首页|基于转录组学探讨益肾清利活血方对马兜铃酸Ⅰ诱导肾损伤的作用机制

基于转录组学探讨益肾清利活血方对马兜铃酸Ⅰ诱导肾损伤的作用机制

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目的:益肾清利活血方是邹燕勤国医大师以"肾虚湿瘀"为基本病机的临床验方,本研究旨在通过动物实验与转录组测序分析探讨其作用机制与靶点.方法:48只雄性C57BL/6小鼠随机分为正常对照组、模型组、低剂量组和高剂量组,每组各12只.除正常对照组外,其余各组小鼠均腹腔注射马兜铃酸Ⅰ(AAⅠ)0.1 mL[5 mg/(kg·3d),AAⅠ溶解在0.5%羧甲基纤维素钠中]造模,低剂量组灌胃给予益肾清利活血方冻干粉11 g/(kg·d),高剂量组给予益肾清利活血方冻干粉22 g/(kg·d),正常对照组和模型组每天灌胃0.3 mL含0.5%羧甲基纤维素钠的PBS溶液,均灌胃30 d.实验结束后留取小鼠血尿和双侧肾脏,测定小鼠血肌酐、尿酸、尿蛋白的水平,进行HE、Masson肾组织染色.正常对照组、模型组和低剂量组各取4只肾脏,通过转录组谱分析其作用机制与靶点,最后通过qPCR对核心靶点进行验证.结果:益肾清利活血方各剂量组可以降低AAⅠ小鼠的尿酸、尿蛋白、血肌酐水平;病理染色结果显示,AAⅠ诱导小鼠存在大量的炎症细胞的浸润,胶原沉积增多,经益肾清利活血方干预后有明显改善作用.转录组学分析结果显示,模型组与低剂量组分析得到的368个差异基因,功能富集分析发现与炎症密切相关,KEGG富集分析显示其主要参与PPAR、谷胱甘肽代谢、脂肪酸降解、IL-17等信号通路,枢纽基因为Ppara、Fabp1、Apoa2、Acox1和Hspa5等37个,qPCR法验证前8个核心基因显示各组之间有统计学差异.结论:益肾清利活血方可以保护肾功能,降低肾脏组织中炎症和胶原沉积,转录组分析发现其与脂肪酸代谢、铁死亡、IL-17信号通路等密切相关.
Mechanism of Yishen Qingli Huoxue Formula on Aristolochic Acid Ⅰ-Induced Renal Injury Based on Transcriptomics
Objective:Yishen Qingli Huoxue(YQH)formula is created by Chinese medical master Zou Yanqin,based on his belief that"kidney deficiency leading to the dampness stagnation"is the basic pathogenesis.This study aims to explore the therapeutic mechanism and target of YQH formula through animal experiments and transcriptomic sequencing analysis.Methods:Forty-eight male C57BL/6 mice were randomly divided into normal control group,model group,and YQH low-dose and high-dose groups,with 12 mice in each group.Except for the normal control group,mice in the other groups were intraperitoneally injected with 0.1 mL of aristolochic acid Ⅰ(AAⅠ)[5 mg/kg·3d,AAⅠ dissolved in 0.5%sodium carboxymethyl cellulose]to create the model.YQH low-dose group was gavaged 11 g/kg·d lyophilized YQH formula powder,YQH high-dose group was gavaged 22 g/kg·d lyophilized YQH formula powder,and the normal control group and the model group were given 0.3 mL PBS solution containing 0.5%sodium carboxymethyl cellulose by gavage,for 30 days.After the experiment,the bloody urine and bilateral kidneys of the mice were collected,the levels of serum creatinine,uric acid and urinary protein were measured,and renal tissue was stained by HE and Masson.Four kidneys were taken from the normal control group,model group,and YQH low-dose group respectively,and the mechanisms and targets of YQH formula were analyzed by transcriptomic analysis.Finally,the core targets were validated by qPCR.Results:YQH formulae could reduce the levels of uric acid,urinary protein and blood creatinine in AAⅠ mice.Pathological staining results showed that there were a large number of inflammatory cell infiltration,that the collagen deposition increased in AAⅠ induced mice,and that the condition could be significantly improved by YQH formula.Transcriptomic analysis showed that there were 368 different genes in the model group and the YQH low-dose group,and functional enrichment analysis showed that this was closely related to inflammation.KEGG enrichment analysis showed that it was mainly involved in PPAR,glutathone metabolism,fatty acid degradation,IL-17 and other signaling pathways,and that 37 key genes included Ppara,Fabp1,Apoa2,Acox1 and Hspa5.The first 8 core genes verified by qPCR showed statistically significant differences among all groups.Conclusion:Yishen Qingli Huoxue formula can protect renal function,reduce inflammation and collagen deposition in kidney tissue,and transcriptomic analysis showed that it was closely related to fatty acid metabolism,iron death and IL-17 signaling pathway.

Yishen Qingli Huoxue formulaChronic kidney diseasetranscriptomicsExperimental verificationTherapeutic mechanism

赵思、何伟明、张傲雪、温开智、顾丽娜、贺怡宁

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南京中医药大学第一临床医学院,江苏 南京 210023

南京中医药大学附属医院,江苏省中医院,江苏 南京 210029

益肾清利活血方 慢性肾脏病 转录组学 实验验证 治疗机制

国家自然科学基金江苏省研究生科研创新计划江苏省研究生科研创新计划

82174294KYCX22-1898KYCX21-1662

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(3)
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