首页|钩藤降压解郁方抑制TLR4/NF-кB信号通路对高血压并发抑郁症大鼠海马小胶质细胞极化的影响

钩藤降压解郁方抑制TLR4/NF-кB信号通路对高血压并发抑郁症大鼠海马小胶质细胞极化的影响

Effect of Gouteng Jiangya Jieyu Perscription on Polarization of Hippocampal Microglia in Hypertensive Rats Complicated with Depression by Inhibiting TLR4/NF-кB Signaling Pathway

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目的 探讨钩藤降压解郁方(钩藤、天麻、地龙、葛根等)调控TLR4/NF-кB信号通路对高血压并发抑郁症(HD)大鼠海马小胶质细胞极化的影响.方法 将 40 只原发性高血压大鼠随机分为 5 组:模型组、阳性药组及中药(钩藤降压解郁方)高、中、低剂量组,每组 8 只;另取 8 只SD大鼠作为对照组.采用连续 42d慢性应激(CUMS)结合孤养的方式复制HD模型.造模同时给药干预,中药高、中、低剂量组分别给予钩藤降压解郁方 29.61、14.81、7.40 g·kg-1 灌胃给药;阳性药组给予左旋氨氯地平 0.45 mg·kg-1+氟西汀 1.8 mg·kg-1灌胃给药;灌胃体积 10 mL·kg-1,每天 1 次,连续 42 d.采用无创血压计于给药前及每周最末日上午测量大鼠尾动脉收缩压;造模开始后的第 2 周和最后 1 周各进行 1 次糖水偏好行为学检测;造模结束后进行水迷宫实验;ELISA法测定血清炎性因子肿瘤坏死因子α(TNF-α)、白细胞介素 1β(IL-1β)、IL-10 水平;HE染色法及尼氏染色法观察大鼠海马组织神经元病理变化;免疫荧光双染法检测海马区小胶质细胞M1(CD16)、M2(CD206)型表达情况;Western Blot法检测海马组织中TLR4、NF-κB p65 蛋白的表达情况.结果 与对照组比较,模型组大鼠第1~6 周的尾动脉收缩压均显著升高(P<0.01);糖水偏好率显著下降(P<0.01);逃避潜伏期明显延长(P<0.05,P<0.01),穿越平台次数及目标象限停留时间占比显著降低(P<0.01);血清TNF-ɑ、IL-1β含量显著上升(P<0.01),IL-10 含量显著下降(P<0.01);胞核深染,胞质固缩,细胞凋亡明显;海马小胶质细胞CD206/CD16 荧光强度比明显降低(P<0.05);海马组织TLR4、NF-κB p65 蛋白表达显著上调(P<0.01).与模型组比较,给药组大鼠第 1~6 周的尾动脉收缩压均显著降低(P<0.01);糖水偏好率均明显上升(P<0.05);血清TNF-ɑ、IL-1β含量显著下降(P<0.01),IL-10 含量显著上升(P<0.01);尼氏体丰富,细胞凋亡明显减少.阳性药组及钩藤降压解郁方高剂量组大鼠的逃避潜伏期明显缩短(P<0.05,P<0.01),穿越平台次数及目标象限停留时间占比明显增加(P<0.05);海马小胶质细胞CD206/CD16 荧光强度比明显升高(P<0.05,P<0.01);海马组织TLR4、NF-κB p65 蛋白表达明显下调(P<0.05,P<0.01).结论 钩藤降压解郁方可能通过抑制TLR4/NF-кB通路调节HD大鼠海马小胶质细胞极化状态,调控炎症因子分泌,减轻海马神经元损伤.
Objective To investigate the effect of Gouteng Jiangya Jieyu Perscription(Uncariae Ramulus cum Uncis,Gastrodiae Rhizoma,Pheretima,Puerariae Lobatae Radix,etc.)modulating the TLR4/NF-кB signaling pathway on the polarization of hippocampal microglia in rats with hypertension complicated with depression(HD)Methods Forty primary hypertensive rats were randomly divided into five groups:the model group,the positive drug group,and the high-,medium-,and low-dose groups of Gouteng Jiangya Jieyu Perscription,with 8 rats in each group;and another 8 SD rats were taken as the control group.The HD model was replicated using 42 days of continuous chronic unpredictable mild stress(CUMS)combined with solitary rearing.The modeling was accompanied by the administration of drugs,including 29.61,14.81,and 7.40 g·kg-1 of Gouteng Jiangya Jieyu Perscription in the high-,medium-,and low-dose groups of Chinese herbal medicine,respectively,and 0.45 mg·kg-1 of Levamlodipine Besylate+1.8 mg·kg-1 of Fluoxetine in the positive group;the volume of the gavage was 10 mL·kg-1,once a day,for 42 consecutive days.The systolic blood pressure of rat tail artery was measured by non-invasive sphygmomanometer before drug administration and in the morning of the last day of each week;the behavioural test of Sucrose Preference Test(SPT)was carried out once in the second week and once in the last week after the start of the modelling;the water maze experiment was carried out after the end of the modelling;the levels of serum inflammatory factor tumor necrosis factor-α(TNF-α),interleukin(IL)1β and IL-10 were determined by ELISA;the pathological changes of rat hippocampal tissue neurons were observed by HE staining and Nissl stain were used to observe the neuronal pathological changes in rat hippocampal tissue;immunofluorescence double staining was used to detect the expressions of microglia M1(CD16)and M2(CD206)types in the hippocampal region;and Western Blot was used to detect the protein expressions of TLR4 and NF-кB p65 in the hippocampal tissue.Results Compared with the control group,the systolic blood pressure in the tail artery of rats in the model group from week 1 to week 6 were all significantly increased(P<0.01);sucrose preference rate was significantly decreased(P<0.01);evasion latency was significantly prolonged(P<0.05,P<0.01),the number of times of traversing the plateau and the percentage of time spent in the target quadrant were significantly decreased(P<0.01);the contents of serum TNF-α and IL-1β were significantly increased(P<0.01),IL-10 content was significantly decreased(P<0.01);cytosolic nuclei were deeply stained,cytoplasmic solidification and apoptosis were obvious;the fluorescence intensity ratio of CD206/CD16 in hippocampal microglial cells were significantly decreased(P<0.05);the protein expressions of TLR4 and NF-кB p65 in hippocampal tissues were significantly up-regulated(P<0.01).Compared with the model group,the systolic blood pressure in the tail artery of rats in the first to sixth weeks of the drug administration group were all significantly reduced(P<0.01);the sucrose preference rates were all significantly increased(P<0.05);the contents of serum TNF-α and IL-1β were significantly decreased(P<0.01),and the content of IL-10 was significantly increased(P<0.01);the Nissl substances are abundant and apoptosis is significantly reduced,and apoptosis were significantly reduced.The escape latency of rats in the positive drug group and the high-dose group of Gouteng Jiangya Jieyu Perscription was significantly shortened(P<0.05,P<0.01),and the number of times of crossing the plateau and the percentage of time spent in the target quadrant were significantly increased(P<0.05);the ratio of fluorescence intensity of hippocampal microglial cells,CD206/CD16 was significantly increased(P<0.05,P<0.01);and the hippocampal tissues,protein expressions of TLR4 and NF-κB p65 were significantly down-regulated(P<0.05,P<0.01).Conclusion Gouteng Jiangya Jieyu Perscription may regulate the polarisation state of hippocampal microglial cells,modulate the secretion of inflammatory factors,and attenuate the damage of hippocampal neurons in HD rats by inhibiting the TLR4/NF-кB pathway.

Gouteng Jiangya Jieyu Perscriptionhypertension complicated with depressionmicrogliainflammatory responseTLR4/NF-кB pathwayrats

马丹凤、张传香、陈蕾、沈程、赵红霞、任卫琼

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湖南省儿童医院,湖南 长沙 410007

湖南中医药大学第一附属医院,湖南 长沙 410007

钩藤降压解郁方 高血压并发抑郁症 小胶质细胞 炎症反应 TLR4/NF-κB通路 大鼠

湖南省自然科学基金项目湖南省中医药科研计划项目湖南省中药粉体与创新药物研究省部共建国家重点实验室培育基地开放基金项目

2021JJ80065202107221PTKF1010

2024

中药新药与临床药理
广州中医药大学

中药新药与临床药理

CSTPCD北大核心
影响因子:0.908
ISSN:1003-9783
年,卷(期):2024.35(2)
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