慢性胃炎、溃疡病患者血清、胃液和胃组织微量元素的测定及其临床意义

对慢性胃炎、溃疡病患者血清、胃液、胃组织中多种微量元素采用高频等离子体发射光谱法测定．结果：胃溃疡血清、胃组织钼低，Ｐ均＜０．０５；胃组织钙低，Ｐ＜０．０１．十二指肠溃疡血清、胃组织钼低，Ｐ均＜０．０５；胃组织钙高于对照组，Ｐ＜０．０１．并对健康人血清、胃液、胃组织微量元素进行测定，为科研提供了血清、胃液、胃组织微量元素的正常值。     

Novel CD-MOF NIR-II fluorophores for gastric ulcer imaging

Gastric ulcers are one of the most common stomach diseases that often accompanied by inflammation, congestion, edema, scar tissue formation, and pyloric obstruction. Fiberoptic endoscopy and X-ray analysis of the upper GI tract have become the diagnostic procedure of choice for patients. However, conventional diagnosis technology is either invasive or radioactive. Herein, a novel CD-MOF NIR-II fluorophore (GPs-CH1055) was developed. The relative fluorophore intensity was largely consistent at various media and pH buffers, and it can swell into gel particles in solvents and be completely expelled from the gastrointestinal tract without being assimilated. GPs-CH1055 has been further evaluated in vivo, and exhibited strong retention effect on the gastric ulcer sites, bright NIR-II signals with high spatial and temporal resolution. Therefore, GPs-CH1055 shows great promise for realizing real-time gastric ulcer imaging and diagnosis.     

Tablet of Spondias mombin L. Developed from Nebulized Extract Prevents Gastric Ulcers in Mice via Cytoprotective and Antisecretory Effects

Spondias mombin L. (Anacardiaceae) has a worldwide distribution and is present in all regions of Brazil. Its leaves, flowers and bark are used as teas in folk medicine to treat diseases of the digestive system. This study aimed to evaluate the acute non-clinical toxicity, gastroprotective activity, and the related mechanisms of action of nebulized extract and tablets based on dried Spondias mombin (SmNE). SmNE screening showed the presence of flavonoids (0.65%), polyphenols (25.50%), where the major compound is gallic acid. In the acute oral toxicity assay, a dose of 2000 mg/kg of SmNE administered orally in Swiss mice did not induce any behavioral changes. SmNE (250 or 500 mg/kg p.o) significantly reduced the ulcerative lesion area when compared to the control group in ethanol and non-steroidal anti-inflammatory drug (NSAIDs) models. Results showed that treatment with SmNE (250 mg/kg) reduced acid secretion and gastric content, accompanied with an increase in pH. Previous administration of indomethacin and glibenclamide reversed the protection provided by SmNE, confirming the participation of prostaglandins (PGs) and ATP-sensitive potassium channels (KATP) in its gastroprotective effect. The SmNE tablets met the pharmacopeial quality requirements with gastroprotective activity and similar protection in comparison to the isolated extract administrated. In conclusion, SmNe has a gastroprotective activity related to cytoprotective mechanisms, such as the participation of endogenous prostaglandins and KATP channels, having an anti-secretory effect with systemic action. The formulation obtained presented gastroprotective effects similar to the administration of the extract, the tablets showed favorable compression characteristics by the direct route and met the pharmacopeial quality requirements.     

酪酸梭菌抗阿司匹林致小鼠胃溃 疡作用的初步研究

目的 观测酪酸梭菌是否对阿司匹林导致的胃溃疡具有预防效应,并对其机制进行初步探讨。方法 取30只健康 雄性ICR 小鼠,随机分成3 组,每组各10 只,即模型组、酪酸梭菌组、奥美拉唑组。酪酸梭菌组以6×108cfu/ 只的菌量,模型组和奥美拉唑组均予以相同体积的无菌培养基,灌胃4d 后再饥饿处理48h,然后以250mg/kg 剂量的阿司匹林灌胃造模,奥美拉唑组小鼠于造模前30min,腹腔注射奥美拉唑（13mg/kg）。造模4h 后,取胃组织分别测定SOD、CAT 活力、MDA 含量;进行常规HE 染色观察胃黏膜组织结构变化,PAS染色判断黏液量的变化,免疫组化法测定Bcl-2、Bax 表达水平。结果 模型组的SOD、CAT 活性明显降低,MDA 含量显著增加,而酪酸梭菌预处理后逆转了该趋势（P＜0.01）,与奥美拉唑组比较无统计学差异。HE染色观察,酪酸梭菌能减轻胃黏膜的病理损伤,与奥美拉唑组无统计学差异。PAS 结果提示酪酸梭菌能够增加黏液量。酪酸梭菌组的Bcl-2 表达较模型组显著增多,同时Bax 表达显著减少。结论 酪酸梭菌预处理通过抗氧化应激、增加胃黏液量、上调Bcl-2/Bax 表达比例,减轻阿司匹 林造成的胃溃疡损伤。     

Gastroprotective Effects of Inulae Flos on HCl/Ethanol-Induced Gastric Ulcers in Rats

Inulae Flos, the flower of Inula britannica L., is used as a dietary supplement, beverage, and medicine in East Asia. In this study, we evaluated the gastroprotective effects of Inulae Flos extract (IFE) against gastric mucosal lesions induced by hydrochloric acid (HCl)/ethanol in rats and explored its potential mechanisms by measuring antioxidant enzyme activity, mucus secretion, and prostaglandin E₂ (PGE₂) levels. Pretreatment with IFE at doses of 100 and 300 mg/kg significantly inhibited gastric lesions in HCl/ethanol-treated rats. IFE increased the activities of superoxide dismutase and catalase and the levels of glutathione and PGE₂ in gastric tissues. The administration of IFE also significantly increased the gastric wall mucus contents in HCl/ethanol-induced gastric lesions. These findings suggest that IFE has gastroprotective effects against HCl/ethanol-induced gastric lesions and exerts these effects through increased antioxidant levels and gastric mucus secretion. Inulae Flos may be a promising agent for the prevention and treatment of gastritis and gastric ulcers.     

复发性阿弗他溃疡与相关的营养因素研究进展

以国内外研究复发性阿弗他溃疡营养因素的相关论文为依据,综述了近十年有关对复发性阿弗他溃疡（RAU）营养因素的研究进展。包括：RAU与微量元素锌、铁、硒、铜,维生素A、C、E、B2、B12,蛋白质,膳食纤维和谷类的关系。RAU的发生与体内微量元素锌、铁、硒、铜的减少,维生素A、C、E、B2、B12,蛋白质和膳食纤维的摄取不足密切相关,全谷类食品（功能稻米）对缓解RAU有帮助。     

Simultaneous determination of cucurbitacin IIa and cucurbitacin IIb of Hemsleya amabilis by HPLC–MS/MS and their pharmacokinetic study in normal and indomethacin‐induced rats

A selective and sensitive HPLC–MS/MS method was developed for the simultaneous determination of cucurbitacin IIa (cuIIa) and cucurbitacin IIb (cuIIb), the major bioactive cucurbitacins of Hemsleya amabilis, in rat plasma using euphadienol as internal standard (IS). After liquid–liquid extraction with dichloromethane, separation was achieved on a Syncronis HPLC C₁₈ column (150 mm × 4.6 mm, 5 μm) using an isocratic mobile phase system consisting of acetonitrile–water (85:15, v/v) at a flow rate of 0.6 mL/min with a split ratio of 1:2. Detection was performed on a TSQ Quantum Ultra mass spectrometer equipped with an positive‐ion electrospray ionization source. The lower limits of quantification (LLOQs) were 0.25 and 0.15 ng/mL for cuIIa and cuIIb, respectively. The intra‐ and inter‐day precision was <11.5% for the LLOQs and each quality control level of the analytes, and accuracy was between ?9.1 and 7.6%. The extraction recoveries of the analytes and IS from rat plasma were all >87.1%. The method was fully validated and applied to compare the pharmacokinetic profiles of the two cucurbitacins in rat plasma after oral administration of H. amabilis extract between normal and indomethacin‐induced rats. Copyright © 2016 John Wiley & Sons, Ltd.     

大剂量补充微量元素治疗“胃溃疡型腺癌伴广泛转移”一例

阐述了一例胃底溃疡型腺癌伴周边器官淋巴组织广泛转移患者，行“贲门MT术”姑息治疗后，经九个月大剂量多种微量元素制剂补充达到很好的临床效果。     

Gastroprotective potentials of the ethanolic extract of Mukia maderaspatana against indomethacin-induced gastric ulcer in rats

This study investigated the protective effects of the ethanolic extract of Mukia maderaspatana against indomethacin-induced gastric ulcer in rats. Gastric ulceration was induced by single intraperitoneal injection of indomethacin (30 mg/kg b.wt.). M. maderaspatana extract produced significant reduction in gastric mucosal lesions, malondialdehyde and serum tumour necrosis factor-α associated with a significant increase in gastric juice mucin content and gastric mucosal catalase, nitric oxide and prostaglandin E2 levels. The volume and acidity of the gastric juice decreased in pretreated rats. The plant extract was evaluated in the gastric juice of rats, untreated has showed near normal levels in pretreated rats. The M. maderaspatana was able to decrease acidity and increase the mucosal defence in the gastric area, therefore justifying its use as an antiulcerogenic agent. Ranitidine significantly increased pH value and decreased pepsin activity and gastric juice free and total acidity. The anti-ulcer effect was further confirmed histologically.     

中医药膳防治复发性阿弗他溃疡

通过近年来有关中医药膳防治复发性阿弗他溃疡的研究,从中西医角度论述了复发性阿弗他溃疡的发病机理,挖掘出有效防治复发性阿弗他溃疡的中医药膳,总结了中医药膳的功能成分如何作用于复发性阿弗他溃疡,归纳了可行的中医药膳调理的方法和应用原则,为开展药膳干预复发性阿弗他溃疡发病提供理论基础.