

浏览全部资源
扫码关注微信
1.河南中医药大学,郑州 450046
2.辽宁中医药大学,沈阳 110847
3.山东中医药大学 附属医院,济南 250011
4.辽宁中医药大学 中医药创新工程技术中心,沈阳 110847
5.辽宁中医药大学 中医脏象理论及应用教育部重点实验室,沈阳 110847
Received:06 June 2024,
Accepted:04 November 2024,
Published Online:07 August 2024,
Published:20 March 2025
移动端阅览
庞智文,刘玉,宋囡等.加味涤痰汤对非酒精性脂肪肝病大鼠生物节律相关基因的影响及机制[J].中国实验方剂学杂志,2025,31(06):115-124.
PANG Zhiwen,LIU Yu,SONG Nan,et al.Modified Ditan Tang Regulates Biorhythm-related Genes in Rat Model of Non-alcoholic Fatty Liver Disease[J].Chinese Journal of Experimental Traditional Medical Formulae,2025,31(06):115-124.
庞智文,刘玉,宋囡等.加味涤痰汤对非酒精性脂肪肝病大鼠生物节律相关基因的影响及机制[J].中国实验方剂学杂志,2025,31(06):115-124. DOI: 10.13422/j.cnki.syfjx.20241214.
PANG Zhiwen,LIU Yu,SONG Nan,et al.Modified Ditan Tang Regulates Biorhythm-related Genes in Rat Model of Non-alcoholic Fatty Liver Disease[J].Chinese Journal of Experimental Traditional Medical Formulae,2025,31(06):115-124. DOI: 10.13422/j.cnki.syfjx.20241214.
目的
2
探讨加味涤痰汤对非酒精性脂肪肝病(NAFLD)大鼠生物节律正负转录/翻译反馈回路(TTFL)相关基因的影响及其防治NAFLD的作用机制。
方法
2
65只健康SPF雄性SD大鼠随机分为正常组(20只)、模型组(15只)、加味涤痰汤低剂量组(10只)、加味涤痰汤中剂量组(10只)、加味涤痰汤高剂量组(10只)。模型组和加味涤痰汤低、中、高剂量组采用高脂饲料饲喂12周,并于第9周开始,加味涤痰汤低剂量组给予加味涤痰汤煎液2.68 g·kg
-1
·d
-1
、加味涤痰汤中剂量组给予加味涤痰汤煎液5.36 g·kg
-1
·d
-1
、加味涤痰汤高剂量组给予加味涤痰汤煎液10.7
2 g·kg
-1
·d
-1
,灌胃4周,正常组和模型组给予等体积生理盐水灌胃4周。全自动生化分析仪检测大鼠血清中甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)水平,TG、游离脂肪酸(NEFA)测定试剂盒检测肝脏TG、NEFA水平,苏木素-伊红(HE)染色法观察大鼠下丘脑、肝脏病理形态学表现,油红O染色法观察大鼠肝脏脂质沉积情况,免疫组化染色法检测下丘脑、肝脏芳香烃受体核转运蛋白的类似蛋白1(BMAL1/ARNTL)水平,实时荧光定量聚合酶链式反应(Real-time PCR)及蛋白免疫印迹法(Western blot)检测大鼠下丘脑、肝脏BMAL1、时钟基因(CLOCK)、周期蛋白2(PER2)和隐花色素1(Cry1) mRNA和蛋白水平。
结果
2
与正常组比较,模型组大鼠血清中TG、TC、LDL-C、AST、ALT水平显著升高(
P
<
0.01),HDL-C水平明显降低(
P
<
0.05),肝脏中TG、NEFA水平显著升高(
P
<
0.01),下丘脑神经元细胞固缩深染,脑区见大量空泡,肝脏见明显脂质沉积,下丘脑和肝脏中CLOCK、BMAL1 mRNA和蛋白表达显著升高(
P
<
0.01),Cry1、PER2 mRNA和蛋白表达显著降低(
P
<
0.01);给予加味涤痰汤治疗后,加味涤痰汤低、中、高剂量组大鼠血清中TG、TC、LDL-C、ALT、AST水平明显降低(
P
<
0.05,
P
<
0.01),HDL-C水平明显升高(
P
<
0.05),肝脏中TG、NEFA水平明显降低(
P
<
0.05,
P
<
0.01),下丘脑神经元细胞核固缩深染有所改善,肝脏脂质沉积状况减轻,下丘脑、肝脏中CLOCK、BMAL1 mRNA和蛋白表达明显降低(
P
<
0.05,
P
<
0.01),Cry1、PER2 mRNA和蛋白表达明显升高(
P
<
0.05,
P
<
0.01)。
结论
2
加味涤痰汤可减轻NAFLD大鼠肝脏脂质沉积,并影响NAFLD大鼠生物节律TTFL中相关基因CLOCK、BMAL1、Cry1、PER2表达。
Objective
2
To investigate the effects of modified Ditan tang on genes related to the transcription-translation feedback loop (TTFL) of biorhythm in the rat model of non-alcoholic fatty liver disease (NAFLD) and its mechanism for prevention and treatment of NAFLD.
Methods
2
Sixty-five healthy SPF male SD rats were randomly assigned into blank (
n
=20), model (
n
=15), and low-, medium-, and high-dose (2.68, 5.36, and 10.72 g·kg
-1
·d
-1
, respectively) modified Ditan tang (
n
=10) groups. Other groups except the blank group were fed a high-fat diet for 12 weeks. The modified Ditan tang groups we
re treated with the decoction at corresponding doses by gavage, and the blank and model groups were treated with an equal volume of normal saline from the 9th week for 4 weeks. The levels of triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) in the serum were measured by an automatic biochemical analyzer. TG and non-esterified fatty acid (NEFA) assay kits were used to measure the levels of TG and NEFA in the liver. The pathological changes in the hypothalamus and liver were observed by hematoxylin-eosin staining, and the lipid deposition in the liver was observed by oil red O staining. The levels of brain-muscle ARNT-like protein 1 (BMAL1/ARNTL) in the hypothalamus and liver were determined by immunohistochemical staining. The mRNA and protein levels of BMAL1, circadian locomotor output cycles kaput (CLOCK), period circadian clock 2 (PER2), and cryptochrome1 (Cry1) in the hypothalamus and liver were determined by Real-time PCR and Western blot, respectively.
Results
2
Compared with the blank group, the model group showed elevated levels of TG, TC, LDL-C, AST, and ALT (
P
<
0.01) and a lowered level of HDL-C (
P<
0.05) in the serum, elevated levels of TG and NEFA in the liver (
P
<
0.01), pyknosis and deep staining of hypothalamic neuron cells, and a large number of vacuoles in the brain area. In addition, the model group showed lipid deposition in the liver, up-regulated mRNA and protein levels of CLOCK and BMAL1 (
P
<
0.01), and down-regulated mRNA and protein levels of Cry1 and PER2 (
P
<
0.01) in the hypothalamus and liver. Compared with the model group, all the three modified Ditan tang groups showed lowered levels of TG, TC, LDL-C, ALT, and AST (
P
<
0.05,
P
<
0.01) and an elevated level of HDL-C (
P
<
0.05) in the serum, and lowered levels of TG and NEFA (
P
<
0.05,
P
<
0.01) in the liver. Furthermore, the three groups showed alleviated pyknosis and deep staining of hypothalamic neuron cells, reduced lipid deposition in the liver, down-regulated mRNA and protein levels of CLOCK and BMAL1 (
P
<
0.05,
P
<
0.01), and up-regulated mRNA and protein levels of Cry1 and PER2 (
P
<
0.05,
P
<
0.01) in the hypothalamus and liver.
Conclusion
2
Modified Ditan tang can reduce lipid deposition in the liver and regulate the expression of CLOCK, BMAL1, Cry1, and PER2 in the TTFL of NAFLD rats.
RINELLA M E . Nonalcoholic fatty liver disease:A systematic review [J]. JAMA , 2015 , 313 ( 22 ): 2263 - 2273 .
GOFTON C , UPENDRAN Y , ZHENG M H , et al . MAFLD:How is it different from NAFLD [J]. Clin Mol Hepatol , 2023 , 29 ( Suppl ): S17 - S31 .
XIAO M W , LIN S X , SHEN Z H , et al . Systematic review with Meta-analysis:The effects of probiotics in nonalcoholic fatty liver disease [J]. Gastroenterol Res Pract , 2019 , 2019 : 1484598 .
宋囡 , 陈宁 , 曹慧敏 , 等 . 绞股蓝总苷调控生物节律相关蛋白对ApoE -/- 小鼠动脉粥样硬化的影响 [J]. 中华中医药学刊 , 2021 , 39 ( 8 ): 248 - 251 .
SONG N , CHEN N , CAO H M , et al . Effects of Gynostemma pentaphyllum saponins on atherosclerosis in ApoE -/- mice by regulating biological rhythm related proteins [J]. Chin Arch Tradit Chin Med , 2021 , 39 ( 8 ): 248 - 251 .
虞子青 , 张二荃 . 极端环境下的生物节律 [J]. 中国生物化学与分子生物学报 , 2023 , 39 ( 1 ): 1 - 15 .
YU Z Q , ZHANG E Q . Circadian rhythm under extreme conditions [J]. Chin J Biochem Mol Biol , 2023 , 39 ( 1 ): 1 - 15 .
马鑫 , 时皎皎 , 陈卡 , 等 . 二氢杨梅素改善非酒精性脂肪肝小鼠肝脏生物钟相关基因表达节律紊乱 [J]. 第三军医大学学报 , 2018 , 40 ( 21 ): 1956 - 1961 .
MA X , SHI J J , CHEN K , et al . Dihydromyricetin improves rhythm disorder in expression of liver circadian clock genes in non-alcoholic fatty liver mice [J]. J Army Med Univ , 2018 , 40 ( 21 ): 1956 - 1961 .
MENG H , GONZALES N M , LONARD D M , et al . XBP1 links the 12-hour clock to NAFLD and regulation of membrane fluidity and lipid homeostasis [J]. Nat Commun , 2020 , 11 ( 1 ): 6215 .
JOUFFE C , WEGER B D , MARTIN E , et al . Disruption of the circadian clock component BMAL1 elicits an endocrine adaption impacting on insulin sensitivity and liver disease [J]. Proc Natl Acad Sci USA , 2022 , 119 ( 10 ): e2200083119 .
谢凤娇 , 熊钦 , 姚承佼 , 等 . 基于“土壅木郁”与肠道微生态失调的联系论治非酒精性脂肪性肝病 [J]. 世界科学技术—中医药现代化 , 2022 , 24 ( 9 ): 3622 - 3630 .
XIE F J , XIONG Q , YAO C J , et al . Treatment of non-alcoholic fatty liver disease based on the relationship between "Earth-obstructing and Wood-stagnation" and intestinal dysbiosis [J]. Mod Tradit Chin Med Materia Med-World Sci Technol , 2022 , 24 ( 9 ): 3622 - 3630 .
王晶 , 刘海晔 . 涤痰汤治疗非酒精性脂肪肝30例 [J]. 陕西中医 , 2015 , 36 ( 1 ): 6 - 7 .
WANG J , LIU H Y . Ditan tang in the treatment of nonalcoholic fatty liver disease [J]. Shaanxi J Tradit Chin Med , 2015 , 36 ( 1 ): 6 - 7 .
程美佳 , 袁常斌 , 鞠业涛 , 等 . 涤痰汤通过调节IKB/NF- κ B通路和细胞凋亡抑制阿尔茨海默病小鼠Tau蛋白过度磷酸化 [J]. 时珍国医国药 , 2024 , 35 ( 2 ): 270 - 274 .
CHENG M J , YUAN C B , JU Y T , et al . Ditan tang inhibits Tau protein Hyperphosphorylation in mice with Alzheimer's disease by regulating IKB/NF- κ B pathway and apoptosis [J]. Lishizhen Med Mater Med Res , 2024 , 35 ( 2 ): 270 - 274 .
吕宝伟 , 冯春青 , 孙建光 . 补肾降浊饮对非酒精性脂肪肝大鼠胰岛素抵抗的影响 [J]. 中国实验方剂学杂志 , 2018 , 24 ( 12 ): 107 - 113 .
LYU B W , FENG C Q , SUN J G . Intervention effect of Bushen Jiangzhuoyin on insulin resistance on rat nonalcoholic fatty liver disease [J]. Chin J Exp Tradit Med Form , 2018 , 24 ( 12 ): 107 - 113 .
范兴 , 何艳 , 杨成梓 , 等 . 肝宝胶囊对非酒精性脂肪性肝病模型大鼠肠黏膜屏障和肠道菌群的影响 [J]. 中国药房 , 2023 , 34 ( 8 ): 929 - 934 .
FAN X , HE Y , YANG CZ , et al . Effects of Ganbao capsules on intestinal mucosal barrier and gut microbiota in rats with non-alcoholic fatty liver disease [J]. China Pharm , 2023 , 34 ( 8 ): 929 - 934 .
魏伟 , 吴希美 , 李元建 . 药理实验方法学 [M]. 北京 : 人民卫生出版社 , 2010 : 69 - 74 .
WEI W , WU X M , LI Y J . Pharmacological experimental methodology [M]. Beijing : People's Medical Publishing House , 2010 : 69 - 74 .
张援 , 杨卓 , 王群 , 等 . 涤痰汤调控PPAR γ -LXR-ABCA1/ABCG1通路介导胆固醇流出改善非酒精性脂肪肝的机制研究 [J]. 中华中医药学刊 , 2023 , 41 ( 11 ): 111 - 115,281 .
ZHANG Y , YANG Z , WANG Q , et al . Mechanism of regulating cholesterol outflow mediated by PPAR γ -LXR-ABCA1 /ABCG1 pathway by Ditan tang to improve nonalcoholic fatty liver disease [J]. Chin Arch Tradit Chin Med , 2023 , 41 ( 11 ): 111 - 115,281 .
张声生 , 李乾构 , 李军祥 . 非酒精性脂肪性肝病中医诊疗共识意见 [J]. 北京中医药 , 2011 , 30 ( 2 ): 83 - 86 .
ZHANG S S , LI G G , LI J X . Consensus of TCM diagnosis and treatment of non-alcoholic fatty liver disease [J]. Beijing J Tradit Chin Med , 2011 , 30 ( 2 ): 83 - 86 .
郑佳南 , 宫苹 . 生物钟基因调控干细胞分化的研究进展 [J]. 实用口腔医学杂志 , 2024 ( 2 ): 270 - 276 .
ZHENG J N , GONG P . Research progress of circadian clock genes regulating stem cell differentiation [J]. J Pract Stomatol , 2024 ( 2 ): 270 - 276 .
KLEMZ S , WALLACH T , KORGE S , et al . Protein phosphatase 4 controls circadian clock dynamics by modulating CLOCK/BMAL1 activity [J]. Genes Dev , 2021 , 35 ( 15/16 ): 1161 - 1174 .
KORONOWSKI K B , KINOUCHI K , WELZ P S , et al . Defining the independence of the liver circadian clock [J]. Cell , 2019 , 177 ( 6 ): 1448 - 1462 .
SMYLLIE N J , BAGNALL J , KOCH A A , et al . Cryptochrome proteins regulate the circadian intracellular behavior and localization of PER2 in mouse suprachiasmatic nucleus neurons [J]. Proc Natl Acad Sci USA , 2022 , 119 ( 4 ): e2113845119 .
朱金霞 , 刘光伟 , 杨培伟 . 昼夜节律紊乱对非酒精性脂肪性肝病及相关肝细胞癌的影响 [J]. 临床肝胆病杂志 , 2021 , 37 ( 10 ): 2469 - 2473 .
ZHU J X , LIU G W , YANG P W . Influence of circadian rhythm disorder on nonalcoholic fatty liver disease and related hepatocellular carcinoma [J]. J Clin Hepatol , 2021 , 37 ( 10 ): 2469 - 2473 .
黄慧 , 许嘉慧 , 陆灏 . 中医药通过改善“时钟重置”防治2型糖尿病的研究进展 [J]. 上海中医药杂志 , 2024 , 58 ( 4 ): 92 - 95 .
HUANG H , XU J H , LU H . Research progress on prevention and treatment of type 2 diabetes mellitus through improving
clock reset in traditional Chinese medicine [J]. Shanghai J Tradit Chin Med , 2024 , 58 ( 4 ): 92 - 95 .
YE R , SELBY C P , CHIOU Y Y , et al . Dual modes of CLOCK:BMAL1 inhibition mediated by Cryptochrome and Period proteins in the mammalian circadian clock [J]. Genes Dev , 2014 , 28 ( 18 ): 1989 - 1998 .
AN Y , YUAN B , XIE P , et al . Decoupling PER phosphorylation, stability and rhythmic expression from circadian clock function by abolishing PER-CK1 interaction [J]. Nat Commun , 2022 , 13 ( 1 ): 3991 .
MILITI S , MAYWOOD E S , SANDATE C R , et al . Early doors (Edo) mutant mouse reveals the importance of period 2 (PER2) PAS domain structure for circadian pacemaking [J]. Proc Natl Acad Sci USA , 2016 , 113 ( 10 ): 2756 - 2761 .
TUREK F W , JOSHU C , KOHSAKA A , et al . Obesity and metabolic syndrome in circadian Clock mutant mice [J]. Science , 2005 , 308 ( 5724 ): 1043 - 1045 .
罗瑞熙 , 王文佳 , 王平 , 等 . 槲皮素通过调控内质网应激信号通路改善非酒精性脂肪肝大鼠肝脏损伤 [J]. 南京医科大学学报:自然科学版 , 2024 , 44 ( 4 ): 445 - 454 .
LUO R X , WANG W J , WANG P , et al . Quercetin attenuates liver injury in rats with non-alcoholic fatty liver disease by modulating endoplasmic reticulum stress [J]. J Nanjing Med Univ:Nat Sci , 2024 , 44 ( 4 ): 445 - 454 .
温紫云 , 韩倩倩 , 吕晴 , 等 . 水蛭对非酒精性脂肪肝病小鼠的保护作用及其机制 [J]. 中国药房 , 2024 , 35 ( 10 ): 1193 - 1197 .
WEN Z Y , HAN Q Q , LV Q , et al . Protective effect and mechanism of Hirudo on mice with non-alcoholic fatty liver disease [J]. China Pharm , 2024 , 35 ( 10 ): 1193 - 1197 .
沈英娣 , 刘波 , 田海荣 . 罗格列酮联合二甲双胍治疗合并2型糖尿病的非酒精性脂肪肝疗效观察 [J]. 实用医学杂志 , 2011 , 27 ( 7 ): 1269 - 1271 .
SHEN Y D , LIU B , TIAN H R . Efficacy of rosiglitazone combined with metformin in the treatment of non-alcoholic fatty liver disease with type 2 diabetes mellitus [J]. J Practic Med , 2011 , 27 ( 7 ): 1269 - 1271 .
周敏 , 刘秀 , 吴勇军 , 等 . 基于AMPK信号通路探讨黄芪甲苷对db/db小鼠2型糖尿病合并非酒精性脂肪肝病的作用机制 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 5 ): 72 - 79 .
ZHOU M , LIU X , WU Y J , et al . Mechanism of astragaloside Ⅳ on db/db mice with type 2 diabetes mellitus and non-alcoholic fatty liver disease based on AMPK signaling pathway [J]. Chin J Exp Tradit Med Form , 2024 , 30 ( 5 ): 72 - 79 .
吴颖 , 王峰 , 金玺 . 富马酸替诺福韦二吡呋酯片联合多烯磷脂酰胆碱胶囊治疗乙型肝炎合并非酒精性脂肪肝的临床疗效观察 [J]. 临床合理用药杂志 , 2022 , 15 ( 27 ): 111 - 114 .
WU Y , WANG F , JIN X . Clinical efficacy of tenofovir dipifurate fumarate tablet combined with polyene phosphatidylcholine capsule in the treatment of hepatitis B complicated with nonalcoholic fatty liver [J]. J Clin Rational Drug Use , 2022 , 15 ( 27 ): 111 - 114 .
朱桂丽 . 多烯磷脂酰胆碱胶囊联合非诺贝特片治疗32例老年中重度非酒精性脂肪肝的临床研究 [J]. 北方药学 , 2019 , 16 ( 5 ): 95 - 96 .
ZHU G L . Clinical study of polyene phosphatidylcholine capsule combined with fenofibrate tablet in the treatment of 32 elderly patients with moderate and severe nonalcoholic fatty liver disease [J]. J North Pharm , 2019 , 16 ( 5 ): 95 - 96 .
郗有丽 , 赵重博 , 杨娜 , 等 . 基于代谢组学研究阿托伐他汀致非酒精性脂肪肝模型鼠肝损伤的作用机制 [J]. 实用药物与临床 , 2024 , 27 ( 4 ): 241 - 247 .
XI Y L , ZHAO C B , YANG N , et al . Study on the mechanism of atorvastatin‐induced liver injury in non-alcoholic fatty liver model hamster based on metabolomics [J]. Practical Pharm Clin Remedies , 2024 , 27 ( 4 ): 241 - 247 .
区俏影 , 陆家昌 , 麦惠玲 . 瑞舒伐他汀钙片对非酒精性脂肪肝患者血脂指标及动脉弹性的影响 [J]. 现代诊断与治疗 , 2019 , 30 ( 19 ): 3384 - 3386 .
QU Q Y , LU J C , MAI H L . Effect of rosuvastatin calcium tablets on blood lipid indexes and arterial elasticity in patients with nonalcoholic fatty liver disease [J]. Mod Diagn Treat , 2019 , 30 ( 19 ): 3384 - 3386 .
0
Views
191
下载量
1
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621