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Intervention effect of tetrandrine on radiation pneumonia and its influence on transforming growth factor-β1 and interleukin-6#br# |
ZHU Nuo XIAO Wei▲ YANG Jiu |
Department of Radiotherapy, Nanjing Chest Hospital Affiliated Brain Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210029, China |
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Abstract Objective To investigate the intervention effect of tetrandrine on radiation pneumonia and its influence on transforming growth factor-β1 (TGF-β1) and interleukin-6 (IL-6). Methods A total of 75 radiation pneumonia patients admitted to Nanjing Chest Hospital from June 2017 to December 2020 were selected as the research subjects. They were divided into the control group (37 cases) and the test group (38 cases) by random number table method, and the control group was given conventional treatment, the experimental group was given oral tetrandrine on the basis of conventional treatment, both groups were treated for two weeks. Vital capacity (VC), forced expiratory volume in the first second (FEV1), TGF-β1 and IL-6 levels were compared before and after treatment. Results After treatment, the total effective rate of experimental group was higher than that in the control group (P < 0.05). After treatment, VC and FEV1 in the two groups were higher than those before treatment, TGF-β1 and IL-6 in the two groups were lower than those before treatment, and VC and FEV1 in the experimental group were higher than those in the control group, TGF-β1 and IL-6 in the experimental group were lower than those in the control group (P < 0.05). There were no obvious drug-related adverse reactions in the both groups. Conclusion Tetrandrine can improve the symptoms of radiation pneumonia and reduce the inflammation reation caused by radiotherapy.
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[1] 杨育梁,高玉华,唐楠,等.热疗在放射性肺炎治疗过程中的临床疗效观察[J].现代肿瘤医学,2018,26(3):392-395.
[2] 康振朝,魏世鸿,郭丽云.凉膈散对放射性肺炎患者TGF-β1及IL-6的影响[J].甘肃科技,2017,33(10):124-126.
[3] 刘超,王玉梅.滋阴润肺法联合穴位敷贴防治放射性肺炎(气阴两伤证)的临床观察[J].中医药导报,2021,27(3):79-82.
[4] Bledsoe TJ,Nath SK,Decker RH. Radiation pneumonitis [J]. Clin Chest Med,2017,38(2):201-208.
[5] 何钦,刘永泉,王智,等.汉防己甲素联合改良缩唇呼吸对矽肺合并稳定期慢性阻塞性肺疾病患者的效果观察[J].环境与职业医学,2021,38(3):282-287.
[6] 陈闪.TNF-β、IL-6联合检测在放射性肺炎诊断中的应用价值[J].临床研究,2019,27(4):143-144.
[7] Arroyo-Hernández M,Maldonado F,Lozano-Ruiz F,et al. Radiation-induced lung injury: current evidence [J]. BMC Pulm Med,2021,21(1):9.
[8] 王永,解华,李凌云.贝伐珠单抗联合厄洛替尼对晚期非小细胞肺癌患者疗效、血清CYFRA21-1水平及KPS评分的影响[J].临床和实验医学杂志,2021,20(8):827-830.
[9] Wen G,Tan YT,Lan XW,et al. New clinical features and dosimetric predictor identification for symptomatic radiation pneumonitis after tangential irradiation in breast cancer patients [J]. J Cancer,2017,8(18):3795-3802.
[10] 戴芳芳,崔勇,李冠龙,等.放射性肺炎的发病机制及中西医结合治疗进展[J].现代中西医结合杂志,2018,27(6):678-681.
[11] 郭毅峻,崔清,刘俊,等.七叶灵方联合西医常规疗法治疗放射性肺炎的临床观察[J].上海中医药杂志,2018, 52(8):33-36.
[12] 褚代芳,吴昊,宗华,等.麻杏石甘汤联合苇茎汤治疗放射性肺炎(痰热瘀肺证)急性期的临床观察[J].中国中医急症,2018,27(9):1638-1640.
[13] 刘嘉琪,张雅男,赵婉,等.粉防己化学成分及药理学研究进展[J].中医药学报,2017,45(3):100-103.
[14] 尚雯倩,张艾民,付燕,等.粉防己碱抗肿瘤作用机制的研究进展[J].现代中西医结合杂志,2021,30(3):324-328,338.
[15] Luan F,He X,Zeng N. Tetrandrine:a review of its anticancer potentials,clinical settings,pharmacokinetics and drug delivery systems [J]. J Pharm Pharmacol,2020,72(11):1491-1512.
[16] Jiao B,Tang Y,Liu S,et al. Tetrandrine attenuates hyperoxia-induced lung injury in newborn rats via NF-κB p65 and ERK1/2 pathway inhibition [J]. Ann Transl Med,2020,8(16):1018.
[17] Su W,Liang Y,Meng Z,et al. Inhalation of Tetrandrine- hydroxypropylβ-cyclodextrin inclusion complexes for pulmonary fibrosis treatment [J]. Mol Pharm,2020,17(5):1596-1607.
[18] 廖辰,杨玖,朱诺,等.汉防己甲素预防放射性肺损伤的临床效果观察[J].临床肺科杂志,2016,21(12):2252-2254.
[19] 柏会明,刘宏,周步全,等.汉防己甲素对食管癌放射性肺损伤的保护作用[J].肿瘤基础与临床,2015,28(1):65-67.
[20] Ruan H,Lv Z,Liu S,et al. Anlotinib attenuated bleomycin-induced pulmonary fibrosis via the TGF-β1 signalling pathway [J]. J Pharm Pharmacol,2020,72(1):44-55.
[21] Ahamed J,Laurence J. Role of platelet-derived transforming growth factor-β1 and reactive oxygen species in radiation-induced organ fibrosis [J]. Antioxid Redox Signal,2017,27(13):977-988.
[22] Li X,Zhuang X,Qiao T. Role of ferroptosis in the process of acute radiation-induced lung injury in mice [J]. Biochem Biophys Res Commun,2019,519(2):240-245.
[23] Zhou J,Wu P,Sun H,et al. Lung tissue extracellular matrix-derived hydrogels protect against radiation-induced lung injury by suppressing epithelial-mesenchymal transition [J]. J Cell Physiol,2020,235(3):2377-2388.
[24] 赖伟坤.呼吸衰竭患者凝血功能与动脉血氧分压二氧化碳分压及肺功能的关系研究[J].内蒙古医学杂志,2016, 48(10):1218-1219.
[25] 白云静,申洪波,姜德训,等.汉防己甲素治疗结缔组织病相关间质性肺疾病临床疗效观察[J].中国医刊,2017, 52(3):39-42. |
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