基于NLRP3/NF-κB信号通路探讨燮理汤对溃疡性结肠炎的治疗作用
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1.厦门市中医院(福建 厦门 361009);2.厦门大学医学院(福建 厦门 361102);3.厦门大学马来西亚分校中医学院(马来西亚 雪兰莪州 43900)

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陈少东,男,副主任医师,教授,博士研究生导师。研究方向:肝经病变的理论与临床研究。E-mail:adong@xmu.edu.cn

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国家自然科学基金项目(面上项目,重点项目,重大项目)


2 School of Medicine, Xiamen University, Xiamen, Fujian, China3 School of Traditional Chinese Medicine, Xiamen University Malaysia, Jalan Sunsuria, Sepang, Malaysia
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    摘要:

    目的 探究燮理汤在溃疡性结肠炎(UC)小鼠中发挥的抗炎作用。方法 将48只BALB/c雄性小鼠随机分为正常组、模型组、柳氮磺胺吡啶组以及燮理汤低、中、高剂量组,每组8只。除正常组外,其余组予3%葡聚糖硫酸钠(DSS)自由饮用7 d制备UC小鼠模型。造模期间同时给药治疗,燮理汤低、中、高剂量组分别给予5、10、20 g/(kg·d)的燮理汤灌胃,柳氮磺胺吡啶组予0.45 g/(kg·d)的柳氮磺胺吡啶溶液灌胃,正常组和模型组予等体积生理盐水灌胃。其间记录小鼠体重、粪便性状、便血程度等一般情况及疾病活动指数评分(DAI),测量小鼠结肠长度,HE染色观察结肠病理情况,使用生化试剂盒检测血清丙二醛(MDA)、谷胱甘肽(GSH)、超氧化物歧化酶(SOD)及结肠组织一氧化氮(NO)含量,使用ELISA法检测结肠组织中髓过氧化物酶(MPO)含量,使用Western Blot法检测结肠核因子κB p65(NF-κBp65)、磷酸化核因子κB p65(p-NF-κBp65)、核因子κB抑制因子α(IκBα)、磷酸化核因子κB抑制因子α(p-IκBα)蛋白表达水平,使用IHC法检测结肠NLRP3表达水平,使用IF法检测结肠p-p65、p-IκBα表达水平。结果 与正常组相比,模型组小鼠体重下降,DAI评分升高(P<0.0001),结肠长度变短(P<0.0001),结肠黏膜病理损伤严重,结肠组织中NO、MPO含量明显升高(P<0.0001),血清MDA含量升高(P<0.0001),血清GSH、SOD含量均明显下降(P<0.001或P<0.0001);NLRP3、p-p65、p-IκBα蛋白表达均升高(P<0.05,或P<0.01,或P<0.0001);与模型组比较,各药物治疗组小鼠体重升高,DAI评分不同程度下降,结肠长度增加,结肠黏膜病理损伤改善,结肠组织中NO、MPO含量不同程度下降,血清MDA含量不同程度降低,血清GSH、SOD含量明显升高,NLRP3、p-p65、p-IκBα蛋白表达均不同程度降低。结论 燮理汤通过调节NLRP3蛋白下调NF-κB信号通路,紧密连接蛋白表达水平,从而减轻肠道炎症反应,缓解肠黏膜损伤。

    Abstract:

    Objective: To investigate the therapeutic effects of Xie Li Tang on ulcerative colitis (UC) by evaluating its anti-inflammatory properties in a murine model. Methods: Forty-eight BALB/c male mice were randomly divided into a blank group, a model group, a salazosulfapyridine group, and low, medium, and high doses of traditional Chinese medicine groups, with 8 mice in each group. Except for the normal group, each group was given 3% dextran sodium sulfate (DSS) ad libitum for 7 days to prepare the UC mouse model. During the modeling period, 5,10,20 g/(kg-d) of Xie Li Tang was given to the low, medium and high dose TCM group by gavage, 0.45 g/(kg-d) of Liuzosulfapyridine solution was given to the Liuzosulfapyridine group by gavage, and equal volumes of saline were given to the blank group and the model group by gavage. During this period, the general conditions of mice such as body weight, fecal characteristics, blood in stool and Disease Activity Index (DAI) score were recorded, the length of mouse colon was measured, and HE staining was performed to observe the pathological condition of colon, and biochemical kits were used to detect the content of nitric oxide (NO) in colon tissues, and the content of serum malondialdehyde (MDA), glutathione (GSH), and superoxide dismutase (SOD), and the medullary peroxidase (MPO) and peroxidase (MPO) were detected by ELISA method. peroxidase (MPO) content, Western Blot for colon nuclear factor κB p65 (NF-κBp65), phosphorylated nuclear factor κB p65 (p-NF-κBp65), nuclear factor κB inhibitory factor α (IκBα), and phosphorylated nuclear factor κB inhibitory factor α (p-IκBα) expression levels, and IHC for colon NLRP3 expression. IF detected colonic p-p65, p-IκBα expression levels. Results: Compared with the blank group, mice in the model group had decreased body weight, increased DAI score (P < 0.001), and shortened colon length (P < 0.001); the pathological damage to the colonic mucosa was severe, and the content of NO and MPO in the colonic tissues were significantly increased (P < 0.001, P < 0.001), the serum in the content of MDA (P < 0.001), and GSH, SOD content were significantly decreased (P < 0.001, P < 0.001).NLRP3, p-p65, p-IκBα protein expression were elevated (P < 0.001, P < 0.05, P <0.01).Compared with the model group, body weight of the drug-treated groups was elevated, DAI scores were decreased to varying degrees, and the length of the colon became longer (P < 0.001); colonic pathological damage of mucosa improved, NO and MPO content in colon tissue decreased significantly (P < 0.001, P < 0.01), serum MDA content decreased to different degrees, and GSH and SOD content increased significantly (P < 0.01, P < 0.01) NLRP3, p-p65, and p-IκBα protein expression were all decreased to different degrees.

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黄墩煌,王天相,程思杰,刘若冰,王六一,梁惠卿,刘琪,关欣怡,陈少东,Muhammad Shahzad Aslam.基于NLRP3/NF-κB信号通路探讨燮理汤对溃疡性结肠炎的治疗作用[J].,2025,24(6):39-46

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  • 收稿日期:2025-05-15
  • 最后修改日期:2025-05-29
  • 录用日期:2025-06-04
  • 在线发布日期: 2025-09-15
  • 出版日期: 2025-06-25
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