首页|加味沙参麦冬汤调控PTEN/PI3K/AKT通路对CAG大鼠的治疗作用

加味沙参麦冬汤调控PTEN/PI3K/AKT通路对CAG大鼠的治疗作用

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目的 观察加味沙参麦冬汤对慢性萎缩性胃炎(CAG)大鼠胃黏膜细胞凋亡及对PTEN/PI3K/AKT通路的作用.方法 将60只Wistar大鼠随机分为空白组、模型组、阳性对照组、加味沙参麦冬汤低剂量、中剂量、高剂量组共6组,每组各10只.除空白组外,其余大鼠饮用N-甲基-N'-硝基-N-亚硝基胍(MNNG)溶液以复制CAG模型.阳性对照组以维酶素作为阳性对照,于造模完成后给予0.3 g/kg维酶素混悬液灌胃,加味沙参麦冬汤低剂量、中剂量、高剂量组分别给予加味沙参麦冬汤不同剂量灌胃,每日给药1次,持续12周.采用中性红清除法观察胃黏膜血流量,ELISA实验检测血清中Fas、FasL的含量,TUNEL染色检测胃黏膜细胞凋亡情况,免疫组织化学法及Western-blot法检测胃黏膜组织中PTEN/PI3K/AKT信号通路相关蛋白的表达.结果 加味沙参麦冬汤不同剂量灌胃治疗后,胃黏膜血流量明显升高,血清中Fas、FasL的水平显著降低,胃黏膜TUNEL凋亡阳性细胞明显减少,胃黏膜组织中AKT的阳性细胞数和蛋白表达显著减少(P<0.05),胃黏膜组织中PTEN的阳性细胞数和蛋白表达显著上调,PI3K的阳性细胞数和蛋白表达显著下调(P<0.05),且效果呈现剂量依赖性.结论 加味沙参麦冬汤对CAG大鼠具有较好的治疗效果,能够通过抑制细胞过度凋亡保护黏膜上皮,同时通过增加PTEN的表达有效抑制PI3K/AKT信号通路的异常激活,发挥对CAG的防治作用.
Regulatory effect of modified Shashen Maidong Decoction on the PTEN/PI3K/AKT pathway in rats with chronic atrophic gastritis
Objective To observe the regulatory effect of modified Shashen Maidong Decoction on the apoptosis of gastric mucosa and PTEN/PI3K/AKT pathway in rats with chronic atrophic gastritis(CAG).Methods Sixty Wistar rats were randomly divided into six groups:a blank group,a model group,a positive control group,and low-,medium-,and high-dose groups of modified Shashen Maidong Decoction,with 10 rats in each group.Except for the control group,other rats drank N-methyl-N'-nitro-N-nitrosoguanidine(MNNG)solution to replicate the CAG model.The positive group was treated with vitamin C as a positive control,and 0.3 g/kg vitamin C suspension was administered by gavage after the completion of modeling.The low-,middle-,and high-dose groups were treated with different doses of modified Shashen Maidong Decoction by gavage,administered once a day for 12 weeks.The blood flow of gastric mucosa was observed by neutral red clearance.The content of Fas and FasL in serum was detected by ELISA.The apoptosis of gastric mucosa cells was detected by TUNEL staining.And the expressions of PTEN/PI3K/AKT signal pathway related proteins in gastric mucosa were detected by immunohistochemistry and Western-blot.Results After gavage treatment with different doses of modified Shashen Maidong Decoction,the blood flow of gastric mucosa was significantly increased,while the levels of Fas and FasL in serum were significantly reduced,and the TUNEL apoptosis positive cells in gastric mucosa were significantly reduced,and the number of AKT positive cells and protein expression in gastric mucosa were significantly reduced(P<0.05).The number of PTEN positive cells and protein expression in gastric mucosa were significantly increased,while the number of PI3K positive cells and protein expression were significantly decreased(P<0.05),and the effect was dose-dependent.Conclusion Modified Shashen Maidong Decoction has a good therapeutic effect on CAG rats,which can protect mucosal epithelium by inhibiting excessive cell apoptosis,and effectively inhibit the abnormal activation of PI3K/AKT signaling pathway by increasing PTEN expression,exerting a preventive and therapeutic effect on CAG.

chronic atrophic gastritismodified Shashen Maidong DecoctionapoptosisPTEN/PI3K/AKT pathway

刘远婷、赵磊、丁甜甜、李慧、李国英

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新疆医科大学第七附属医院中医科,乌鲁木齐 832000

新疆医科大学校医院,乌鲁木齐 830011

新疆医科大学第七附属医院药学部,乌鲁木齐 832000

慢性萎缩性胃炎 加味沙参麦冬汤 细胞凋亡 PTEN/PI3K/AKT通路

新疆维吾尔自治区"青年科技人才-乡村振兴"项目

WJWY-XCZX202219

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(1)
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