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1.南京中医药大学,南京 210023
2.南京中医药大学 附属南京中医院,南京 210001
3.南京市红十字医院,南京 210001
刘学谦,在读硕士,从事中西医心血管方面研究,E-mail: liuxueqian1753@163.com
*曹守沛,博士,副主任医师,从事中西医心血管病临床研究,Tel: 025-52276242,E-mail: caosp336@126.com;
*宋耀鸿,博士,副主任医师,从事中医心血管病临床研究,Tel: 025-52276242,E-mail: tcmantichf@126.com
收稿日期:2018-07-09,
网络出版日期:2018-11-16,
纸质出版日期:2019-02-05
移动端阅览
刘学谦, 王静, 曹守沛, 等. 凉血散瘀法通过抑制巨噬细胞凋亡抗动脉粥样硬化的作用[J]. 中国实验方剂学杂志, 2019,25(3):59-65.
Xue-qian LIU, Jing WANG, Shou-pei CAO, et al. Effect of Cooling Blood Method in Inhibiting Macrophage Apoptosis Against Atherosclerosis[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(3): 59-65.
刘学谦, 王静, 曹守沛, 等. 凉血散瘀法通过抑制巨噬细胞凋亡抗动脉粥样硬化的作用[J]. 中国实验方剂学杂志, 2019,25(3):59-65. DOI: 10.13422/j.cnki.syfjx.20190336.
Xue-qian LIU, Jing WANG, Shou-pei CAO, et al. Effect of Cooling Blood Method in Inhibiting Macrophage Apoptosis Against Atherosclerosis[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(3): 59-65. DOI: 10.13422/j.cnki.syfjx.20190336.
目的:
2
观察凉血散瘀法清心通脉饮含药血清对乙酰化低密度脂蛋白(acetylated low density lipoprotein
ac-LDL)诱导的小鼠单核巨噬细胞系RAW264.7凋亡率及A型清道夫受体(type A scavenger receptor
SR-A),B细胞淋巴瘤-2(B-cell lymphoma-2,Bcl-2),Bcl-2相关X蛋白(Bcl-2-associated X protein
Bax),肌醇需要酶1
α
(inositol-requiring enzyme l
α
,IRE1
α
)表达的影响,探讨清心通脉饮治疗动脉粥样硬化可能的作用机制。
方法:
2
8只新西兰兔采用随机数字法分为阿托伐他汀组(2.6 g·kg
-1
),清心通脉饮低、中、高剂量组(3.33,6.66,13.32 mg·kg
-1
),灌胃7 d后颈动脉采血收集含药血清。各组用2.5,5,10,20%体积分数的含药血清培养液分别刺激RAW264.7细胞系6,12,24 h,采用细胞增殖与活性检测-8(CCK-8)法观察细胞增殖率。体外培养RAW264.7细胞系,分为空白组、模型组、阿托伐他汀组、清心通脉饮低、中、高剂量组。空白组用牛血清白蛋白(BSA)培养细胞,模型组用BSA+ 50 mg·L
-1
ac-LDL刺激细胞24 h,其他组用BSA+ 50 mg·L
-1
ac-LDL+ 10%含药血清刺激细胞24 h。流式细胞技术检测每组RAW264.7细胞系凋亡率和SR-A的表达,蛋白免疫印迹法(Western blot)检测Bcl-2,Bax
IRE1
α
蛋白的表达。
结果:
2
与空白组比较,模型组可显著增加RAW264.7细胞凋亡率(
P
<
0.01),并增加Bax
SR-A蛋白表达(
P
<
0.01),减少Bcl-2蛋白表达(
P
<
0.05)。与模型组比较,清心通脉饮低、中、高剂量组均可降低RAW264.7细胞系凋亡率(
P
<
0.05),减少SR-A和IRE1
α
表达(
P
<
0.05,
P
<
0.01)。清心通脉饮低、高剂量组可降低Bax表达(
P
<
0.05,
P
<
0.01);清心通脉饮中、高剂量组可降低Bcl-2表达(
P
<
0.05)。
结论:
2
清心通脉饮可降低巨噬细胞凋亡率,其治疗动脉粥样硬化机制可能与调控相关凋促亡蛋白Bax
IRE
α
,SR-A和抗凋亡蛋白Bcl-2的表达有关。
Objective:
2
To observe the effect of serum-containing Qingxin Tongmai decoction(QXTMD) on the apoptosis rate of mouse mononuclear macrophage cell line RAW264.7 induced by Acetylated low density lipoprotein (ac-LDL) and the expressions of type A scavenger receptor(SR-A)
B-cell lymphoma-2(Bcl-2)
Bcl-2-associated X protein(Bax)
inositol-requiring enzyme 1
α
(IRE1
α
)
exploring the possible mechanism of QXTMD in the treatment of atherosclerosis.
Method:
2
Eight New Zealand rabbits were randomly divided into the atorvastatin group (2.6 g·kg
-1
) low
medium and high-dose QXTMD groups (3.33
6.66
13.32 mg·kg
-1
). After 7 days of gavage
the carotid blood was collected to prepare drug-containing serum. The RAW264.7 cell line was stimulated with 2.5%
5%
10%
and 20%drug-containing serum culture for 6
12
and 24 h
respectively. The cell proliferation rate was observed by cell counting kit-8 (CCK-8) method. The RAW264.7 cell line was cultured
in vitro
and divided into blank group
model group
atorvastatin group
and low
medium and high-dose QXTMY groups. The cells in blank group were cultured with bovine serum albumin(BSA). The model group was stimulated with BSA+ 50 mg·L
-1
ac-LDL for 24 h. The other groups were stimulated with BSA+ 50 mg·L
-1
ac-LDL+ 10%drug-containing serum for 24 h. The apoptosis rate and SR-A expression of RAW264.7 cells were detected by flow cytometry. The expressions of Bcl-2
Bax and IRE1
α
protein were detected by Western blot.
Result:
2
Compared with the blank group
the model group could increase the apoptosis rate of RAW264.7 cells (
P
<
0.01) and the expressions of Bax and SR-A protein (
P
<
0.01)
but decrease the expression of Bcl-2 protein (
P
<
0.05). Compared with the model group
low
medium and high-dose QXTMD groups could decrease the apoptosis rate of RAW264.7 cell line (
P
<
0.05) and the expressions of SR-A and IRE1
α
(
P
<
0.05
P
<
0.01). The low-dose QXTMD group and the high-dose QXTMD group could decrease the expression of Bax(
P
<
0.05
P
<
0.01). The middle-dose group and the high-dose group could decrease the expression of Bcl-2(
P
<
0.01).
Conclusion:
2
QXTMD can reduce the apoptosis rate of macrophages. The mechanism of atherosclerosis may be related to the expressions of Bax
IRE
α
SR-A and anti-apoptotic protein Bcl-2.
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