首页|益气活血方对冠心病气虚血瘀证大鼠TLR4/MyD88/NF-κB信号通路的影响

益气活血方对冠心病气虚血瘀证大鼠TLR4/MyD88/NF-κB信号通路的影响

扫码查看
目的 探讨益气活血方对冠心病气虚血瘀证大鼠的影响.方法 48 只雄性SD大鼠随机分为假手术组、模型组、益气活血方组、单硝酸异山梨酯组.除假手术组外,所有大鼠行冠状动脉结扎术.术后 7d,除假手术组外,其余大鼠强迫游泳 14 d,并控制大鼠的食量,同时益气活血方组和单硝酸异山梨酯组大鼠予灌胃给药 28 d.心脏超声检测大鼠心功能;全血黏度检测大鼠的瘀血程度;苏木精-伊红(hematoxylin-eosin,HE)染色检测大鼠心脏病理形态改变;Masson染色检测大鼠心肌纤维化水平;荧光定量PCR和免疫组化检测大鼠心肌组织Toll样受体(toll-like receptor,TLR)4、髓样分化因子(myeloid differentiationfactor,MyD)88 和核因子(nuclear-factor,NF)-κB p65 的mRNA和蛋白表达量;ELISA检测大鼠血清中白细胞介素(interleukin,IL)-1β、IL-6、肿瘤坏死因子(tumor necrosis factor,TNF)-α的含量.结果 与假手术组比较,模型组大鼠心功能下降(P<0.01),全血黏度升高(P<0.01),心肌组织排列紊乱,心肌损伤范围较大,心肌纤维化严重(P<0.01),心肌中TLR4、MyD88、NF-κB p65 mRNA及蛋白表达水平上调(P<0.01),血清中IL-1β、IL-6、TNF-α的含量升高(P<0.01);与模型组比较,药物干预后,大鼠心功能改善(P<0.05),全血黏度下降(P<0.01),心肌组织排列较整齐,心肌损伤范围缩小,心肌纤维化缓解(P<0.01),TLR4、MyD88、NF-κB p65 mRNA及蛋白表达水平下调(P<0.05),血清中IL-1β、IL-6、TNF-α含量减少(P<0.05).结论 益气活血方能通过抑制TLR4/MyD88/NF-κB p65 信号通路介导的炎症反应发挥对冠心病气虚血瘀证大鼠的治疗作用.
Effect of Yiqi Huoxue Formula on TLR4/MyD88/NF-κB Signal Pathway in Rats with Coronary Heart Disease Qi Deficiency and Blood Stasis Syndrome
Objective To investigate the effect of Yiqi Huoxue Formula(YQHXF)on rats with coronary heart disease with Qi deficiency and blood stasis syndrome.Methods 48 male SD rats were randomly divided into sham group,model group,YQHXF group and isosorbide mononitrate group.Rats in the latter 3 groups underwent surgery of coronary artery ligation.After 7 days,except for the sham operation group,the rats in the other groups were forced to swim for 14 days and their food intake was limited.At the same time,rats of YQHXF group and isosorbide mononitrate group were intervened with corresponding medicine for 28 days.Cardiac function of rats was detected by cardiac ultrasound.Blood stasis degree of rats was detected by whole blood viscosity.HE staining was used to detect the pathological changes of the heart tissue.Masson staining was used to detect the degree of myocardial fibrosis of rats.The mRNA and protein expression of toll-like receptor(TLR)4,myeloid differentiationfactor(MyD)88 and nuclear-factor(NF-κB)p65 in myocardium were detected by quantitative real-time PCR and immunohistochemistry.The content of interleukin(IL)-1β,IL-6 and TNF-α in serum of rats was detected by ELISA.Results Compared with sham group,rats in model group had decreased cardiac function(P<0.01),increased whole blood viscosity(P<0.01),disordered myocardial tissue arrangement,larger range of myocardial damage,and severe myocardial fibrosis(P<0.01),TLR4,MyD88,and NF-κB p65 mRNA and protein expression levels were increased in the myocardium(P<0.01),and the levels of IL-1β,IL-6,and TNF-α in the serum were increased(P<0.01).Compared with model group,after drug intervention,cardiac function of the rats was improved(P<0.05),whole blood viscosity was decreased(P<0.01),myocardial tissue was neat,damaged area of myocardial tissue was narrowed,myocardial fibrosis was relieved(P<0.01),the mRNA and protein expression level of TLR4,MyD88 and NF-κB p65 were lowered(P<0.05),the level of IL-1β,IL-6,TNF-α was decreased(P<0.05).Conclusion YQHXF can inhibit inflammation mediated by TLR4/MyD88/NF-κB p65 signaling pathways to play a therapeutic role in the rats with coronary heart disease with Qi deficiency and blood stasis syndrome.

Coronary heart diseaseQi deficiency and blood stasis syndromeYiqi Huoxue FormulaTLR4/MyD88/NF-κB signal pathwayInflammation

陈善达、汪顺伟、欧颖、荆晓朔、李静、吴华英、李亮

展开 >

湖南中医药大学,长沙 410208

中医诊断学湖南省重点实验室,长沙 410208

中医心肺病证辨证与药膳食疗重点研究室,长沙 410208

湖南师范大学医学院,长沙 410013

展开 >

冠心病 气虚血瘀证 益气活血方 TLR4/MyD88/NF-κB信号通路 炎症

湖南省自然科学基金面上项目湖南省中医药科研一般项目湖南省中医药科研项目湖南省教育厅优秀青年项目湖南省中医药局一般项目

2019JJ40214202112120200421B0081D2022027

2024

中国中医基础医学杂志
中国中医研究院基础理论研究所

中国中医基础医学杂志

CSTPCD
影响因子:0.779
ISSN:1006-3250
年,卷(期):2024.30(2)
  • 30