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1.南京中医药大学,南京 210023;
2.南京中医药大学 附属医院,南京 210029
刘飞祥,博士,从事中药复方的药效机制及配伍规律研究,E-mail:1353336582@qq.com
樊巧玲,博士,教授,从事中药复方的药效机制及配伍规律研究,E-mail:fjxfql@163.com;
谭峰,博士,讲师,从事中药复方的药效机制及配伍规律研究,E-mail:ver-1978@163.com
收稿日期:2018-12-23,
网络出版日期:2019-04-19,
纸质出版日期:2019-09-20
移动端阅览
刘飞祥, 林子璇, 徐道明, 等. 左归丸调节
Fei-xiang LIU, Zi-xuan LIN, Dao-ming XU, et al. Effect of Zuoguiwan in Improving BMD and Trabecular Bone Microarchitecture in Ovariectomy-induced Osteoporosis Rats by Regulating RANKL/OPG Pathway Mediated by β2AR[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(18): 1-8.
刘飞祥, 林子璇, 徐道明, 等. 左归丸调节
Fei-xiang LIU, Zi-xuan LIN, Dao-ming XU, et al. Effect of Zuoguiwan in Improving BMD and Trabecular Bone Microarchitecture in Ovariectomy-induced Osteoporosis Rats by Regulating RANKL/OPG Pathway Mediated by β2AR[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(18): 1-8. DOI: 10.13422/j.cnki.syfjx.20191524.
目的:
2
探讨左归丸治疗绝经后骨质疏松症的分子机制之一是通过对
β
2
-肾上腺素能受体(
β
2
AR)介导的核转录因子-
κ
B受体激活因子配体(RANKL)/骨保护素(OPG)信号通路的调节。
方法:
2
通过去卵巢法建立骨质疏松模型,将40只雌性SPF级SD大鼠随机分为模型组、假手术组、雌二醇(50 μg·kg
-1
·d
-1
)组、左归丸低、高剂量(2.3,4.6 g·kg
-1
)组。采用酶联免疫吸附实验检测血清骨转换标志物;显微CT对右侧股骨远端骨密度水平和骨小梁微结构进行测量和分析;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)检测胫骨和下丘脑组织中
β
2
AR,OPG,RANK mRNA和蛋白表达水平。
结果:
2
与模型组比较,左归丸可显著降低大鼠血清中Ⅰ型胶原交联羧基端肽(
β
-CTX)水平(
P
<
0.01),增加骨特异性碱性磷酸酶(BALP)水平(
P
<
0.01),减少卵巢摘除诱导引起的大鼠骨量丢失,改善股骨远端骨小梁显微结构水平。同时,左归丸高、低剂量组均能显著上调胫骨组织中OPG mRNA和蛋白表达(
P
<
0.01),下调下丘脑组织
β
2
AR mRNA和蛋白表达水平(
P
<
0.01),同时也能显著下调胫骨组织中RANKL mRNA和蛋白表达水平(
P
<
0.01)。
结论:
2
左归丸改善围绝经期综合症,增加骨量和改善骨小梁显微结构水平的分子机制可能与对
β
2
AR介导的RANKL/OPG信号通路的调节有关。
Objective:
2
To investigate the mechanism of Zuoguiwan in treating ovariectomy-induced osteoporosis rats by receptor activator of nuclear factor kappa-B ligand (RANKL)/osteoprotegerin (OPG) signaling pathway mediated by
β
2
-adrenergic receptor (
β
2
AR).
Method:
2
Forty Sprague-Dawley female rats were randomly divided into Sham-operated group (Sham) and four ovariectomized (OVX) subgroups. Rats in Sham and OVX groups were treated with 17
β
-estradiol (50 μg·kg
-1
·d
-1
)
and low and high-dose ZGW (2.3
4.6 g·kg
-1
lyophilized powder) for 3 months
respectively. Enzyme-linked immunosorbent assay (ELISA) was used to measure the serum markers of bone turnover. Micro-CT was used to evaluate and measure trabecular bone microarchitecture and bone mineral density (BMD) of the right distal femur. Western blot analysis and Real-time PCR were used to measure mRNA and protein expressions of
β
2
AR
OPG and RANKL.
Result:
2
After 12 weeks of treatment with Zuoguiwan
the level of serum
β
-cross-linked c-telopeptide of type Ι collagen (
β
-CTX) (
P
<
0.01) was lower
while the level of serum bone-specific alkaline phosphatase (BALP) was higher (
P
<
0.01) than those in the OVX group. Moreover
it could prevent the OVX-induced bone loss
and alleviate the trabecular bone microarchitecture of distal femur. Furthermore
Zuoguiwan could up-regulate the mRNA and protein expressions of OPG in tibia of the Zuoguiwan groups(
P
<
0.01)
reduce the mRNA and protein expressions of
β
2
AR in the hypothalamus (
P
<
0.01)
and down-regulated the mRNA and protein expressions of RANKL (
P
<
0.05) in the tibia
compared with those in the OVX group.
Conclusion:
2
The mechanism of Zuoguiwan in alleviating BMD and trabecular bone microarchitecture in ovariectomy-induced osteoporosis rats might be related to the regulation of RANKL/OPG Pathway mediated by
β
2
AR.
Kendler D L , Geusens P , Zerbini C A F , et al . Teriparatide vs risedronate for osteoporosis-Authors' reply [J]. Lancet , 2018 , 391 ( 10133 ): 1896 .
Hernlund E , Svedbom A , Ivergård M , et al . Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA) [J]. Arch Osteoporos , 2013 , 8 : 136 .
Reid I R . Efficacy, effectiveness and side effects of medications used to prevent fractures [J]. J Intern Med , 2015 , 277 ( 6 ): 690 - 706 .
Voss P J , Steybe D , Poxleitner P , et al . Osteonecrosis of the jaw in patients transitioning from bisphosphonates to denosumab treatment for osteoporosis [J]. Odontology , 2018 , 6 ( 4 ): 469 - 480 .
张景岳 . 景岳全书 [M]. 李继明 , 王大淳 整理. 北京 : 中国中医药出版社 , 2011 : 1283 - 1284 .
王如然 , 鞠大宏 , 黄胜男 , 等 . 左归丸治疗2型糖尿病合并骨质疏松肾阴虚证30例临床观察 [J]. 中国中医基础医学杂志 , 2014 , 20 ( 2 ): 259 - 261 .
童伟伟 . 基于补肾益癸理论探讨左归丸防治PMOP的疗效机制 [D]. 南京 : 南京中医药大学 , 2018 .
余新莲 . 左归丸合下瘀血汤治疗原发性骨质疏松症(肾虚血瘀型)临床疗效观察 [J]. 中医临床研究 , 2016 , 8 ( 33 ): 10 - 11 .
魏志敏 . 左归丸加减联合钙剂治疗肝肾阴虚型骨质疏松症近期临床疗效分析 [D]. 成都 : 成都中医药大学 , 2015 .
谭峰 , 樊巧玲 , 卞玉群 , 等 . 左、右归丸对去卵巢骨质疏松症大鼠模型骨密度及骨代谢的影响 [J]. 中国实验方剂学杂志 , 2015 , 21 ( 9 ): 137 - 140 .
LIU F , TAN F , TONG W , et al . Effect of Zuoguiwan on osteoporosis in ovariectomized rats through RANKL/OPG pathway mediated by β2AR [J]. Biomed Pharmacoth , 2018 , 103 : 1052 - 1060 .
吴佳莹 , 李岳泽 , 刘红 , 等 . “肾主骨”机理研究—左归丸对Hepcidin、Fpn1及OPG/RANKL mRNA表达的影响 [J]. 中国中医基础医学杂志 , 2017 , 23 ( 11 ): 1548 - 1551 .
JIANG H , WU Y , Valverde P , et al . Central adiponectin induces trabecular bone mass partly through epigenetic downregulation of cannabinoid receptor CB1 [J]. J Cell Physiol , 2019 , 234 ( 5 ): 7062 - 7069 .
Clément-Demange L , Mulcrone P L , Tabarestani T Q , et al . β2ARs stimulation in osteoblasts promotes breast cancer cell adhesion to bone marrow endothelial cells in an IL-1β and selectin-dependent manner [J]. J Bone Oncol , 2018 , 13 : 1 - 10 .
Elefteriou F , Ahn J D , Takeda S , et al . Leptin regulation of bone resorption by the sympathetic nervous system and CART [J]. Nature , 2005 , 434 ( 7032 ): 514 - 520 .
Noh H , YU M R , Kim H J , et al . Beta 2-adrenergic receptor agonists are novel regulators of macrophage activation in diabetic renal and cardiovascular complications [J]. Kidney Int , 2017 , 92 ( 1 ): 101 - 113 .
MA Y , Nyman J S , TAO H , et al . β2-Adrenergic receptor signaling in osteoblasts contributes to the catabolic effect of glucocorticoids on bone [J]. Endocrinology , 2011 , 152 ( 4 ): 1412 - 1422 .
Mohammadpour H , O'Neil R , QIU J , et al . Blockade of host β2-adrenergic receptor enhances graft-versus-tumor effect through modulating APCs [J]. J Immunol , 2018 , 200 ( 7 ): 2479 - 2488 .
Lee H , Choue R , Lim H . Effect of soy isoflavones supplement on climacteric symptoms, bone biomarkers, and quality of life in Korean postmenopausal women: a randomized clinical trial [J]. Nutr Res Pract , 2017 , 11 ( 3 ): 223 - 231 .
梁文娜 , 李冠慧 , 林雪娟 , 等 . 二至丸调节Sirt1/Runx2信号通路抑制绝经后骨质疏松症肾阴虚证骨代谢失衡的机制探讨 [J]. 中华中医药杂志 , 2018 , 33 ( 7 ): 2767 - 2769 .
Johnston B D , Ward W E . The ovariectomized rat as a model for studying alveolar bone loss in postmenopausal women [J]. Biomed Res Int , 2015 , 2015 : 635023 .
Parfitt A M , Drezner M K , Glorieux F H , et al . Bone histomorphometry: standardization of nomenclature, symbols, and units. Report of the ASBMR Histomorphometry Nomenclature Committee [J]. J Bone Miner Res , 2009 , 2 ( 6 ): 595 - 610 .
Fu P , Gibson C J , Mendes W B , et al . Anxiety, depressive symptoms, and cardiac autonomic function in perimenopausal and postmenopausal women with hot flashes: a brief report [J]. Menopause , 2018 , 25 ( 12 ): 1470 - 1475 .
Kruse N T , Hughes W E , Hanada S , et al . Evidence of a greater functional sympatholysis in habitually aerobic trained postmenopausal women [J]. J Appl Physiol , 2018 , 124 ( 3 ): 583 - 591 .
Judex S , Pongkitwitoon S . Differential efficacy of 2 vibrating orthodontic devices to alter the cellular response in osteoblasts, fibroblasts, and osteoclasts [J]. Dose Response , 2018 , 16 ( 3 ): 1559325818792112 .
Akbari Moghaddam Kakhki R , LU Z , Thanabalan A , et al . Eimeria challenge adversely affected long bone attributes linked to increased resorption in 14-day-old broiler chickens [J]. Poult Sci , 2019 , 98 ( 4 ): 1615 - 1621 .
ZHANG K , LI B , CHEN Q , et al . Functional calcium binding peptides from pacific cod (gadus macrocephalus) bone: calcium bioavailability enhancing activity and anti-osteoporosis effects in the ovariectomy-induced osteoporosis rat model [J]. Nutrients , 2018 , 10 ( 9 ): 1325 .
Szulc P , Naylor K , Hoyle N R , et al . Use of CTX-I and PINP as bone turnover markers: National Bone Health Alliance recommendations to standardize sample handling and patient preparation to reduce pre-analytical variability [J]. Osteoporos Int , 2017 , 28 ( 9 ): 2541 - 2556 .
Kanis J A , Cooper C , Rizzoli R , et al . Review of the guideline of the American College of Physicians on the treatment of osteoporosis [J]. Osteoporos Int , 2018 , 29 ( 7 ): 1505 - 1510 .
Hauk L . Treatment of low BMD and osteoporosis to prevent fractures: updated guideline from the ACP [J]. Am Fam Physician , 2018 , 97 ( 5 ): 352 - 353 .
Hanson N A , Bagi C M . Alternative approach to assessment of bone quality using micro-computed tomography [J]. Bone , 2004 , 35 ( 1 ): 326 - 333 .
Costa C , Eixarch H , Martínez-Sáez E , et al . Expression of bone morphogenetic proteins in multiple sclerosis lesions [J]. Am J Pathol , 2018 , 189 ( 3 ): 665 - 676 .
Mulcrone P L , Campbell J P , Clément-Demange L , et al . Skeletal colonization by breast cancer cells is stimulated by an osteoblast and β2AR-dependent neo-angiogenic switch [J]. J Bone Miner Res , 2017 , 32 ( 7 ): 1442 - 1454 .
尚德阳 , 邓洋洋 , 孙鑫 , 等 . 补肾中药对肾虚骨质疏松症大鼠骨、肾、下丘脑组织中Smurf1/Smurf2的mRNA表达影响 [J]. 中华中医药杂志 , 2015 , 30 ( 10 ): 3629 - 3633 .
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