number: 100202) each 3, every day 2 times, serve on 6 months to give XIANLING GUBAO JIAONANG.Two groups of viewing durations are withdrawn other Chinese medicine, the relevant Western medicine with primary disease of analgesic.
Observation index:
(1) BMD becomes the coefficient of variation (CV)<0.1% with Korea S Osteosys borne densitometers DEXXUM3() respectively at reaching treatment detects lumbar vertebra normotopia (L2-L4) after 6 months bone density before the treatment.
(2) Bone Gla protein (BGP) is measured with the RIA method.
(3) urine calcium and urine creatine are measured: adopt fasting urine mensuration in early morning, and calculate Ca/Cr ratio, test kit is provided by middle living company, and ADVIL 1650 automatic clinical chemistry analyzers are measured.
(4) estradiol (E
2) measure with the RIA method.
(5) clinical manifestation adopt scoring method (do not have card shape note 0 minute, the card shape light or the time and occur remembering 1 fen, symptom occur repeatedly or the time heavily remember 2 fens when light, the card shape continues to occur or severe patient note 3 minutes, the summation of keeping the score that changes before and after the record Syndrome in TCM).
(6) observe untoward reaction.
Curative effect determinate standard
(1) produce effects: the more preceding raising of BMD value is more than 5%, and biochemical indicator obviously improves, and the Syndrome in TCM total mark descends 〉=2/3.
(2) effective: the more preceding raising 2% ~ 4% of BMD value, biochemical indicator makes moderate progress, and the Syndrome in TCM total mark descends 〉=1/3.
(3) invalid: the more preceding raising of BMD value<2% or continuation descend, and biochemical indicator does not improve or improve not obvious, and the Syndrome in TCM total mark descends<1/3.
Statistical procedures: adopt X2 check or t check
3. result
(1) clinical efficacy evaluation, the result is shown in table 23, and treatment group and matched group relatively do not have significant difference (P〉0.05).
Table 23 clinical efficacy relatively
Group |
The example number |
Produce effects (example) |
Effectively (example) |
Invalid (example) |
Total effective rate (%) |
The treatment group |
20 |
7 |
10 |
3 |
85.0% |
Matched group |
18 |
7 |
8 |
3 |
83.3% |
(2) bone density change to be observed, and the result is shown in table 24: the treatment group all increases before treating with the BMD value treatment back of matched group, more also there was no significant difference between two groups.
The variation of BMD before and after the table 24 liang group treatment (
± s)
Group |
The example number |
Before the treatment |
After the treatment |
The treatment group |
20 |
0.658±0.103 |
0.761±0.098 |
Matched group |
12 |
0.663±0.105 |
0.759±0.099 |
(3) biochemical written instructions variation is observed, and the result is as shown in Table 25, more slightly reduces by the two groups of E in treatment back before the two groups of BGP in treatment back treat
2Level is preceding than all be significantly increased (p<0.05) with treatment, and the ratio of Ca/Cr has tangible reduction.
Table 25 changes of biochemical indexes comparison sheet (
± s)
Group |
Before the treatment of treatment group |
After the treatment of treatment group |
Before the treatment of control group |
After the treatment of control group |
E
2(pg.ml-1)
|
50.61±19.01 |
66.41±18.12
* |
51.23±20.11 |
65.12±16.45 |
BGP(ng.ml-1) |
6.75±1.81 |
6.95±1.19 |
6.88±1.78 |
6.66±1.83 |
Ca/Cr |
0.188±0.061 |
0.098±0.039
* |
0.185±0.103 |
0.134±0.041
* |
Annotate: compare before treating the back and treating:
*P<0.5.
4. conclusion
Above testing result shows, the VAOF E in the serum that can raise
2Level reduces Ca/Cr, and treatment back BMD also increases, and can show the alleviation clinical symptoms, and total effective rate reaches 88.5%; Do not have good reaction is obviously arranged, suitable with XIANLING GUBAO JIAONANG, but the curative effect of alleviation back, extremity osteodynia is obvious than XIANLING GUBAO, shows that VAOF can treat osteoporosis effectively, improves symptoms such as the empty blood stasis of bone.
More than to provided by the present invention by Chinese patent 200410051250.4 disclosed a kind of medicines for the treatment of hyperlipemia, by Fructus Ligustri Lucidi, the Rhizoma Atractylodis Macrocephalae, the Cortex Eucommiae, Radix Notoginseng, Radix Cirsii Japonici, Radix Salviae Miltiorrhizae, Rhizoma Coptidis, Fructus Citri Sarcodactylis eight flavor Chinese drug-treated group become compositions, be described in detail in application of medicine that prevents and/or treats the osteoporosis relevant disease and/or health product and preparation method thereof, having used specific case herein sets forth principle of the present invention and embodiment, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof, simultaneously, for one of ordinary skill in the art, according to thought of the present invention, part in specific embodiments and applications all can change, in sum, this description should not be construed as limitation of the present invention.