

浏览全部资源
扫码关注微信
1.中国中医科学院 望京医院,北京 100102
2.广州中医药大学,广州 510006
Received:15 September 2025,
Revised:2025-10-29,
Accepted:10 November 2025,
Published Online:17 November 2025,
Published:20 February 2026
移动端阅览
武文玉,曾新雨,李浩等.半夏泻心汤调控IL-17/ERK/C/EBPβ信号通路抑制慢性萎缩性胃炎大鼠上皮间充质转化的机制[J].中国实验方剂学杂志,2026,32(04):1-10.
WU Wenyu,ZENG Xinyu,LI Hao,et al.Inhibition of Epithelial-mesenchymal Transition Mechanism in Chronic Atrophic Gastritis Rats by Banxia Xiexintang via Regulating IL-17/ERK/C/EBPβ Signaling Pathway[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(04):1-10.
武文玉,曾新雨,李浩等.半夏泻心汤调控IL-17/ERK/C/EBPβ信号通路抑制慢性萎缩性胃炎大鼠上皮间充质转化的机制[J].中国实验方剂学杂志,2026,32(04):1-10. DOI: 10.13422/j.cnki.syfjx.20252404.
WU Wenyu,ZENG Xinyu,LI Hao,et al.Inhibition of Epithelial-mesenchymal Transition Mechanism in Chronic Atrophic Gastritis Rats by Banxia Xiexintang via Regulating IL-17/ERK/C/EBPβ Signaling Pathway[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(04):1-10. DOI: 10.13422/j.cnki.syfjx.20252404.
目的
2
探讨半夏泻心汤调控白细胞介素-17(IL-17)/细胞外信号调节激酶(ERK)/CCAAT增强子结合蛋白
β
(C/EBP
β
)信号通路抑制慢性萎缩性胃炎(CAG)大鼠上皮间充质转化(EMT)的作用机制,为经典名方治疗CAG提供新的理论依据。
方法
2
采用复合因素法建立CAG大鼠模型,成模后随机分为模型组,半夏泻心汤低、中、高剂量(0.549、1.098、2.196 g·kg
-1
)组和阳性药(维酶素,0.3 g·kg
-1
)组,并设正常组。干预8周后,评估胃组织病理变化。采用酶联免疫吸附测定法(ELISA)检测血清中IL-17、肿瘤坏死因子-
α
(TNF-
α
)、环氧合酶-2(COX-2)、C/EBP
β
含量,以及胃黏膜组织上皮间充质转化(EMT)标志物E-钙黏蛋白(E-cadherin)、N-钙黏蛋白(N-cadherin)和波形蛋白(Vimentin)含量;免疫组化法检测胃黏膜组织中IL-17、磷酸化(p)-ERK及C/EBP
β
蛋白定位与表达水平;蛋白免疫印迹法(Western blot)检测胃黏膜中C/EBP
β
、ERK及磷酸化(p)-ERK蛋白表达;实时荧光定量聚合酶链式反应(Real-time PCR)检测胃黏膜中ERK、COX-2及C/EBP
β
mRNA表达水平。
结果
2
与正常组比较,模型组大鼠胃黏膜腺体萎缩,炎症细胞浸润;胃黏膜C/EBP
β
、ERK、p-ERK蛋白及相关mRNA表达明显升高(
P
<
0.05,
P
<
0.01);血清IL-17、TNF-
α
、COX-2、C/EBP
β
水平显著升高(
P
<
0.01);胃黏膜组织中N-cadherin、Vimentin含量升高,E-cadherin含量降低(
P
<
0.01)。与模型组比较,不同剂量半夏泻心汤干预后,胃黏膜病理损伤得到不同程度的改善,胃黏膜C/EBP
β
、ERK、p-ERK蛋白及mRNA表达明显降
低(
P
<
0.05,
P
<
0.01),血清IL-17、TNF-
α
、COX-2、C/EBP
β
水平显著降低(
P
<
0.01),胃黏膜组织中N-cadherin及Vimentin含量降低,E-cadherin含量升高(
P
<
0.05,
P
<
0.01)。
结论
2
半夏泻心汤能够有效改善CAG大鼠胃黏膜组织病理损伤,其作用机制可能与降低血清IL-17和TNF-
α
水平,调控IL-17/ERK/C/EBP
β
信号通路,抑制EMT进程有关。
Objective
2
This study aimed to investigate the action mechanism by which Banxia Xiexintang (BXT) inhibits epithelial-mesenchymal transition (EMT) in chronic atrophic gastritis (CAG) rats by regulating the interleukin-17(IL-17)/extracellular regulated protein kinases(ERK)/CCAAT enhancer binding protein
β
(C/EBP
β
)signaling pathway, thereby providing new theoretical evidence for the treatment of CAG with classic traditional Chinese medicine formulas.
Methods
2
A CAG rat model was established by using the combined factor method. After successful modeling, the rats were randomly divided into the model group, low-, medium-, and high-dose groups (0.549, 1.098, 2.196 g·kg
-1
, respectively) of BXT, and the positive drug group (vitacoenzyme, 0.3 g·kg
-1
). A normal control group was also set up. After 8 weeks of intervention, the pathological changes of gastric tissue were evaluated. The enzyme-linked immunosorbent assay (ELISA) was used to detect the contents of IL-17, tumor necrosis factor-
α
(TNF-
α
), cyclooxygenase-2 (COX-2), and C/EBP
β
in serum, as well as the contents of EMT markers in gastric mucosal tissue including E-cadherin, N-cadherin, and vimentin. The immunohistochemistry method was employed to determine the localization and protein expression levels of IL-17, p-ERK, and C/EBP
β
in gastric mucosal tissue. Western blot was used to detect the protein expressions of C/EBP
β
, ERK, and its phosphorylated form (p)-ERK in gastric mucosa. Real-time polymerase chain reaction (Real-time PCR) was applied to measure the mRNA expression levels of ERK, COX-2, and C/EBP
β
in gastric mucosa.
Results
2
Compared with those in the normal control group, the rats in the model group showed gastric mucosal glandular atrophy and inflammatory cell infiltration. The protein and their related mRNA expressions of C/EBP
β
, ERK, and p-ERK in gastric mucosa were significantly increased (
P
<
0.05,
P
<
0.01). The levels of IL-17, TNF-
α
, COX-2, and C/EBP
β
in serum were significantly increased (
P
<
0.01). The contents of N-cadherin and vimentin in gastric mucosal tissue were significantly increased, while the content of E-cadherin was significantly decreased (
P
<
0.01). Compared with the model group, after intervention with different doses of BXT, the pathological damage of the gastric mucosa was improved to varying degrees. The protein and mRNA expressions of C/EBP
β
, ERK, and p-ERK in gastric mucosa were significantly reduced (
P
<
0.05,
P
<
0.01). The levels of IL-17, TNF-
α
, COX-2, and C/EBP
β
in serum were significantly decreased (
P
<
0.01). The contents of N-cadherin and vimentin in gastric mucosa tissue were decreased, while the content of E-cadherin was increased (
P
<
0.05,
P
<
0.01).
Conclusion
2
BXT can effectively improve the pathological damage of gastric mucosal tissue in CAG rats. Its action mechanism may be related to reducing the levels of IL-17 and TNF-
α
in serum, regulating the IL-17/ERK/C/EBP
β
signaling pathway and inhibiting the EMT process.
SHAH S C , PIAZUELO M B , KUIPERS E J , et al . AGA clinical practice update on the diagnosis and management of atrophic gastritis:Expert review [J]. Gastroenterology , 2021 , 161 ( 4 ): 1325 - 1332 .
JIA J , ZHAO H , LI F , et al . Research on drug treatment and the novel signaling pathway of chronic atrophic gastritis [J]. Biomed Pharmacother , 2024 , 176 : 116912 .
马科文 , 赵强 , 代春燕 , 等 . 中药抑制胃癌血管生成的作用机制研究进展 [J]. 世界中医药 , 2025 , 20 ( 7 ): 1233 - 1239 .
MA K W , ZHAO Q , DAI C Y , et al . Research progress on mechanism of inhibiting angiogenesis of gastric cancer by traditional Chinese medicine [J]. World Chin Med , 2025 , 20 ( 7 ): 1233 - 1239 .
GAN S Y , LI C F , HOU R , et al . Dynamic changes of the immune microenvironment in the development of gastric cancer caused by inflammation [J]. Mol Ther Oncol , 2024 , 32 ( 3 ): 200849 .
张仲景 . 伤寒论 [M]. 北京 : 人民卫生出版社 , 2019 : 73 .
ZHANG Z J . Shanghan Lun [M]. Beijing : People's Medical Publishing House , 2019 : 73 .
张雪萍 , 王倩影 , 钟卓泰 , 等 . 基于《黄帝内经》“清浊相干”理论探讨脾胃病病机及半夏泻心汤的治疗作用 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 14 ): 225 - 231 .
ZHANG X P , WANG Q Y , ZHONG Z T , et al . Pathogenesis of spleen and stomach diseases and therapeutic effect of Banxia Xiexin decoction based on theory of "mutual interference of clear and turbid Qi" in Huangdi Neijing [J]. Chin J Exp Tradit Med Form , 2024 , 30 ( 14 ): 225 - 231 .
张艳美 , 魏晶晶 , 朱中博 , 等 . 半夏泻心汤防治GC作用机制研究进展 [J]. 中国实验方剂学杂志 , 2023 , 29 ( 10 ): 65 - 72 .
ZHANG Y M , WEI J J , ZHU Z B , et al . Mechanism of Banxia Xiexin decoction in prevention and treatment of gastric cancer:A review [J]. Chin J Exp Tradit Med Form , 2023 , 29 ( 10 ): 65 - 72 .
国嵩 . 辛开苦降法治疗慢性萎缩性胃炎的临床疗效评价及基于转录组学的作用机制研究 [D]. 北京 : 中国中医科学院 , 2021 .
GUO S . Clinical efficacy evaluation and transeriptomic-based mechanism study of Xinkai Kujiang method in thetreatment of chronic atrophie gastritis [D]. Beijing : China Acad Chin Med Sci , 2021 .
独思静 . 慢性萎缩性胃炎风险因素分析和辛开苦降调枢方干预的疗效及机制研究 [D]. 北京 : 中国中医科学院 , 2022 .
DU S J . Analysis of risk factors for chronic atrophicgastritis and the curative effect andmechanism of Xinkai Kujiang Tiaoshu prescription intervention [D]. Beijing : China Acad Chin Med Sci , 2021 .
许爱丽 , 唐彬 , 王源 , 等 . 应用整合药理学方法探讨半夏泻心汤治疗慢性萎缩性胃炎的作用机制 [J]. 北京中医药 , 2019 , 38 ( 5 ): 407 - 412 .
XU A L , TANG B , WANG Y , et al . Exploring the mechanism of Banxia Xiexin decoction in treating chronic atrophic gastritis by integrated pharmacology [J]. Beijing J Tradit Chin Med , 2019 , 38 ( 5 ): 407 - 412 .
任金刚 , 杨洋 , 瞿先侯 , 等 . 慢性萎缩性胃炎大鼠 N -甲基- N ′-硝基- N -亚硝基胍复合造模法模型评价 [J]. 中医杂志 , 2017 , 58 ( 22 ): 1961 - 1964 .
REN J G , YANG Y , QU X H , et al . Evaluation of a compound modling method with N -methyl- N ′-nitro- N -nitroso-guanidine for establishing chronic atrophic gastritismodel rats [J]. J Tradit Chin Med , 2017 , 58 ( 22 ): 1961 - 1964 .
NAGAHARA A , WATANABE S , MIWA H , et al . Reduction of gap junction protein connexin 32 in rat atrophic gastric mucosa as an early event in carcinogenesis [J]. J Gastroenterol , 1996 , 31 ( 4 ): 491 - 497 .
中华医学会消化病学分会 , 中华医学会消化病学分会消化系统肿瘤协作组 . 中国慢性胃炎诊治指南(2022年,上海) [J]. 中华消化杂志 , 2023 , 43 ( 3 ): 145 - 175 .
Chinese Society of Gastroenterology , Gastroenterology Oncology Cooperation Group of Chinese Society of Gastroenterology . Chinese guidelines for the diagnosis and treatment of chronic gastritis (2022, Shanghai) [J]. Chin J Dig Dis , 2023 , 43 ( 3 ): 145 - 175 .
SUNG H , FERLAY J , SIEGEL R L , et al . Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin . 2021 , 71 ( 3 ): 209 - 249 .
SHAH S C , WANG A Y , WALLACE M B , et al . AGA clinical practice update on screening and surveillance in individuals at increased risk for gastric cancer in the United States:Expert review [J]. Gastroenterology , 2025 , 168 ( 2 ): 405 - 416 .
BOTEZATU A , BODRUG N . Chronic atrophic gastritis:An update on diagnosis [J]. Med Pharm Rep , 2021 , 94 ( 1 ): 7 - 14 .
ZHOU J , LI J , CHEN J , et al . Decoding inflammatory mediators in the Correa's cascade:From chronic gastritis to carcinogenesis and targeted therapies [J]. Int Immunopharmacol , 2025 , 162 : 115191 .
张雯静 , 赵琦 , 杨梅 , 等 . 半夏泻心汤及其单味药有效成分治疗慢性萎缩性胃炎的研究进展 [J]. 中华中医药学刊 , 2025 , doi: 21.1546.R.20250814.1719.025 http://dx.doi.org/21.1546.R.20250814.1719.025 .
ZHANG W J , ZHAO Q , YANG M , et al . Research progress on the effective ingredients of Banxia Xiexin decoction and its single medicine in chronic atrophic gastritis [J]. Chin J Tradit Chin Med Pharm , 2025 , doi: 21.1546.R.20250814.1719.025 http://dx.doi.org/21.1546.R.20250814.1719.025 .
师玉玉 , 李长香 , 任梓琳 , 等 . 国医大师王庆国以半夏泻心汤为主方加减治疗慢性萎缩性胃炎的临证经验 [J]. 四川中医 , 2025 , 43 ( 6 ): 21 - 25 .
SHI Y Y , LI C X , REN Z L , et al . Professor WANG Qingguo's clinical experience in the treatment of chronic atrophic gastritis based on Banxia Xiexin decoction [J]. Sichuan J Tradit Chin Med , 2025 , 43 ( 6 ): 21 - 25 .
LIN H , WENG J , MEI H , et al . 5-Lipoxygenase promotes epithelial-mesenchymal transition through the ERK signaling pathway in gastric cancer [J]. J Gastroenterol Hepatol , 2021 , 36 ( 2 ): 455 - 466 .
TAN P , YEOH K G . Genetics and molecular pathogenesis of gastric adenocarcinoma [J]. Gastroenterology , 2015 , 149 ( 5 ): 1153 - 1162 .
DELLA BELLA C , D'ELIOS S , COLETTA S , et al . Increased IL-17A serum levels and gastric Th17 cells in Helicobacter pylori -infected patients with gastric premalignant lesions [J]. Cancers (Basel) , 2023 , 15 ( 6 ): 1662 .
朱俊霞 , 史佩玉 , 綦向军 , 等 . 基于网络药理学和分子对接的半夏泻心汤治疗慢性萎缩性胃炎作用机制探讨 [J]. 药物评价研究 , 2021 , 44 ( 1 ): 98 - 110 .
ZHU J X , SHI P Y , QI X J , et al . Mechanism of Banxia Xiexin decoction in treatment of chronic atrophic gastritis on network pharmacology and molecular docking [J]. Drug Eval Res , 2021 , 44 ( 1 ): 98 - 110 .
ZHAO J , CHEN X , HERJAN T , et al . The role of interleukin-17 in tumor development and progression [J]. J Exp Med , 2020 , 217 ( 1 ): e20190297 .
GÖKTUNA S I , SHOSTAK K , CHAU T L , et al . The prosurvival IKK-Related kinase IKK ε integrates LPS and IL17A signaling cascades to promote Wnt-dependent tumor development in the intestine [J]. Cancer Res , 2016 , 76 ( 9 ): 2587 - 2599 .
ZHAO S , WAN D , ZHONG Y , et al . 1 α ,25-Dihydroxyvitamin D3 protects gastric mucosa epithelial cells against Helicobacter pylori -infected apoptosis through a vitamin D receptor-dependent c-Raf/MEK/ERK pathway [J]. Pharm Biol , 2022 , 60 ( 1 ): 801 - 809 .
DENG H , XIAO Q , XU X , et al . Quercetin inhibits gastric cancer progression via FAM198B/MAPK pathway modulation [J]. Pharmgenomics Pers Med , 2025 , 18 : 115 - 141 .
ABDEL-BAKI P M , EL-SHEREI M M , KHALEEL A E , et al . Irigenin,a novel lead from Iris confusa for management of Helicobacter pylori infection with selective COX-2 and HpIMPDH inhibitory potential [J]. Sci Rep , 2022 , 12 ( 1 ): 11457 .
YU W F , CHEN S N , GUAN X M , et al . Yiqi Huayu Jiedu formula inhibits JAK2/STAT3-mediated partial EMT in treating chronic atrophic gastritis [J]. Phytomedicine , 2025 , 137 : 156356 .
0
Views
22
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621