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纸质出版日期:2018
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高变娥, 姚伟洁, 杨鑫伟, 等. 糖络宁对DPN大鼠和雪旺细胞内质网应激PERK通路的影响[J]. 中国实验方剂学杂志, 2018,24(4):115-123.
GAO Bian-e, YAO Wei-jie, YANG Xin-wei, et al. Effect of Tangluoning on Endoplasmic Reticulum Stress PERK Pathway in Diabetic Peripheral Neuropathy Rats and Schwann Cells[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(4): 115-123.
高变娥, 姚伟洁, 杨鑫伟, 等. 糖络宁对DPN大鼠和雪旺细胞内质网应激PERK通路的影响[J]. 中国实验方剂学杂志, 2018,24(4):115-123. DOI: 10.13422/j.cnki.syfjx.2018040115.
GAO Bian-e, YAO Wei-jie, YANG Xin-wei, et al. Effect of Tangluoning on Endoplasmic Reticulum Stress PERK Pathway in Diabetic Peripheral Neuropathy Rats and Schwann Cells[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(4): 115-123. DOI: 10.13422/j.cnki.syfjx.2018040115.
目的:观察糖络宁对糖尿病周围神经病变(DPN)大鼠和雪旺细胞内质网应激RNA依赖的蛋白激酶样内质网激酶(PERK)通路相关蛋白和mRNA表达的影响。方法:60只SD雄性大鼠,除空白组外,其余各组大鼠采用高脂饲料喂养联合腹腔注射链脲佐菌素(STZ,35 mg·kg-1)复制DPN大鼠模型,随机分为模型组,氧化三甲胺组,糖络宁低、高剂量组,连续给药12周。采用苏木素-伊红(HE)染色观察大鼠坐骨神经病理学改变,免疫荧光染色法检测大鼠坐骨神经中p-PERK,磷酸化的真核翻译起始因子2a (p-eIF2a) 和转录活化因子4 (ATF4) 蛋白的表达;建立高糖诱导的雪旺细胞模型,分为25 mmol·L-1葡萄糖组(control),150 mmol·L-1葡萄糖组(model),150 mmol·L-1葡萄糖+0.1%,1%和10%糖络宁组,分别干预24,48 h。采用实时荧光定量PCR(Real-time PCR)法检测细胞中PERK,核转录因子E2相关因子2(Nrf2),血红素加氧酶-1(HO-1),B淋巴细胞瘤-2相关的X蛋白(Bax)和天冬氨酸特异性半胱氨酸蛋白酶-3(Caspase-3)mRNA表达水平。结果:坐骨神经病理学改变:空白组大鼠坐骨神经有髓神经纤维的髓鞘结构完整致密,形态规则,排列整齐。模型组出现严重脱髓鞘现象,结构松散,形态不规则,排列紊乱。糖络宁组有轻微脱髓鞘现象,结构近似完整,形态近似规则。经积分吸光度统计,与空白组相比,模型组明显降低(P<0.01);雪旺细胞PERK,Nrf2,HO-1,Caspase-3和Bax mRNA表达水平,与空白组比较,同时相的模型组中PERK,Bax 和Caspase-3 mRNA的表达明显升高(P<0.05,P<0.01),与模型组比较,同时相的糖络宁3个含药血清剂量组中以上3个指标表达明显降低(P<0.05,P<0.01),而Nrf2和HO-1 mRNA的表达明显升高(P<0.05,P<0.01);坐骨神经中p-PERK,p-eIF2a和ATF4蛋白表达,与空白组比较,模型组蛋白表达量显著增加(P<0.01);与模型组比较,糖络宁组蛋白表达量显著减少(P<0.01)。结论:糖络宁能够减轻坐骨神经组织的病理损伤,其防治DPN的作用机制可能与调节内质网应激时PERK相关途径包括抑制PERK/eIF2a途径同时促进PERK/Nrf2途径有关。
Objective: To observe the effect of Tangluoning on RNA-dependent protein kinase (PKR)-like ER kinase (PERK) pathway related protein and mRNA expressions of diabetic peripheral neuropathy (DPN) rats and Schwann cells. Method: A total of sixty SD male rats were used. Except for the blank control group
the rest SD male rats were treated with high-fat diet combined with streptozotocin (STZ
35 mg·kg-1) to replicate the DPN rats model. The rats were randomly divided into model control group
trimethylamine oxide group
low-dose Tangluoning group and high-dose Tangluoning group. After 12 weeks of continuous administration
hematoxylin-eosin staining (HE) was adopted to observe the pathological changes in sciatic nerve under the microscope. Immunofluorescence staining was used to detect expressions of p-PERK
phosphorylated eukaryotic translation initiation factor 2α (p-eIF2a) and activating transcription factor 4 (ATF4) proteins in sciatic nerve; high-sugar-induced schwann cell model was established. The experiment was divided into 25 mmol·L-1 glucose group (control)
150 mmol·L-1 glucose group (model)
150 mmol·L-1 glucose+0.1%
1%
10% Tangluoning groups; they were respectively treated for 24
48 h. Real-time PCR was used to detect PERK
nuclear factor-E2-related factor 2 (Nrf2)
heme oxygenase-1 (HO-1)
B-cell lymphoma 2 associated X protein (Bax) and Caspase-3 mRNA expressions. Result: Pathological changes in sciatic nerve: myelinated nerve fiber had a complete dense structure and regular shape in blank control group; severe demyelination phenomenon
irregular shape and disordered arrangement were observed in model group; whereas mild demyelination phenomenon
approximately complete structure and approximately regular shape were found in Tangluoning groups. As for integral optical density
compared with the blank control group
model group exhibited a higher level (P<0.01); compared with model group
herb group exhibited a lower level (P<0.01). As for mRNA expressions of PERK
Nrf2
HO-1
Caspase 3 and Bax in Schwann cells
compared with control group
mRNA expression of PERK
Bax and Caspase 3 in model group were significantly increased (P<0.05
P<0.01); compared with model group
mRNA expressions of PERK
Caspase-3 and Bax in Tangluoning groups were significantly decreased (P<0.05
P<0.01)
and mRNA expressions of Nrf2 and HO-1 were significantly increased (P<0.05
P<0.01). As for protein expressions of p-PERK
p-eIF2a and ATF4
compared with blank control group
protein expressions of p-PERK
p-eIF2a and ATF4 in model group displayed an obvious increase (P<0.01); compared with model control group
Tangluoning groups displayed an obvious decrease (P<0.01). Conclusion: Tangluoning can alleviate the pathological damage of sciatic nerve tissues and regulate the PERK pathway
including down-regulating PERK/eIF2a/ATF4 pathway and up-regulating PERK/Nrf2/HO-1 pathway when endoplasmic reticulum stress (ERS) improves DPN.
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