首页|补肾活血方对帕金森病模型小鼠回肠组织TLR/NF-κB通路及肠道菌群的影响

补肾活血方对帕金森病模型小鼠回肠组织TLR/NF-κB通路及肠道菌群的影响

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目的 从肠道菌群探讨补肾活血方治疗帕金森病(PD)的可能作用机制.方法 将72只雄性C57/BL6J小鼠随机分为空白组、模型组、美多芭组及补肾活血方低、中、高剂量组,每组12只.空白组小鼠腹腔注射10ml/kg生理盐水,其余各组小鼠采用腹腔注射浓度为3 mg/ml的1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)30mg/kg诱导PD小鼠模型,均每天1次,连续7天.造模成功后,补肾活血方低、中、高剂量组分别给予补肾活血方7.5、15、30g/(kg·d)灌胃,美多芭组给予多美多芭片112.5mg/(kg·d)灌胃,空白组和模型组予15 ml/(kg·d)蒸馏水灌胃,均每天灌胃1次,连续14天.采用爬杆实验、转棒实验、抓力实验和负重游泳实验评估小鼠行为学指标;16SrRNA高通量测序技术分析各组小鼠肠道菌群改变;Western Blot法测定小鼠回肠组织Toll样受体(TLR)/核因子κB(NF-κB)通路炎症因子[包括Toll样受体2(TLR2)、Toll样受体4(TLR4)、NF-κB、肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)、白细胞介素17(IL-17)]蛋白表达水平.结果 与空白组比较,模型组小鼠爬杆触底时间延长,抓力减小,转棒持续时间和游泳持续时间缩短,回肠组织中TLR2、TLR4、NF-κB、TNF-α、IL-6、IL-17蛋白表达均升高(P<0.01).与模型组比较,美多芭组和补肾活血方低、中、高剂量组爬杆触底时间缩短,抓力增加,美多芭组和补肾活血方高剂量组转棒持续时间延长,回肠组织TLR2、TLR4、NF-κB、TNF-α、IL-6、IL-17蛋白表达均降低,而仅有补肾活血方高剂量组游泳持续时间延长(P<0.05或P<0.01).与补肾活血方低剂量组比较,补肾活血方中、高剂量组爬杆触底时间缩短(P<0.05或P<0.01);补肾活血方高剂量组抓力增加,TLR2、TLR4、IL-17蛋白表达降低(P<0.05或P<0.01).肠道菌群结果显示,与空白组比较,模型组Dominance指数、Pielou_e指数、Shannon指数、Simpson指数差异均具有统计学意义(P<0.05或P<0.01);与模型组比较,美多芭组Shannon指数、Chao1指数、Observed_otus指数,以及补肾活血方高剂量组Chao1指数、Observed_otus指数、Dominance指数、Pielou_e指数、Shannon指数、Simpson指数差异均具有统计学意义(P<0.05或P<0.01).在门水平上,各组差异具有统计学意义的菌门相对丰度类别包括变形菌门、拟杆菌门、厚壁菌门(P<0.05或P<0.01);在属水平上,各组差异具有统计学意义的菌属相对丰度类别包括Muribaculaceae、阿克曼菌属、幽门螺杆菌(P<0.05或P<0.01).结论 补肾活血方治疗PD的可能作用机制是通过重构紊乱的肠道菌群结构,减轻炎症反应进而达到改善PD运动功能的目的.
Effects of Bushen Huoxue Formula(补肾活血方)on TLR/NF-κB Pathway and Intestinal Flora in Ileum Tissue of Parkinson's Disease Model Mice
Objective To explore the possible mechanism of Bushen Huoxue Formula(补肾活血方,BHF)in the treatment of Parkinson's disease(PD)from the the perspective of intestinal flora.Methods Seventy-two male C57/BL6J mice were randomly divided into blank group,model group,Madopar group and low-,medium-and high-dose BHF groups,with 12 mice in each group.The mice in the blank group were intraperitoneally injected with 10 ml/kg of normal saline,and those in the other groups were intraperitoneally injected with 30 mg/kg of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine(MPTP)at a concentration of 3 mg/ml to induce PD mice model,both once a day for 7 consecu-tive days.After successful modeling,the low-,medium-,and high-dose BHF groups were given 7.5,15,and 30 g/(kg·d)of BHF by gavage,respectively,while the Madopar group was given 112.5 mg/(kg·d)of Domedopar tablets by gavage,and the blank group and the model group were given 15 ml/(kg·d)of distilled water,all once a day for 14 consecutive days.The rod climbing test,rotating rod test,grip strength test and weight-bearing swimming test were used to evaluate the behavioral indicators of mice.Western blotting was used to measure the protein expression levels of Toll-like receptor(TLR)/nuclear factor kappa B(NF-κB)pathway inflammatory factors in the mouse ileum,includ-ing Toll-like receptor 2(TLR2),Toll-like receptor 4(TLR4),NF-κB,tumor necrosis factor α(TNF-α),inter-leukin 6(IL-6),and interleukin 17(IL-17).16S rRNA high-throughput sequencing was used to analyze changes in mouse intestinal flora.Results Compared to those in the blank group,the mice in the model group had longer bot-toming time when climbing the pole,reduced grip strength,shortened rotary pole duration and swimming duration,and increased protein expression levels of TLR2,TLR4,NF-KB,TNF-α,and IL-6 in the ileal tissue(P<0.01).Compared to the model group,the Madopar group and the low-,medium-and high-dose BHF groups had shortened bottoming time of the climbing pole and increased grip strength;the Madopar group and the high-dose BHF group had prolonged rotary pole duration,and reduced protein expressions of TLR2,TLR4,NF-κB,TNF-α,IL-6,and IL-17 levels;and only the high-dose BHF group had prolonged swimming duration(P<0.05 or P<0.01).Compared to those in the low-dose BHF group,the bottoming time of the climbing pole were shorter in the moderate-and high-dose groups(P<0.05 or P<0.01),and the grip strength increased while the protein expression levels of TLR2,TLR4 and IL-17 decreased in the high-dose group(P<0.05 or P<0.01).The intestinal flora results showed significant differences between the blank group and the model group in the Dominance index,Pielou_e index,Shannon index,and Simpson index(P<0.05 or P<0.01).Compared to those of the model group,the Shannon index,Chao1 index,and Observed_otus index of the Madopar group,as well as the Chao1 index,Observed_otus index,Dominance index,Pielou_e index,Shannon index,and Simpson index of the high-dose BHF group all showed significantly statistical differences(P<0.05 or P<0.01).At the phylum level,the relative abundance categories of bacterial phyla with statistically significant differences in each group included Proteobacteria,Bacteroidetes,and Firmicutes(P<0.05 or P<0.01).At the genus level,the relative abundance categories of bacterial genera with statistically significant diffe-rences among each group included Muribaculaceae,Akkermansia,and Helicobacter pylori(P<0.05 or P<0.01).Conclusion The possible mechanism of BHF in treating PD may be to reconstruct the disordered intestinal flora structure and improve the inflammatory response.

Parkinson's diseaseBushen Huoxue Formula(补肾活血方)intestinal florainflammatory responseToll-like receptorsnuclear factor kappa B

齐小荣、郝斐然、汤响林、黎发根、王雨佳、王亮、谌盈帆、杨明会、李敏

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中国人民解放军总医院第六医学中心中医医学部,北京市海淀区阜成路6号,100048

中国人民解放军军事科学院军事医学研究院

帕金森病 补肾活血方 肠道菌群 炎症反应 Toll样受体 核因子κB

国家自然科学基金

82274613

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(10)
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