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福建中医药大学 中医学院,福州 350122
Received:15 August 2021,
Published Online:21 December 2021,
Published:20 February 2022
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涂文玲,黄妙安,洪银洁等.基于Hedgehog信号通路探讨柴芍六君汤对肝郁脾虚型CAG大鼠的影响[J].中国实验方剂学杂志,2022,28(04):1-8.
TU Wen-ling,HUANG Miao-an,HONG Yin-jie,et al.Effect of Chaishao Liujuntang on Hedgehog Signaling Pathway in Rats with Chronic Atrophic Gastritis of Liver Depression and Spleen Deficiency Syndrome[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(04):1-8.
涂文玲,黄妙安,洪银洁等.基于Hedgehog信号通路探讨柴芍六君汤对肝郁脾虚型CAG大鼠的影响[J].中国实验方剂学杂志,2022,28(04):1-8. DOI: 10.13422/j.cnki.syfjx.20220440.
TU Wen-ling,HUANG Miao-an,HONG Yin-jie,et al.Effect of Chaishao Liujuntang on Hedgehog Signaling Pathway in Rats with Chronic Atrophic Gastritis of Liver Depression and Spleen Deficiency Syndrome[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(04):1-8. DOI: 10.13422/j.cnki.syfjx.20220440.
目的
2
探讨柴芍六君汤对肝郁脾虚型慢性萎缩性胃炎(CAG)大鼠刺猬(Hedgehog)信号通路的影响。
方法
2
随机将Wistar大鼠分为正常组和造模组,造模组采用复合造模法进行构建肝郁脾虚型CAG大鼠模型,造模成功后,分为模型组,维酶素组,柴芍六君汤组,GDC-0449(阻滞剂)组,柴芍六君汤+GDC-0449组;正常组和模型组给予生理盐水灌胃,维酶素组和柴芍六君汤组分别给予240 mg·kg
-1
·d
-1
,5.1 g·kg
-1
·d
-1
灌胃,GDC-0449组腹腔注射50 mg·kg
-1
·d
-1
,柴芍六君汤+GDC-0449给予腹腔注射50 mg·kg
-1
·d
-1
和灌胃柴芍六君汤5.1 g·kg
-1
·d
-1
,持续4周。苏木素-伊红(HE)染色观察大鼠胃黏膜病理形态,实时荧光定量聚合酶链式反应(Real-time PCR)和蛋白免疫印迹法(Western blot)检测胃黏膜组织音猬因子(Shh),12次跨膜蛋白受体Patched1(Ptch1),胶质瘤相关肿瘤基因同源物1(Gli1)mRNA和蛋白表达,酶联免疫吸附测定法(ELISA)检测血清白细胞介素-1
β
(IL-1
β
),肿瘤坏死因子-
α
(TNF-
α
)含量。
结果
2
与正常组比较,模型组大鼠腺细胞减少,腺体萎缩,腺腔体积增大,可见浆细胞浸润,伴有肠上皮化生,胃黏膜组织Shh,Ptch1,Gli1 mRNA和蛋白表达显著降低(
P
<
0.01),血清中IL-1
β
,TNF-
α
含量显著上升(
P
<
0.01)。与模型组比较,维酶素组、柴芍六君汤组细胞排列较为整齐,腺体萎缩改善,未见明显炎性浸润,GDC-0499组和柴芍六君汤+GDC-0449组并无太多改善;维酶素组、柴芍六君汤组胃黏膜组织Shh,Ptch1,Gli1 mRNA和蛋白表达水平显著上升(
P
<
0.01),维酶素组血清中IL-1
β
含量差异无统计学意义,TNF-
α
含量显著降低(
P
<
0.01),柴芍六君汤组血清中IL-1
β
,TNF-
α
含量明显降低(
P
<
0.05,
P
<
0.01);GDC-0449组和柴芍六君汤+GDC-0449组,胃黏膜组织Shh,Ptch1,Gli1 mRNA和蛋白表达、血清中IL-1
β
,TNF-
α
含量差异无统计学意义。
结论
2
柴芍六君汤能有效改善肝郁脾虚型大鼠胃黏膜病理学状态,其机制可能是通过激活Hedgehog信号通路,从而降低IL-1
β
,TNF-
α
含量有关。
Objective
2
To explore the effect of Chaishao Liujuntang on Hedgehog signaling pathway in rats with chronic atrophic gastritis (CAG) of liver depression and spleen deficiency.
Method
2
Wistar rats were randomized into normal group and modeling group. CAG with the liver depression and spleen deficiency syndrome was induced in rats in the modeling group with a compound method. After modeling, they were classified into the model group, vitacoenzyme group, Chaishao Liujuntang group, GDC-0449 (blocker) group, and Chaishao Liujuntang + GDC-0449 group. Normal group and model group were given (
ig
) normal saline. Vitacoenzyme and Chaishao Liujuntang group received (
ig
) corresponding drugs at 240 mg·kg
-1
·d
-1
and 5.1 g·kg
-1
·d
-1
, respectively, and GDC-0449 group was treated (
ip
) with GDC-0449 at 50 mg·kg
-1
·d
-1
. For the Chaishao Liujuntang + GDC-0449 group, rats received GDC-0449 (
ip
) at 50 mg·kg
-1
·d
-1
and Chaishao Liujuntang (
ig
) at 5.1 g·kg
-1
·d
-1
. The administration lasted 4 weeks. The pathological morphology of rat gastric mucosa was observed based on hematoxylin-eosin (HE) staining. mRNA and protein expression of sonic hedgehog (Shh), 12th transmembrane receptor Patched1 (Ptch1), and glioma-associated oncogene homolog 1 (Gli1) in gastric mucosa tissues was detected by real-time fluorescent quantitative polymerase chain reaction (Real-time PCR) and Western blot. Content of serum interleukin-1
β
(IL-1
β
) and tumor necrosis factor-
α
(TNF-
α
) was determined by enzyme-linked immunosorbent assay (ELISA).
Result
2
Compared with normal group, the model group demonstrated decrease in gland cells, glandular atrophy, large lumen volume, plasma cell infiltration, intestinal metaplasia, decrease in the mRNA and protein expression of Shh, Ptch1, and Gli1 in gastric mucosa (
P
<
0.01), and rise of serum IL-1
β
and TNF-
α
content (
P
<
0.01). Compared with model group, vitacoenzyme group and Chaishao Liujuntang group showed ordered cells, alleviation of gland atrophy, and no obvious inflammatory infiltration, and GDC-0499 group and Chaishao Liujuntang + GDC-0449 showed no significant improvement. Significant rise in the mRNA and protein expression of Shh, Ptch1, and Gli1 in gastric mucosa tissues of vitacoenzyme group and Chaishao Liujuntang group (
P
<
0.01), no significant difference in serum IL-1
β
content and significant decrease in TNF-
α
content in vitacoenzyme group (
P
<
0.01), significant reduction in content of serum IL-1
β
and TNF-
α
in Chaishao Liujuntang group (
P
<
0.05,
P
<
0.01) were observed compared with those in the model group. The mRNA and protein expression of Shh, Ptch1, and Gli1 in gastric mucosa and the content of serum IL-1
β
and TNF-
α
were insignificantly different between the GDC-0449 group and Chaishao Liujuntang + GDC-0449 group.
Conclusion
2
Chaishao Liujuntang can effectively improve the pathological state of gastric mucosa in CAG rats with liver depression and spleen deficiency, which may be related to the activation of Hedgehog signaling pathway and the decrease of IL-1
β
and TNF-
α
content.
林果为 , 王吉耀 , 葛均波 . 实用内科学 [M]. 15版 . 北京 : 人民卫生出版社 , 2017 : 1508 .
ADAMU M A , WECK M N , GAO L , et al . Incidence of chronic atrophic gastritis:systematic review and meta-analysis of follow-up studies [J]. Eur J Epidemiol , 2010 , 25 ( 7 ): 439 - 448 .
刘京运 , 金世禄 . CAG患病率与年龄的关系及发病的影响因素 [J]. 川北医学院学报 , 2017 , 32 ( 1 ): 152 - 154 .
支江平 , 王文娟 . 胃复宁治疗CAG的研究 [J]. 湖北中医杂志 , 2011 , 33 ( 12 ): 3 - 5 .
郭书敏 . 益气健胃法治疗CAG46例 [J]. 中国民间疗法 , 2008 , 12 ( 8 ): 51 - 52 .
刘晓伟 , 张红梅 , 曲宏达 , 等 . 左金丸对应激性胃溃疡黏膜损伤保护作用机理的研究 [J]. 江西中医药 , 2004 , 35 ( 8 ): 18 - 20 .
邹世昌 . 乌梅丸加减治疗CAG78例 [J]. 浙江中西医结合杂志 , 2008 , 18 ( 3 ): 175 - 176 .
甘慧娟 , 梁丽丽 , 韩木龙 , 等 . 慢性胃炎的证素分布特征及与性别关系的研究 [J]. 中华中医药杂志 , 2015 , 30 ( 7 ): 2456 - 2459 .
洪婷 , 黄青 , 彭胜男 , 等 . 加味柴芍六君汤治疗慢性非萎缩性胃炎(脾虚肝郁型)60例 [J]. 江西中医药 , 2014 , 45 ( 6 ): 24 - 26 .
刘丽 , 韩远峰 , 郭益湘 . 柴芍六君汤合丹参饮加减治疗CAG疗效观察 [J]. 实用中医药杂志 , 2017 , 33 ( 2 ): 123 - 124 .
BERMAN D M , KARHADKAR S S , MAITRA S , et al . Widespread requirement for Hedgehog ligand stimulation in growth of digestive tract tumours [J]. Nature , 2003 , 425 ( 6960 ): 846 - 851 .
YUE Q , CHEN Y H , MULDER T , et al . Absorption,distribution,metabolism,and excretion of [¹⁴C]GDC-0449 (vismodegib),an orally active hedgehog pathway inhibitor,in rats and dogs:a unique metabolic pathway via pyridine ring opening [J]. Drug Metab Dispos , 2011 , 39 ( 6 ): 952 - 965 .
朱景茹 , 黄婉仪 , 杨宗保 , 等 . 柴芍六君汤对CAG肝郁脾虚证模型大鼠胃黏膜组织NF- κ B、c-Myc、STAT1表达的影响 [J]. 中医杂志 , 2021 , 62 ( 11 ): 984 - 989 .
刘华 , 伍静 , 孙铜林 . 柴芍六君子汤辅助化疗治疗肝郁脾虚型中晚期胰腺癌临床研究 [J]. 中国中医药信息杂志 , 2018 , 25 ( 2 ): 26 - 29 .
张峥祥 , 姬润美 , 高龙 . 柴芍六君子汤加减治疗中虚气逆型胃食管反流病对复发的影响 [J]. 贵州医药 , 2020 , 44 ( 1 ): 99 - 101 .
蒋忠 , 何强 , 刘涛 . 柴芍舒胆汤加减治疗慢性胆囊炎30例临床观察 [J]. 湖南中医杂志 , 2018 , 34 ( 2 ): 49 - 50 .
朱景茹 , 洪银洁 , 黄婉仪 , 等 . 柴芍六君汤对肝郁脾虚型CAG大鼠胃黏膜细胞增殖和凋亡因子的影响 [J]. 中国比较医学杂志 , 2021 , 31 ( 7 ): 9 - 14 .
李晓娟 , 白晓晖 , 陈家旭 , 等 . 中医动物模型研制方法及展望 [J]. 中华中医药杂志 , 2014 , 29 ( 7 ): 2263 - 2266 .
蔡定芳 . 论病证结合临床诊疗模式 [J]. 中国中西医结合杂志 , 2019 , 39 ( 2 ): 133 - 135 .
KWON H , SONG K , HAN C , et al . Inhibition of hedgehog signaling ameliorates hepatic inflammation in mice with nonalcoholic fatty liver disease [J]. Hepatology , 2016 , 63 ( 4 ): 1155 - 1169 .
SWIDE R , SKA-SYN M , XIE G , et al . Hedgehog regulates yes-associated protein 1 in regenerating mouse liver [J]. Hepatology , 2016 , 64 ( 1 ) : 232 - 244 .
SAQUI-SALCES M , MERCHANT J L . Hedgehog signaling and gastrointestinal cancer [J]. Biochim Biophys Acta , 2010 , 1803 ( 7 ): 786 - 795 .
PAULA M , LEWIS , MATTHEW P , et al . Cholesterol modification of sonic Hedgehog is required for long-range signaling activity and effective modulation of signaling by Ptc1 [J]. Cell , 2001 , 105 ( 5 ): 599 - 612 .
ARMEL G , RALPH R , LAURENT R , et al . Therond cholesterol modification of Hedgehog is required for trafficking and movement,revealing an asymmetric cellular response to Hedgehog [J]. Dev Cell , 2003 , 4 ( 2 ): 191 - 204 .
COHEN M M . The hedgehog signaling network [J]. Am J Med Genet , 2003 , 123 A( 1 ): 5 - 28 .
陈曦 , 孙明瑜 , 刘宁宁 , 等 . 胃癌癌前病变分子遗传学改变研究进展 [J]. 中国医刊 , 2018 , 53 ( 5 ): 477 - 481 .
SHIOTANI A , LISHI H , UEDO N . et al.Evidence that loss of sonic hedgehog is an indicator of Helicobater pylori-induced atrophic gastritis progressing to gastric cancer [J]. Am J Gastroenterol , 2005 , 100 ( 3 ): 581 - 587 .
刘跃平 , 柳茂森 , 朱临江 , 等 . CAG胃黏膜免疫相关指标变化研究 [J]. 中国预防医学杂志 , 2017 , 18 ( 1 ): 39 - 43 .
BEALES I L , CALAM J . Interleukin 1 β and tumour necrosis factor α inhibit acid secretion in cultured rabbit parietal cells by multiple pathways [J]. Gut , 1998 , 42 ( 2 ): 227 .
SZLOSAREK P W , BALKWILL F R . Tumour necrosis factor alpha:a potential target for the therapy of solid tumours [J]. Lancet Oncol , 2003 , 4 ( 9 ): 565 - 573 .
TAKASHIMA M , FURUTA T , HANAI H , et al . Effects of Helicobacter pylori infection on gastric acid secretion and serum gastrin levels in Mongolian gerbils [J]. Gut , 2001 , 48 ( 6 ): 765 - 773 .
BEALES IL , CALAM J . Interleukin 1 beta and tumour necrosis factor alpha inhibit acid secretion in cultured rabbit parietal cells by multiple pathways [J]. Gut , 1998 , 42 ( 2 ): 227 - 234 .
王迪 . 阻断SHH信号通路对胶质细胞炎性激活的实验研究 [D]. 广州 : 广州医学院 , 2012 .
邵帅 . Sonic hedgehog/PI3K/Akt信号通路在帕金森病炎症模型中发挥神经保护作用的研究 [D]. 广州 : 广州医科大学 , 2017 .
GENEVIEVE M , SULLIVAN , REGINA C , et al . Transplanted adult neural stem cells express sonic hedgehog in vivo and suppress white matter neuroinflammation after experimental traumatic brain injury [J]. Stem Cells Int , 2017 , doi: 10.1155/2017/9342534 http://dx.doi.org/10.1155/2017/9342534 .
贺自克 , 王上增 , 沈锦涛 . 基于Hedgehog通路探讨补肾活血方对实验性膝骨性关节炎兔退变软骨的保护作用 [J]. 中国病理生理杂志 , 2020 , 36 ( 4 ): 700 - 706 .
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