中国骨质疏松杂志2024,Vol.30Issue(12) :1717-1723.DOI:10.3969/j.issn.1006-7108.2024.12.001

补肾健脾方介导肠道稳态改善去卵巢大鼠的骨量丢失

The Efficacy of a kidney-tonifying and spleen-strengthening prescription in mediating gastrointestinal homeostasis and mitigating bone loss in ovariectomized rats

谭日威 戴新华 叶嘉威 招文华 尚奇 陈桂锋 周本根 梁德 沈耿杨 程英雄 范琳燕 任辉 江晓兵
中国骨质疏松杂志2024,Vol.30Issue(12) :1717-1723.DOI:10.3969/j.issn.1006-7108.2024.12.001

补肾健脾方介导肠道稳态改善去卵巢大鼠的骨量丢失

The Efficacy of a kidney-tonifying and spleen-strengthening prescription in mediating gastrointestinal homeostasis and mitigating bone loss in ovariectomized rats

谭日威 1戴新华 2叶嘉威 3招文华 4尚奇 1陈桂锋 1周本根 5梁德 5沈耿杨 4程英雄 2范琳燕 2任辉 4江晓兵4
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作者信息

  • 1. 广州中医药大学第一临床医学院,广东 广州 510405;广州中医药大学岭南医学研究中心,广东 广州 510405
  • 2. 广州中医药大学第三临床医学院,广东 广州 510405
  • 3. 广州中医药大学第一临床医学院,广东 广州 510405
  • 4. 广州医科大学附属第二医院,广东 广州 510260
  • 5. 广州中医药大学第一附属医院,广东 广州 510405
  • 折叠

摘要

目的 探讨肠道稳态在去卵巢(OVX)大鼠骨量丢失中的机制及补肾健脾方的防治作用.方法 18只4月龄的雌性未孕SD大鼠随机平均分为假手术(SHAM)组、去卵巢(OVX)组、补肾健脾方(BSJP)组,每组6只.造模5 d后,SHAM组及OVX组予生理盐水灌胃,BSJP组予补肾健脾方灌胃,连续灌胃12周后取材.大鼠股骨的皮质骨及松质骨采用Micro-CT进行分析,小肠及股骨组织HE染色后镜下观察形态,TRAP染色后对破骨细胞数量进行统计,Western Blot检测肠道屏障关键蛋白Cldn3、小肠及骨组织内的免疫细胞关键标志物TNF-α、IL-17A及趋化因子CCL20、CXCR3、骨组织内破骨标志蛋白C-FOS、DC-STAMP、CTSK表达情况.结果 与OVX组比较,BSJP组肠壁增厚,小肠绒毛结构破坏减轻,股骨内破骨活动减少,Micro-CT骨微结构扫描提示BMD均明显升高;肠道屏障标志蛋白Cldn3蛋白表达上升,免疫细胞关键标志物TNF-α、IL17A及趋化因子CCL20、CXCR3蛋白表达均下降,破骨标志蛋白C-FOS、DC-STAMP、CTSK表达均下降.结论 去卵巢(OVX)大鼠发生骨质疏松的病理基础是肠道稳态失衡,补肾健脾方介导肠道稳态改善去卵巢(OVX)大鼠的骨量丢失.

Abstract

Objective To explore the mechanism of intestinal homeostasis in bone loss in ovariectomized(OVX)rats and the preventive and therapeutic effects of kidney tonifying and spleen strengthening formula.Methods A cohort of eighteen 4-month-old female Sprague-Dawley(SD)rats,which were nulliparous,were randomly assigned into three groups:a sham-operated control group(SHAM),an ovariectomized group(OVX),and a group treated with the kidney-tonifying and spleen-strengthening prescription(BSJP),with each group comprising six subjects.Following a 5-day post-operative recovery period,the SHAM and OVX groups were administered saline via gavage,whereas the BSJP group received the prescribed formulation via the same route for a duration of 12 weeks prior to sample collection.Analyses included Micro-CT imaging of the femur to evaluate bone density and microarchitecture,histological examination with hematoxylin and eosin(HE)staining of the small intestine and femur tissues,enumeration of osteoclasts through tartrate-resistant acid phosphatase(TRAP)staining,and Western Blot analyses to quantify the expression levels of the intestinal barrier protein Claudin-3(Cldn3),pro-inflammatory cytokines TNF-α and IL17A,chemokines CCL20 and CXCR3,and osteoclast-associated proteins C-FOS,DC-STAMP,and Cathepsin K(CTSK)in both the intestinal and bone tissues.Results Comparative analysis between the OVX and BSJP groups revealed a significant thickening of the intestinal wall,attenuation of damage to the villous architecture of the small intestine,and a reduction in osteoclastic activity within the femur in the BSJP group.Micro-CT scans demonstrated a notable increment in bone mineral density(BMD).Elevated expression of the intestinal barrier protein Cldn3 was observed in conjunction with a decrease in the levels of pro-inflammatory markers TNF-α,IL17A and chemokines CCL20,CXCR3 as well as a reduction in osteoclast-associated proteins C-FOS,DC-STAMP,and CTSK.Conclusion Osteoporosis in ovariectomized(OVX)rats stems from a dysregulation of gastrointestinal homeostasis.The administration of the kidney-tonifying and spleen-strengthening formula appears to restore this balance,thereby ameliorating the bone loss associated with OVX.

关键词

绝经后骨质疏松症/补肾健脾方/骨量丢失/肠道稳态

Key words

postmenopausal osteoporosis/kidney-tonifying and spleen-strengthening prescription/bone loss/gastrointestinal homeostasis

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出版年

2024
中国骨质疏松杂志
中国老年学和老年医学学会

中国骨质疏松杂志

CSTPCDCSCD北大核心
影响因子:1.439
ISSN:1006-7108
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