首页|半夏泻心汤对3-脱氧葡萄糖醛酮诱导的糖尿病前期大鼠小肠葡萄糖吸收功能及胰岛素信号通路的影响

半夏泻心汤对3-脱氧葡萄糖醛酮诱导的糖尿病前期大鼠小肠葡萄糖吸收功能及胰岛素信号通路的影响

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目的:探讨半夏泻心汤对3-脱氧葡萄糖醛酮(3-deoxyglucosone,3DG)诱导的糖尿病前期大鼠小肠葡萄糖吸收功能及胰岛素信号通路的影响。方法:将SD大鼠常规饲养3~5d后,连续灌服3DG 50 mg·kg-1两周,建立糖尿病前期大鼠模型。将造模成功大鼠按血糖与体质量随机分为模型组和实验组,每组6只;另取6只正常大鼠作为空白组。空白组和模型组均按10 mL·kg-1·d-1剂量灌胃给予0。9%NaCl;实验组伴随灌服生药5g·kg-1·d-1,连续14d。干预14 d后,进行口服糖耐量试验(oral glucose tolerance test,OGTT);葡萄糖吸收测定实验;Western blot实验(检测大鼠十二指肠GLUT2蛋白,胰岛素受体信号通路p-IR、p110、p85、p-AKT蛋白的表达)。结果:(1)与空白组相比,3DG组大鼠各时间点血糖水平均显著升高(P<0。05);与3DG组比较,半夏泻心汤组大鼠各时间点血糖水平均显著降低(P<0。05)。(2)与空白组相比,3DG组血清中3-OMG含量显著增加(P<0。05);与3DG组相比,半夏泻心汤组血清中3-O-甲基葡萄糖(3-O-methyl-glucose,3-OMG)含量显著降低(P<0。05)。(3)与空白组相比,3DG组大鼠十二指肠膜GLUT2表达量显著增加(P<0。01);与3DG组相比,半夏泻心汤组大鼠十二指肠膜GLUT2表达量显著下调(P<0。01)。(4)与空白组相比,3DG组大鼠p-IR、p110、p85、p-AKT蛋白表达量均显著降低(P<0。01);与3DG组相比,半夏泻心汤组大鼠p-IR、p110、p85、p-AKT蛋白表达量均显著增加(P<0。01)。结论:3DG可通过损害胰岛素信号通路致葡萄糖吸收加快,这是其致糖调节受损的机制之一。半夏泻心汤可通过调控胰岛素信号通路,改善GLUT2介导的葡萄糖吸收加快,这可能是其改善3DG诱导的糖调节受损的机制之一。
Effects of Banxia Xiexin decoction on small intestinal glucose absorption and insulin signal pathway in pre-diabetic rats induced by 3-deoxyglucosone
OBJECTIVE To investigate the effects of Banxia Xiexin Decoction on intestinal glucose absorption and insulin signal pathway in prediabetic rats induced by 3-deoxyglucosone(3-DG).METHODS SD rats were routinely fed for 3-5 days,and then 3DG(50 mg·kg-1)was administered continuously for two weeks to establish prediabetic rat model.The successful mod-eling rats were randomly divided into model group(n=6)and experimental group(n=6)according to their body weight,and another 6 normal rats were selected as blank group.The blank group and the model group were given 0.9%NaCl by intragastric administration at the dosage of 10 mL·kg-1·d-1,while the experimental group was accompanied by Banxia Xiexin Decoction at 5 g·kg-1·d-1 for 14 days.After 14 days of intervention,oral glucose tolerance test(oral glucose tolerance test,OGTT),glucose absorption test and Western blot test(to detect the expression of GLUT2 protein in rat duodenum and insulin receptor signal path-way p-IR,p110,p85,p-AKT)were performed.RESULTS (1)Compared with that of the blank group,the blood glucose level of the 3DG group was significantly higher(P<0.05),and that of the Banxia Xiexin Decoction group was significantly lower than that of the 3DG group(P<0.05).(2)Compared with that of the blank group,the content of 3-OMG in serum of the 3DG group was significantly increased(P<0.05),and that of Banxia Xiexin Decoction group was significantly lower than that of the 3DG group(P<0.05).(3)Compared with that of the blank group,the expression of GLUT2 in duodenal membrane of the 3DG group was significantly increased(P<0.01),and that of the Banxia Xiexin Decoction group was significantly lower than that of the 3DG group(P<0.01).(4)Compared with that of the blank group,the protein expression of p-IR,p110,p85 and p-AKT in the 3DG group was significantly decreased(P<0.01),and that in Banxia Xiexin Decoction group was significantly higher than that in the 3DG group(P<0.01).CONCLUSION 3DG can accelerate glucose absorption by damaging insulin signal pathway,which is one of the mechanisms in impaired glucose regulation.Banxia Xiexin Decoction can improve the acceleration of glucose absorption mediated by GLUT2 by regulating insulin signal pathway,which may be one of the mechanisms in improving 3DG-induced impaired glucose regulation.

3-deoxyglucosoneglucose absorptionBanxia Xiexin Decoctioninsulin receptor

陆荣欣、周梁、宋秀道、李涵艺、季亚男、张露蓉、江国荣

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南京中医药大学附属苏州市中医医院中药临床药学实验室,江苏苏州 215009

苏州市吴门医派研究院中药临床药学实验室,江苏苏州 215009

3-脱氧葡萄糖醛酮 葡萄糖吸收 半夏泻心汤 胰岛素受体

国家自然科学基金苏州市科技发展计划(第三十二批)(2021)苏州市姑苏卫生人才计划

81973740SKJY2021129GSWS2021048

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(1)
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