首页|抑囊助孕汤对多囊卵巢综合征大鼠炎症状态的影响及其机制

抑囊助孕汤对多囊卵巢综合征大鼠炎症状态的影响及其机制

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目的 探讨抑囊助孕汤对多囊卵巢综合征(polycystic ovary syndrome,PCOS)模型大鼠卵巢组织中核因子κB抑制剂 α/核转录因子 κB(inhibitor nuclear factor κB-α/nuclear transcription factor-κB,IκB-α/NF-κB)信号通路的影响,从炎症角度阐述抑囊助孕汤治疗多囊卵巢综合征的作用机制。方法 将60只SPF级SD雌性大鼠随机分为空白对照组(n=12)和病理模型组(n=48),病理模型组大鼠用来曲唑连续灌胃21 d制备PCOS模型。造模成功后将病理模型组大鼠随机均分为4组,分别为模型组、达英-35组、中药低剂量+达英-35组和中药高剂量+达英-35组,每组12只。相应药物干预28 d后,取各组大鼠腹主动脉血及双侧卵巢,称取卵巢质量,苏木精-伊红(hematoxylin-eosin,HE)染色法观察大鼠卵巢组织及形态,酶联免疫吸附剂测定(Enzyme-linked immunosorbent assay,ELISA)法检测血清睾酮、促黄体生成素(luteinizing hormone,LH)水平和炎症因子肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-18(interleukin-18,IL-18)、白细胞介素-6(interleukin-6,IL-6)、C 反应蛋白(C-reactive protein,CRP)含量,蛋白免疫印迹法测定卵巢组织NF-κB p65及IκB-α蛋白表达。结果 与空白对照组相比,模型组大鼠卵巢质量、卵巢中闭锁卵泡、血清睾酮、LH水平及TNF-α、IL-18、IL-6、CRP含量增加(P<0。05);NF-κB p65蛋白表达升高,而IκB-α蛋白表达减少(P<0。05)。与模型组相比,抑囊助孕汤与达英-35联合用药致PCOS模型大鼠卵巢质量明显降低(P<0。05);闭锁卵泡数量减少,黄体数目增加;血清睾酮、LH水平及TNF-α、IL-18、IL-6和CRP含量明显降低(P<0。05);卵巢组织中NF-κB p65蛋白表达明显降低而IκB-α蛋白表达明显升高(P<0。05)。结论 抑囊助孕汤可能通过IκB-α/NF-κB信号通路抑制PCOS炎症反应,改善PCOS大鼠慢性低度炎症状态。
Effect and Mechanism of Yinang Zhuyun Decoction(抑囊助孕汤)on Inflammatory State in Rats with Polycystic Ovary Syndrome
Objective To investigate the effect of Yinang Zhuyun Decoction(抑囊助孕汤)on inhibitor nuclear factor κB-α/nuclear transcription factor-κB(IκB-α/NF-κB)signaling pathway in ovarian tissue of polycystic ovary syndrome(PCOS)rats,in order to explore the further mechanism of Yinang Zhuyun Decoction in the treatment of PCOS from the perspective of in-flammation.Methods A total of 60 female SPF SD rats were randomly divided into blank control group(n=12)and pathological model group(n=48).Pathological model rats were prepared by continuous intragastric administration of letrozole(0.001 g/kg)for 21 days.After successful modeling,the rats in the pathological model group were randomly divided into four groups including model group,Diane-35 group,low dose group combined with Diane-35 and high dose group combined with Diane-35,each group consisted of 12 animals.After 28 d drug intervention,the abdominal aortic blood and bilateral ovaries of rats in each group were taken out.The mass of the ovaries was weighed.Ovary tissue and morphology were observed by hematoxylin-eosin(HE)staining.Enzyme-linked immunosorbent assay(ELISA)was used to detect testosterone,luteinizing hormone(LH)and inflam-matory factors including tumor necrosis factor-α(TNF-α),interleukin-18(IL-18),interleukin-6(IL-6)and C-reactive protein(CRP).Western blotting was used to detect NF-κB p65 and IκB-α protein expressions in ovarian tissue of rats.Results Compared with those of the blank control group,the mass of the ovaries,atretic follicles in the ovaries,the serum levels of testosterone,LH,TNF-α,IL-18,IL-6 and CRP in the model group were significantly increased(P<0.05),the expression of NF-κB p65 protein was increased,and the expression of IκB-α was decreased(P<0.05).Compared with the model group,the Yinang Zhuyun Decoction and Danyin-35 had a significant reduction in ovarian weight(P<0.05),the number of atretic fol-licles decreased and the number of corpus luteum increased.The serum levels of testosterone,LH,TNF-α,IL-18,IL-6 and CRP in the model group were significantly reduced(P<0.05).The expression of NF-κB p65 protein in ovarian tissue had a significant reduction and the protein expression of IκB-α was significantly increased(P<0.05).Conclusion Yinang Zhuyun Decoction could inhibit the inflammatory response of PCOS rats through IκB-α/NF-κB signaling pathway,and diminish the chronic low-grade inflammation state of PCOS rats.

Yinang Zhuyun Decoction(抑囊助孕汤)polycystic ovary syndromeNF-κB signaling pathwaychronic in-flammatory state

乔炳翔、李楠、徐芳、刘颖华、王昕、陈旭

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辽宁中医药大学,辽宁沈阳 110847

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

辽宁中医药大学附属医院,辽宁沈阳 110032

抑囊助孕汤 多囊卵巢综合征 NF-κB信号通路 慢性炎症状态

国家自然科学基金项目

82004401

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(7)