百合的质量研究及抗抑郁作用探讨
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
本文以百合科植物卷丹Lilium lancifolium Thunb.、百合Lilium brownii F.E.Brown var.viridulum Baker.、细叶百合Lilium pumilum DC.为研究对象,在文献研究的基础上,进行了百合药材质量标准研究、总皂苷提取纯化工艺研究、百合药材HPLC指纹图谱研究等内容,并以卷丹为对象,对其部位进行了抗抑郁的药效筛选,并进一步对筛选得到的有效部位深入进行了抗抑郁的机制研究。目的在于建立完善的百合药材的质量标准,建立三种不同来源的百合药材及中间体百合总皂苷的指纹图谱信息库,从而有效地控制药材及其制剂的质量;对其部位进行抗抑郁的药效筛选,找出其抗抑郁的有效部位,并对该部位进行深入的抗抑郁的机制研究,找出其抗抑郁的主要作用途径,为充分开发这一药用资源提供理论依据。
     质量标准研究方面,百合药材在05版药典中收载的药材标准中仅有性状鉴别和薄层鉴别项,质量标准不完善,没有含量测定项。本文对其质量标准进一步完善。收集了三种来源的百合药材,卷丹10批,百合10批,细叶百合20批,其他产地的百合7批。对三种不同来源的百合进行了显微鉴别:按药典条件进行了薄层鉴别;按照药典方法,进行了杂质、水分、灰分和酸不溶性灰分的测定,确定了药材中杂质、水分、灰分和酸不溶性灰分的限度;对水溶性浸出物及醇溶性浸出物进行了测定,确定了水溶性浸出物、醇溶性浸出物的限度;以薯蓣皂苷为对照品,采用用紫外—可见分光光度法,测定了三种不同来源的百合药材中总皂苷含量,确定了药材中总皂苷含量的限度;采用高效液相色谱法(HPLC法),测定了三种不同来源百合药材中薯蓣皂苷的含量,确定了百合药材中薯蓣皂苷含量的限度。较05版药典增加了显微鉴别项、检查项,以及含量测定项,完善了百合药材的质量标准,提高了百合药材的质量控制水平。
     对百合总皂苷的提取纯化工艺进行了研究,分别进行了单因素考察和正交考察。单因素考察进行了不同乙醇浓度、溶媒倍量、提取时间、提取次数和提取温度对总皂苷提取率和纯度的影响的考察;建立了四因素三水平的正交试验,最终确立了最佳的提取工艺为:10倍量80%乙醇70℃水浴回流提取3次,每次3小时。用大孔吸附树脂对总皂苷粗提物进行了纯化处理,筛选了不同型号的树脂,考察了树脂的静态、动态吸附性能,并对上样液浓度和流速,洗脱溶剂浓度和体积等相关因素进行了优化,确立了最佳的纯化工艺为:AB-8型大孔吸附树脂,上样液中药材与湿树脂质量比1:1,依次用10BV蒸馏水、20BV80%乙醇以1-3ml/min的洗脱速度洗脱,收集80%乙醇部分,减压浓缩至干。在此工艺下得到的百合总皂苷纯度达67.95%。
     对三种来源的百合药材和相应的百合总皂苷提取物进行了HPLC指纹图谱研究,通过色谱条件的优化建立了各自的指纹图谱及检测方法,分别标定了卷丹药材16个共有峰,百合药材13个共有峰,细叶百合药材18个共有峰;卷丹总皂苷10个共有峰,百合总皂苷10个共有峰,细叶百合总皂苷15个共有峰,以控制药材的质量。参照国家药监局颁布的《中药注射剂指纹图谱研究的技术要求(暂行)》及运用国家药典委员会中药色谱指纹图谱相似度评价系统(2004年A版)对指纹图谱进行了评价,结果显示,10批卷丹药材、11批百合药材、10批细叶百合药材和相应的卷丹总皂苷提取物、百合总皂苷提取物、细叶百合总皂苷提取物的相似度都在0.9~1.0之间。对三种来源的百合药材指纹图谱进行分区比较,卷丹药材在一区的表观强度较大,百合药材在二区的表观强度较大,细叶百合药材在三区的表观强度较大,五区三者表现一致。对百合药材和总皂苷提取物指纹图谱进行分区比较,二者主要差异在一区,提示百合药材经过提取纯化以后,总皂苷成分基本保留。
     采用聚类分析的方法对三种来源的百合TLC及指纹图谱进行聚类分析,分别以薄层鉴别的Rf值、指纹图谱的RRT值为指标,进行聚类分析,结果显示,三种不同来源的百合药材分别属于三种不同的类别。可见三种来源的百合药材及总皂苷是确实存在着一定的差异,这种差异可以通过数理统计的方法来区分,进一步说明本课题建立的指纹图谱信息存在着实用价值。
     三种来源百合药材及总皂苷指纹图谱信息的建立,有利于进一步控制百合药材及百合总皂苷的质量。
     抗抑郁的药效筛选方面,进行了百合有效部位抗抑郁药效筛选,分别富集了百合皂苷、百合多糖,提取了百合水液。另设了对照组及阳性药氟西汀组。分别进行了小鼠悬尾实验、小鼠利血平拮抗实验、小鼠强迫游泳实验,结果得出,百合皂苷为抗抑郁的主要有效成分之一。
     抗抑郁的机制研究方面,对百合皂苷进行了抗抑郁药效研究,制备了大鼠慢性心理应激抑郁模型,分别观察了百合皂苷对抑郁模型大鼠行为学的影响,包括抑郁模型大鼠体重、耗食量、糖水偏嗜度及敞箱实验的的检测;百合皂苷对抑郁模型大鼠COR、ACTH的影响;百合皂苷对抑郁模型大鼠CRFmRNA、GR、MRmRNA的影响;百合皂苷对了单胺类神经递质,如DA、5-HT、NE、5-HIAA的影响。结果显示百合皂苷可改善抑郁模型大鼠的体重减轻、耗食量减少及快感缺失等症状,可以改善抑郁模型大鼠的活动能力,改善抑郁模型大鼠的行为迟缓;百合皂苷可提高血液COR、ACTH的含量;百合皂苷可减少抑郁模型大鼠下丘脑CRFmRNA的表达,增加海马GR、MRmRNA的表达;百合皂苷体提高抑郁模型大鼠脑内神经递质的含量,包括DA、5-HT。得出以下结论:百合皂苷有抗抑郁作用,其作用机制可能是(1)增高抑郁模型大鼠大脑皮层的单胺类神经递质的含量;(2)抑制抑郁模型大鼠亢进的HPA。
The study object of this article was mainly about the dried bulb of Lilium lancifolium Thunb.,L.brownii F.E.Brown var.viridulum Baker.,and L.pumilum DC.
     On the basis of the literature research about Lilium Brownii,the quality standard study,the extraction and purification process of total Saponins, and fingerprint study of Lilium Brownii material were researched. Antidepression effect filtration study was also performed with the dried bulb of Lilium lancifolium Thunb.,and to make it clear,the antidression mechanism of the saponins was reaearched.The objection was to establish the integrated quality standard,to collect the fingerprint information of the three different souce of Lilium Brownii,so the quality of Lilium Brownii can be under good control.The antidepression filtration was done to find the effective part of Lilium Brownii.The antidepression mechanism study was done to find the antidepression effective approach of the effective part.All these research can help to establish the theory foundation of medicinal resource development.
     In quality studies,the study established the criteria of quality control of Liliu(?) Brownii,for it was not consummated in the former criterion which had only morphological identification and TLC qualitative test,the quality standard was incomplete which had no content determination presented in pharmacopoeia(2005).So the quality standard had to be integrated.Materials of three different source of Lilium Brownii were collected,including ten samples of Lilium lancifolium Thunb.,ten samples of L.brownii F.E.Brown var.viridulum Baker.,twenty samples of L.pumilum DC.,And the other samples from seven different habitats.The microstructure identification was done with the three different souce of Lilium Brownii.The TLC qualitative test was conducted after the pharmacopoeia;following the method of pharmacopoeia(2005),The content of impurity,moisture,total ash,acid -insouble of Liliun Brownii were tested,and confirmed the limits of impurity, moisture,total ash,acid-insoluble ash;The content of water souble lixivium and ethanol souble lixivium were tested,and confirmed the limits of water souble lixivium and ethanol souble lixivium;The ultra-voilet spectrophotometry method was adopted to test the content of total Saponins in Lilium Brownii using dioscin as reference substance,and confirmed the limits of the total Saponins content;The RP-HPLC method was adopted to test the content of diosin using dioscin as reference substance,and confirmed the limits of the diosin content of Lilium Brownii.Compared to the standard quality of Lilium Brownii in pharmacopoeia(2005),The microstructure identification, the examination item including impurity,moisture,total ash,acid-insoluble, water souble lixivium and ethanol souble lixivium,and the content test of total Saponins and diosin were added.The Lilium Brownii material quality could be under better control.
     Studies were carried on the extraction and purification process of total saponins by reviewing the impact of ethanol concentration,ratio of herb to solvent,extraction time and times,and extration temperature.Set up the L_9(3~4)orthogonal test and confirmed the best extraction process as 10BV 80 %ethanol distilling three times,3h per time.Extract of total saponins was purified with macroeticular resins.Different kinds of resins were applied to review the static and dynamic adsorption ability,to optimize the concentration,volume and flow rate of eluant.It was confirmed that the best purification process was AB-8 macroeticular resins,material to wet resins being 1:1,eluted by 20BV 80%ethanol after 10BV water with flow rate of 1-3ml/min.80%ethanol part was collected and dried under vacuum resulting in the total saponins content reaching 67.95%.
     Studies of HPLC fingerprint was conducted to three different sources of Lilium Brownii,and their total saponins extract(intermediate).Their fingerprints were built up by optimizing chromatogram condition,to characterize 16 and 14 common peaks of Lilium lancifolium Thunb.And its saponins extra,13 and 10 common peaks of L.brownii F.E.Brown var.viridulum Baker.and its saponins extra,18 and 16 common peaks of L.pumilum DC.and its saponins extra,so that the quality of medicinal materials can be controlled.Referring to "Technical Specifications of Fingerprint Study of Chinese Traditional Medicine Injection(Interim Regulation)" decreed by SFDA and similarity evaluation system for chromatographic fingerprint of TCM(2004 A)set by China pharmacopoeia committee,the results showed the similarity of Lilium Brownii and their total saponins extract(intermediate)were both from0.9 to 1.0.Compared fingerprint of the three different source Lilium brownie,the most apparent intensity of Lilium lancifolium Thunb.was in the first block,the most apparent intensity of brownii F.E.Brown var.viridulum Baker.was in the second block,the most apparent intensity of L.pumilum DC. was in the third block;Compared the fingerprint of Lilium Brownii and its saponins,the most difference was in the first,which hinted that the saponins component could be retained after extraction and purification.
     Clustering analysis was done to collect more information of the three different sources of Lilium Brownii.The statistical target was the Rf value of TLC and the RRT value of fingerprint.The statistical result showed that three different sources of Lilium Brownii were classified into three different sorts.The result also showed that there was undoubted difference among the different sources of Lilium Brownii.The difference could be found by the maths-statistical method.
     The fingerprint information of three different sources of Lilium Brownii and its saponins was collocted to make better control of the quality of the Lilium Brownii material and it preparation.
     In antidpression effect filtration study,Lilium Brownii saponins and Lilium Brownii amylase were extracted and purified,the water extration of Lilium Brownii were also in this study.The mouse tail suspended experiment, anti-reserpine effect experiment,mouse forced swimming experiment were performed,the result showed that Lilium Brownii saponins was the main antidepression component.
     In antidepression mechanism study,the rats' depression model was made by chronic psychological stimulation.The following targets were observed: (1)The influence of Lilium Brownii saponins on the behavior of the depression rats,including the weights changes、the food consume、the sweet water consume and the open-field test;(2) The influence of Lilium Brownii saponins on the blood COR and ACTH;(3) The influence of Lilium Brownii saponins on the CRFmRNA expression in hypothalamus,and GR、MRmRNA expression in hippocampi;(4)The influence of Lilium Brownii saponins on the monoamine neurotransmitter and their metabolites in the depression rats brain,including norepinephrine(NE), dopamine(DA),5-hydroxytryptamiHe(5-HT),5-hydroxy-3-indoleacetic acid(5-HIAA).The result showed that(1) Lilium Brownii saponins could improve the depression rats' behavior,including improving the depression rats weight decrease,increasing the food consume,increasing the sweet water consume, and improving behavior stagnancy;(2) Lilium Brownii saponins could reduce the content of COR and ACTH in the depression rats blood;(3) Lilium Brownii saponins could decrease the CRFmRNA expression in hypothalamus,and increase the GR、MRmRNA in hippocampi;(4) Lilium Brownii saponins could increase the monoamine neurotransmitter content in the depression rats' brain,including the content of DA、5-HT.The conclusion was that the Lilium Brownii saponins had the antidepression effect;the mechanism might be connected with(1) increasing the monoamine neurotransmitter content;(2) restraining the sthenic HPA axis.
引文
[1]中华人民共和国卫生部药典委员会.中华人民共和国药典一部[M].广州:广东科技出版社,化学工业出版社,2000:100.
    [2]钟海雁,李钟海,王纯荣,等.卷丹营养保健粉的研制[J].经济林研究,2002;20(3):37-38.
    [3]李明河.百合药膳[J].中国农村医学,1991;(3):43-44.
    [4]卢美娇.药用百合与食用百合的区别[J].时针国医国药,2001;18(9):806.
    [5]封士兰,何兰,王敏等.百合花化学成分的研究[J].中国中药杂志,1994;19(10):611-612.
    [6]吴汉斌,孙鹤年,刘文亮.几种百合药材的化学分析[J].现代应用药学,1991;8(2):15-16,20.
    [7]候秀云,陈发奎.百合化学成分的分离和结构鉴定[J].药学学报,1998;33(12):923-926
    [8]吉宏武,丁霄霖.百合皂苷的提取分离与结构初步鉴定[J].林产化学与工业,2001;21(3):48-50.
    [9]张勤。两种百合磷茎中的酚性甘油甙regalosideD.E.F[J].国外医学中医中药分册,1990;12(4):64.
    [10]杨秀伟,崔育新,刘雪辉等.卷丹皂苷与甾体皂苷特征[J].波谱学杂志,2002;19(3):301-308.
    [11]郭戎,吴汉斌.百合磷脂组成的研究及品种鉴定的数学判别[J].中药材,1991;14(9):32-35.
    [12]吴杲,吴汉斌.五种百合药材磷脂成分的分析[J].现代应用药学,1997;14(2):16-17.
    [13]姜茹,吴少华.百合免疫活性多糖的分离及其组成[J].第四军医大学学报,1997;12(8):188.
    [14]刘成梅,付桂明,涂宗则.百合多糖降血糖功能研究[J].食品科学,2002;23(6):113-114.
    [15]Manal M Shehata,王璋.百合中水溶性非淀粉多糖的分离与提纯[J].无锡轻工业大学学报,2002;21(5):503-510.
    [16]赵国华,李志孝.百合多糖的化学结构即抗肿瘤活性[J].食品与生物技术,2002;21(1):62-63.
    [17]贺世洪.秋水仙碱的二阶导数极谱测定[J].湘潭大学自然科学学报,2001;23(4):78-80.
    [18]何纯莲,李谷才,任凤莲,等.超临界流体萃取——高效液相色谱法测定百合中秋 水仙碱[J].天然产物研究与开发,2003;15(1):5-8.
    [19]张勤.两种百合磷茎中的酚性甘油甙regalosideD.E.F[J].国外医学中医中药分册,1990;12(4):64.
    [20]彭蕴茹,钱大玮,等.百合不同提取部位的药理活性比较.现代中药研究与实践,2006;20(1):15-16.
    [21]李林,张志杰,蔡宝昌.中药百合有效部位的药效学筛选.南京中医药大学学报,2005:21(3):28-30.
    [22]李广勋.百合的药理作用的研究[J].中药材,1990;(3):31.
    [23]李卫民.百合的药理作用研究[J].中药材,1990;(6):31.
    [24]李卫民.中药百合的研究概况[J].中草药,1991,22(6):227.
    [25]康重阳,刘昌林,邓三平,等.百合炮制后对小鼠止咳作用的影响[J].中国中药杂志,1999;24(2):88-89.
    [26]吴清和,吴山,李育浩,等.百合固金汤的药效学研究[J].广东药学院学报,1998:14(9):32.
    [27]俞腾飞.均匀设计在药理实验中的应用[J].中国中药杂志,1991;14(9):32.
    [28]邵晓慧,卢连华,许东升,等.两种百合耐缺氧作用比较研究[J].山东中医药大学学报,2000;24(5):3871.
    [29]苗明三.百合多糖抗氧化作用研究[J].中药药理与临床,2001;17(2):12-13.
    [30]苗明三,杨林莎.百合多糖免疫兴奋作用[J].中药药理与临床,2003;19(1):15-16.
    [31]刘成海,付桂明,涂宗财,等.百合多糖降血糖功能研究[J].食品科学,2002:23(6):1131.
    [32]白云.百合能治什么病.药苑漫步:31.
    [33]柯联才.漫话百合.家庭中医药(药苑天地)
    [34]魏绪华,杨明健.自拟百合汤加味治疗抑郁证85例.中国社区医师.2002:18(15):38-39.
    [35]刘京凤,魏庆兰,满学萍.中西医结合治疗精神分裂症80例[J].山东中医杂志,1995;14(7):314-3151.
    [36]李亚涛,张金深,贾大海,等.百合固金汤加减治疗小儿秋季干咳23例[J].内蒙古中医药,1996;15(2):41.
    [37]陈萍,百合固金汤加减治疗燥热咳嗽30例[J].福建中医杂志,1996;27(1):511.
    [38]张财富.百合固金汤配山药糊治疗秋燥20例[J].湖南中医药导报,1996:2(6):501.
    [39]李曙明,王之贤.百合固金汤加十灰散治疗肺结核20例[J]。时珍国医国药,1998:9(3):2151
    [40]白国生.百合地黄汤加味治疗更年期忧郁症20例[J].江苏中医,1995;15(8):131.
    [41]梁爱云.自拟百合龙牡汤治疗肾阳虚型更年期综合症60例[J].中医药学报,1996;24(4):291.
    [42]冯雷.百合地黄汤加减治疗妇女更年期综合征832例报道[J].甘肃中医,2003;16(2):311.
    [43]李智伟.舒胃百合饮治疗慢性胃炎的经验[J].实用中西结合杂志,1995;8(6):361
    [44]王希初,刘爱玲.百合荔楝乌药汤加减治胃窦炎92例[J].吉林中医药,1995;8(6):141.
    [45]郑祖国.百合丹参香芍散治慢性胃炎194例疗效总结[J].基层中药杂志,1998;12(1):641.
    [46]李锦春,高建荣,项振秀.百合加味汤治疗萎缩性胃炎60例[J].陕西中医,2003;24(3):2371.
    [47]黄晓燕.百合健胃汤治疗消化性溃疡55例[J].湖南中医杂志,2002;18(1):331
    [48]张广麒.丹参百合四逆汤治疗胆囊切除术后综合症[J].云南中医学院学报,1995;18(4):461.
    [49]苑松岩.百合口服液改善左室舒张功能的临床研究[J].河北中医,2000;22(11):8191.
    [50]王雄.百合固金汤加减治疗糖尿病46例[J].云南中医中药杂志,1995;16(4):221
    [51]陶必贤.古方百合地黄汤、百合鸡子汤加味治疗鼻衄的临床报告[J].贵阳中医学院学报,1995;17(3):381.
    [52]杨秀伟,崔育新,刘雪辉等.卷丹皂苷与甾体皂苷特征[J]。波谱学杂志,2002;19(3):301-308.
    [53]欧柏生.肝胃百合汤治疗带状疱疹38例[J].湖南中医杂志,1996;12(3):381.
    [54]肖孝葵.鲜百合汁治疗带状疱疹25例疗效观察[J].临床皮肤科杂志,1998;(3):1661.
    [55]龙宽斌,李小龙.鲜百合外敷治疗的体会[J].山西中医学院学报,2001;(3):541
    [56]苗明三.食疗中药生物学[M].北京:北京科技出版社,2001:202.
    [57]叶盛英,郭琪.南瓜多糖的提取及其药理作用研究概况.天津药学,2003;15(4):58-60.
    [58]World bank.Global economic prospects and developing countries [M].Washington DC:World bank,1993.
    [59]代英杰,范骏,孟昭义.抑郁症的神经生化特征及进展[J].中国临床康复,2003;7(30):4126.
    [60]喻东山、乙酰胆碱和精神药理[J].国外医学一精神病学分册,2003;30(4):193.
    [61]袁勇贵.抑郁症和焦虑症的神经生物学研究[J].中国临床康复,2002;6(17): 2516.
    [62]Koob GF.Corticotropin releasing factor norepinephrine and stress[J].BiolPsychiatry,1999;46(9):1167-1180.
    [63]Rita J Valentino,Irwin Kucki.Regulation of corticotrophin releasing factor(CRF)neurotransmission in biogenicam in nuclei[J].Psychoendocrinology,2000;(25):18.
    [64]Arborelius L,Owens MJ,Plotsky PM,et al.The role of corticotrophin releasing factor in Depress and anxiety disorder[J].JEndocrinol,1999;160(1):1-12.
    [65]Thrivikraman KV,Nemeroff CB,Plotsky PM.Sensitivity to glucocorticoid mediated fast-feedback regulation of the hypothalamic-pituitary-adrenal axis' s dependent upon stressor specific neurocircuitry[J].BrainRes,2000;870(1-2):87-101.
    [66]Hoisboer F.The rationale for corticotrophin-releasing hormone receptor(CRH-R)antagonists to treat depression and anxiety[J].JPsychiatrRes,1999;33(3):181-214
    [67]Ising M,Holsboer F.Effects of the high-affinity corticotrophin-releasing hormone receptor antagonist R121919 in major depression:the first 20 patients treated[J].Psychistr Res,2000;34(3):171-181
    [68]Rakebayashi M,Kagaya A,Uchitomi Y,et al Plasma dehydroepi and rosterone sulfate in unipolar maior depression.Short communication[J].J Neural Transm,1998;105(4/5):537-542.
    [69]RubinRT,Phillips JJ,McCracken JT,et al Adrenal gland volume ill major depression relationship to basal and stimulated pituitary adrenal cortical axis function[J].Biological Psychiatry,1996;40[2]:89-94.
    [70]De Kloet ER,et al.Demonstration of anti-depressant or stimulant properties of imipramine in experimental animals[J].Endoc Rev.1998;19(3):269-330.
    [71]Lopez JF,et al.Expression of neuropeptide Y and cholecystokinin in the rat brain by chronicm mild stress[J].Biol Psychiatry,1991;46:1461-1471
    [72]Sapolsky RM,etal.Chronic stress attenuates glucocorticoid negative feedback:involvement of the prefrontal cortex and hippocampus[J].Cell Sci.1997;(109):787-792.
    [73]De Kloet E,Oitzl MS,et al.Brain cortionsteroid receptor balance in health and disease[J].Endocr Rev,1998;19(3):269-30188.
    [74]Gomea F,Lahmame A,de Kloet ER,et al.Hypothalamic-pituitary-adrenal response to chronic stress in five inbred rat strain:differential responses are mainly located at the adrenocorticallevel[J].Neuroendocrinology,1996;63(4):327-337.
    [75]Takeda H,TsujiM,Matsumiya T.Formation mechanisms of stress adaptation:role of functional coupling of glucocorticoids and brain serotonergic nervous system.Nihon Shinkei Seishin Yakurigaku Zasshi,2000;20:83-91.
    [76]Lucki.The spectrum of behaviors influenced by serotonin[J].Biol Psychiatry,1998;44(3):151-162.
    [77]许绍芬.神经生物学[M].第2版上海:上海医科大学出版社,1999:424-429
    [78]Perego C,Vetrugno GC,Desimoni MG,et al.Aging prolongs the stress-induced release of noradrenaline in rat hypothalamus[J]Neuro science Letters,1993:157(2):127-130.
    [79]Richardson—Morton KD,Vandekar LD,Brownfield MS,et al.Stress induced renin and corticosterone secretion is mediated by cat echolaminergic nerve term inals in the hypo thalanlic paraventricular nucleus[J].Neuroendocrinology,1990;51(3):320-327.
    [80]卫扬,严志摩,刘维莉,等.精神病患者血清抗甲状腺抗体制定[J]中华神经精神科杂志,1994;27(2):108.
    [81]STEINER M.COOLDMAN SE,CUPTN RN,et al.Specificity of the combined dexamethasone suppression and TRH/TSH tests in melancholia[J].Pro Neuropsychopharmacol Bio Psychiatry.1985;9(5-6):653.
    [82]谭钊安,倪岚,郭沈昌神经衰弱和抑郁证患者促甲状腺释放激素兴奋试验的对照研究[J1中华神经精神科杂志.1995;28(5):259.
    [83]RUBIN RT.POLAND RE,LESSER IM,et al.Neuroendocrlne aspects of primary endogeneos depression Ⅷ Pituitary gonadal axis activity male patients and matched control objects[J]Psychoneuroendocrinorinology,1989;14(3):217.
    [84]Sehlerfer SJ,Keller,SE,Bond RN,et al.Major depressive disorder and immunity.Role of age,sex,severity,and hospitalization.Archives of General Psychiatry,1989;46(1):81-87.
    [85]Ravindran AV,Griflhhs J,Merali Z,et al.Circulating lymphocyte subsets in obsessive compulsive disorder,major depression and normal controls.Journal of Affective Disorders,1999:52(1-3):1-10.
    [86]Frank MG,Hendricks SE,Bessette D,et al.Levels of monocyte reactive oxygen species a associated with reduced natural killer cell activity in major depressive disorder.Neuropsychobiology,2001;44(1):1-6.
    [87]Maes M,Bo smans E,De Jongh R,et al.Increased serum IL-6 and IL-1 receptor antagonist concentrations in major depression and treatment resistant depression.Cytokine,1997;9(11):853-858.
    [88]MaesM,Bo smans E,Meltzer H,etal.Interleukin-1 β:a putative mediator of HPA axis hyperactivity in major depression.The American Journal of Psychiatry,1993;150(8):1189-1193.
    [89]Natelson BH,DennyT,ZhouXD,etal.Is depression associated with immune activation?Journal of affective Disorders,1999;53(2):179-184.
    [90]Chuang DM,Chen RW,Chaleeka—Franaszek E,et al.Neuroprotective effects of lithium in cultured cells and animal models of diseases[J].Bipolar Disord,2002;4(2):129.
    [91]Yuan P,Juong LD,Jiang YM,et al.The mood stabilizer valproieacid activates mitogen activated protein kinases and promotes neurite growth[J].Biol Chem,2001;276(34):31674.
    [92]Mai L,Jope RS,Li X.BDNF—mediated signal transduetion ismodulated by GSK3beta and mood stabilizing agents[J].Neurochem,2002;82(1):75.
    [93]Duman R,Malberg J,Nakagawa S,et al.Neuronal plasticity and survival in mood disorders[J].Biol Psychiaty,2000;48(8):732.
    [94]Chen B,Dowlat SD,Mac QGM.Increased hippocampal BDNF immunoreactivity in subjects treated with antidepressant medication[J].Biol Psychiatry,2001;50(4):260.
    [95]Dawson N,Hamid EH,Egan MF,et al.Changes in the pattern of brain----derived neurotrophie factor immunoreactivity in the rat brain after acute and subchronic haloperidol treatment[J].Synapse,2001;39(1):70
    [96]Nestler EJ,Barrot M,DiLeone RJ,et al.Neurobiology of depression[J].Neuron,2002;34(1):13.
    [97]Phiel C,Zhang F,Huang E,et al.Histone deacetylase is a direct target of valproic acid,a potent anticonvulsant,mood stabilizer,and teratogen[J].Biol Chem,2001;276(39):36734.
    [98]Manji H,Lenox RH.Signaling:cellular insights into the patho—physiology of bipolar disorder[J].Biol Psychiatry,1999;46(10):1328.
    [99]张顺国,陈敏玲,唐跃年.抑郁症的药物治疗进展[J].医药导报,2000;19(4):331.
    [100]Konig F,Von HC,Petersdorff T,et al.First experiences in combination therapy using olanzapine with SSRI(citalopram,paroxetine)in delusional depression[J].Neuropsychobiology,2001:43(3):170.
    [101]刘晓琰,毛家亮,史蔚.氟西汀治疗伴发心血管症状的抑郁症的疗效观察[J].中国医院药学杂志,2002;22(1):43.
    [102]方英立,张保同.帕罗西汀临床应用及评价[J].中国医院药学杂志,1999;3(19):1.
    [103]徐俊冕.SSRI类抗抑郁药的临床应用经验[J].国外医药,2001;22(4):207.
    [104]王传跃,唐永怡,周沫,等.西酞普兰治疗抑郁障碍的临床研究[J].中国新药杂志,2002;11(2):156.
    [105]Martenyi F,Dossenbach M,Mraz K,et al.Gender differences in the efficacy of fluoxetine and maprotiline in depressed patients:a double—blind trial of antidepressants with serotonergic or norepinephrinergic reuptake inhibition profile[J].Eur Neuropsychopharmacol,2001:11(3):227.
    [106]原海燕,刘艺平,李焕德,等.抗抑郁新药瑞波西汀[J].国外医学一精神病学分册,2001;28(4):217.
    [107]顾牛范,李华芳.抑郁症药物治疗新进展[J].中国临床药学杂志,2002;11(4):251.
    [108]张光勇,周小东.米安舍林治疗老年抑郁症对照研究[J].临床精神医学杂志,2000;10(5):268.
    [109]顾牛范,李华芳,舒良,等.文拉法新缓释剂治疗抑郁症的双盲、随机、平行对照、多中心临床研究[J].中国新药与临床杂志,2002;21(2):66.
    [110]李春元,李梓.抗抑郁新药的临床研究进展[J].国外医药,2001,22(3):143
    [111]Gelenberg AJ,Laukes C,McGahuey C,et al Mirtazapine substitution in SSR-induced sexual dysfunction[J].J Clin Psychiatry,2000:61(5):356.
    [112]李冠军,李华芳,顾牛范.新型抗抑郁药-圣·约翰草提取物[J].中国临床药学杂志,2001;10(5):1.
    [113]魏绪华,杨明健.自拟百合汤加味治疗抑郁证85例.中国社区医师,2002;18(15):38-39.
    [114]任凤莲,邱昌桂,连琰.百合总皂甙的提取工艺.中南大学学报,2005;36(1):69-72.
    [115]吕俊华,钟玲,实验性抑郁症动物模型的评价[j].中国病理生理杂志,2001;17(9):916-919.
    [116]姚海燕.抗抑郁药悬尾记录筛选方法的改进[J].中国药理学与毒理学杂志.1989:3(1):11.
    [117]张均田主编.现代药理实验方法[J].北京:北京医科大学中国协和医科大学联合出版社.1998:1061-1071.
    [118]王忠勤.百合病临证辨析举隅.河南中医,2003;(4):11.
    [119]Borsini F,Voltera G,Meli A.Does the behavioral despair test easure.Physiology&Bhavior,2003:(38):385.
    [120]Willner P.Validity,reliability and utility of the chronic mild stress model of depression:a 10-year review and evaluation[J].Pchopharmacology (Berl),1997;134:319-329.
    [121]Kaye J,Morton J,Bowcutt M,et al.Stress,depression and sychoneuroimmunology.J Neurosci Nuts,2000:32(2):93-100.
    [122]冯定庆,凌斌,陈晓蓉,等.开野实验与阿朴吗啡诱导旋转实验在评价大鼠黑质毁损程度中的作用比较.中国行为医学科学,2006;15(7):583-585.
    [123]屈娅,冯正直.下丘脑-垂体-肾上腺轴在抑郁症发病中的作用[J].局解手术学杂志,2004;13(1):58-60.
    [124]许丽,刘晓伟,董秋安,等.天麻钩藤饮对愤怒应激大鼠下丘脑内单胺类递质及其代谢产物含量的影响.四川中医,2006;(6):10-13
    [125]Katz RJ,Roth KA,Carroll BJ.Acute and chronic stress effects on open field activity in the rat:implication for a model of depression.Neurosci Biobehav Rev,1981;5(2):247-251.
    [126]V.Butterweck,A.Wall,et al.Effects of the total extract and fractions of Hypericum in animal assays for antidepressant activity.Pharmacopsychiat.1997;(Supplement):117-124.