首都医科大学学报 ›› 2009, Vol. 30 ›› Issue (4): 430-435.doi: 10.3785/j.issn.1006-7795.2009.04.006

• 中医药专题 • 上一篇    下一篇

银屑病血热证患者治疗前后血浆代谢组学分析

刘卫红1, 李萍1, 王萍2, 颜贤忠3, 张琪3, 陈合兵3, 张蕾1, 王丽华1, 于凤华1, 王莒生2   

  1. 1. 首都医科大学附属北京中医医院 北京市中医研究所生化室;2. 首都医科大学附属北京中医医院皮肤科;3. 国家生物医学分析中心核磁共振实验室
  • 收稿日期:2009-06-18 修回日期:1900-01-01 出版日期:2009-08-21 发布日期:2009-08-21
  • 通讯作者: 刘卫红

Metabolomics Study on Patients with Psoriasis of Blood-heat Syndrome before and after Treatment

LIU Wei-hong1, LI Ping1, WANG Ping2, YAN Xian-zhong3, ZHANG Qi3, CHEN He-bing3, ZHANG Lei1, WANG Li-hua1, YU Feng-hua1, WANG Ju-sheng2   

  1. 1. Institute of Traditional Chinese Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University;2. Department of Dermatology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University;3. Department of Nuclear Magnetic Resonance, National Center of Biomedical Analysis
  • Received:2009-06-18 Revised:1900-01-01 Online:2009-08-21 Published:2009-08-21

摘要: 目的 研究银屑病血热证患者血浆代谢表型的特征及凉血解毒汤的作用机制。方法 选择53例银屑病血热证患者和31例健康志愿者,采用核磁共振谱仪技术分析银屑病血热证治疗前后及健康志愿者血浆代谢产物谱,通过主成分分析法研究健康人与银屑病血热证患者之间、银屑病血热证患者经凉血解毒汤治疗前后代谢产物谱的差异。结果 银屑病血热证患者治疗前后及健康志愿者血浆核磁共振氢谱的主成分分析结果显示,不仅银屑病血热证患者与健康对照组能够被明显区分,银屑病血热证治疗前后也能较好的分开。组间内源性代谢物的含量存在明显差异,提示银屑病血热证患者存在脂类、蛋白质、能量代谢异常及肝肾功能损害。凉血解毒汤能调节银屑病血热证患者的糖脂类代谢,使其代谢网络呈现向正常状态修复的趋势。结论 采用代谢组学方法能较全面地反应生物体的生理病理及代谢状态,并可应用于药效评价研究。

关键词: 代谢组学, 模式识别, 核磁共振, 银屑病

Abstract: Objective To explore metabolic phenotypic characteristics of psoriasis patients of blood-heat syndrome and mechanism of Liang Xue Jie Du Decoction before and after treatment with Liang Xue Jie Du Decoction using principal component analysis. Methods Totally 53 cases of blood-heat syndrome with psoriasis and 31 healthy volunteers were enrolled in this study, and their plasma metabolites were analyzed using nuclear magnetic resonance(NMR) spectrometer before and after treatment with Liang Xue Jie Du Decoction using principal component analysis. Results The partial least squares-discriminant analysis(PLS-DA) analysis of plasma 1H NMR spectra revealed that not only the psoriasis patients of blood-heat syndrome is separated from the healthy volunteers, but also different metabolic spectra before and after treatment, demonstrated that the metabolic characteristics of the two groups were significantly different. The data of psoriasis patients after treatment clustered close to the healthy volunteers, suggesting that during Liang Xue Jie Du Decoction treatment the metabolic profile recovered towards normal. Conclusion The results obtained suggest that metabolomics studies could better reflect the whole status of metabolism in bio-systems, and could be applied as a potential powerful approach in pharmacological studies.

Key words: metabolomics, pattern recognition, nuclear magnetic resonance, psoriasis

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