首页|温肾通络止痛方通过AMPK/mTOR信号通路调控自噬对老年性骨质疏松模型小鼠的干预作用

温肾通络止痛方通过AMPK/mTOR信号通路调控自噬对老年性骨质疏松模型小鼠的干预作用

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目的 探讨温肾通络止痛方对老年性骨质疏松(SOP)小鼠模型的干预作用和机制。方法 将60只6月龄雄性C57BL/6J小鼠随机分为对照组、模型组、复方低、中、高剂量组及阿仑膦酸钠组,每组10只。采用腹腔注射D-半乳糖(每天150 mg/kg,8周)制备SOP小鼠模型,8周后复方低、中、高剂量组每天灌胃0。105、0。210、0。420 g/10 kg温肾通络止痛方,对照组及模型组灌胃等体积生理盐水,阿仑膦酸钠组每周灌胃1。53 mg/kg阿仑膦酸钠,共12周。酶联免疫吸附分析(ELISA)检测血清中骨保护素(OPG)和β-骨胶原交联(β-CTX)的水平,采用苏木素-伊红(HE)染色法观察胫骨组织病理学变化,micro-CT检测小鼠股骨骨密度(BMD)、骨体积分数(BV/TV)、骨小梁(TB)数、TB厚度和TB分离度;Western Blot法检测小鼠股骨骨髓中p16、p53、哺乳动物ATG6同源蛋白(Beclin-1)、微管相关蛋白1轻链3-Ⅱ(LC3-Ⅱ)、磷酸化腺苷酸活化蛋白激酶(p-AMPK)、AMPK、磷酸化哺乳动物雷帕霉菌靶蛋白(p-mTOR)、mTOR的蛋白表达水平。结果 与对照组比较,模型组小鼠血清中OPG水平显著下降,β-CTX水平升高(P<0。05,P<0。01);小鼠TB数量减少,间隙增宽变细多断裂;Micro-CT扫描结果显示,模型组小鼠股骨组织中TB数量、TB厚度、BMD、BV/TV、TB模式因子均显著降低(P<0。05,P<0。01),TB分离度显著升高(P<0。01);模型组小鼠股骨中的衰老相关标记蛋白p16、p53、p-mTOR/mTOR的比值表达均显著升高(P<0。05),自噬相关蛋白Beclin-1、LC3-Ⅱ、p-AMPK/AMPK比值下降均降低(P<0。01)。与模型组比较,复方中、高剂量组及阿仑膦酸钠组SOP模型小鼠血清中OPG水平增高,β-CTX水平下降(P<0。05,P<0。01);股骨中的衰老相关标记蛋白p16、p53蛋白表达明显降低(P<0。05,P<0。01);Beclin-1、LC3-Ⅱ蛋白表达显著升高(P<0。05,P<0。01);复方高剂量组及阿仑膦酸钠组TB数量、TB厚度、BMD、BV/TV、TB模式因子均显著增加(P<0。05),TB分离度显著降低(P<0。05)。p-AMPK/AMPK比值明显升高,p-mTOR/mTOR的比值降低(P<0。01)。结论 温肾通络止痛方能够提高SOP小鼠的BMD,改善骨微结构,促进骨形成,其机制可能与调节AMPK/mTOR信号通路从而提高自噬水平有关。
Effect of Wenshen Tongluo Zhitong Recipe on the Intervention of Autophagy on Senile Osteoporosis Mice Model by AMPK/mTOR Signaling Pathway
Objective To study the intervention effects and mechanism of Wenshen Tongluo Zhitong Recipe(WTZR)on senile osteoporosis(SOP)model mice.Methods Sixty 6-month-old male C57BL/6J mice were randomly divided into six groups,i.e.,control group,model group,low-dose WTZR group,medium-dose WTZR group,high-dose WTZR group,and Alendronate Sodium group,10 mice in each group.The SOP mouse model was established by intraperitoneal injection of D-galactose(150 mg/kg per day for 8 weeks).After 8 weeks,mice in low,medium,and high dose WTZR groups were orally administered with 0.105,0.210,and 0.420 g/10 kg WTZR by gastrogavage every day.Mice in the control group and model group were administered with equal volume of physiological saline by gastrogavage.Mice in Alendronate Sodium group were administered with 1.530mg/kg Alendronate Sodium by gastrogavage every week.All administration lasted for a total of 12 weeks.Enzyme-linked immunosorbent assay(ELISA)was used to measure the serum levels of bone calmodulin-associated protein(OPG)and β-bone collagen cross-linked(β-CTX).Histopathological changes of the tibia were observed by HE staining.micro-CT was used to detect bone mineral density(BMD),bone volume fraction(BV/TV),trabecular(TB)number,TB thickness,and TB separation.Western Blot was used to detect the expression levels of p16,p53,Beclin-1,and microtubule-associated protein 1 in mouse femur bone marrow,as well as the levels of microtubule associated protein light chain 3-Ⅱ(LC3-Ⅱ),phosphorylated adenylate activated protein kinase(p-AMPK),AMP-activated protein kinase(AMPK),phosphorylated mammalian target protein of Rapa mold(p-mTOR),and mTOR protein.Results Compared with the control group,the serum level of OPG significantly decreased,while the level of β-CTX increased(P<0.05,P<0.01).The TB number decreased,TB thickness widened,the gap widened,narrowed,and broke more frequently.micro-CT scan results showed a significant reduction in the number of TB,TB thickness,BMD,BV/TV,andTB pattern factor in the femur tissue of the model group(P<0.05,P<0.01),while TB separation significantly increased(P<0.01).The expression levels of age-related marker proteins p16,p53,and p-mTOR/mTOR ratio in the femur of the model group significantly increased(P<0.05).The autophagy-associated proteins Beclin-1,LC3-Ⅱ,and p-AMPK/AMPK ratio significantly decreased(P<0.01).Compared with the model group,the serum level of OPG in SOP model mice of medium/high dose WTZR groups and Alendronate Sodium group increased,while the level of β-CTX decreased(P<0.05,P<0.01).The expression levels of age-related marker proteins p16 and p53 in the femur significantly decreased(P<0.05,P<0.01).The expressions of Beclin-1 and LC3-Ⅱ proteins significantly increased(P<0.05,P<0.01).In the high-dose WTZR group and Alendronate Sodium group,the number of TB,TB thickness,BMD,BV/TV,and TB pattern factor significantly increased(P<0.05),while TB separation significantly decreased(P<0.05).Additionally,the p-AMPK/AMPK ratio significantly increased,while the p-mTOR/mTOR ratio significantly decreased(P<0.01).Conclusions WTZR elevated BMD,improved bone microstructure,and stimulated bone formation in SOP mice.Its mechanism might be associated with regulating AMPK/mTOR signaling pathway,thus improving the autophagy level.

senile osteoporosisWenshen Tongluo Zhitong RecipeAMPK/mTOR signaling pathwayautophagymiceChinese herbal compound

牛园园、张天驰、李沐哲、郭杨、王礼宁、尹恒、关钛元、马勇

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南京中医药大学骨伤修复与重建新技术实验室(南京 210000)

南京中医药大学中医学院中西医结合学院(南京 210000)

南京中医药大学无锡附属医院·江苏省中医退行性骨关节病临床医学创新中心(江苏 214000)

老年性骨质疏松 温肾通络止痛方 AMPK/mTOR信号通路 自噬 小鼠 中药复方

国家自然科学基金面上项目江苏省自然科学基金青年基金江苏省中医退行性骨关节病临床医学创新中心项目

82174411BK20220470苏中医科教[2021]4号

2024

中国中西医结合杂志
中国中西医结合学会 中国中医科学院

中国中西医结合杂志

CSTPCD北大核心
影响因子:2.149
ISSN:1003-5370
年,卷(期):2024.44(1)
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