首页|首荟通便胶囊对术后肠麻痹小鼠肠道功能的影响及机制研究

首荟通便胶囊对术后肠麻痹小鼠肠道功能的影响及机制研究

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目的 探讨首荟通便(Shou-Hui Tongbian,SHTB)胶囊对小鼠术后肠麻痹(postoperative ileus,POI)的作用,并从肠道菌群平衡方面探讨其可能的作用机制。方法 采用经典小肠干扰术建立小鼠POI模型,将30只小鼠随机分成对照组(Control组)、模型组(POI组)、阳性参照莫沙必利组(MSBL组)、SHTB胶囊低剂量组(SHTB-L组)和SHTB胶囊高剂量组(SHTB-H组),每组6只。Control组和POI组小鼠灌胃生理盐水、MSBL组小鼠灌胃莫沙必利溶液(2。6 mg/kg)、SHTB-L组与SHTB-H组小鼠灌胃SHTB溶液(0。619 g/kg、1。238 g/kg),每天1次,连续给药2d。采用墨汁推进法检测小鼠的肠道蠕动能力;应用H&E染色法观察小鼠肠道组织结构;利用16SrRNA基因高通量测序技术解析肠道菌群结构并确定SHTB胶囊发挥作用的关键菌。结果 与Control组相比,POI组小鼠肠道蠕动能力显著减弱(q=7。263,P<0。001),小肠黏膜中性粒细胞和淋巴细胞增多并伴有充血,组织发生水肿,肠道菌群物种总数降低,有益菌Parvibacter等的相对丰度显著降低(t=3。340,P=0。008),有害菌Rikenellaceae_RC9_gut_group等的相对丰度显著升高(U=2,P=0。009);药物治疗后上述变化有不同程度的减轻,与POI组相比,SHTB-L组、SHTB-H组和MSBL组小鼠肠道蠕动能力均显著提升(均P<0。010),炎症、水肿和充血等肠道病理改变明显好转;SHTB组小鼠肠道菌群物种总数有所提高,其中Parvibacter等的相对丰度显著升高(U=5,P=0。041),Rikenellaceae_RC9_gut_group相对丰度显著降低(U=3,P=0。015)。结论 SHTB胶囊可通过调节小肠黏膜关键菌的平衡来改善POI小鼠肠道病理改变,促进肠道蠕动。
Effect of Shou-Hui Tongbian Capsules on intestinal function in mice with postoperative ileus
Objective To observe the effect of Shou-Hui Tongbian(SHTB)Capsules on postoperative ileus(POI)in mice,and explore its possible mechanism from the perspective of balance of gut microbiota.Methods POI model was es-tablished using classical small intestine interference technique.Thirty mice were randomly divided into Control group,POI group,positive control MSBL group,SHTB-L group,and SHTB-H group,with 6 mice in each group.The Control group and POI group were given physiological saline,the MSBL group was given Mosapride capsule solution(2.6 mg/kg),and the SHTB-L and SHTB-H groups were given SHTB capsule solution(0.619 g/kg,1.238 g/kg),qd by gavage for 2 consec-utive days.Ink propulsion method was used to detect the intestinal peristalsis ability of mice;H&E staining method to ob-serve the intestinal tissue structure;16S rRNA gene high-throughput sequencing technology to analyze the structure of in-testinal microbiota and identify the key bacteria.Results Compared with the Control group,the intestinal peristalsis abil-ity of POI group mice was significantly reduced,with an increase in neutrophils and lymphocytes in the small intestine mu-cosa accompanied by congestion,edema in tissue,a decrease in the total number of gut microbiota species,a significant de-crease in the relative abundance of beneficial bacteria Parvibater(t=3.340,P=0.008),and a significant increase in the relat-ive abundance of harmful bacteria Rikenellaceae_RC9_gut_group(U=2,P=0.009).The above changes had been allevi-ated to varying degrees after medication treatment.Compared with the POI group,the intestinal peristalsis ability of mice in SHTB-L,SHTB-H,and MSBL groups were significantly improved(all P<0.010),the intestinal pathological changes such as inflammation,edema,and congestion were significantly improved;the total number of gut microbiota species in-creased,with a significant increase in Parvibacter relative abundance(U=5,P=0.041)and significant decrease in Rikenel-laceae_RC9_gut_group relative abundance(U=3,P=0.015).Conclusion Shou-Hui Tongbian Capsules can promote in-testinal peristalsis and improve intestinal pathological changes in POI mice by regulating the imbalance of key bacteria in the small intestine mucosa.

Shou-Hui Tongbian capsulesPostoperative ileusIntestinal microbiotaHigh-throughput sequencing

李怀志、杨恩华、韩博、巩文桥、王善超、张粲粲、李亚琦、沈洪、吴坚、张传鹏、程国良、张星星

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南京中医药大学附属医院,江苏省中医院,江苏南京 210000

山东中医药大学药学院

临沂市人民医院肛肠科

经方与现代中药融合创新全国重点实验室

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首荟通便胶囊 术后肠麻痹 肠道菌群 高通量测序

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(3)
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