首页|肛滴平喘汤激活AMPK通路对慢性阻塞性肺疾病大鼠炎症反应和细胞自噬的影响

肛滴平喘汤激活AMPK通路对慢性阻塞性肺疾病大鼠炎症反应和细胞自噬的影响

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目的 基于腺苷酸活化蛋白激酶(AMPK)信号通路,探讨肛滴平喘汤对慢性阻塞性肺疾病(COPD)大鼠炎症反应及细胞自噬的影响。方法 将60只SPF级SD大鼠随机分为空白组、模型组、地塞米松组及肛滴平喘汤低、中、高剂量组,每组10只。除空白组外,其余组大鼠采用熏香烟加气管注射脂多糖法复制COPD模型。造模结束后,空白组和模型组给予5 mL/kg 0。9%氯化钠溶液灌肠,地塞米松组给予地塞米松混悬液0。09 mg/kg灌胃,肛滴平喘汤低、中、高剂量组分别给予8。6 g/kg、3。2 g/kg、1。7 g/kg肛滴平喘汤灌肠,均1次/d,连续7 d。HE染色观察大鼠肺组织病理形态,ELISA法检测血清肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β、IL-8、IL-13水平,RT-PCR法检测肺组织中AMPK、Unc-51样自噬激活激酶(ULK1)、酵母自噬相关基因6的哺乳动物同源体(Beclin1)及自噬蛋白p62 mRNA表达情况,Western blot法检测肺组织中磷酸化AMPK(p-AMPK)、雷帕霉素蛋白激酶(mTOR)、ULK1、Beclin1、微管相关蛋白轻链3(LC3Ⅱ/LC3Ⅰ)、p62蛋白表达情况。结果 模型组支气管黏膜及管壁大量炎性细胞浸润,出现代偿性肺气肿,肺大泡形成;各给药组炎性细胞减少,肺大泡明显减少,其中肛滴平喘汤高剂量组和地塞米松组改善更明显。模型组血清TNF-α、IL-1β、IL-8、IL-13水平均明显高于空白组(P均<0。05);肛滴平喘汤中、高剂量组和地塞米松组血清TNF-α、IL-1β、IL-8、IL-13水平及肛滴平喘汤低剂量组血清IL-1β、IL-13水平均明显低于模型组(P均<0。05)。与空白组比较,模型组AMPK、ULK1、Be-clin1 mRNA相对表达量和p-AMPK、ULK1、Beclin1、LC3Ⅱ蛋白相对表达量及LC3Ⅱ/LC3Ⅰ均明显降低(P均<0。05),p62 mRNA相对表达量和mTOR、p62蛋白相对表达量均明显升高(P均<0。05);与模型组比较,肛滴平喘汤中、高剂量组和地塞米松组AMPK、ULK1(除肛滴平喘汤中剂量组)、Beclin1 mRNA相对表达量和p-AMPK、ULK1、Beclin1、LC3Ⅱ蛋白相对表达量均明显升高(P均<0。05),p62 mRNA相对表达量和mTOR、p62蛋白相对表达量均明显降低(P均<0。05)。结论 肛滴平喘汤可增强COPD大鼠肺组织内自噬,抑制炎症反应,其作用机制可能与激活AMPK信号通路有关。
Effects of enema decoction for alleviating pant on inflammatory response and cellular autophagy in rats with chronic obstructive pulmonary disease via activating AMPK pathway
Objective It is to observe the enema decoction for alleviating pant on inflammatory response and autophagy in rats with chronic obstructive pulmonary disease (COPD) via AMP-activated protein kinase (AMPK) signal pathway.Methods Sixty SPF-grade SD rats were randomly divided into blank group,model group,dexamethasone group,and low,medium,and high dose groups of enema decoction for alleviating pant,with 10 rats in each group.The rats of all groups except for the blank group were induced with cigarette smoking plus tracheal injection of lipopolysaccharide to establish models of COPD.At the end of modeling,the blank group and model group were given 0.9% sodium chloride solution 5 mL/kg by enema,the dexamethasone group was given dexamethasone suspension 0.09 mg/kg by gavage,and the low,medium,and high dose groups of enema decoction for alleviating pant were given enema decoction for alleviating pant 8.6 g/kg,3.2 g/kg,and 1.7 g/kg by enema,respectively,all once daily,continuously treated for 7 days.The pathological morphology of lung tissues in the rats were observed by HE staining,the serum levels of tumor necrosis factor-α( TNF-α),interleukin ( IL)-1β,IL-8 and IL-13 were detected by ELISA,the mRNA expressions of AMPK,Unc-51-like autophagy-activated kinase (ULK1),Beclin1 and autophagy protein p62 were detected by RT-PCR,and the protein expressions of phosphorylated AMPK (p-AMPK),rapamycin protein kinase (mTOR),ULK1,Beclin1,microtubule-associated protein light chain 3 ( LC3Ⅱ/LC3Ⅰ),and p62 protein in lung tissues were detected by Western blot.Results The bronchial mucosa and tube wall were infiltrated by a large number of inflammatory cells with compensatory emphysema and pulmonary bulla formation in the model group;the inflammatory cells were reduced,and pulmonary bullas were significantly reduced in the treatment groups,among which the improvements were more significantly in the high dose group of enema decoction for alleviating pant and dexamethasone group.The serum levels of TNF-α,IL-1β,IL-8 and IL-13 in the model group were significantly higher than those in the blank group (all P<0.05);the serum levels of TNF-α,IL-1β,IL-8 and IL-13 in the medium,and high dose groups of enema decoction for alleviating pant and dexamethasone group and the serum levels of IL-1β and IL-13 in the low dose group of enema decoction for alleviating pant were significantly lower than those in the model group (all P<0.05).Compared with the blank group,the relative mRNA expressions of AMPK,ULK1,Beclin1 and the rela-tive protein expressions of p-AMPK,ULK1,Beclin1,LC3Ⅱ and LC3Ⅱ/LC3Ⅰwere significantly decreased ( all P<0.05 ),while the relative mRNA expression of p62 and relative protein expressions of mTOR and p62 were significantly in-creased in the model group (all P<0.05).Compared with the model group,the relative mRNA expressions of AMPK,ULK1 ( except for the medium dose group of enema decoction for alleviating pant),Beclin1 and the relative protein expres-sions of p-AMPK,ULK1,Beclin1,LC3Ⅱ and were significantly increased (all P<0.05),while the relative mRNA ex-pression of p62 and relative protein expressions of mTOR and p62 were significantly decreased in the medium,and high dose groups of enema decoction for alleviating pant and dexamethasone group (all P<0.05).Conclusion Enema decoction for alleviating pant can enhance autophagy and inhibit inflammatory response in lung tissues of COPD rats,and its mecha-nism may be related to the activation of AMPK pathway.

chronic obstructive pulmonary diseaseenema decoction for alleviating pantautophagyAMP-activated protein kinaseinflammation

乔文晓、薛晓明、李典、谢地、王晋煴、杨硕、杨卓敏

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山西省中医药研究院,山西 太原030012

山西省中医院,山西 太原030012

山西中医药大学,山西 太原030002

慢性阻塞性肺疾病 肛滴平喘汤 自噬 腺苷酸活化蛋白激酶 炎症

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(22)