温针灸结合太极拳治疗膝关节骨性关节炎的疗效研究

目的：观察温针灸结合太极拳对膝关节骨性关节炎的治疗效果。方法：将志愿者随机分成温针灸结合太极拳治疗组和温针灸对照组。经过3个疗程治疗后,检测比较两组患者的疼痛评分、X线、关节活动度、坐立行走3 m往返计时、上下20级台阶计时等指标。结果：治疗组的各项指标均好于对照组。结论：温针灸结合太极拳对膝关节骨性关节炎具有较好的治疗效果。     

祛寒逐风合剂治 疗尢 王痹(类风湿性关节炎)的研究

祛寒逐风合剂是以1972年由甘肃武威出土的汉代医简中“伤寒逐风方”为基础方配制而成的中药制剂，供临床使用。方中有制附片、川椒、细辛、白术、川芎、制鳖甲等，以温经散寒为主，佐以祛风除湿、活血止痛、补益肝肾，尊《黄帝内经》中“寒者热之”、“治寒以热”之大法，主要用于治疗wang痹（类风湿性关节炎）之辩证为风寒湿阻者。几年来临床观察120例，其中治愈23例，好转95例，临床验证取得了满意疗效，与宝光牌风湿液治病该病作对照，其疗效结果经统计学处理，治疗组优于对照组（P＜0．01），且该药对中医辩证为风寒湿阻之各种痹证，包括西医诊断之风湿性关节炎、类风湿性关节炎、强直性脊柱炎、增生性关节炎、各种腰腿痛等都有很好的疗效，有望成为治疗风湿病的一种有效药物。     

Effect of testosterone on the kinetics of the development of suppressor cells in adjuvant arthritis

Summary The induction of unresponsiveness to mycobacterial adjuvant took a longer time in male DA rats than in female rats. A shift in the induction time of unresponsiveness in males toward the female type was brought about by castration, but could be reverted to the male type by the application of testosterone. The transfer study revealed that cells capable of preventing arthritis required a longer incubation time for their development in males than in females. This suggests that testosterone inhibits the development of suppressor cells in adjuvant arthritis.Acknowledgments. We are grateful to The Naito Foundation Research Grant for 1983.     

佐剂性关节炎的佐剂剂量条件探索

目的 建立实验室条件下佐剂性关节炎模型的最佳剂量条件。方法 取佐剂卡介苗在相应条件下制成Freund's佐剂,按不同剂量给Wista大白鼠进行足跖内皮注射,观察记录24d。结果及结论 0．1mL Freund's佐剂组在实验室条件下,关节炎模型反应较典型。     

玉津酒治疗大鼠佐剂性关节炎疗效观察

目的：探讨玉津酒对类风湿性关节炎疾病模型（AA）的治疗效果及免疫学改变。方法 用完全佛氏佐剂诱导大鼠AA模型,灌胃服用玉津酒。结果：在诱导大鼠AA前灌胃服用玉津酒,可推迟大鼠AA的发作时间,降低发病率,关节为症明显减轻;在大鼠发生AA后服用玉津酒可明显抑制关节为症程度;服用玉津酒可抑制AA大鼠,T,B淋巴细胞增殖及IL－1活性。结果：玉津酒对AA具有良好的预防和治疗作用。     

Presence of hsp65 in bacterial extracts (OM-89): A possible mediator of orally-induced tolerance?

Heat shock proteins (HSP) have been implicated in rodent models of autoimmunity, particularly arthritis, and there is suggestive though inconclusive evidence that they may also play a role in human autoimmune disease. The simplest hypothesis is based on molecular mimicry due to the amino-acid sequence homology between mammalian and microbial HSP. Recently OM-89, an extract of several strains ofEscherichia coli, has shown some efficacy in the treatment of rheumatoid arthritis (RA) when taken orally. Using species-specific antibodies, we show here that OM-89 contains the 65 kDa HSP (hsp65), while hsp65 was not detected in another bacterial extract containing other microorganisms, includingStaphylococcus aureus (OM-85). We suggest that if the human homologue of hsp65 is a relevant target antigen in the human disease, the efficacy of the preparation could be due to induction of oral tolerance or to switching the Th1 response towards Th2. Alternatively, even if the human hsp65 is not a target molecule in RA joints, OM-89 may evoke bystander suppression of joint inflammation via induction of TGF-secreting effector cells. These hypotheses should be tested in further studies.     

大鼠胶原诱导性关节炎早期外周血TNF-α与性激素水平的动态观察及相关性研究

同步观察大鼠胶原诱导性关节炎早期血浆肿瘤坏死因子-α(TNF-α)与性激素水平的变化,探讨TNF-α和性激素在类风湿关节炎(RA)发病中的作用及其相关性。用Ⅱ型胶原与完全弗氏佐剂诱导SD大鼠胶原性关节炎(CIA),检测CIA大鼠不同时间点的血浆TNF-α、雌二醇和睾酮,同时观察其发病时间、滑膜新生血管形成、关节炎指数评分。随着CIA免疫时间的延长,滑膜轻度增厚,滑膜新生血管开始增多,关节炎指数评分渐增加,TNF-α含量也升高,睾酮水平下降,雌二醇水平无明显变化;TNF-α含量与睾酮水平呈负相关关系(r=-0.364,P<0.05),血浆TNF-α含量与雌二醇水平无明显相关关系(r=-0.209,P>0.05)。TNF-α在RA炎症反应的细胞因子网络中起重要作用,性激素与RA的发病也有密切关系,雄激素是天然的抗炎激素,雌激素的作用可能与其浓度有关。     

顽节灵片治疗类风湿性关节炎39例临床观察

目的：对中成药制剂顽节灵片治疗类风湿性关节炎进行临床观察,从而探讨治疗本病的有铲药物和治疗方法。方法：符合临床条件的病例中均口服顽节灵片,观察病例在接受治疗前后都进行各项常规及肝肾功能检查并进行体液免疫等有关指标检查对比。结果：总有效率为９７．４４％,结论：顽节灵片对风湿性关节炎的临床观察均有较好的疗效,临床观察中未见明显的毒副反应。     

Integrin antagonists

Integrins are a family of cell surface glycoproteins that mediate numerous cell-cell and cell-matrix interactions and are involved in biological processes such as tissue morphogenesis, leukocyte recirculation and migration, wound healing, blood clotting and immune response. Aberrant cell adhesion has been implicated in the pathogenesis of several diseases, including a number of inflammatory disorders such as rheumatoid arthritis, inflammatory bowel disease and asthma, as well as cancer and coronary heart disease. As such integrins are seen as excellent targets for the development of therapeutic agents. This report begins with an examination of the structure of integrin molecules and their ligands and then goes on to review the current state of development of antiintegrin antagonists. Received 13 April 1999; received after revision 28 May 1999; accepted 28 May 1999     

灵芝多糖对佐剂性关节炎大鼠血清IL-12影响的研究

目的探讨灵芝多糖对佐剂性关节炎大鼠血清IL-12的影响.方法用弗氏完全佐剂诱导大鼠佐剂性关节炎模型,以IL-12 EIA检测试剂盒检测大鼠血清IL-12水平.结果与对照组相比,灵芝多糖组对佐剂性关节炎大鼠血清IL-12的分泌具有明显的抑制作用(P<0.01).结论灵芝多糖可明显抑制佐剂性关节炎大鼠血清IL-12的分泌.