1.上海中医药大学附属曙光医院宝山分院,上海市宝山区中西医结合医院(上海 201999)
赵燕婷,女,在读硕士生,住院医师,主要从事中医药防治糖脂代谢性疾病的基础与临床研究
曹翼,主治医师;E-mail:sscao1981@163.com
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赵燕婷, 舒祥兵, 杨志新, 等. 护肝宁片对非酒精性脂肪性肝病小鼠肠黏膜机械屏障功能的影响[J]. 上海中医药大学学报, 2021,35(6):58-65.
ZHAO Yanting, SHU Xiangbing, YANG Zhixin, et al. Effects of Huganning Tablets on intestinal mucosal mechanical barrier function in mice with non-alcoholic fatty liver disease[J]. Academic Journal of Shanghai University of Traditional Chinese Medicine, 2021,35(6):58-65.
赵燕婷, 舒祥兵, 杨志新, 等. 护肝宁片对非酒精性脂肪性肝病小鼠肠黏膜机械屏障功能的影响[J]. 上海中医药大学学报, 2021,35(6):58-65. DOI: 10.16306/j.1008-861x.2021.06.009.
ZHAO Yanting, SHU Xiangbing, YANG Zhixin, et al. Effects of Huganning Tablets on intestinal mucosal mechanical barrier function in mice with non-alcoholic fatty liver disease[J]. Academic Journal of Shanghai University of Traditional Chinese Medicine, 2021,35(6):58-65. DOI: 10.16306/j.1008-861x.2021.06.009.
目的:,2,探讨护肝宁片对高脂饮食诱导的非酒精性脂肪性肝病(NAFLD)小鼠的治疗作用及肠黏膜机械屏障功能的影响。,方法:,2,雄性C57BL/6J小鼠,随机分为正常组、模型组和护肝宁片(0.6 g·kg,-1,·d,-1,)组,每组8只。除正常组外,其他小鼠给予高脂饲料喂养12周,以诱导NAFLD模型。造模后,各组小鼠灌胃给予相应药物,连续4周。末次给药后,取血清,收集结肠和肝组织。生化分析仪检测血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)水平。HE染色后观察结肠和肝组织形态学变化,油红O染色后观察肝组织脂质堆积情况。试剂盒检测肝组织TG和TC水平;PCR检测结肠肿瘤坏死因子α(,TNF-α,)、白介素-1β(,IL-1β,)、白介素-6(,IL-,6)、闭锁小带蛋白1(,ZO-1,)、封闭蛋白1(,Claudin-1,)、闭合蛋白(,Occludin,)的mRNA表达;Western blot检测结肠ZO-1、Claudin-1和Occludin的蛋白表达。,结果:,2,①模型组小鼠血清ALT、AST、TG、TC、HDL和LDL水平较正常组明显升高(,P,<,0.01),护肝宁片干预可明显降低模型小鼠血清ALT、AST、TC、HDL和LDL水平(,P,<,0.05)。②护肝宁片能显著降低模型小鼠肝脏TG水平(,P,<,0.01),并明显改善肝细胞脂肪变性、脂质堆积。③模型组小鼠结肠组织可见明显的隐窝结构破坏、上皮细胞损伤及炎性细胞浸润,同时,TNF-α,、,IL-1β,、,IL-6,的mRNA表达水平较正常组明显升高(,P,<,0.05,,P,<,0.01)。护肝宁片干预可明显改善模型小鼠结肠组织的病理性损伤,且显著降低,TNF-α,和,IL-6,的mRNA表达水平(,P,<,0.05)。④模型组小鼠结肠,ZO-1,和,Claudin-1,的mRNA表达水平较正常组均明显下降(,P,<,0.05,,P,<,0.01),ZO-1、Claudin-1和Occludin的蛋白表达水平较正常组明显降低(,P,<,0.05)。护肝宁片干预可明显增加模型小鼠结肠,ZO-1,、,Claudin-1,及,Occludin,的mRNA表达水平(,P,<,0.05),上调ZO-1和Occludin的蛋白表达水平(,P,<,0.05)。,结论:,2,护肝宁片能够改善NAFLD模型小鼠的肝功能和血脂代谢,减轻肝脏和结肠组织损伤,其作用机制可能与上调结肠组织紧密连接蛋白ZO-1、Claudin-1和Occludin的表达、改善肠黏膜机械屏障功能有关。
Objective:,2,To investigate the therapeutic effects of Huganning Tablets on high fat diet induced non-alcoholic fatty liver disease(NAFLD) in mice, as well as its influence on the intestinal mucosal mechanical barrier function.,Methods:,2,Male C57BL/6J mice were randomly divided into the normal group, model group and Huganning Tablets(0.6 g·kg,-1,·d,-1,) group, 8 mice in each group.Except the normal group, the other mice were fed with high fat diet for 12 weeks to induce the NAFLD model.After modeling, the mice in each group were treated with the corresponding drug by intragastric administration for 4 weeks.After the last administration, the serum was taken and the colon and liver tissues were collected.The serum levels of alanine aminotransferase(ALT), aspartate aminotransferase(AST), total cholesterol(TC), triglyceride(TG), low-density lipoprotein(LDL) and high-density lipoprotein(HDL) were detected by biochemical analyzer.The morphological changes of colon and liver tissues were observed after HE staining, and the lipid accumulation in liver tissue was observed after oil red O staining.The levels of TG and TC in liver tissue were detected by kits.The mRNA expressions of tumor necrosis factor-α(,TNF-α,), interleukin-1β(,IL-1β,), interleukin-6(,IL-6,), zonula occludens-1(,ZO-1,) 、,Claudin-1, and ,Occludin, were detected by PCR.The protein expressions of ZO-1, Claudin-1 and Occludin were detected by Western blot.,Results:,2,①The serum levels of ALT, AST, TG, TC, HDL and LDL in the model group were significantly higher than those in the normal group(,P,<,0.01) .Huganning Tablets could significantly decrease the serum levels of ALT, AST, TC, HDL and LDL in model mice(,P,<,0.05) .②Huganning Tablets could significantly reduce the TG level in the liver of model mice(,P,<,0.01), and obviously improve the hepatocyte steatosis and lipid accumulation.③The colon tissue of mice in the model group showed obvious crypt structure destruction, epithelial cell injury and inflammatory cell infiltration, and the mRNA expression levels of ,TNF-α,IL-1β, and ,IL-6, were significantly higher than those in the normal group(,P,<,0.05,P,<,0.01) .Huganning Tablets could significantly improve the pathological injury of colon tissue in model mice, and significantly reduce the mRNA expression levels of ,TNF-α, and ,IL-,6(,P,<,0.05) .④The mRNA expression levels of ,ZO-1, and ,Claudin-1, in colon tissue of mice in the model group were significantly lower than those in the normal group(,P,<,0.05,P,<,0.01), and the protein expression levels of ZO-1, Claudin-1 and Occludin were significantly lower than those in the normal group(,P,<,0.05) .Huganning Tablets could significantly increase the mRNA expression levels of ,ZO-1,Claudin-1, and ,Occludin, in colon tissue of model mice(,P,<,0.05), and up-regulate the protein expression levels of ZO-1 and Occludin(,P,<,0.05) .,Conclusion:,2,Huganning Tablets can improve the liver function and blood lipid metabolism of NAFLD model mice, and reduce the injury of liver and colon tissues.Its mechanism may be related to up-regulating the expressions of tight junction proteins ZO-1, Claudin-1 and Occludin in colon tissue and improving the intestinal mucosal mechanical barrier function.
护肝宁片非酒精性脂肪性肝病肠黏膜机械屏障紧密连接蛋白小鼠
Huganning TabletsNAFLDintestinal mucosal mechanical barriertight junction proteinmouse
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