首页|苦参碱通过HMGB1/TLR4/NF-κB通路对胃溃疡大鼠溃疡修复的影响

苦参碱通过HMGB1/TLR4/NF-κB通路对胃溃疡大鼠溃疡修复的影响

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目的:探讨苦参碱对胃溃疡(GU)大鼠炎症反应和溃疡修复的影响及对高迁移率族蛋白B1(HMGB1)/Toll样受体4(TLR4)/核因子-κB(NF-κB)信号通路的调控作用。方法:取SD雄性大鼠随机分为假手术对照组、模型对照组、苦参碱0。1、0。2 g/kg组、甘草酸(HMGB1抑制剂)0。03 g/kg组、苦参碱0。2 g/kg+甘草酸0。03 g/kg组,每组12只;除假手术对照组外,其余各组均用乙酸烧灼法建立GU大鼠模型,并于造模成功后灌胃给药,1次/d,连续给药28 d。观察大鼠一般行为变化;检测大鼠溃疡指数、溃疡抑制率;透射电镜观察大鼠胃黏膜组织形态变化;TUNEL法检测大鼠胃黏膜上皮细胞凋亡率;免疫荧光检测TLR4在胃黏膜组织中阳性表达水平;免疫组化法检测HMGB1、NF-κB在胃黏膜组织中阳性表达水平;蛋白印迹法检测白细胞介素-6(IL-6)、环氧合酶-2(COX-2)、髓样分化因子88(MyD88)、DNA损伤标记蛋白-磷酸化组蛋白H2AX(γH2AX)、修复关键蛋白-羧基末端连接蛋白反应蛋白(CtIP)和Rad51蛋白表达情况。结果:与假手术对照组比较,模型对照组大鼠躬背蜷缩、便脓血及胃黏膜出血、胃黏膜上皮细胞结构损伤严重,溃疡指数、胃黏膜上皮细胞凋亡率、TLR4、HMGB1、NF-κB、IL-6、COX-2、MyD88、γH2AX蛋白表达显著上调,CtIP、Rad51蛋白表达显著下调(P<0。01);与模型对照组比较,苦参碱0。1、0。2 g/kg组及甘草酸0。03 g/kg组大鼠便血及胃黏膜上皮细胞结构损伤缓解,溃疡指数、胃黏膜上皮细胞凋亡率显著降低,TLR4、HMGB1、NF-KB、IL-6、COX-2、MyD88、γH2AX蛋白表达显著下调,溃疡抑制率显著升高,CtIP、Rad51蛋白表达显著上调(P<0。01);苦参碱0。2 g/kg+甘草酸0。03 g/kg组上述症状及指标改善效果显著优于苦参碱0。2 g/kg组(P<0。01)。结论:苦参碱可能通过抑制HMGB1/TLR4/NF-KB通路激活,从而抑制炎症反应及胃黏膜上皮细胞凋亡,促进溃疡修复,改善GU大鼠胃黏膜组织损伤。
Effects of Matrine on Inflammatory Response and Ulcer Repair in Rats with Gastric Ulcer through HMGB1/TLR4/NF-κB Pathway
Objective:To investigate the effects of matrine on the inflammatory response and ulcer repair in gastric ulcer(GU)rats as well as its regulatory role on the high mobility group box 1(HMGB1)/Toll-like receptor 4(TLR4)/nuclear factor-KB(NF-κB)signaling pathway.Methods:Male SD rats were randomly divided into a normal control group,a model control group,matrine 0.1 g/kg and 0.2 g/kg groups,gly-cyrrhizic acid(HMGB1 inhibitor)0.03 g/kg group,and matrine 0.2 g/kg+glycyrrhizic acid 0.03 g/kg group,with 12 rats in each group.The GU model was induced in rats except for those in the normal control group by the acetic acid burning method.After successful modeling,intragastric administration was performed once a day for 28 days.General behavioral changes in rats were observed.Ulcer index and ulcer in-hibition rate of rats were detected.The morphological changes in rat gastric mucosal tissue were observed by transmission electron morpholo-gy.TUNEL assay was used to detect the apoptosis rate of gastric mucosal epithelial cells.The positive expression level of TLR4 in gastric mu-cosal tissue was detected by immunofluorescence.The positive expression levels of HMGB1 and NF-κB in gastric mucosal tissue were detec-ted by immunohistochemistry.Western blot was used to detect the protein expression of interleukin-6(IL-6),cyclooxygenase-2(COX-2),myeloid differentiation factor 88(MyD88),DNA damage marker protein phosphorylated histone H2AX(γH2AX),repair-related protein CtIP,and Rad51.Results:Compared with the normal control group,rats in the model control group exhibited hunching,pus and blood in fe-ces,gastric mucosal bleeding,severe damage to gastric mucosal epithelial cell structure,up-regulated ulcer index,gastric mucosal epithelial cell apoptosis rate,protein expression of TLR4,HMGB1,NF-κB,IL-6,COX-2,MyD88,and γH2AX,and downregulated protein expression of CtIP and Rad51(P<0.01).Compared with the model control group,rats in the matrine 0.1 g/kg and 0.2 g/kg groups and the glycyrrhizic acid 0.03 g/kg group showed alleviation of fecal blood and gastric mucosal epithelial cell structure damage,decreased ulcer index and gastric mucosal epithelial cell apoptosis rate,downregulated protein expression levels of TLR4,HMGB1,NF-κB,IL-6,COX-2,MyD88,and γH2AX,increased ulcer inhibition rate,and upregulated protein expression of CtIP and Rad51(P<0.01).The improvement in the above symptoms and indicators in the matrine 0.2 g/kg+glycyrrhizic acid 0.03 g/kg group was significantly better than that in the matrine 0.2 g/kg group(P<0.01).Conclusion:Matrine may inhibit the activation of the HMGB1/TLR4/NF-κB pathway,thereby suppressing inflammatory response and apoptosis of gastric mucosal epithelial cells,promoting ulcer repair,and improving gastric mucosal tissue damage in GU rats.

MatrineGastric ulcer ratsHigh mobility group box 1/Toll-like receptor 4/nuclear factor-κB signaling pathwayInflammatory re-sponseUlcer repair

支姗、池文婕、张旭、康金旺

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河北北方学院附属第二医院消化内科,张家口 075000

苦参碱 胃溃疡大鼠 高迁移率族蛋白B1/Toll样受体4/核因子-κB信号通路 炎症反应 溃疡修复

河北省医学科学研究课题计划项目

20211481

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(1)
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