首页|腹泻型肠易激综合征脾肾阳虚证小鼠模型的建立与验证

腹泻型肠易激综合征脾肾阳虚证小鼠模型的建立与验证

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目的 探索腹泻型肠易激综合征(IBS-D)脾肾阳虚证小鼠病证结合模型的建立方法.方法 模型建立:将20只小鼠随机分为正常组和模型组,每组10只.模型组给予0℃冰腺嘌呤混悬液50 mg/(kg·d)灌胃14天+离心管束缚加间断夹尾刺激7天+0 ℃冰番泻叶水煎液10 g/(kg·d)灌胃5天制备IBS-D脾肾阳虚证模型.正常组给予无菌水0.4 ml灌胃,每日1次,连续14天.观察两组小鼠一般行为学特征,比较饮食量、粪便含水率、体重、肛温,造模后检测疼痛阈值、胃残留率、肠推进率,血清短链脂肪酸(SCFAs)、五羟色胺(5-HT)、促肾上腺皮质激素(ACTH)、皮质酮(CORT)、D-木糖含量.模型验证:将40只小鼠随机分为空白组10只,造模组30只,造模组按照上述方法造模成功后分为模型对照组、四神丸组和匹维溴铵组,每组10只.四神丸组给予四神丸水煎液5 g/(kg·d)灌胃,匹维溴铵组给予21.63 mg/(kg·d)匹维溴铵溶液灌胃,空白组、模型对照组给予0.70 ml/d无菌水灌胃,均连续7天.检测指标同模型建立.结果 模型组小鼠精神状态较差,嗜睡,毛发无光泽,粪便稀软.与正常组比较,模型组小鼠饮食量显著降低,粪便含水率显著升高;造模第14天小鼠体重增长率、肛温显著降低;造模14日后,模型组小鼠小肠推进率及血清SCFAs、5-HT含量均升高,血清ACTH、CORT、D-木糖含量皆降低(P<0.05或P<0.01).模型验证结果显示,四神丸组小鼠精神状态、活跃度、皮毛光滑度、喜蜷缩聚集症状均改善,匹维溴铵组上述症状体征改善不明显.与模型对照组比较,四神丸及匹维溴铵组小鼠粪便含水率皆降低、饮食量均升高;第4天小鼠体重增长率、肛温均升高;给药第7天,匹维溴铵组肛温明显低于四神丸组,四神丸组小鼠血清SCFAs、5-HT含量均降低,ACTH、CORT、D-木糖含量皆上升(P<0.05或P<0.01),匹维溴铵组小鼠5-HT降低、CORT含量上升(P<0.01).结论 冰腺嘌呤叠加冰番泻叶灌胃联合夹尾和离心管束缚可成功构建IBS-D脾肾阳虚证病证结合模型.
Establishment and Validation of a Mouse Model of Spleen-kidney Yang Deficiency Syndrome in Irritable Bowel Syndrome-diarrhea
Objective To explore the method of establishing a disease-syndrome combined model of irritable bowel syndrome(IBS-D)with spleen and kidney yang deficiency in mice.Methods Model establishment:Twenty mice were randomly divided into a normal group and a model group,with 10 mice in each group.The model group was given 50 mg/(kg·d)of 0℃ ice adenine suspension by gavage for 14 days,plus tail-clamping stimulation and restrained in centrifuge tubes for 7 days,and 10 g/(kg·d)of 0℃ ice senna decoction by gavage for 5 days to prepare IBS-D spleen and kidney yang deficiency syndrome model.The normal group was given 0.4 ml of sterile water by gavage once a day for 14 days.Behavioral characteristics,food intake,fecal water content,body weight,and rectal temperature were observed in both groups.Pain threshold,gastric residual rate,intestinal propulsion rate,and the content of short-chain fatty acids(SCFAs),serotonin(5-HT),adrenocorticotropic hormone(ACTH),corticosterone(CORT),and D-xylose in the serum were detected after modeling.Model validation:Forty mice were randomly divided into a blank group(n=10)and a modeling group(n=30).After successful modeling using the above method,the modeling group was divided into a model control group,Sishen Pill(四神丸)group,and pinaverium bromide group,with 10 mice in each group.The Sishen Pill group was given 5 g/(kg·d)of Sishen Pill decoction by gavage,and the pinaverium bromide group was given 21.63 mg/(kg·d)of pinaverium bromide solution by gavage,while the blank group and the model control group were given 0.70 ml/d of sterile water by gavage,all for 7 days.The indicators were detected as the same with model establishment.Results Mice in the model group had poor mental status,lethargy,dull hair and loose feces.Compared with the normal group,the model group exhibited reduced food intake and increased fecal water content;on the 14th day of modeling,the model group showed a slower body weight gain rate and decreased rectal tempe-rature;after 14 days,the model group had increased small intestinal propulsion rate,and serum SCFAs and 5-HT levels with reduced serum levels of ACTH,CORT,and D-xylose(P<0.05 or P<0.01).Model validation indicated that the Sishen Pill group showed improvements in mental state,activity levels,fur smoothness and curling and gathering symptoms,while these symptoms in the pinaverium bromide group were not sig-nificantly improved.Compared to the model control group,the Sishen Pill group and pinaverium bromide group had reduced fecal water content and increased food intake,as well as increased body weight gain and elevated rectal tem-perature on day 4.On the 7th day of administration,the pinaverium bromide group showed lower rectal temperature than Sishen Pill group,and Sishen Pill group showed decreased serum SCFAs and 5-HT levels with increased ACTH,CORT,and D-xylose levels(P<0.05 or P<0.01),while the pinaverium bromide group exhibited reduced 5-HT and elevated CORT level(P<0.01).Conclusion A combination of ice adenine plus ice senna leaf gavage,tail clamping,and centrifuge tube restraint can successfully establish a disease-syndrome combined mouse model of IBS-D with spleen-kidney Yang deficiency.

irritable bowel syndrome-diarrheaspleen and kidney yang deficiency syndromeanimal model combin-ing disease and syndromeadeninesenna leavesbinding and tail clamping stimulationSishen Pill(四神丸)

邓娜、谢诗琴、谭周进

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湖南中医药大学中医学院,湖南省长沙市岳麓区学士路300号,410208

腹泻型肠易激综合征 脾肾阳虚证 病证结合动物模型 腺嘌呤 番泻叶 束缚加夹尾刺激 四神丸

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(24)