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黄精多糖对低压低氧暴露大鼠心肌能量代谢的改善作用

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目的 探讨黄精多糖(Polygonatum sibiricum polysaccharide,PSP)对低压低氧大鼠心肌能量代谢的改善作用并探讨其机制.方法 将 24 只 Wistar 大鼠随机分为对照组(control)、低压低氧组(HH)和低压低氧+PSP 组(HH+PSP),每组 8 只.HH组和HH+PSP组大鼠在低压氧舱模拟海拔 6000 m进行慢性低压低氧干预 2 w,HH+PSP组灌胃给予 PSP 400 mg/kg,其余两组灌胃给予等体积生理盐水.每周检测 2 次体重、2 次摄食量,处死前超声心动图检测各组大鼠心功能指标,测定大鼠血清及心肌组织中游离脂肪酸(free fatty acids,FFA)、葡萄糖(glucose,GLU)、乙酰辅酶A(acetyl coenzyme A,A-CoA)以及三磷酸腺苷(adenosine triphosphate,ATP)含量评价能量代谢情况,Western blotting检测大鼠心肌组织过氧化物酶体增殖物激活受体α(peroxisome proliferator activated receptor alpha,PPARα)、肉碱棕榈酰转移酶 1(carnitine palmitoyltransferase 1,CPT-1)、丙酮酸脱氢酶 4(pyruvate dehydrogenase kinase 4,PDK4)、葡萄糖转运蛋白 4(glucose transporter,GLUT4)、甘油醛-3-磷酸脱氢酶(glyceraldehyde-3-phosphate dehydrogenase,GAPDH)的表达水平.结果 与对照组相比,HH组大鼠体重和摄食量显著降低(P<0.05);超声心动图显示心输出量、心室末期容积及每搏输出量均降低(P<0.05),心室后壁厚度显著增高(P<0.05);能量代谢相关指标检测显示GLU、ATP显著降低(P<0.05),FFA、A-CoA 含量显著升高(P<0.05);Western blotting 结果显示心肌组织 PPARα、CPT-1、PDK4表达水平显著降低(P<0.05),GLUT4、GAPDH的表达显著升高(P<0.05).与HH组相比,HH+PSP组大鼠体重及摄食量无显著变化(P>0.05);心输出量、心室末期容积、心室后壁厚度及每搏输出量均得到显著改善(P<0.05);GLU、ATP含量显著升高(P<0.05),FFA、A-CoA含量显著降低(P<0.05).此外,PPARα、CPT-1、PDK4、GLUT4、GAPDH的蛋白表达水平也得到显著下调(P<0.05).结论 低压低氧暴露导致大鼠心功能损伤与能量代谢紊乱密切相关,PSP干预可以显著缓解低压低氧暴露导致的大鼠心肌能量代谢水平变化,并显著改善心功能损伤,可能与调控心肌组织PPARα-CPT-1/PDK4、GLUT4、GAPDH表达相关.
IMPROVEMENT OF MYOCARDIAL ENERGY METABOLISM IN HYPOBARIC HYPOXIA EXPOSED RATS BY POLYGONATUM SIBIRICUM POLYSACCHARIDES
Objective To investigate the regulatory effect of Polygonatum sibiricum polysaccharides(PSP)on myocardial energy metabolism in hypobaric hypoxia exposed rats and explore its mechanism.Methods Twenty-four Wistar rats were randomly divided into control group(control),hypobaric hypoxia group(HH)and hypobaric hypoxia+PSP group(HH+PSP)with eight rats in each group.Rats in the HH and HH+PSP groups were subjected to chronic HH exposure for 2 weeks in a hypobaric chamber at a simulated altitude of 6000m.The HH+PSP group was given 400mg/kg PSP and the other two groups were given equal volume of saline.The body weight and food intake were measured twice a week,and cardiac function was measured by echocardiography at the end of the experiment.Determination of free fatty acids(FFA),glucose(GLU),acetyl coenzyme A(A-CoA)and adenosine triphosphate(ATP)in serum and myocardial tissues was carried out to evaluate energy metabolism.The expression levels of peroxisome proliferator activated receptor alpha(PPARα),carnitine palmitoyltransferase 1(CPT-1),pyruvate dehydrogenase kinase 4(PDK4),glucose transporter(GLUT4)and glyceraldehyde-3-phosphate dehydrogenase(GAPDH)in rat myocardial tissue were examined by Western blotting.Results Compared with control group,rats in the HH group had significantly lower body weight and food intake(P<0.05).Echocardiography showed lower cardiac output,ventricular end volume and stroke volume(P<0.05),while ventricular posterior wall thickness was significantly higher.Energy metabolism-related indexes showed significantly lower GLU and ATP(P<0.05),and significantly higher FFA and A-CoA contents(P<0.05).Western blotting of myocardial tissue proteins showed significantly decreased expression levels of PPARα,CPT-1,PDK4(P<0.05)and significantly increased expression levels of GLUT4 and GAPDH(P<0.05).Compared with the HH group,there were no significant changes in body weight and food intake in the HH+PSP group(P>0.05).Cardiac output,ventricular end volume and stroke volume were improved(P<0.05),and ventricular posterior wall thickness was decreased(P<0.05).GLU and ATP levels were significantly increased(P<0.05),and FFA and A-CoA levels were significantly decreased(P<0.05).PPARα,CPT-1,PDK4,GLUT4 and GAPDH protein expression levels were significantly down-regulated(P<0.05).Conclusion Cardiac malfunction caused by HH exposure is closely related to the disturbance of energy metabolism in rats.The intervention of PSP can significantly improve myocardial energy metabolism and cardiac function after HH exposure,which may be related to the changes of the expression of PPARα-CPT-1/PDK4,GLUT4 and GAPDH in myocardial tissues.

hypobaric hypoxiaPolygonatum sibiricum polysaccharidemyocardial injuryenergy metabolism

宋晓娜、王光瑞、张岭、蒲玲玲、陈照立、刘伟丽

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军事科学院军事医学研究院环境医学与作业医学研究所,天津 300050

低压低氧 黄精多糖 心肌损伤 能量代谢

2024

营养学报
中国营养学会 军事医学科学院卫生学环境医学研究所

营养学报

CSTPCD北大核心
影响因子:0.654
ISSN:0512-7955
年,卷(期):2024.46(3)
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