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中药灌肠方基于NLRP3/SIRT6信号通路改善葡聚糖硫酸钠诱导结肠炎的作用机制研究

Herbal Enema Formula Ameliorates Dextran Sodium Sulfate-Induced Colitis by Modulating NLRP3/SIRT6 Signaling Pathway
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摘要 [目的]探究中药灌肠方对葡聚糖硫酸钠(dextran sulfate sodium,DSS)诱导的溃疡性结肠炎(ulcerative colitis,UC)的保护作用及其作用机制。[方法]给予C57BL/6J小鼠自由饮用2.5%DSS水溶液7 d以诱导UC。2 d后给药组分别给予低、中、高剂量(1.3、2.6、5.2 g/kg)的中药灌肠方和阳性药柳氮磺吡啶0.2 g/kg灌肠,模型组和正常组给予等体积0.9%氯化钠溶液灌肠。以苏木精-伊红(hematoxylin-eosin,HE)染色观察小鼠结肠组织切片病变程度;采用酶联免疫吸附试验(enzyme linked immunosorbent assay,ELISA)测定血清炎症因子肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-6(interleukin-6,IL-6)、白细胞介素-1β(interleukin-1β,IL-1β)及白细胞介素-18(interleukin-18,IL-18)水平;采用生理生化检测试剂盒检测髓过氧化物酶(myeloperoxidase,MPO)、超氧化物歧化酶(superoxide dismutase,SOD)活性,一氧化氮(nitric oxide,NO)、丙二醛(malondialdehyde,MDA)水平;免疫印迹法检测小鼠结肠组织闭锁小带蛋白-1(zonula occludens protein-1,ZO-1)、闭合蛋白(occludin)、核苷酸结合寡聚结构域样受体蛋白3(nucleotide-binding oligomerization domain-like receptor protein 3,NLRP3)、沉默调节蛋白6(sirtuin 6,SIRT6)蛋白表达水平。[结果]与正常组比较,DSS可诱导结肠炎症、隐窝丢失、杯状细胞耗竭、炎性浸润;血清TNF-α、IL-6、IL-1β及IL-18炎症因子水平,MPO活性和NO、MDA水平明显升高(P<0.01,P<0.001),SOD活性明显降低(P<0.01)。与模型组比较,中药灌肠方治疗后明显改善DSS诱导的结肠炎症隐窝丢失、杯状细胞耗竭、炎性浸润的现象;血清TNF-α、IL-6、IL-1β及IL-18炎症因子水平,MPO活性和NO、MDA水平明显降低(P<0.01,P<0.001),中剂量和高剂量组SOD活性明显升高(P<0.05)。中药灌肠方组小鼠结肠组织ZO-1、occludin、SIRT6的蛋白表达水平明显升高(P<0.001,P<0.01,P<0.05),中剂量和高剂量组NLRP3蛋白表达水平明显降低(P<0.01)。[结� [Objective]To investigate the protective effect of herbal enema formula on dextran sodium sulfate(DSS)-induced ulcerative colitis(UC)and its mechanism of action.[Methods]C57BL/6J mice were given 2.5%DSS aqueous solution for 7 d to induce UC.After 2 d,mice in herbal enema formula low,medium and high dose groups were given 1.3 g/kg,2.6 g/kg and 5.2 g/kg herbal enema formula for edema;0.2 g/kg sulfasalazine were given to positive control group for enema;mice in model group and normal group were given equal volumes of 0.9%sodium chloride solution for enema,respectively.The degree of lesions was observed by hematoxylin-eosin(HE)staining in mice colon tissue sections;serum inflammatory factor tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-1β(IL-1β)and interleukin-18(IL-18)were determined by enzyme linked immunosorbent assay(ELISA);myeloperoxidase(MPO)and superoxide dismutase(SOD)activities,nitric oxide(NO)and malondialdehyde(MDA)levels were detected by physiological and biochemical assay kits;protein expression levels of zonula occludens protein-1(ZO-1),occludin,nucleotide-binding oligomerization domain-like receptor protein 3(NLRP3),and sirtuin 6(SIRT6)in mouse colon tissues were detected by western blot.[Results]Compared with normal group,DSS induced colonic inflammation,crypt loss,cuprocyte depletion and inflammatory infiltration;serum TNF-α,IL-6,IL-1β,and IL-18 inflammatory factor levels,MPO activity,NO and MDA levels were significantly increased(P<0.01,P<0.001),and SOD activity was significantly decreased(P<0.01).After treatment,the herbal enema formula significantly improved the DSS-induced colonic inflammation of crypt loss,cuprocyte depletion,and inflammatory infiltration.The levels of serum TNF-α,IL-6,IL-1βand IL-18 inflammatory factors,MPO activity and NO and MDA levels were significantly decreased(P<0.01,P<0.001),and SOD activity were significantly increased in medium dose and high dose groups(P<0.05).The protein expression levels of ZO-1,occludin and SIRT6 in the colonic tissues of m
作者 顾红 田玉雯 夏晶晶 马炯 GU Hong;TIAN Yuwen;XIA Jingjing(Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin(214400),China;Nanjing University of Chinese Medicine)
出处 《浙江中医药大学学报》 CAS 2024年第11期1355-1362,共8页 Journal of Zhejiang Chinese Medical University
基金 江苏省中医药科技发展计划项目(YB2020046) 江阴市中医药学会科研项目(Z202202)。
关键词 溃疡性结肠炎 中药灌肠方 炎症 氧化应激 肠道屏障 紧密连接 NLRP3 SIRT6 ulcerative colitis herbal enema formula inflammation oxidative stress intestinal barrier tight junction NLRP3 SIRT6
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