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穿心莲内酯对胰岛素抵抗大鼠的影响及可能作用机制分析

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目的 探讨穿心莲内酯对胰岛素抵抗大鼠的影响及可能作用机制。方法 获得SPF级健康成年Wistar大鼠48只,随机选择36只大鼠经高脂高糖饲料喂养建立实验性Wistar大鼠IR模型,按照随机数字分配法分为空白对照模型组(HFD组)、穿心莲内酯高剂量组(High组)和穿心莲内酯低剂量组(Low组),选择12只大鼠接受普通饲料喂养作为正常对照组(NC组),High组大鼠予以经腹腔注射穿心莲内酯200 mg/(kg·d),Low组大鼠予以穿心莲内酯腹腔注射100 mg/(kg·d),HFD组以及NC组仅予以等量生理盐水腹腔注射,连续14 d。应用葡萄糖氧化酶法对空腹血糖值(FBG)水平进行监测,应用ELISA法检测空腹胰岛素(Fasting insulin,FINS),计算稳态模型评估胰岛素抵抗指数(homeostasis model assessment-insulin resistance,HOMA-IR);油红O染色制片检测肝脏的病理变化;应用联苯三酚自氧化法对超氧化物歧化酶(superoxide dismutase,SOD)活力,应用硫代巴比妥酸法对丙二醛(malondialdehyde,MDA)水平进行监测;免疫组化法检测大鼠肝脏组织内核糖体蛋白S6激酶(Ribosomal protein S6 kinase,S6K1)及p-胰岛素受体底物-1(p-in-sulin receptor substrate-1,p-IRS-1)(Tyr632)蛋白表达水平,Westernblotting 法检测肝脏组织内 S6K1 及 p-IRS-1(Tyr632)表达水平。应用SPSS 23。0软件包进行分析。结果 相比NC组比较,HFD组、High组、Low组大鼠FBG、FINS、HOMA-IR水平明显升高(P<0。05);与HFD组相比,其余3组FBG、FINS、HOMA-IR水平较低(P<0。05);与穿心莲内酯Low组相比,High组FBG、FINS、HOMA-IR水平较低(P<0。05)。相比NC组,HFD组光密度平均值增加(P<0。05);相比HFD组,穿心莲内酯High组与Low组脂滴面积/肌纤维总面积、光密度平均值均下降(P<0。05);与穿心莲内酯Low组相比,High组脂滴面积/肌纤维总面积、光密度平均值较低(P<0。05)。与NC组相比,HFD组SOD活性与MDA含量增加(P<0。05);相比HFD组,穿心莲内酯High组与Low组SOD活性与MDA含量均下降(P<0。05);与穿心莲内酯Low组相比,High组SOD活性与MDA含量较低(P<0。05)。与NC组相比,HFD组FAT/CD36蛋白相对表达量增加,CPT-1蛋白相对表达量下降(P<0。05);相比HFD组,穿心莲内酯High组与Low组FAT/CD36蛋白相对表达量下降,CPT-1蛋白相对表达量增加(P<0。05);与穿心莲内酯Low组相比,High组FAT/CD36蛋白相对表达量较低,CPT-1蛋白相对表达量较高(P<0。05)。与NC组相比,HFD组FAT/CD36mRNA相对表达量增加,CPT-1mRNA相对表达量降低(P<0。05);相比HFD组,穿心莲内酯High组与Low组FAT/CD36mRNA相对表达量下降,CPT-1 mRNA相对表达量增加(P<0。05);与穿心莲内酯Low组相比,High组FAT/CD36mRNA相对表达量较低,CPT-1mRNA相对表达量较高(P<0。05)。结论 穿心莲内酯能够改善胰岛素抵抗大鼠胰岛素抵抗状态,显著改善IR大鼠的IR状态,其治疗机制与改善氧化应激状态,与下调S6K1的表达及提升IRS-1酪氨酸磷酸化水平具有密切相关性。
Effect of Andrographolide on Insulin Resistance Rats and Analysis of Its Possible Mechanisms of Action
Objective To investigate the effect and possible mechanism of andrographolide on insulin resistance in rats.Method A total of 48 healthy adult Wistar rats with SPF grade were obtained,and 36 rats were randomly fed with high-fat and high-sugar diets to establish an experimental Wistar rat insulin resistance(IR)model.The rats were divided into blank control model group(HFD group),androlianolide high-dose group(High group)and androlianolide low-dose group(Low group)according to random number allocation method.Twelve rats were selected to receive normal diet as the normal control group(NC group),High group was given intraperitoneal injection of andrographolide 200 mg/(kg·d).Low group was given intraperitoneal injection of andrographolide 100 mg/(kg·d).HFD group and NC group were only given intraperitoneal injection of the same amount of nor-mal saline for 14 consecutive days.Fasting blood glucose(FBG)was monitored by glucose oxidase method,and fasting insulin(FINS)was detected by ELISA method.The homeostasis model assessment-insulin resistance(HOM A-IR)was calculated.The pathological changes of liver were detected by red O staining.The activity of superoxide dismutase(SOD)was measured by biphloroglucinol autoxidation method,and malondialdehyde(MDA)level was measured by thiobarbituric acid method.Immuno-histochemical detection of ribosomal protein S6 kinase in rat liver tissue(ribosomal protein S6 kinase,S6K1)and p-insulin re-ceptor substrate-1(p-IRS-1)(Tyr632)protein expression levels.Western blotting was used to detect expression levels of S6K1 and p-IRS-1(Tyr632)in liver tissues.The SPSS 23.0 software package was used for analysis.Result Compared with those of the NC group,the levels of FBG,FINS and HOMA-IR in the HFD group,High group and Low group were significantly increased(P<0.05).Compared with the HFD group,the other three groups had lower levels of FBG,FINS and HOMA-IR(P<0.05).Compared with the Low group,the High group had lower levels of FBG,FINS and HOMA-IR(P<0.05).Com-pared with that of the NC group,the average optical density of the HFD group increased(P<0.05).Compared with the HFD group,the High and Low groups showed a decrease in lipid droplet area/total muscle fiber area,and average optical density(P<0.05).Compared with the Low group,the High group had lower average lipid droplet area/total muscle fiber area and optical density(P<0.05).Compared with those of the NC group,the SOD activity and MDA content in the HFD group increased(P<0.05).Compared with those of the HFD group,the SOD activity and MDA content in the High and Low groups decreased(P<0.05).Compared with the Low group,the High group had lower SOD activity and MDA content(P<0.05).Compared with those of the NC group,the relative expression of FAT/CD36 protein in the HFD group increased,while the relative expression of CPT-1 protein decreased(P<0.05).Compared with those of the HFD group,the relative expression of FAT/CD36 protein in the High and Low groups decreased,while the relative expression of CPT-1 protein increased(P<0.05).Compared with the Low group,the High group had lower relative expression levels of FAT/CD36 protein and higher relative expression levels of CPT-1 protein(P<0.05).Compared with those of the NC group,the relative expression of FAT/CD36mRNA in the HFD group increased,while the relative expression of CPT-1 mRNA decreased(P<0.05).Compared with those of the HFD group,the rela-tive expression of FAT/CD36mRNA in the High and Low groups decreased,while the relative expression of CPT-1mRNA in-creased(P<0.05).Compared with the Low group,the High group had lower relative expression levels of FAT/CD36 mRNA and higher relative expression levels of CPT-1 mRNA(P<0.05).Conclusion Andrographolide can improve the insulin resistance status and significantly improve the IR status of IR rats.Its therapeutic mechanism is closely related to improving oxidative stress status,down-regulating the expression of S6K1 and increasing the tyrosine phosphorylation level of IRS-1.

andrographolideinsulin resistant ratsoxidative stressS6K1 expressionIRS-1 tyrosine phosphorylation level

武莉、冯吉波、王延茹、李锦平

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山西医科大学汾阳学院,山西汾阳 032200

穿心莲内酯 胰岛素抵抗大鼠 氧化应激 S6K1表达 IRS-1酪氨酸磷酸化水平

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(9)