1.Effect of electroacupuncture at "Zusanli" (ST 36) and "Yanglingquan" (GB 34) on perinatal nicotine-exposure-induced lung function and morphology of neonatal rats.
Hang SU ; Bo JI ; Guo-Zhen ZHAO ; Yi-Tian LIU ; Yun-Peng GE ; Jian DAI ; Ya-Wen LU ; Dan WANG ; Sakurai REIKO ; V K REHAN ; Ming-Na YAN ; Xiao-Min SUN ; Hong-Xin BAI ; Meng-Wei GUO ; Xiao-Xuan REN
Chinese Acupuncture & Moxibustion 2019;39(6):632-636
OBJECTIVE:
To compare the effects of electroacupuncture (EA) at "Zusanli" (ST 36) versus "Yanglingquan" (GB 34) in the pregnant rats on perinatal nicotineexposureinduced lung function and morphology of newborn rats and explore the rule of acupoint effect in EA for the prevention from lung dysplasia in newborn rats.
METHODS:
A total of 24 female SD rats were randomized into a normal saline group (S group), a nicotine group (N group), a nicotineST 36 group (N + ST 36 group) and a nicotineGB 34 group (N+GB 34 group), 6 rats in each one. Starting at the 6th day of pregnancy, 0.9% sodium chloride solution was injected subcutaneously in the S group, 1 mg/kg; and in the rest 3 groups, nicotine of the same dose was injected through to the 21st postnatal day to establish the perinatal nicotineexposure model. Simultaneously, during model preparation, EA was applied at "Zusanli" (ST 36) and "Yanglingquan" (GB 34) in the N+ST 36 group and the N+GB 34 group respectively, once a day, through to the 21st postnatal day. The lung function analytic system for small animal was adopted to observe the changes in lung function indicators in newborn rats, such as peak inspiratory flow (PIF), peak expiratory flow (PEF), expiratory resistance (RE), inspiratory resistance (RI) and dynamic compliance (Cdyn). HE staining was used to observe the morphological changes of lung, such as alveolar fusion and rupture.
RESULTS:
Compared with the S group, PEF and Cdyn were lower and PIF, RI and RE higher in the N group (all <0.01), additionally, alveoli were fused and ruptured, alveolar wall thickened, the numbers of alveoli reduced, the interspace of alveoli enlarged and the diameter increased (<0.01). Compared with the N group, in the N+ST 36 group, PEF and Cdyn were increased, PIF, RI and RE reduced (<0.05, <0.01), the alveolar fusion and rupture relieved, the numbers of alveoli increased, alveolar wall thinner, the interpsace of alveoli became normal and the diameter was reduced significantly (<0.01). In the N+GB 34 group, the changes of lung function and morphological indicators were not significant (>0.05).
CONCLUSION
Electroacupuncture at "Zusanli" (ST 36) in the pregnant rats significantly improves the perinatal nicotineexposureinduced lung function and morphology of newborn rats than electroacupuncture at "Yanglingquan" (GB 34).
Acupuncture Points
;
Animals
;
Animals, Newborn
;
Electroacupuncture
;
Female
;
Lung
;
drug effects
;
physiopathology
;
Nicotine
;
toxicity
;
Pregnancy
;
Random Allocation
;
Rats
;
Rats, Sprague-Dawley
2.The protective effects of vitamin E on lung injury caused by high temperature and PM in COPD rats.
Jiang-Tao LIU ; Bin LUO ; Xiao-Tao HE ; Lan-Yu LI ; Sheng-Gang XU
Chinese Journal of Applied Physiology 2019;35(4):293-296
OBJECTIVE:
To investigate the effects of vitamin E on the respiratory function impairment in rats with chronic obstructive pulmonary disease (COPD) after exposed to high temperature and PM.
METHODS:
Fifty-four 7-week-old SPF male Wistar rats were randomly divided into 9 experimental groups (n=6). The rat COPD model was established by lipopolysaccharide (LPS) and smoke exposure. After modeled, the rats were tracheal instilled with PM (0 mg/ml, 3.2 mg/ml) and intraperitoneally injected with vitamin E at the dose of 40 mg/kg (20 mg/ml). Part of rats (high temperature groups) were then exposed to high temperature (40℃), once (8 h) a day for three consecutive days. After the last exposure, the lung function of rats was detected. The expression levels of inducible nitric oxide synthase (iNOS), tumor necrosis factor-α (TNF-α) and monocyte chemotactic protein-1 (MCP-1) were detected by corresponding ELISA kits.
RESULTS:
Compared with the control group, exposure of high temperature and PM could inhibit the lung function of COPD rats significantly (P<0.05); the level of MCP-1 was increased significantly in PM-exposure groups (P<0.05); iNOS was increased significantly in the groups of high temperature (P<0.05). Compared with the single-PM exposure groups, TNF-α in lung was decreased in the normal temperature health group and high temperature COPD group (P<0.05) after treated with vitamin E; MCP-1 was decreased in all vitamin E-treated groups (P<0.05); the decreased iNOS only appeared in the group of high temperature with vitamin E treatment.
CONCLUSION
High temperature and PM could aggravate the inflammation of COPD rats. As an antioxidant, vitamin E may protect the lung from the damage effects.
Animals
;
Chemokine CCL2
;
metabolism
;
Hot Temperature
;
adverse effects
;
Lung
;
physiopathology
;
Male
;
Nitric Oxide Synthase Type II
;
metabolism
;
Particulate Matter
;
adverse effects
;
Pulmonary Disease, Chronic Obstructive
;
drug therapy
;
Random Allocation
;
Rats
;
Rats, Wistar
;
Tumor Necrosis Factor-alpha
;
metabolism
;
Vitamin E
;
pharmacology
3.Houttuynia cordata polysaccharide alleviated intestinal injury and modulated intestinal microbiota in H1N1 virus infected mice.
Mei-Yu CHEN ; Hong LI ; Xiao-Xiao LU ; Li-Jun LING ; Hong-Bo WENG ; Wei SUN ; Dao-Feng CHEN ; Yun-Yi ZHANG
Chinese Journal of Natural Medicines (English Ed.) 2019;17(3):187-197
Houttuynia cordata polysaccharide (HCP) is extracted from Houttuynia cordata, a key traditional Chinese medicine. The study was to investigate the effects of HCP on intestinal barrier and microbiota in H1N1 virus infected mice. Mice were infected with H1N1 virus and orally administrated HCP at a dosage of 40 mg(kg(d. H1N1 infection caused pulmonary and intestinal injury and gut microbiota imbalance. HCP significantly suppressed the expression of hypoxia inducible factor-1α and decreased mucosubstances in goblet cells, but restored the level of zonula occludens-1 in intestine. HCP also reversed the composition change of intestinal microbiota caused by H1N1 infection, with significantly reduced relative abundances of Vibrio and Bacillus, the pathogenic bacterial genera. Furthermore, HCP rebalanced the gut microbiota and restored the intestinal homeostasis to some degree. The inhibition of inflammation was associated with the reduced level of Toll-like receptors and interleukin-1β in intestine, as well as the increased production of interleukin-10. Oral administration of HCP alleviated lung injury and intestinal dysfunction caused by H1N1 infection. HCP may gain systemic treatment by local acting on intestine and microbiota. This study proved the high-value application of HCP.
Animals
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Cytokines
;
metabolism
;
Drugs, Chinese Herbal
;
chemistry
;
pharmacology
;
therapeutic use
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Gastrointestinal Microbiome
;
drug effects
;
Houttuynia
;
chemistry
;
Hypoxia-Inducible Factor 1, alpha Subunit
;
metabolism
;
Inflammation
;
drug therapy
;
pathology
;
Influenza A Virus, H1N1 Subtype
;
pathogenicity
;
Intestinal Mucosa
;
drug effects
;
metabolism
;
microbiology
;
pathology
;
Lung
;
drug effects
;
metabolism
;
pathology
;
Male
;
Mice, Inbred BALB C
;
Orthomyxoviridae Infections
;
drug therapy
;
pathology
;
physiopathology
;
Plant Extracts
;
chemistry
;
Polysaccharides
;
chemistry
;
pharmacology
;
therapeutic use
;
Toll-Like Receptors
;
metabolism
;
Zonula Occludens-1 Protein
;
metabolism
4.Feiji Recipe inhibits the growth of lung cancer by modulating T-cell immunity through indoleamine-2,3-dioxygenase pathway in an orthotopic implantation model.
Bin LUO ; Zu-Jun QUE ; Zhi-Yi ZHOU ; Qing WANG ; Chang-Sheng DONG ; Yi JIANG ; Bing HU ; Hui SHI ; Yu JIN ; Jian-Wen LIU ; He-Gen LI ; Lin WANG ; Jian-Hui TIAN
Journal of Integrative Medicine 2018;16(4):283-289
OBJECTIVEEscape from the body's immune response is a basic characteristic of lung cancer, and indoleamine-2,3-dioxygenase (IDO) plays a key role in mediating immune escape of non-small-cell lung cancer, which leads to recurrence and metastasis. Feiji Recipe, a compound Chinese herbal medicine, has the effect of stabilizing lesions and prolonging survival in patients with lung cancer. The purpose of this study was to investigate the mechanisms underlying the anticancer properties of Feiji Recipe.
METHODSAn orthotopic transplant model of mouse Lewis lung cancer, with stable expression of IDO gene, was established in C57BL/6 mice. Optical imaging was used to observe the effects of Feiji Recipe in the treatment of lung cancer in vivo. The effects of Feiji Recipe on the proliferation of mouse Lewis lung cancer cell line 2LL, 2LL-enhanced green fluorescent protein (2LL-EGFP) and 2LL-EGFP-IDO were investigated, and the apoptosis of T-cells was examined by 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide using flow cytometry. Chemical composition of Feiji Recipe was validated by high-performance liquid chromatography.
RESULTSCompared to the control group, the survival of animals treated with Feiji Recipe was significantly prolonged (P = 0.0074), and the IDO protein level decreased (P = 0.0072); moreover, the percentages of CD4CD25 T-cells and Foxp3 T-cells were significantly decreased (P < 0.05). The molecular mechanism of Feiji Recipe against lung cancer may relate to the regulation of immune cells, such as T-cells and regulatory T-cells.
CONCLUSIONThe molecular mechanism of Feiji Recipe in treatment of lung cancer is to restore the function of T-cells in the cancer microenvironment through interfering with the IDO pathway.
Animals ; Apoptosis ; drug effects ; Carcinoma, Lewis Lung ; drug therapy ; enzymology ; immunology ; physiopathology ; Cell Proliferation ; drug effects ; Disease Models, Animal ; Drugs, Chinese Herbal ; administration & dosage ; Growth Inhibitors ; administration & dosage ; Humans ; Indoleamine-Pyrrole 2,3,-Dioxygenase ; genetics ; immunology ; Lung Neoplasms ; drug therapy ; enzymology ; immunology ; physiopathology ; Male ; Mice ; Mice, Inbred C57BL ; T-Lymphocytes, Regulatory ; drug effects ; immunology
5.Research Progress of the Role of EMT in EGFR-TKIs Resistance of Non-small Cell Lung Cancer.
Li YU ; Sha HUANG ; Wang LV ; Zhehao HE ; Jian HU
Chinese Journal of Lung Cancer 2018;21(12):907-911
Lung cancer is the one of the malignant tumor of the highest morbidity and mortality over the world, and non-small cell lung cancer (NSCLC) makes up about 80%. Nowadays, molecular targeted therapy has been the first-line treatment for NSCLC. Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) are increasingly used in the clinical treatment, but the EGFR-TKIs acquired resistance becomes the bottleneck of continuation of EGFR-TKIs therapy. Epithelial-mesenchymal transition (EMT) is a biological phenomenon in which epithelial cells are transformed into mesenchymal cells. EMT promoted metastasis, invasion of lung cancer and conferred characteristic of stem cell on cancer cells. Meanwhile, EMT is one of an important cause of EGFR-TKIs resistance in NSCLC. The recent studies have found that resistant cells restored the sensitivity to EGFR-TKIs by reversing EMT which suggested that the target of EMT may contribute to inhibit or even reverse the resistance of EGFR-TKIs. Here we make a review about research progress of EMT in EGFR-TKIs resistance in NSCLC.
.
Animals
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Antineoplastic Agents
;
administration & dosage
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Carcinoma, Non-Small-Cell Lung
;
drug therapy
;
genetics
;
metabolism
;
physiopathology
;
Drug Resistance, Neoplasm
;
Epithelial-Mesenchymal Transition
;
drug effects
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ErbB Receptors
;
antagonists & inhibitors
;
genetics
;
metabolism
;
Humans
;
Lung Neoplasms
;
drug therapy
;
genetics
;
metabolism
;
physiopathology
;
Protein Kinase Inhibitors
;
administration & dosage
6.Role of PD 0332991 on the Proliferation and Apoptosis of Vascular Endothelial Cells.
Chenlong ZHAO ; Minghui LIU ; Yongwen LI ; Hongbing ZHANG ; Ying LI ; Hao GONG ; Yin YUAN ; Weiting LI ; Hongyu LIU ; Jun CHEN
Chinese Journal of Lung Cancer 2018;21(5):375-382
BACKGROUND:
Angiogenesis is an important process in the development of tumor. PD 0332991, a cell cycle inhibitor, can specifically inhibit CD4/6 phosphorylation and cell cycle progression. In xeongraft mice models, PD 0332991 treated mice had significantly decreased angiogenesis and vascular density compared with the control group, but the mechanism remains unknown. The purpose of this study is to investigate the role and molecular mechanism of PD 0332991 on vascular endothelial cells.
METHODS:
EA.hy926 cells, a kind of vascular endothelial cell, were used as the research model. The effects of PD 0332991 on the activity and proliferation of EA.hy926 cells were detected by the MTT, EdU assays. Wound-healing assays and transwell assays were used to determine the effects of PD 0332991 on the mobility of EA.hy926. The influence of PD 0332991 on cell cycle and apoptosis of endothelial cells was tested by flow cytometry, and the Western blot was applied to observe the expression of cell cycle related proteins in EA.hy926 cells treated by PD 0332991.
RESULTS:
PD 0332991 significantly inhibited the proliferation and mobility of EA.hy926 cells, caused cell cycle arrest and apoptosis. At the same time, PD 0332991 inhibited the expression of CDK4/6 and phosphorylation of Rb, and thus inhibited the cell cycle progression of EA.hy926 cells.
CONCLUSIONS
PD 0332991 can inhibit the proliferation and activity of endothelial cells and induces apoptosis.
Angiogenesis Inhibitors
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pharmacology
;
Animals
;
Apoptosis
;
drug effects
;
Cell Line, Tumor
;
Cell Proliferation
;
drug effects
;
Cell Survival
;
drug effects
;
Cyclin-Dependent Kinase 4
;
genetics
;
metabolism
;
Cyclin-Dependent Kinase 6
;
genetics
;
metabolism
;
Endothelial Cells
;
cytology
;
drug effects
;
metabolism
;
Humans
;
Lung Neoplasms
;
drug therapy
;
genetics
;
metabolism
;
physiopathology
;
Mice
;
Piperazines
;
pharmacology
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Pyridines
;
pharmacology
7.Cigarette smoking in different manners induces acute lung injury in rats.
Weiqiang XIAO ; Guojun ZHOU ; Chengyun XU ; Jian XU ; Fangfang HUANG ; Xinbo LU ; Xia LI ; Ximei WU
Journal of Zhejiang University. Medical sciences 2016;45(5):522-529
To investigate the effects of cigarette smoking in different manners on acute lung injury in rats.The commercially available cigarettes with tar of 1,5, 11 mg were smoked in Canada depth smoking (health canada method, HCM) manner, and those with tar of 11 mg were also smoked in international standard (ISO) smoking manner. Rats were fixed and exposed to mainstream in a manner of nose-mouth exposure. After 28 days, the bronchoalveolar lavage fluids from left lung were collected for counting and classification of inflammatory cells and determination of pro-inflammatory cytokines IL-1β and TNF-α. The right lungs were subjected to histological examination and determination of myeloperoxidase (MPO) and superoxide dismutase (SOD) activities and glutathione, reactive oxygen species (ROS) and malondialdehyde (MDA) levels.In both HCM and ISO manners, the degree of lung injury was closely related to the tar content of cigarettes, and significant decrease in the body weight of rats was observed after smoking for one week. In a HCM manner, smoking with cigarette of 11 mg tar resulted in robust infiltration of macrophages, lymphocytes and neutrophils into lungs, significant increase in IL-1β and TNF-α levels and MPO activities, and significant decrease in GSH levels and SOD activities and increase in ROS and MDA levels (all<0.05). Smoking with cigarette of 5 mg tar led to moderate increase in IL-1β and TNF-α levels, and MPO activities (all<0.05), and moderate decrease in GSH levels and SOD activities and increase of ROS and MDA levels (all<0.05). However, smoking with cigarette of 1 mg tar affected neither inflammatory cell infiltration nor IL-1β and TNF-α levels.Cigarette smoking in nose-mouth exposure manner can induce acute lung injury in rats; and the degree of lung injury is closely related to the content of tar and other hazards in cigarettes.
Acute Lung Injury
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etiology
;
pathology
;
physiopathology
;
Animals
;
Bronchoalveolar Lavage Fluid
;
chemistry
;
cytology
;
Chemotaxis, Leukocyte
;
drug effects
;
Glutathione
;
analysis
;
drug effects
;
Interleukin-1beta
;
analysis
;
drug effects
;
Lung
;
chemistry
;
pathology
;
Lymphocytes
;
drug effects
;
pathology
;
Macrophages
;
drug effects
;
pathology
;
Male
;
Malondialdehyde
;
analysis
;
Neutrophil Infiltration
;
drug effects
;
Neutrophils
;
drug effects
;
pathology
;
Peroxidase
;
analysis
;
drug effects
;
Rats
;
Reactive Oxygen Species
;
analysis
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Smoking
;
adverse effects
;
Superoxide Dismutase
;
analysis
;
drug effects
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Tobacco Products
;
adverse effects
;
classification
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Tumor Necrosis Factor-alpha
;
analysis
;
drug effects
;
Weight Loss
;
drug effects
8.Effect and its molecular mechanisms of curcumin on pulmonary artery smooth muscle cells in rat model with chronic obstructive pulmonary disease.
Xiangang LIN ; Yenong CHEN ; Zhuqing LIU
Journal of Zhejiang University. Medical sciences 2016;45(5):469-476
To investigate the effects and the underlying molecular mechanisms of curcumin on pulmonary artery smooth muscle cells in rat model with chronic obstructive pulmonary disease (COPD).A total of 75 male Wistar rats were randomly divided into control group (group CN), model group (group M), low-dose curcumin group (group CL), medium-dose curcumin group (group CM) and high-dose curcumin group (group CH). HE staining was used to observe the morphology of pulmonary artery. Proliferating cell nuclear antigen (PCNA), apoptosis-related protein Bcl-2 and Bax were detected by immunohistochemical staining. TUNEL kit was used to analyze the effects of curcumin on apoptosis of smooth muscle cells, and the protein expressions of SOCS-3/JAK2/STAT pathway in lung tissues were determined by western blot.Right ventricular systolic pressure (RVSP) and right ventricular hypertrophy index (RVMI) in group M were significantly higher than those in group CN, group CH and group CM (all<0.05). HE staining and TUNEL kit test showed that the number of pulmonary artery smooth muscle cells had a significant increase in group M, while the pulmonary artery tube became thin, and the smooth muscle cells shrinked in group CM and group CH. Immunohistochemistry showed that PCNA and Bcl-2 in group M were significantly higher than those in group CN (all<0.05), while Bax expression was significantly lower than that in group CN (<0.05). PCNA in group CM and group CH were significantly lower than that in group M (all<0.05), while Bax expression was significantly higher than that in group M (<0.05). Western blot showed that SOCS-3 protein was significantly decreased in group M, while the p-JAK2, p-STAT1, p-STAT3 were significantly increased (all<0.05). Compared with group M, SOCS-3 protein in group CM and group CH were significantly increased (all<0.05), while the p-JAK2, p-STAT3 were significantly reduced (all<0.05).Curcumin could promote the apoptosis of smooth muscle cells in rats with COPD, and improve the mean pulmonary artery pressure and RVMI through stimulating SOCS-3/JAK2/STAT signaling pathway.
Animals
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Apoptosis
;
drug effects
;
physiology
;
Arterial Pressure
;
drug effects
;
physiology
;
Curcumin
;
pharmacology
;
Hypertrophy, Right Ventricular
;
pathology
;
physiopathology
;
Janus Kinase 2
;
drug effects
;
physiology
;
Lung
;
chemistry
;
drug effects
;
Male
;
Myocytes, Smooth Muscle
;
drug effects
;
pathology
;
Proliferating Cell Nuclear Antigen
;
drug effects
;
metabolism
;
Proto-Oncogene Proteins c-bcl-2
;
drug effects
;
metabolism
;
Pulmonary Artery
;
drug effects
;
pathology
;
Pulmonary Disease, Chronic Obstructive
;
pathology
;
physiopathology
;
Rats
;
Rats, Wistar
;
STAT Transcription Factors
;
Suppressor of Cytokine Signaling 3 Protein
;
drug effects
;
physiology
;
Ventricular Pressure
;
drug effects
;
bcl-2-Associated X Protein
;
drug effects
;
metabolism
9.Effect of intranasal rosiglitazone on airway inflammation and remodeling in a murine model of chronic asthma.
Hwa Young LEE ; Chin Kook RHEE ; Ji Young KANG ; Chan Kwon PARK ; Sook Young LEE ; Soon Suk KWON ; Young Kyoon KIM ; Hyoung Kyu YOON
The Korean Journal of Internal Medicine 2016;31(1):89-97
BACKGROUND/AIMS: Asthma is characterized by airway hyperresponsiveness, inflammation, and remodeling. Peroxisome proliferator-activated receptors have been reported to regulate inflammatory responses in many cells. In this study, we examined the effects of intranasal rosiglitazone on airway remodeling in a chronic asthma model. METHODS: We developed a mouse model of airway remodeling, including smooth muscle thickening, in which ovalbumin (OVA)-sensitized mice were repeatedly exposed to intranasal OVA administration twice per week for 3 months. Mice were treated intranasally with rosiglitazone with or without an antagonist during OVA challenge. We determined airway inflammation and the degree of airway remodeling by smooth muscle actin area and collagen deposition. RESULTS: Mice chronically exposed to OVA developed sustained eosinophilic airway inflammation, compared with control mice. Additionally, the mice developed features of airway remodeling, including thickening of the peribronchial smooth muscle layer. Administration of rosiglitazone intranasally inhibited the eosinophilic inflammation significantly, and, importantly, airway smooth muscle remodeling in mice chronically exposed to OVA. Expression of Toll-like receptor (TLR)-4 and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kappaB) was increased in the OVA group and decreased in the rosiglitazone group. Co-treatment with GW9660 (a rosiglitazone antagonist) and rosiglitazone increased the expression of TLR-4 and NF-kappaB. CONCLUSIONS: These results suggest that intranasal administration of rosiglitazone can prevent not only air way inf lammation but also air way remodeling associated with chronic allergen challenge. This beneficial effect is mediated by inhibition of TLR-4 and NF-kappaB pathways.
Actins/metabolism
;
Administration, Inhalation
;
Airway Remodeling/*drug effects
;
Animals
;
Anti-Asthmatic Agents/*administration & dosage
;
Asthma/chemically induced/*drug therapy/metabolism/physiopathology
;
Chronic Disease
;
Collagen/metabolism
;
Disease Models, Animal
;
Female
;
Lung/*drug effects/metabolism/physiopathology
;
Mice, Inbred BALB C
;
NF-kappa B/metabolism
;
Ovalbumin
;
PPAR gamma/agonists/metabolism
;
Pneumonia/chemically induced/physiopathology
;
Pulmonary Eosinophilia/chemically induced/prevention & control
;
Signal Transduction/drug effects
;
Thiazolidinediones/*administration & dosage
;
Toll-Like Receptor 4/metabolism
10.Effect of caffeine citrate on early pulmonary function in preterm infants with apnea.
Mei YU ; Jin-Hua HUANG ; Rong ZHU ; Xu-Zhong ZHANG ; Wan-Yun WU ; Xiao-Hong WEN
Chinese Journal of Contemporary Pediatrics 2016;18(3):206-210
OBJECTIVETo investigate the effect of caffeine citrate treatment on early pulmonary function in preterm infants with apnea.
METHODSForty preterm infants with apnea were randomly divided into aminophylline treatment group (20 infants) and caffeine citrate treatment group (20 infants). When the preterm infants experienced apnea after birth, they were given aminophylline or caffeine citrate in addition to assisted ventilation with continuous positive airway pressure (NCPAP). After drug discontinuation, pulmonary function was measured and compared between the two groups.
RESULTSAfter treatment, compared with the aminophylline treatment group, the caffeine citrate treatment group had significantly higher tidal volume, minute ventilation volume, ratio of time to peak tidal expiratory flow to total expiratory time, ratio of volume to peak tidal expiratory flow to total expiratory volume, peak expiratory flow, and breathing flow at 75%, 50%, and 25% of tidal volume (P<0.05). The caffeine citrate treatment group had a significantly shorter time of oxygen use and NCPAP support than the aminophylline treatment group (P<0.01). Compared with the aminophylline treatment group, the caffeine citrate treatment group had a significantly lower frequency of apnea attacks (P<0.01).
CONCLUSIONSIn the treatment of apnea in preterm infants, caffeine citrate can improve early pulmonary function and reduce the incidence of apnea.
Aminophylline ; therapeutic use ; Apnea ; drug therapy ; physiopathology ; Caffeine ; pharmacology ; therapeutic use ; Citrates ; pharmacology ; therapeutic use ; Continuous Positive Airway Pressure ; Female ; Humans ; Infant, Newborn ; Infant, Premature ; Lung ; drug effects ; physiopathology ; Male

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