蝙蝠葛酚性堿(PAMD) 是從中藥蝙蝠葛(Menispermum dauricum,DC) 根莖中提取的多種脂溶性生物堿的混合物,實(shí)驗(yàn)已證明其主要成分為蝙蝠葛堿(dauricine,Dau)和蝙蝠葛蘇林堿(daurisoline,DS),Dau和DS均為雙芐基異喹啉類生物堿,脂溶性高,具有抗鈣活性[1]。本實(shí)驗(yàn)采用AnnexinV/PI 雙標(biāo)記流式細(xì)胞術(shù)研究PAMD對(duì)K562/S和K562/MDR1細(xì)胞的凋亡影響及其對(duì)多藥耐藥的逆轉(zhuǎn)作用。結(jié)果表明,PAMD能夠明顯促進(jìn)親本細(xì)胞和耐藥細(xì)胞早期凋亡,PAMD在0.625~10.0 mg/L低濃度組之間隨著劑量的增加,K562/S和K562/MDR1細(xì)胞的凋亡比例顯著增加,此時(shí)細(xì)胞凋亡比例已達(dá)到高峰。當(dāng)濃度大于10 mg/L時(shí)細(xì)胞的凋亡比例卻隨之下降,此時(shí)不是凋亡減少,而是凋亡細(xì)胞轉(zhuǎn)化為死亡細(xì)胞的結(jié)果,這可能是因?yàn)镻AMD本身具有一定的細(xì)胞毒性作用,隨著PAMD濃度的增加,它的細(xì)胞毒作用就愈強(qiáng),加速凋亡細(xì)胞壞死,并使大量細(xì)胞直接發(fā)生核固縮壞死。PAMD在低于IC10的劑量(0.625 mg/L)時(shí)能顯著增強(qiáng)STI571對(duì)K562/MDR1的細(xì)胞毒性,同時(shí)提高STI571對(duì)K562/MDR1的凋亡率,逆轉(zhuǎn)了K562/MDR1對(duì)STI571的耐藥,其逆轉(zhuǎn)倍數(shù)為2.22。但PAMD對(duì)MDR作用是否與其抑制鈣離子通道,從而抑制Pgp藥泵作用有關(guān)等分子生物學(xué)機(jī)制及體內(nèi)逆轉(zhuǎn)效應(yīng)的研究有待于進(jìn)一步研究。
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