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八珍荔核抗纤方对四氯化碳诱导的肝纤维化大鼠模型的影响

廖丹丹 吴卓檀 龚俊文 徐之然 罗伟生

引用本文:
Citation:

八珍荔核抗纤方对四氯化碳诱导的肝纤维化大鼠模型的影响

DOI: 10.12449/JCH260818
基金项目: 

国家自然科学基金 (82160834);

全国名老中医药专家传承工作室建设项目 (National Medical Education Letter [2022] No.75);

罗伟生桂派中医大师传承工作室 (Guizhong Medical Development [2023] No.16);

广西名中医传承工作室建设项目 (Guizhong Medical Science and Education Development [2021] No.6);

中西医结合广西一流学科(培育)建设项目 (Guijiao Research [2018] No.12)

伦理学声明:本研究方案于2025年12月24日经广西中医药大学动物伦理委员会批准通过,批号:GXTCMU-EC KS20250000-656,符合实验室动物管理与使用准则。
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:廖丹丹负责课题设计,起草论文;廖丹丹、吴卓檀和龚俊文负责实验操作,研究过程的实施;廖丹丹负责数据收集,统计学分析,绘制图表;徐之然负责论文修改;罗伟生负责指导撰写文章并最后定稿。
详细信息
    通信作者:

    罗伟生, 4011188@qq.com (ORCID: 0009-0005-5879-192X)

Effect of Bazhen Lihe Kangxian prescription on rats with liver fibrosis induced by carbon tetrachloride

Research funding: 

National Natural Science Foundation of China (82160834);

National Famous Traditional Chinese Medicine Expert Inheritance Studio Construction Project (National Medical Education Letter [2022] No.75);

Luo Weisheng Guipai Traditional Chinese Medicine Master Inheritance Studio (Guizhong Medical Development [2023] No.16);

Construction Project of Guangxi Famous Traditional Chinese Medicine Inheritance Studio (Guizhong Medical Science and Education Development [2021] No.6);

Integrated Traditional Chinese and Western Medicine Guangxi First Class Discipline (Cultivation) Construction Project (Guijiao Research [2018] No.12)

More Information
    Corresponding author: Luo Weisheng, 4011188@qq.com (ORCID: 0009-0005-5879-192X)
  • 摘要:   目的  观察八珍荔核抗纤方对四氯化碳(CCl4)诱导的肝纤维化大鼠模型的治疗作用,探讨八珍荔核抗纤方抗肝纤维化的作用机制。  方法  将50只雄性SD大鼠随机分为空白组、模型组、水飞蓟宾组(43.19 mg/kg)及八珍荔核抗纤方低剂量组(7.96 g/kg)、中剂量组(15.93 g/kg)、高剂量组(31.86 g/kg),通过皮下注射40% CCl4橄榄油混合液(每周2次,连续8周)建立肝纤维化模型。验证造模成功后,空白组及模型组予生理盐水灌胃,各治疗组予相应药物灌胃(每日1次,连续4周)。采用苏木精-伊红染色、马松染色观察大鼠肝脏组织病理学变化;采用生化仪检测血清白蛋白(Alb)、天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)水平;采用酶联免疫吸附测定法检测血清透明质酸(HA)、Ⅳ型胶原(Col-Ⅳ)、Ⅲ型前胶原肽(PⅢNP)、层粘连蛋白(LN)水平;采用蛋白免疫印迹法检测肝脏组织磷酸化磷脂酰肌醇3-激酶(p-PI3K)/磷脂酰肌醇3-激酶(PI3K)、磷酸化蛋白激酶B(p-Akt)/蛋白激酶B(Akt)、磷酸化雷帕霉素靶蛋白(p-mTOR)/雷帕霉素靶蛋白(mTOR)蛋白表达水平;采用逆转录荧光定量聚合酶链式反应法检测肝脏组织Ⅰ型胶原蛋白(ColⅠ)、平滑肌肌动蛋白α(α-SMA)基因表达水平。计量资料多组间比较采用单因素方差分析,进一步两两比较采用LSD-t检验。  结果  与空白组比较,模型组大鼠肝小叶结构破坏,肝细胞索排列紊乱,肝细胞脂肪变性,炎性细胞浸润严重,大量蓝色胶原纤维沉积,AST、ALT、HA、LN、Col-Ⅳ和PⅢNP水平均显著升高,Alb水平显著降低(P值均<0.01);与模型组比较,水飞蓟宾组及八珍荔核抗纤方各剂量组大鼠肝脏组织炎性细胞浸润、肝细胞脂肪变性及蓝色胶原纤维沉积情况呈不同程度改善,AST、ALT、HA、LN、Col-Ⅳ和PⅢNP水平均显著降低,Alb水平显著升高(P值均<0.01)。与空白组比较,模型组大鼠肝脏组织p-PI3K/PI3K、p-Akt/Akt和p-mTOR/mTOR蛋白表达水平及ColⅠ、α-SMA基因表达水平均显著升高(P值均<0.01);与模型组比较,水飞蓟宾组及八珍荔核抗纤方中、高剂量组大鼠肝脏组织p-PI3K/PI3K蛋白水平均显著降低(P值均<0.01),水飞蓟宾组及八珍荔核抗纤方各剂量组大鼠肝脏组织p-Akt/Akt、p-mTOR/mTOR蛋白表达水平及ColⅠ、α-SMA基因表达水平均显著降低(P值均<0.01)。  结论  八珍荔核抗纤方可改善CCl4诱导的大鼠肝纤维化,减轻肝损伤,其作用机制可能与抑制PI3K/Akt/mTOR通路有关。

     

  • 图  1  肝脏组织形态

    Figure  1.  Liver histomorphology

    注: HE,苏木精-伊红。

    图  2  HE染色结果(×200)

    Figure  2.  HE staining results (×200)

    注: Masson染色,马松染色。

    图  3  Masson染色结果(×200)

    Figure  3.  Masson staining results (×200)

    图  4  各组大鼠肝纤维化评分

    Figure  4.  Liver fibrosis scores of rats in each group

    注: AST,天冬氨酸氨基转移酶;ALT,丙氨酸氨基转移酶;Alb,白蛋白。

    图  5  各组大鼠肝功能水平

    Figure  5.  Liver function levels of rats in each group

    注: HA,透明质酸;LN,层粘连蛋白;Col-Ⅳ,Ⅳ型胶原;PⅢNP,Ⅲ型前胶原肽。

    图  6  各组大鼠肝纤维化四项水平

    Figure  6.  Liver fibrosis four-item levels in each group of rats

    注: A~F分别是空白组、模型组、水飞蓟宾组、八珍荔核抗纤方低剂量组、八珍荔核抗纤方中剂量组和八珍荔核抗纤方高剂量组。p-PI3K,磷酸化磷脂酰肌醇3-激酶;PI3K,磷脂酰肌醇3-激酶;p-Akt,磷酸化蛋白激酶B;Akt,蛋白激酶B;p-mTOR,磷酸化哺乳动物雷帕霉素靶蛋白;mTOR,哺乳动物雷帕霉素靶蛋白;GAPDH,甘油醛-3-磷酸脱氢酶。

    图  7  各组大鼠肝脏组织蛋白表达水平

    Figure  7.  Protein expression levels in liver tissues of rats in each group

    注: ColⅠ,Ⅰ型胶原蛋白;α-SMA,平滑肌肌动蛋白α。

    图  8  各组大鼠基因表达水平

    Figure  8.  Gene expression levels of rats in each group

    表  1  引物序列表

    Table  1.   List of primer sequences

    名称 序列(5′-3′)
    ColⅠ 上游 GATCCTGCCGATGTCGCTATCC
    下游 TCTTGAGGTTGCCAGTCTGTTGG
    α-SMA 上游 CCCAGATTATGTTTGAGACCTTCA
    下游 CATCTCCAGAGTCCAGCACAATAC
    GAPDH 上游 GGTGCTGAGTATGTCGTGGAG
    下游 TTGCTGACAATCTTGAGGGAG

    注:Col Ⅰ,Ⅰ型胶原蛋白;α-SMA,平滑肌肌动蛋白α;GAPDH,甘油醛-3-磷酸脱氢酶。

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