首页|二陈汤对蛋氨酸-胆碱缺乏饲料诱导的非酒精性脂肪性肝炎小鼠的干预作用研究

二陈汤对蛋氨酸-胆碱缺乏饲料诱导的非酒精性脂肪性肝炎小鼠的干预作用研究

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探讨二陈汤预防非酒精性脂肪性肝炎(non-alcoholic steatohepatitis,NASH)小鼠的作用效果,并初步探究其可能机制,为二陈汤在临床上用于预防NASH提供科学数据。将C57BL/6雄性小鼠随机分为正常组、模型组、二陈汤低剂量组(ECD_L,6 g·kg-1)、二陈汤中剂量组(ECD_M,12 g·kg-1)、二陈汤高剂量组(ECD_H,24 g·kg-1),每组8只。正常组以蛋氨酸-胆碱补充(methionine and choline supplement,MCS)饲料饲养,其余各组均以蛋氨酸-胆碱缺乏(methionine and choline deficient,MCD)饲料饲养。各组动物均给予相应的饮食喂养,但药物干预组在MCD饲料喂养的基础上,分别给予低、中、高剂量的二陈汤(10 mL·kg-1·d-1)灌胃,连续6周,整个实验过程中小鼠可自由进食、饮水。给药结束后对其禁食不禁水12 h,使用20%乌拉坦腹腔注射麻醉小鼠,收集小鼠心脏血液和肝组织。血清用于检测谷丙转氨酶(alanine aminotransferase,ALT)、谷草转氨酶(aspartate aminotransaminase,AST)、白细胞介素-1β(interleukin-1β,IL-1β)、白细胞介素-6(interleukin-6,IL-6)、白细胞介素-10(interleukin-10,IL-10)及肿瘤坏死因子-α(tumour necrosis factor-α,TNF-α)的水平;肝脏组织分别用于苏木素-伊红(hematoxy-lin-eosin,HE)染色检测肝脏病理变化,实时定量反转录 PCR(real-time quantitative reverse transcriptase-polymerase chain reaction,RT-qPCR)和蛋白免疫印迹(Western blot)分别用于检测核因子 E2 相关因子 2(nuclear factor erythroid 2-related factor 2,Nrf2)/谷胱甘肽过氧化物酶4(glutathione peroxidase 4,GPX4)通路相关基因和蛋白的表达水平。结果显示,与正常组比较,模型组小鼠血清ALT、AST水平均显著升高;小鼠肝组织存在大量的脂肪空泡和明显的炎症细胞浸润;血清IL-1β、IL-6、TNF-α水平均显著升高,IL-10水平显著降低;肝组织脂肪酸合成酶(fatty acid synthase,FASN)、单核细胞趋化蛋白-1(monocyte chemoattractant protein-1,MCP-1)、IL-1β mRNA 表达均显著上调,GPX4、Nrf2、NAD(P)H 醌氧化还原酶[NAD(P)H:quinine oxidoreductase,NQO1]mRNA表达均显著下调。与模型组比较,ECD_M组和ECD_H组小鼠血清ALT、AST水平显著降低,ECD_L组AST水平显著降低;肝组织脂肪空泡数量及炎性细胞浸润程度均有不同程度改善;血清IL-1β、IL-6、TNF-α水平均显著降低,IL-10水平仅ECD_H组显著升高;肝组织FASN、MCP-1、IL-1β mRNA表达均显著下调,GPX4、NQO1 mRNA表达均显著上调,ECD_M组、ECD_H组Nrf2 mRNA表达显著上调。Western blot结果显示,与模型组相比,各给药组Nrf2、GPX4蛋白表达水平显著升高,FASN蛋白表达水平显著降低;ECD_M组和ECD_H组NQO1蛋白表达水平显著升高。综上所述,二陈汤可减少NASH小鼠肝脏脂质堆积和氧化应激,肝脏炎症和肝损伤,其机制可能与激活Nrf2/GPX4通路有关。
Intervention effect of Erchen Decoction on methionine and choline deficient diet-induced non-alcoholic steatohepatitis in mice
This study investigated the effect of Erchen Decoction(ECD)on the prevention of non-alcoholic steatohepatitis(NASH)in mice and explored its possible mechanism,so as to provide scientific data for the clinical application of ECD in the prevention of NASH.C57BL/6 male mice were randomly divided into normal group(methionine and choline supplement,MCS),model group(methionine and choline deficient,MCD),low-dose ECD group(ECD_L,6 g·kg-1),medium-dose ECD group(ECD_M,12 g· kg-1),and high-dose ECD group(ECD_H,24 g·kg-1),with eight mice in each group.The MCS group was fed with an MCS diet,and the other groups were fed with an MCD diet.The mice in each group were given corresponding diets,but the drug intervention group was given low-,medium-,and high-dose ECD(10 mL·kg-1·d 1)by intragastric administration for six weeks on the basis of MCD diet feeding,and the mice could eat and drink freely during the whole experiment.At the end of the experiment,mice were fasted overnight(12 h)and were anesthetized with 20%urethane.Thereafter,the blood and liver tissue were collected.The serum was used to detect the levels of alanine aminotransferase(ALT),aspartate aminotransaminase(AST),interleukin-1β(IL-1β),interleukin-6(IL-6),interleukin-10(IL-10),and tumor necrosis factor-α(TNF-α).Liver tissue was processed by hematoxylin-eosin(HE)staining and used for hepatic histological analysis and detection of the expression levels of genes and proteins related to nuclear factor erythroid 2-related factor 2/glutathione peroxidase 4(Nrf2/GPX4)pathway by real-time quantitative reverse transcriptase-polymerase chain reaction(RT-qPCR)and Western blot analysis,respectively.The results showed that compared with the MCS group,the MCD group showed higher serum ALT and AST levels;the HE staining exhibited fat vacuoles and obvious inflammatory cell infiltration in liver tissue;serum IL-1β,IL-6,and TNF-α levels were significantly increased,and the serum IL-10 level was significantly decreased.The mRNA expressions of fatty acid synthase(FASN),monocyte chemoattractant protein-1(MCP-1),and IL-1β in liver tissue were significantly up-regulated,while those of GPX4,Nrf2,and NAD(P)H:quinine oxidoreductase(NQO1)were significantly down-regulated.Compared with the MCD group,the serum ALT and AST levels of ECD_M and ECD_H groups were significantly decreased,and the AST level in the ECD_L group was significantly decreased.The number of fat vacuoles and the degree of inflammatory cell infiltration in liver tissue were improved;serum IL-1β,IL-6,and TNF-α levels were significantly decreased,but the serum IL-10 level was significantly increased only in the ECD_H group.The mRNA expressions of FASN,MCP-1,and IL-1β in liver tissue were significantly down-regulated,and those of GPX4 and NQO1 were significantly up-regulated.The mRNA expressions of Nrf2 in ECD_M and ECD_H groups were significantly up-regulated.Western blot results showed that compared with the MCD group,the protein expression levels of Nrf2 and GPX4 in each group were significantly increased after ECD administration,and the protein expression level of FASN was significantly decreased;the protein expression of NQO1 was increased in ECD_M and ECD_H groups.In summary,ECD can reduce hepatic lipid accumulation,oxidative stress,liver inflammation,and liver injury in NASH mice,which may be related to the activation of the Nrf2/GPX4 pathway.

non-alcoholic steatohepatitismiceErchen Decoctionoxidative stressNrf2/GPX4 pathway

邰美婷、张陈芳、范超文、田维毅、俞琦、符艳、夏德丽、卯梦兰、石丹露、柯尊丽

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贵州中医药大学,贵州 贵阳 550025

非酒精性脂肪性肝炎 小鼠 二陈汤 氧化应激 Nrf2/GPX4通路

贵州中医药大学大学生创新创业训练计划国家自然科学基金国家重点研发计划社发领域补助(贵州省中医养老服务标准与评价体系研究)项目贵州省科技计划贵州省科技计划

贵中医大创合字[2022]16号82060797黔科合基础-ZK[2021]—般542黔科合基础-ZK[2021]一般139

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(5)
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