清肠消澼饮调控FXR信号通路修复肠上皮屏障治疗溃疡性结肠炎小鼠的作用机制OA
Mechanism of Qingchang Xiaopi Yin in Repairing the Intestinal Epithelial Barrier and Treating Ulcerative Colitis in Mice by Regulating the FXR Signaling Pathway
目的 探讨清肠消澼饮调控法尼酯X受体(FXR)信号通路修复肠上皮屏障治疗溃疡性结肠炎小鼠的作用机制.方法 将 40 只C57BL/6 小鼠随机分为 4 组,分别为正常组、模型组、清肠消澼饮组和美沙拉秦组,每组 10 只.将 20 只FXR基因敲除(FXR-/-)C57BL/6 小鼠随机分为 3 组,分别为FXR-/-正常组(6 只)、FXR-/-模型组(7 只)及FXR-/-清肠消澼饮组(7 只).采用 3%葡聚糖硫酸钠(DSS)连续 7 d自由饮用诱导溃疡性结肠炎小鼠模型;造模同时,清肠消澼饮组或FXR-/-清肠消澼饮组小鼠每日给予 14.71 g·kg-1 清肠消澼饮溶液灌肠;美沙拉秦组小鼠每天给予 1 g·kg-1 美沙拉秦混悬液灌肠;各组按照 10 mL·kg-1 体积给药,连续干预 10 d.通过结肠组织转录组学分析筛选差异表达基因,对差异表达基因进行GO功能富集分析及KEGG通路富集分析;采用免疫组化法检测结肠组织FXR蛋白表达;qRT-PCR法检测结肠组织FXR、IBABP、ABST、TNF-α、IL-1β、IL-6、ZO-1、Occludin、Claudin1 mRNA表达水平;阿尔新蓝-核固红染色法检测结肠组织黏蛋白的表达水平;免疫荧光法检测结肠组织紧密连接蛋白表达水平;HE染色法观察结肠组织病理变化;16S rDNA测序分析肠道菌群组成;靶向代谢组学检测盲肠内容物中胆汁酸代谢物的含量.结果 (1)模型组vs.清肠消澼饮组共有 95 个差异表达基因,其中 70 个上调,25 个下调;主要涉及胆固醇代谢、初级胆汁酸合成、聚焦黏附和胆汁酸的分泌等通路,主要基因靶点FXR(Nr1h4)与CyP7a1 关系紧密;生物学过程主要与免疫炎症反应和胆汁酸代谢相关.(2)与正常组比较,模型组小鼠结肠组织中FXR蛋白表达及FXR、IBABP mRNA表达显著下调(P<0.05,P<0.01),TNF-α、IL-1β、IL-6 mRNA表达显著上调(P<0.01),黏蛋白表达水平显著下降(P<0.01),紧密连接蛋白ZO-1、Occludin表达显著下调(P<0.01),ZO-1、Occludin、Claudin1 mRNA表达水平显著降低(P<0.01).与模型组比较,清肠消澼饮组小鼠结肠组织中FXR蛋白及FXR、IBABP、ABST mRNA表达显著上调(P<0.05,P<0.01),TNF-α、IL-1β、IL-6 mRNA表达显著下调(P<0.01),黏蛋白表达水平显著升高(P<0.01),紧密连接蛋白ZO-1、Occludin表达显著上调(P<0.05,P<0.01),ZO-1、Occludin、Claudin1 mRNA表达水平显著升高(P<0.01).(3)与FXR-/-正常组比较,FXR-/-模型组小鼠的体质量显著降低(P<0.01),结肠长度显著缩短(P<0.01),DAI评分及结肠组织病理评分显著升高(P<0.01),FXR蛋白表达显著下调(P<0.01);结肠组织的黏蛋白及紧密连接蛋白ZO-1、Occludin表达均显著下调(P<0.01);肠道菌群的α多样性指数(Sobs、Shannon、Simpson、Chao1、Ace、Pielou)显著降低(P<0.05,P<0.01),主坐标分析图显示两组出现明显分离;Lactobacillus、Mammaliicoccus、Limosilactobacillus、Adlercreutzia、Blautia相对丰度显著降低(P<0.01),Bacteroides相对丰度显著升高(P<0.01);盲肠内容物中初级与次级胆汁酸的比例及CA、CDCA水平有升高趋势(P>0.05),β-UDCA水平明显升高(P<0.05),LCA、UCA、7-ketoLCA、DCA水平显著降低(P<0.01).与FXR-/-模型组比较,FXR-/-清肠消澼饮组的上述指标均无明显变化,差异无统计学意义(P>0.05),FXR基因敲除可能逆转了清肠消澼饮对DSS诱导的溃疡性结肠炎小鼠的治疗作用.结论 清肠消澼饮可通过恢复肠道菌群稳态、调控胆汁酸代谢、增强肠上皮屏障完整性和抑制炎症反应发挥对DSS诱导的溃疡性结肠炎小鼠的保护作用,其作用机制与激活FXR信号通路密切相关.
Objective To investigate the mechanism by which Qingchang Xiaopi Yin(QXY)repairs the intestinal epithelial barrier and treats ulcerative colitis(UC)in mice through modulating the farnesoid X receptor(FXR)signaling pathway.Methods Forty C57BL/6 mice were randomly assigned to four groups:normal group,model group,QXY group,and mesalazine group,with 10 mice in each group.Twenty FXR knockout(FXR-/-)C57BL/6 mice were randomly divided into three groups:an FXR-/-normal group(n=6),an FXR-/-model group(n=7),and an FXR-/-QXY group(n=7).The UC model was induced by administering 3%dextran sulfate sodium(DSS)in drinking water ad libitum for 7 consecutive days.Concurrently,mice in the QXY group and FXR-/-QXY group received daily rectal enemas of QXY solution(14.71 g·kg-1),and the mesalazine group received daily rectal enemas of mesalazine suspension(1 g·kg-1).All groups were treated at a volume of 10 mL·kg-1 for 10 consecutive days.Differentially expressed genes(DEGs)were identified by transcriptomic analysis of colon tissue and subjected to GO functional enrichment and KEGG pathway enrichment analyses.FXR protein expression was detected by immunohistochemistry.The mRNA expression levels of FXR,IBABP,ASBT,TNF-α,IL-1β,IL-6,ZO-1,Occludin,and Claudin1 were measured by qRT-PCR.Mucin expression was assessed by Alcian blue-nuclear fast red staining,and tight junction protein expression was detected by immunofluorescence.Histopathological changes were observed by HE staining.The gut microbiota composition was analyzed by 16S rDNA sequencing,and the levels of bile acid metabolites in cecal contents were measured by targeted metabolomics.Results(1)A total of 95 DEGs(70 upregulated and 25 downregulated)were identified between the model group and the QXY group.These DEGs were mainly enriched in cholesterol metabolism,primary bile acid biosynthesis,focal adhesion,and bile secretion pathways,with a close association between the key gene targets FXR(Nr1h4)and CyP7a1.The biological processes involved were predominantly related to immune-inflammatory responses and bile acid metabolism.(2)Compared with the normal group,the model group showed significantly decreased protein expression of FXR and mRNA expression of FXR and IBABP(P<0.05,P<0.01),significantly increased mRNA expression of TNF-α,IL-1β,and IL-6(P<0.01),significantly reduced mucin expression(P<0.01),significantly downregulated protein expression of tight junction proteins ZO-1 and Occludin(P<0.01),and significantly decreased mRNA expression of ZO-1,Occludin,and Claudin1(P<0.01)in colon tissue.Compared with the model group,the QXY group exhibited significantly upregulated protein expression of FXR and mRNA expression of FXR,IBABP,and ASBT(P<0.05,P<0.01),significantly downregulated mRNA expression of TNF-α,IL-1β,and IL-6(P<0.01),significantly increased mucin expression(P<0.01),significantly enhanced protein expression of ZO-1 and Occludin(P<0.05,P<0.01),and significantly elevated mRNA expression of ZO-1,Occludin,and Claudin1(P<0.01)in colon tissue.(3)In the FXR-/-mouse experiments,compared with the FXR-/-normal group,the FXR-/-model group demonstrated a significant decrease in body weight(P<0.01),significant shortening of colon length(P<0.01),significant increases in the disease activity index(DAI)and histopathological scores(P<0.01),markedly downregulated FXR protein expression(P<0.01),significantly reduced expression of mucin and tight junction proteins ZO-1 and Occludin(P<0.01),significantly decreased alpha diversity indices(Sobs,Shannon,Simpson,Chao1,Ace,and Pielou)of the gut microbiota(P<0.05,P<0.01),a clear separation in the principal coordinate analysis plot,significantly decreased relative abundances of Lactobacillus,Mammaliicoccus,Limosilactobacillus,Adlercreutzia and Blautia(P<0.01),significantly increased relative abundance of Bacteroides(P<0.01),an increasing trend in the ratio of primary to secondary bile acids and in the levels of CA and CDCA in the cecal contents(P>0.05),a significantly increased β-UDCA level(P<0.05),and significantly decreased levels of LCA,UCA,7-ketoLCA,and DCA(P<0.01).Compared with the FXR-/-model group,none of these indices in the FXR-/-QXY group were significantly altered(P>0.05),indicating that FXR knockout may abolish the therapeutic effect of QXY on DSS-induced UC in mice.Conclusion QXY exerts a protective effect against DSS-induced ulcerative colitis in mice by restoring gut microbiota homeostasis,modulating bile acid metabolism,enhancing intestinal epithelial barrier integrity,and suppressing inflammatory responses.This mechanism is intimately associated with the activation of the FXR signaling pathway.
潘思敏;冯艳;李际强;张北平;刘添文;万山笛;谭钊琦;霍婉华;孔云琪;吴苑;王秋月;秦书敏;黄绍刚
广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510006广州中医药大学第二临床医学院,广东 广州 510006||广州中医药大学第二附属医院/广东省中医院,广东 广州 510120广州中医药大学第一附属医院,广东 广州 510405
医药卫生
清肠消澼饮溃疡性结肠炎肠道菌群肠道屏障胆汁酸代谢FXR信号通路小鼠
Qingchang Xiaopi Yinulcerative colitisgut microbiotaintestinal barrierbile acid metabolismFXR signaling pathwaymice
《中药新药与临床药理》 2026 (8)
1393-1406,14
国家自然科学基金面上项目(82174126)国家自然科学基金专项项目(82341231)广州市科技计划-市校(院)联合资助基础与应用基础研究项目(2023A03J0738,202201020288)广州地区中医药重大科技项目(2025QN011).
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