首页|基于药证相应探讨附子对虚寒、虚热证候一氧化氮/线粒体能量代谢信号通路的影响

基于药证相应探讨附子对虚寒、虚热证候一氧化氮/线粒体能量代谢信号通路的影响

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目的:研究附子对寒热不同证候一氧化氮(NO)/线粒体能量代谢信号通路变化差异,从药证相应揭示中药药性在不同证候状态下产生的生物效应机制.方法:采用灌胃氢化可的松和地塞米松建立虚寒、虚热证候模型.56只SPF级昆明小鼠随机分为空白组,虚寒模型组,虚寒附子低、高剂量组,虚热模型组,虚热附子低、高剂量组,每组8只,连续给药14 d.采用酶联免疫法测定小鼠血清环腺苷酸(cAMP)、环鸟苷酸(cGMP)、NO、活性氧(ROS)含量,流式细胞术检测小鼠心脏原代细胞线粒体通透性转换孔(MPTP)和ROS水平,Western Blot法检测小鼠心脏原代细胞Bcl-2、Bax、Caspase-3、Caspase-9蛋白表达水平.结果:与空白组比较,虚寒模型组小鼠体质量下降,cAMP/cGMP降低,血清NO含量降低、ROS含量升高,心脏细胞ROS和MPTP水平升高,心脏原代细胞Bax和Caspase-3蛋白表达升高、Bcl-2蛋白表达降低(P<0.05,P<0.01);虚热模型组小鼠体质量下降,cAMP/cGMP升高,血清NO和ROS含量升高,心脏原代细胞Bax和Caspase-9蛋白表达升高、Bcl-2蛋白表达降低(P<0.05,P<0.01).与虚寒模型组比较,虚寒附子高、低剂量组小鼠体质量、血清NO、体内外ROS,虚寒附子高剂量组血清cAMP、cGMP、cAMP/cGMP、心脏细胞MPTP、细胞凋亡蛋白表达等指标水平均有不同程度的改善(P<0.05,P<0.01);与虚热模型组比较,虚热附子高剂量组小鼠血清NO降低(P<0.05).结论:从药证相应揭示辛热中药附子在不同证候状态下会产生明显的生物效应表达差异,其机制与调控NO/线粒体能量代谢信号通路差异有关.寒者热之,附子能够逆转虚寒证候小鼠的心脏细胞线粒体应激状态,反之,则会加重虚热证候小鼠心脏细胞的应激及凋亡的程度.
Effects of Aconiti Lateralis Radix Praeparata via NO/mitochondrial energy metabolism signal pathway in deficiency cold and deficiency heat syndromes based on medicine-syndrome correspondence
Objective:To study the differences of NO/mitochondrial energy metabolism signal pathway changes by Aconiti Lateralis Radix Praeparata in different cold and heat syndromes,and reveal the biological effect mechanisms of traditional Chinese medicine(TCM)properties under different syndrome states from medicine-syndrome correspondence.Methods:The models of deficiency-cold and deficiency-heat syndrome were established by gavage with hydrocortisone and dexamethasone.Fifty-six SPF grade Kunming mice were randomly divided into a control group,a deficiency-cold model group,a deficiency-cold+low dose Fuzi group,a deficiency-cold+high dose Fuzi group,a deficiency-heat model group,a deficiency-heat+low dose Fuzi group,a deficiency-heat+high dose Fuzi group,with 8 mice in each group.The mice were continuously administered for 14 days.The levels of cAMP,cGMP,NO and ROS in serum of mice were measured by ELISA.The levels of MPTP and ROS in primary cardiac cells of mice were detected by flow cytometry.The protein expression levels of Bcl-2,Bax,Caspase-3 and Caspase-9 in primary cardiac cells of mice were detected by Western Blot.Results:Compared with the control group,the mice in the deficiency-cold model group showed weight loss,decreased cAMP/cGMP,decreased serum NO content,increased ROS content,increased ROS and MPTP levels in cardiac cells,increased Bax and Caspase-3 protein expression in primary cardiac cells,and decreased Bcl-2 protein expression(P<0.05,P<0.01).The mice in the deficiency-heat model group showed weight loss,elevated cAMP/cGMP,elevated serum NO and ROS levels,increased expression of Bax and Caspase-9 proteins in primary cardiac cells,and decreased expression of Bcl-2 protein(P<0.05,P<0.01).Compared with the deficiency-cold model group,the body weight,cAMP/cGMP,serum NO,in vivo and in vitro ROS,cardiac cell MPTP,and expression of apoptotic proteins in the Aconite group mice all showed varying degrees of improvement(P<0.05,P<0.01).Compared with the deficiency-heat model group,the serum NO of mice in the Aconite group decreased(P<0.05).Conclusion:Based on the medicine-syndrome correspondence,it is revealed that the TCM Aconiti Lateralis Radix Praeparata,a hot and spicy herb,exhibits significant differences in biological expression under different syndrome states.It is found that its mechanism is related to the differences in regulating NO/mitochondrial energy metabolism signal pathways.Rreating cold with heat,and Aconiti Lateralis Radix Praeparata can reverse the stress state of primary cardiac cells in mice with deficiency-cold syndrome.Conversely,Aconiti Lateralis Radix Praeparata can exacerbate the degree of stress and apoptosis of primary cardiac cells in mice with deficiency-heat syndrome.

Traditional Chinese medicinal propertyMedicine-syndrome correspondenceAconiti Lateralis Radix PraeparataNitric oxide(NO)MitochondrialEnergy metabolism

邸松蕊、朱映黎、李一芃、热依塞·努尔买买提、付祥郴、王梓旭、张建军

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北京中医药大学,北京 102488

中药药性 药证相应 附子 一氧化氮 线粒体 能量代谢

国家自然科学基金项目

82104410

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(8)