Key result
Pre-administration of Tongxinluo dose-dependently decreased arteriole spasm time and maintained arteriole diameter in rats with norepinephrine-induced arteriole spasm.
Why the study?
Does Tongxinluo protect against norepinephrine-induced arteriole spasm in rats' mesentery?
RCT
randomized
Does Tongxinluo protect against norepinephrine-induced arteriole spasm in rats' mesentery?
Tongxinluo demonstrates dose-dependent protective effects against norepinephrine-induced microvascular arteriole spasm in a rat model.
Answers are grounded in this paper and cite their sources.
TXL may attenuate spasm in rat models; hypothesis-generating and should not change clinical practice.
Background: Arteriole spasm (AS) served as a common pathogenesis of many diseases. Tongxinluo (TXL), a traditional Chinese formula, has been proved to benefit patients with diseases associated with AS. However, the effect of TXL on AS has not been elucidated, especially on the hemorheology of microcirculation. The aim of this study was to assess the protective function of TXL against AS on microcirculation in rats’ mesentery. Materials and Methods: Arteriole spasm model was established by local administration of norepinephrine in rats’ mesentery. Rats were randomized divided into five groups: sham group (local administration of normal saline), arteriole spasm group, TXL0.4+AS group, TXL0.8+AS group, TXL1.6+AS group. Drugs were administered orally daily for 7 days before modeling. Microcirculation was observed using an upright microscope and recorded to study the hemorheology changes, including spasm time, diameter changes, and arteriole blood flow. Mast cell degranulation was identified by vital staining with topical application of 0.1% toluidine blue. The serum samples were collected for detect of NO and ET-1. Results: Pre-administration of TXL markedly decreased arteriole spasm time, and indicated a dose-dependent effect. Pre-administration of TXL also indicates dose-dependent effect to maintain arteriole diameter in the presence of AS. Pretreatment with TXL significantly inhibited mast cell degranulation induced by AS, TXL also exert great beneficial protection on arteriole blood flow against AS. The serum level of NO and ET-1 had no obvious changes among each groups. Conclusion: AS caused microvascular dysfunction in rats’ mesentery. TXL had a beneficial effect against AS in the perspective of protecting microvascular function, indicated that TXL fight against AS through regulation on microcirculation.
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Zhang et al. (2016) conducted an RCT in Arteriole spasm. Tongxinluo (TXL) vs. sham group and arteriole spasm group was evaluated on hemorheology changes, including spasm time, diameter changes, and arteriole blood flow. Pre-administration of Tongxinluo dose-dependently decreased arteriole spasm time and maintained arteriole diameter in rats with norepinephrine-induced arteriole spasm.
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