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茯苓水提物对酒精性肝损伤的保护作用及其作用机制

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目的:探讨茯苓水提物对酒精性肝损伤的治疗作用及机制。方法:将小鼠按体质量随机分为正常组、模型组、联苯双酯组、茯苓水提物高剂量组、茯苓水提物低剂量组,采用"红星二锅头"灌胃的方法建立酒精性肝损伤动物模型,除正常组外,其余各组给酒的同时灌胃给予相应药物。8周后,眼眶取血,检测血清谷草转氨酶(AST)、谷丙转氨酶(ALT)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL-C)、肿瘤坏死因子(TNF-α)、白细胞介素(IL)-1β的水平,HE染色法观察小鼠肝脏病理学变化,qRT-PCR法检测小鼠肝脏炎症基因TNF-α、IL-1β mRNA表达,Western blot法检测胞内磷脂酰肌醇激酶/丝氨酸蛋白激酶B(PI3K/AKT)通路、NOD样受体热蛋白结构域相关蛋白(NLRP3)、法尼酯X受体(FXR)、核因子κB(NF-κB)、TNF-α、IL-1β等蛋白表达水平。结果:与正常组比较,模型组AST、ALT、TG、TC、LDL-C水平显著升高(P<0。01或P<0。05),TNF-α、IL-1β mRNA表达水平显著上升(P<0。01或P<0。05),磷酸化胞内磷脂酰肌醇激酶(p-PI3K)/PI3K、磷酸化丝氨酸蛋白激酶B(p-AKT)/AKT比值及FXR蛋白表达显著降低(P<0。01或P<0。05),NF-κB、NLRP3、IL-1β等蛋白表达量显著升高(P<0。01或P<0。05)。与模型组比较,茯苓水提物可显著降低酒精性肝损伤小鼠AST、ALT、TG、TC、LDL-C水平(P<0。01 或 P<0。05),TNF-α、IL-1β 水平,炎症因子 TNF-α、IL-1βmRNA 表达(P<0。01 或 P<0。05)及 NF-κB、NLRP3、TNF-α、IL-1β 蛋白表达(P<0。01 或 P<0。05),提高 p-P13K/PI3K、p-AKT/AKT 比值及 FXR蛋白表达(P<0。01 或 P<0。05)。结论:茯苓水提物可能通过调控PI3K/AKT、NF-κB、NLRP3信号通路、FXR蛋白及体内炎症水平来发挥治疗酒精性肝损伤的作用,为其临床应用及扩大适应证提供了科学依据。
Protective effect and mechanism of water extract of Poria cocos on alcoholic hepatic injury
OBJECTIVE To explore the therapeutic efficacy and mechanism of water extract of Poria cocos(PC)on alco-holic hepatic injury.METHODS Mice were divided into normal group(control),model group(model),bifendate group(bifen-date),water extract of PC high-dose group(PCD-H)and water extract of PC low-dose group(PCD-L).Alcoholic hepatic injury model was established by a gavage of"Hongxing Erguotou".Except for normal group,the corresponding drugs were dosed through a simultaneous gavage of alcohol.At Week 8,blood samples were collected from orbital region.The serum levels of aspartate aminotransferase(AST),alanine aminotransferase(ALT),triglyceride(TG),total cholesterol(TC),low-density lipoproteins(LDL-C),tumor necrosis factor-alpha(TNF-α)and interleukin(IL)-1β were examined.Hepatic pathological changes were observed after hematoxylin-eosin(HE)stain.And quantitative polymerase chain reaction(qRT-PCR)was utilized for detecting the mRNA expressions of inflammatory genes TNF-α and IL-1β.Western blot was utilized for detecting the intracel-lular expressions of phosphatidylinositol kinase/serine protein kinase B(PI3K/AKT)pathway,NOD-like receptor thermoprotein structural domain-related protein 3(NLRP3),farnesoid X receptor(FXR),nuclear factor kappa-B(NF-κB),TNF-α and IL-1β.RESULTS As compared with normal group,model group showed marked elevations of AST,ALT,TG,TC and LDL-C(P<0.01 or P<0.05)and higher levels of TNF-α and IL-1β mRNA(P<0.01 or P<0.05).Phosphorylated intracellular phos-phatidylinositol kinase(p-P13K)/PI3K,phosphorylated serine protein kinase B(p-AKT)/AKT ratio and FXR protein expres-sion declined sharply(P<0.01 or P<0.05)while protein expression of NF-κB,NLRP3 and IL-1β were markedly up-regulated(P<0.01 or P<0.05).As compared with model group,water extracts of PC could lower the levels of AST,ALT,TG,TC,LDL-C,TNF-α and IL-1β(P<0.01 or P<0.05),down-regulate the mRNA expressions of TNF-α and IL-1β(P<0.01 or P<0.05)and protein expressions of NF-κB,NLRP3,TNF-α and IL-1β(P<0.01 or P<0.05)and boost the protein expression of p-P13K/PI3K,p-AKT/AKT ratio and FXR(P<0.01 or P<0.05).CONCLUSION Water extract of PC may play a thera-peutic role for alcoholic hepatic injury through modulating the PI3K-AKT,NF-κB,NLRP3 signaling pathway,FXR protein and the level of inflammation in vivo,providing scientific rationales for clinical expanded indications.

Poria cocos water extractalcoholic hepatic injuryPI3K/AKTNF-κBNLRP3

高满军、王浩、陈迷、周锦航、方敬贤、叶晓川、张丹丹

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湖北科技学院医学部药学院,湖北咸宁 437100

湖北中医药大学药学院中药资源与中药化学省级重点实验室,湖北武汉 430065

湖北科技学院糖尿病心脑血管病变省级重点实验室,湖北咸宁 437100

茯苓水提物 酒精性肝损伤 PI3K/AKT NF-κB NLRP3

国家重点研发计划项目湖北省技术创新专项(重大项目)项目湖北科技学院博士科研启动基金项目

2017YFC17030042019ACA121BK202324

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(17)