基于非靶向代谢组学及实验验证探讨蒙药额力根汤治疗肝纤维化的作用机制
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1.内蒙古医科大学 药学院, 内蒙古 呼和浩特 010107;2.内蒙古医科大学附属医院 药学部, 内蒙古 呼和浩特 010030;3.呼和浩特市中医蒙医医院 科研部, 内蒙古 呼和浩特 010020;4.呼和浩特市第一医院 药学部, 内蒙古 呼和浩特 010030

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R575.2

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国家自然科学基金(No:8216140372,82160703);内蒙古自治区自然科学基金(No:2023ZD15);内蒙古自治区高等学校青年科技英才支持项目(No:NJYT23114);中央引导地方科技发展专项资金(No:ZY20200071);内蒙古卫生局卫生科技计划(No:202202158);内蒙古医科大学重点项目(No:YKD2022ZD013);内蒙古自治区蒙医药标准化项目(2023-〔MB020〕)


Elucidating the anti-fibrotic mechanism of Mongolian medicine Elegen Tang via integrated untargeted metabolomics and experimental validation
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1.School of Pharmacy, Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010107, China;2.School of Pharmacy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010030, China;3.Department of Research, Hohhot Hospital of Traditional Chinese Medicine and Mongolian Medicine, Hohhot, Inner Mongolia Autonomous Region 010020, China;4.School of Pharmacy, The First Hospital of Hohhot, Hohhot, Inner Mongolia Autonomous Region 010030, China

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    摘要:

    目的 采用非靶向代谢组学及实验验证探讨蒙药额力根汤(ET)治疗肝纤维化的作用机制。方法 将50只雄性SD大鼠随机分为对照组、模型组、ET低剂量组(90 mg/100 g)、ET中剂量组(180 mg/100 g)、ET高剂量组(450 mg/100 g)。采用腹腔注射四氯化碳CCl4复制肝纤维化大鼠模型,并在此基础上采用ET干预,干预21 d后取肝脏组织进行非靶向代谢组学分析。采用苏木精-伊红染色和Masson染色检测肝脏病理变化。酶联免疫吸附试验检测血清丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)及肝脏羟脯氨酸(Hyp)的水平。实时荧光定量聚合酶链反应检测肝脏组织α-平滑肌肌动蛋白(α-SMA)和胶原蛋白Ⅰ(Collagen Ⅰ)的基因相对表达量;Western blotting检测肝脏组织α-SMA、Collagen Ⅰ的蛋白相对表达量,以及过氧化物酶体增殖物激活受体(PPAR)信号通路与转化生长因子-β(TGF-β)信号通路的蛋白相对表达量。结果 模型组共筛选出83种差异代谢物(P <0.05)。与对照组比较,模型组大鼠肝脏间质结构有纤维化损伤;模型组血清ALT、AST及Hyp水平,肝脏组织Collagen Ⅰ、α-SMA水平,肝脏组织p-Smad2和p-Smad3表达均升高(P <0.05),肝脏组织PPARγ水平降低(P <0.05)。ET给药组筛选出34个明显回调肝纤维化发病相关的差异代谢物(P <0.05)。与模型组比较,ET给药组大鼠肝脏纤维化损伤减轻;血清ALT、AST及Hyp水平,肝脏组织Collagen Ⅰ、α-SMA水平,肝脏组织p-Smad2和p-Smad3表达均降低(P <0.05);肝脏组织PPARγ水平上升(P <0.05)。结论 ET可以调节肝纤维化状态下PPAR信号通路与TGF-β信号通路,缓解CCl4导致的大鼠肝纤维化。

    Abstract:

    Objective To investigate the effects and mechanisms of Mongolian medicine Eligen Tang (ET) in the treatment of hepatic fibrosis, employing non-targeted metabolomics and experimental validation.Methods Fifty male SD rats were randomly assigned to five groups: control group, model group, and low, medium, and high-dose ET groups (90 mg/100 g, 180 mg/100 g, 450 mg/100 g). A liver fibrosis model was induced by intraperitoneal injection of carbon tetrachloride (CCl?), and after 21 days of ET treatment, liver tissues were collected for non-targeted metabolomics analysis. Pathological changes were assessed using hematoxylin-eosin (HE) staining. Masson's trichrome staining was used to evaluate liver fibrosis. Enzyme-linked immunosorbent assay (ELISA) measured serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and hydroxyproline (Hyp). Real-time quantitative PCR was used to quantify mRNA levels of α-smooth muscle actin (α-SMA) and collagen I. Western blotting was employed to detect the expression of α-SMA, collagen I, peroxisome proliferator-activated receptor (PPAR) signaling proteins, and proteins involved in the transforming growth factor-β (TGF-β) signaling pathway in liver tissues.Results Compared with the control group, 83 differential metabolites were identified in the model group (P < 0.05), interstitial fibrosis injury in liver, serum ALT and AST levels, liver Collagen I, α-SMA and Hyp levels, p-Smad2 and p-Smad3 were increased (P < 0.05), and PPAR γ levels decreased (P < 0.05). Compared with the model group, the ET administration group screened 34 different metabolites (P < 0.05), reduced liver fibrosis damage, serum ALT and AST levels, liver Collagen I, α-SMA and Hyp levels, p-Smad2 and p-Smad3 were decreased (P < 0.05), PPAR γ levels increased (P < 0.05), and the effect was better in the ET-H group.Conclusions ET alleviates CCl?-induced hepatic fibrosis in rats by regulating the PPAR and TGF-β.

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藏燚帆,董至恒,梁丽娟,申子晴,杨文龙,于久旺,包立道.基于非靶向代谢组学及实验验证探讨蒙药额力根汤治疗肝纤维化的作用机制[J].中国现代医学杂志,2025,35(7):39-47

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  • 收稿日期:2024-10-16
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  • 在线发布日期: 2025-04-18
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