干姜黄芩黄连人参汤对2型糖尿病小鼠胰岛β细胞铁死亡相关代谢途径的影响OA
Effects of Ganjiang Huangqin Huanglian Renshen Decoction on ferroptosis-related metabolic pathways in pancreatic β-cells of mice with type 2 diabetes mellitus
目的 探究干姜黄芩黄连人参汤对 2 型糖尿病(T2DM)模型小鼠胰岛 β 细胞铁死亡相关代谢途径的干预作用.方法 首先利用 LC-MS 技术分析干姜黄芩黄连人参汤水煎液的主要成分.然后随机选取10 只雄性 C57BL/6J 小鼠设为空白对照组,给予普通饲料喂养;其余小鼠采用高脂饲料联合链脲佐菌素腹腔注射建立 T2DM 小鼠模型.将造模成功小鼠随机分为模型组、二甲双胍组(0.26 g/(kg·d))以及干姜黄芩黄连人参汤低、高剂量组(4、8 g/(kg·d)),每组 10 只.连续灌胃给药 12 周后,检测口服葡萄糖耐量(OGTT);取材后检测血清空腹胰岛素水平;采用苏木素-伊红(HE)染色镜下观察小鼠胰岛形态;免疫荧光共染检测胰腺组织 β/α 细胞比例及 4-羟壬二酸酯(4HNE)表达;酶联免疫吸附试验测定胰腺组织丙二醛(MDA)、还原型谷胱甘肽(GSH)水平以及超氧化物歧化酶(SOD)活力,试剂盒检测 Fe2+含量;实时荧光定量逆转录 PCR 检测GSH 代谢途径相关分子轻链亚基溶质载体家族 7 成员 11(SLC7A11)、谷胱甘肽过氧化物酶 4(GPX4)和铁代谢途径相关分子铁蛋白重链 1(FTH1)、铁蛋白轻链(FTL)mRNA 表达水平.结果 与空白对照组相比,模型组小鼠 OGTT 水平及血糖曲线下面积升高(P<0.001),稳态模型评估 β 细胞功能指数(HOMA-β)下降(P<0.001);胰岛细胞结构明显萎缩变形,细胞核数量减少、分布不均;胰岛 β/α 细胞比例降低(P<0.001);β 细胞4HNE 表达增加,胰腺组织 MDA 含量升高(P<0.001);SOD 活力、GSH 水平下降(P<0.001),SLC7A11、GPX4 mRNA 表达下调(P<0.001);Fe2+含量增加(P<0.001),FTH1、FTL mRNA 表达下调(P<0.001).与模型组相比,干姜黄芩黄连人参汤高剂量组、二甲双胍组小鼠 OGTT 水平及血糖曲线下面积显著降低(P<0.001,P<0.01),HOMA-β 改善(P<0.001);胰岛形态、数量趋于正常;胰岛 β/α 细胞比例回升(P<0.05);β 细胞 4HNE阳性表达减少,胰腺组织 MDA 水平下降(P<0.001);SOD 活力、GSH 含量增加(P<0.001,P<0.01),SLC7A11、GPX4 mRNA 表达上调(P<0.01,P<0.001);Fe2+水平降低(P<0.001),FTH1、FTL mRNA 表达上调(P<0.001,P<0.01).结论 干姜黄芩黄连人参汤可有效控制 T2DM 小鼠血糖,增加胰岛 β 细胞数量并改善其功能,作用机制可能与调控 β 细胞 GSH 代谢和铁代谢途径、抑制 β 细胞铁死亡有关.
Objective To investigate the effects of Ganjiang Huangqin Huanglian Renshen(JQLS)Decoction on ferroptosis-related metabolic pathways in pancreatic β-cells of a mouse model of type 2 diabetes mellitus(T2DM).Methods The components of JQLS decoction were characterized by liquid chromatography-mass spectrometry.Ten male C57BL/6J mice were randomly assigned to the Control group and fed a normal diet.The remaining mice were fed a high-fat diet and received intraperitoneal injection of streptozotocin to induce T2DM.Successfully modeled mice were randomly assigned to Model,Met(0.26 g/(kg·d)),JQLS-L(4 g/(kg·d))and JQLS-H(8 g/(kg·d))groups(n=10/group).After 12 weeks of intragastric administration,an oral glucose tolerance test was performed and fasting serum insulin levels were measured.Pancreatic islet morphology was evaluated by hematoxylin and eosin staining.The β/α cell ratio and 4-hydroxynonenal(4HNE)expression in islets were assessed by immunofluorescence co-staining.Levels of malondialdehyde(MDA),reduced glutathione(GSH),and superoxide dismutase(SOD)were measured by enzyme-linked immunosorbent assay.Fe2+content was determined using commercial kits.The mRNA expression of GSH metabolism-related molecules solute carrier family 7 member 11(SLC7A11)and glutathione peroxidase 4(GPX4),and iron metabolism-related molecules ferritin heavy chain 1(FTH1)and ferritin light chain(FTL),were quantified by reverse transcription quantitative real-time PCR.Results Compared with Control group,Model group showed:significantly increased blood glucose levels,area under the curve(AUC),4HNE expression in β-cells,MDA levels in pancreatic tissue,and Fe2+content(all P<0.001),together with significantly decreased homeostasis model assessment of β-cells function index(HOMA-β),β/α cell ratio,SOD activity,GSH levels,and downregulated mRNA expression of SLC7A11,GPX4,FTH1,and FTL(all P<0.001).Severe islet atrophy and structural deformation,and reduced,unevenly distributed nuclei were also observed.Compared with Model group,JQLS-H and Met groups significantly reduced blood glucose levels(P<0.001)and AUC(P<0.01),significantly improved HOMA-β(P<0.001),restored islet morphology and the β/α cell ratio(P<0.05),significantly decreased 4HNE expression,MDA levels,and Fe2+content(P<0.001),significantly increased SOD activity(P<0.001),GSH levels(P<0.01),and upregulated mRNA expression of SLC7A11(P<0.01),GPX4(P<0.001),FTH1(P<0.001),and FTL(P<0.01).Conclusions JQLS effectively improved glycemic control and preserved pancreatic β-cells number and function in T2DM mice,possibly by regulating GSH metabolism and iron metabolism pathways,thereby inhibiting β-cells ferroptosis.
殷美琦;周梁;金丽娟;杨洪丽;王东波;宋秀道
南京中医药大学附属苏州市中医医院内分泌科,苏州 215009南京中医药大学附属苏州市中医医院中心实验室,苏州 215009南京中医药大学附属苏州市中医医院内分泌科,苏州 215009南京中医药大学附属苏州市中医医院内分泌科,苏州 215009南京中医药大学附属苏州市中医医院中医药科技转化中心,苏州 215009南京中医药大学附属苏州市中医医院中医药科技转化中心,苏州 215009
医药卫生
干姜黄芩黄连人参汤2型糖尿病β细胞铁死亡
Ganjiang Huangqin Huanglian Renshen Decoctiontype 2 diabetes mellitusβ-cellsferroptosis
《中国比较医学杂志》 2026 (18)
13-23,11
国家自然科学基金(82305088,82574955)江苏省卫生健康委医学科研项目(M2024049)苏州市卫生青年骨干人才"全国导师制"培训项目(Qngg2025026).
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