葛根素调控氧化应激与炎症反应改善小鼠脂肪性肝病OA
Puerarin Ameliorated Metabolic-Associated Fatty Liver in Mice by Improving Oxidative Stress and Inflammation
目的 探究葛根素对代谢相关脂肪性肝病(MAFLD)模型小鼠的干预作用及机制.方法 42只C57BL/6J小鼠按照随机数字表法分为正常对照组、模型组、葛根素低、中、高剂量组(75、150、300 mg/kg)、二甲双胍组(300 mg/kg),每组7只.高脂喂养12周构建MAFLD模型,随后各组小鼠予相应的药物灌胃干预4周.干预结束摘除小鼠眼球收集血清样本,脱颈椎处死后留取肝脏,记录肝重并计算肝脏指数;酶联免疫吸附法(ELISA)检测各组小鼠血清丙氨酸氨基转氨酶(ALT)、天门冬氨酸氨基转氨酶(AST)、甘油三酯(TG)、总胆固醇(TC)水平以及肝脏丙二醛(MDA)和超氧化物歧化酶(SOD)水平;苏木素-伊红(HE)、油红O染色观察肝脏组织病理学变化;实时荧光定量PCR(RT-qPCR)法检测肝脏组织白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)mRNA水平;Western Blot法检测肝脏组织腺苷酸活化蛋白激酶(AMPK)、p-AMPK、核因子E2相关因子2(Nrf2)、血红素氧合酶1(HO-1)、核因子κB(NF-κB)、p-NF-κB蛋白水平.结果 与正常对照组比较,模型组小鼠体重、肝重增加,肝脏指数升高(P<0.01);肝脏脂肪变性显著,炎性细胞浸润增加;血清TC、TG、ALT及AST水平显著升高(P<0.01);肝脏组织MDA水平、IL-6、TNF-α mRNA水平升高,SOD水平下降(P<0.01);肝脏组织p-AMPK、Nrf2、HO-1蛋白表达降低,p-NF-κB蛋白水平升高(P<0.05,P<0.01).与模型组比较,各干预组小鼠体重、肝重减轻,肝脏指数降低(P<0.05,P<0.01);肝脏组织脂肪变性改善,炎性细胞浸润减少;血清TC、TG水平下降(P<0.05,P<0.01),肝脏HO-1蛋白表达增加(P<0.05,P<0.01);除葛根素低剂量组外,其余干预组血清ALT水平下降、肝脏MDA水平下降、SOD水平升高(P<0.05,P<0.01);葛根素中剂量及二甲双胍组小鼠血清AST水平降低(P<0.01),肝脏IL-6、TNF-α mRNA表达下降(P<0.05,P<0.01),肝脏 p-AMPK、Nrf2 蛋白水平升高、p-NF-κB 蛋白水平降低(P<0.05,P<0.01),葛根素低、高剂量组小鼠上述指标有改善,但差异无统计学意义(P>0.05).结论 葛根素可改善MAFLD小鼠肝脏脂质沉积、增强肝细胞抗氧化能力,减轻肝脏炎症,可能与调控肝脏AMPK/Nrf2/NF-κB通路有关.
Objective To study the therapeutic effects of puerarin against metabolic-associated fatty liver disease(MAFLD)and the related underlying mechanism.Methods Forty-two C57BL/6J mice were randomly divided into six groups,i.e.,normal control group,model group,low-dose puerarin group(75 mg/kg),medium-dose puerarin group(150 mg/kg),and high-dose puerarin group(300 mg/kg),and metformin group(300 mg/kg)using random number table,7 in each group.To construct MAFLD models,mice were fed by high fat diet for 12 weeks,and mice received corresponding drugs by gastrogavage for 4 successive weeks.By the end of the intervention,the serum sample was collected from the mice eyeballs.Then mice were sacrificed by cervical dislocation,and livers were dissected,weighed to calculate the liver index.Serum concentrations of alanine aminotransferase(ALT),aspartate aminotransferase(AST),triglycerides(TG),and total cholesterol(TC),as well as hepatic levels of malondialdehyde(MDA)and superoxide dismutase(SOD),were quantified using enzyme-linked immunosorbent assay(ELISA).Pathological changes of the liver tissue were examined by Hematoxylin-Eosin(HE)staining.mRNA levels of interleukin-6(IL-6)and tumor necrosis factor-alpha(TNF-α)in the liver tissue were measured by RT-qPCR.Protein levels of AMP-activated protein kinase(AMPK),p-AMPK,nuclear factor erythroid 2 related factor 2(Nrf2),heme oxygenase-1(HO-1),nuclear factor Kappa B(NF-κB),p-NF-κ B were measured by Western Blot.Results Compared with the normal control group,mice in the model group had higher body/liver weight and liver index(P<0.01).Significant hepatic steatosis and increased inflammatory cell infiltration occurred in the model group.Additionally,serum concentrations of TC,TG,ALT,and AST significantly increased(P<0.01).MDA levels in the liver and mRNA levels of IL-6 and TNF-αincreased,while SOD levels decreased(P<0.01).In the model group,p-AMPK,Nrf2,and HO-1 protein expressions significantly decreased,whereas p-NF-κB protein expression significantly increased(P<0.05,P<0.01).Compared with the model group,the body weight,liver weight,and liver index of mice in all intervention groups significantly decreased(P<0.05,P<0.01).Hepatic steatosis were improvd and inflammatory cell infiltration decreased,serum TC and TG levels decreased(P<0.05,P<0.01),HO-1 protein expression increased in all the intervention groups(P<0.05,P<0.01).Except for the low-dose puerarin group,decreased serum ALT levels and liver MDA levels,and increased SOD levels occurred in the other intervention groups(P<0.05,P<0.01).Decreased serum AST level occurred in medium-dose puerarin group and metformin group(P<0.01).Decreased mRNA expression levels of IL-6 and TNF-αoccurred in liver(P<0.05,P<0.01).Increased liver protein levels of p-AMPK and Nrf2,and decreased p-NF-κB protein level occurred as well(P<0.05,P<0.01).The above-mentioned indices showed some improvement in the low-dose and high-dose puerarin groups,but with nostatistical differences(P>0.05).Conclusion Puerarin significantly ameliorated liver lipid deposition,enhanced liver anti-oxidative capabilities,and attenuated hepatic inflammation in MAFLD model mice,which might be related to regulating AMPK/Nrf2/NF-κB signaling pathways.
韩诗雨;田静;韩煦;陈清光;龚凡;陆灏
上海中医药大学附属曙光医院糖尿病研究所(上海 201203)上海中医药大学附属曙光医院糖尿病研究所(上海 201203)||上海中医药大学附属曙光医院内分泌科(上海 201203)上海中医药大学附属曙光医院糖尿病研究所(上海 201203)||上海中医药大学附属曙光医院内分泌科(上海 201203)上海中医药大学附属曙光医院糖尿病研究所(上海 201203)||上海中医药大学附属曙光医院内分泌科(上海 201203)上海中医药大学附属曙光医院内分泌科(上海 201203)上海中医药大学附属曙光医院糖尿病研究所(上海 201203)||上海中医药大学附属曙光医院内分泌科(上海 201203)
葛根素代谢相关脂肪性肝病氧化应激炎症腺苷酸活化蛋白激酶核因子E2相关因子2核因子κB中药提取物
puerarinmetabolic associated fatty liver diseaseoxidative stressinflammationAMP-activated protein kinasenuclear factor erythroid 2-related factor 2nuclear factor-κappa BChinese herbal extract
《中国中西医结合杂志》 2026 (2)
192-199,8
国家自然科学基金资助项目(No.82074381,No.82104786)上海市中医临床重点实验室项目(No.20DZ2272200)上海市卫生健康委员会中医药科研项目(No.2022QN092)
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