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杨传华,林家茂,解君,蒋海强,李运伦.高血压病肝阳上亢证、阴阳两虚证代谢物差异研究[J].中国中西医结合杂志,2012,32(9):1204-1207
高血压病肝阳上亢证、阴阳两虚证代谢物差异研究
Study on the Metabolin Difference of Hypertension Patients of Gan-yang Hyperactivity Syndrome and Yin-Yang Deficiency Syndrome
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DOI:
中文关键词:  高血压病  肝阳上亢证  阴阳两虚证  高效液相色谱飞行时间质谱联用技术  代谢组学
英文关键词:essential hypertension  Gan-yang hyperactivity syndrome  yin-yang deficiency syndrome  high performance liquid chromatography-time of flight mass spectrometry(HPLC-TOFMS) technology  metabonomics
基金项目:国家自然科学基金资助项目(No.30772865);教育部新世纪优秀人才支持计划(No.NCET-07-0522);山东省优秀中青年科学家科研奖励基金资助项目(No.2008BS03029);山东省中医药科技发展计划项目(No.2009-018)
作者单位
杨传华 山东中医药大学附属医院高血压中医临床研究基地 
林家茂 山东中医药大学实验中心 
解君 山东中医药大学实验中心 
蒋海强 山东中医药大学实验中心 
李运伦 山东中医药大学附属医院高血压中医临床研究基地 
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中文摘要:
      目的观察高血压病肝阳上亢证、阴阳两虚证的代谢物差异。方法选择2009年6月—2010年5月高血压中医临床研究基地门诊及住院高血压病患者26例,其中肝阳上亢证12例(肝阳上亢证组),阴阳两虚证14例(阴阳两虚证组),另选择附属社区健康志愿者14名作为对照组。通过液质联用技术检测分析各组血浆并进行主成分分析(PCA),通过Metlin数据库鉴定相关代谢物及代谢通路。结果主成分得分图中健康志愿者的数据离散度较大,而阴阳两虚证组和肝阳上亢证组的数据则呈聚集,进一步PCA结果显示,两证候组数据在空间上分离良好,组间存在较大差异;共鉴定出6种代谢物,其中肝阳上亢证组雌二醇、白三烯、葡萄糖神经酰胺、神经酰胺相对增多,而阴阳两虚证组中甘油三酯和甘油二酯相对增多。结论液质联用技术能初步区分并阐释高血压病肝阳上亢证及阴阳两虚证不同的代谢模式,在两种证候中代谢趋势不同的雌二醇、白三烯、葡萄糖神经酰胺、神经酰胺、甘油三酯及甘油二酯或能成为两种高血压病证候的鉴别点。
英文摘要:
      Objective To observe the metabolin difference between hypertension patients of Gan-yang hyperactivity syndrome(GYHS) and those of yin-yang deficiency syndrome(YYDS).Methods Totally 26 hypertension patients at the Base for Chinese Medicine Clinical Research of Hypertension from June 2009 to May 2010 were assigned to two groups,the GYHS group(12 cases) and the YYDS group(14 cases).Besides,14 healthy volunteers from the affiliated community were recruited as the control group.Their blood plasmas and principle component analysis(PCA) were analyzed by high performance liquid chromatography-time of flight mass spectrometry(HPLC-TOFMS) technology.The correlated metabolin and their metabolic pathways were identified using Metlin Database.Results The PCA chart showed that the dispersion was larger in the control group than in the other two groups.The data of the GYHS group and the YYDS group showed gathering tendency.Further PCA results showed good spatial separation between the two groups,with significant difference between them.Totally 6 metabolins were detected.Of them,estrodiol,leucotriene,ceramide,and glucose-ceramide increased more in the GYHS group,while triglyceride and diacylglycerol increased more significantly in the YYDS group.Conclusions HPLC-TOFMS is capable of primarily identifying and clarifying different metabolic modes of the GYHS and the YYDS.Different contents of estrodiol,leucotriene,ceramide,glucose-ceramide,triglyceride,and diacylglycerol might probably become the differential points for identifying the two syndrome types.
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