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益气健脾中药复方对糖尿病胃轻瘫大鼠Ghrelin的影响OA

Effect of Yiqi Jianpi TCM Compound on Ghrelin in Diabetic Gastroparesis Rats

中文摘要英文摘要

目的 通过对糖尿病胃轻瘫(diabetic gastroparesis,DGP)大鼠胃窦组织Ghrelin与其受体GHSR的研究,探讨益气健脾中药复方影响DGP大鼠胃肠动力的可能机制.方法 采用腹部注射链脲佐菌素配合高脂高糖不规则喂养法制备DGP模型,建模成功后,将DGP模型大鼠随机分为西药组(多潘立酮组)、中药组(益气健脾中药复方组)和模型组,另设6只健康SD大鼠为空白对照组.灌胃给药治疗6周后,测定各组大鼠胃排空率与小肠推进率.HE染色观察胃窦组织病理改变,免疫组化法测定胃窦组织Ghrelin表达,Western blot法测定Ghrelin、GHSR蛋白的表达.结果 与空白组比较,模型组大鼠空腹血糖升高,胃排空率及小肠推进率显著减慢(P<0.01),胃窦组织Ghrelin与GHSR蛋白表达降低(P<0.01),HE染色胃窦组织黏膜层可见组织排列稀疏紊乱,不齐,腺体明显减少.与模型组比较,中药组大鼠空腹血糖水平明显降低,差异有统计学意义(P<0.05);中药组与西药组胃排空率及小肠推进率均显著加快(P<0.05);HE染色显示中药组与西药组均不同程度改善大鼠胃窦组织病理状态;中药组与西药组胃窦组织Ghrelin、GHSR蛋白表达升高(P<0.05).与西药组比较,中药组Ghrelin、GHSR蛋白表达升高(P<0.05).结论 益气健脾中药复方可改善DGP大鼠一般状态,降低DGP大鼠空腹血糖,提高DGP大鼠胃排空率、小肠推进率,改善大鼠胃肠动力不足,其作用机制可能与促进Ghrelin及GHSR蛋白表达有关.

Objective Through the study of Ghrelin and its receptor GHSR in the gastric antrum tissue of DGP rats,to expore the the possibile mechanism on gastrointestinal motility in diabetic gastroparesis(DGP)rats.Methods The DGP rats were prepared by intraperitoneal injection of streptozotocin in combination with an irregular feeding method using a high-fat and high-sugar diet.After the successful establishment of the DGP model,the DGP rats were randomly divided into a Western medicine group(domperidone group),a traditional Chinese medicine group(Yiqi Jianpi TCM compound group),and a model group.In addition,six healthy Sprague-Dawley(SD)rats were set as the blank control group.After six weeks of gavage administration for treatment,the gastric emptying rate and small intestine propulsion rate of the rats in each group were determined.To observe the pathological changes of the gastric antrum tissue through HE staining.And determin the expression of Ghrelin,and measuring the expressions of Ghrelin and GHSR proteins by Western Blot(WB).Results Compared with the blank group,the fasting blood glucose of the rats in the model group increased(P<0.01),and the gastric emptying rate and small intestine propulsion rate were significantly slowed down(P<0.01).Through HE staining,in the mucosal layer of the gastric antrum tissue,the tissue arrangement was observed to be sparse,disordered and irregular,and the number of glands was significantly reduced.Compared with the model group:Compared with the model group,the fasting blood glucose level of the rats in the traditional Chinese medicine group was significantly decreased,and the difference was statistically significant(P<0.05).The gastric emptying rate and small intestine propulsion rate of the rats in both the traditional Chinese medicine group and the Western medicine group were significantly increased compared with those in the model group(P<0.05).HE staining showed that both the traditional Chinese medicine group and the Western medicine group improved the pathological state of the rat gastric antrum tissue to varying degrees.The expressions of Ghrelin and GHSR proteins in the gastric antrum tissue of the traditional Chinese medicine group and the Western medicine group increased compared with those in the model group(P<0.05).Compared with the Western medicine group:The expressions of Ghrelin and GHSR proteins in the traditional Chinese medicine group were increased compared with those in the Western medicine group(P<0.05).Conclusion The mechanism by which Yiqi Jianpi TCM compound and strengthens the spleen improves the general condition of DGP rats,reduces their fasting blood glucose,increases their gastric emptying rate and small intestine propulsion rate,and relieves their gastrointestinal motility disorder may be related to promoting the expressions of Gherelin and GHSR proteins.

郑玲彤;付晓;李春雨

锦州医科大学附属第一医院,辽宁 锦州 121000||唐山市丰南区中医医院,河北 唐山 063300锦州医科大学附属第一医院,辽宁 锦州 121000锦州医科大学附属第一医院,辽宁 锦州 121000

医药卫生

糖尿病胃轻瘫益气健脾中药复方GhrelinGHSR

diabetic gastroparesisYiqi Jianpi traditional Chinese medicine compoundGhrelinGHSR

《辽宁中医药大学学报》 2026 (2)

33-38,6

国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)辽宁省自然科学基金项目(2019-ZD-0809)

10.13194/j.issn.1673-842X.2026.02.006

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