

浏览全部资源
扫码关注微信
1.广西中医药大学第一附属医院,广西壮族自治区南宁市东葛路89-9号,530023
2.广西中医药大学
Received:04 September 2025,
Revised:2025-11-15,
Published:17 January 2026
移动端阅览
胡玉英,陈伟营,宋曦等.补肾止颤方对帕金森病模型大鼠多巴胺能神经元铁死亡及Nrf2调控SLC7A11/GSH/GPX4信号通路的影响[J].中医杂志,2026,67(02):188-195.
HU Yuying,CHEN Weiying,SONG Xi,et al.Effects of Bushen Zhichan Formula (补肾止颤方) on Ferroptosis of Dopaminergic Neurons and Nrf2-Regulated SLC7A11/GSH/GPX4 Signaling Pathway in Parkinson's Disease Model Rats[J].Journal of Traditional Chinese Medicine,2026,67(02):188-195.
胡玉英,陈伟营,宋曦等.补肾止颤方对帕金森病模型大鼠多巴胺能神经元铁死亡及Nrf2调控SLC7A11/GSH/GPX4信号通路的影响[J].中医杂志,2026,67(02):188-195. DOI: 10.13288/j.11-2166/r.2026.02.012.
HU Yuying,CHEN Weiying,SONG Xi,et al.Effects of Bushen Zhichan Formula (补肾止颤方) on Ferroptosis of Dopaminergic Neurons and Nrf2-Regulated SLC7A11/GSH/GPX4 Signaling Pathway in Parkinson's Disease Model Rats[J].Journal of Traditional Chinese Medicine,2026,67(02):188-195. DOI: 10.13288/j.11-2166/r.2026.02.012.
目的
2
从铁死亡角度探讨补肾止颤方治疗帕金森病(PD)的可能作用机制。
方法
2
70只SD大鼠随机分为对照组、模型组、核转录因子E2相关因子2(Nrf2)抑制剂组、多巴丝肼组及补肾止颤方低、中、高剂量组,每组10只。除对照组外,其余各组大鼠采用蛋白酶抑制因子皮下注射建立PD大鼠模型。造模2周后,Nrf2抑制剂组大鼠予ML385小分子化合物50 mg/kg腹腔注射,隔日1次,共3次,其余各组大鼠于同时间点予2 ml/kg生理盐水腹腔注射。造模4周后,补肾止颤方低、中、高剂量组分别给予补肾止颤方颗粒剂溶液1.0、1.5、2.0 ml/(100 g·d)灌胃,多巴丝肼组则予多巴丝肼片200 mg/(100 g·d)灌胃,对照组、模型组、Nrf2抑制剂组大鼠均以生理盐水按2.0 ml/(100 g·d)灌胃。各组大鼠灌胃3周后,采用网格实验、爬杆实验进行行为学检测,对PD大鼠的运动功能进行评估;采用qRT-PCR法检测大鼠中脑黑质
Nrf2
mRNA表达,Western Blot法检测Nrf2、溶质载体家族7成员(SLC7A11)、谷胱甘肽过氧化物酶4(GPX4)蛋白水平,ELISA法检测谷胱甘肽(GSH)、丙二醛(MDA)含量、亚铁离子(Fe
2+
)、GPX4含量,荧光酶标仪检测活性氧(ROS)水平。
结果
2
与对照组比较,模型组大鼠网格实验移动潜伏期、爬杆时间均增加,中脑黑质区GSH、GPX4含量降低,Fe
2+
、MDA含量升高,Nrf2、SLC7A11、GPX4蛋白水平均降低,ROS水平升高,
Nrf2
mRNA表达下降(
P
<0.05);Nrf2抑制剂组上述各指标与模型组变化趋势相同,且程度较模型组更显著,与模型组、对照组比较差异均有统计学意义(
P
<0.05)
。与模型组比较,多巴丝肼组和补肾止颤方低、中、高各剂量组各指标均改善(
P
<0.05),且补肾止颤方高剂量组和多巴丝肼组各指标均较补肾止颤方低、中剂量组改善更为显著(
P
<0.05);补肾止颤方高剂量组和多巴丝肼组改善情况差异均无统计学意义(
P
>0.05)。
结论
2
补肾止颤方可能通过激活中脑黑质Nrf2表达,调控SLC7A11/GSH/GPX4信号通路,从而抑制脂质过氧化和铁死亡,达到治疗PD的目的。
Objective
2
To explore the potential mechanism of
Bushen Zhichan Formula
(补肾止颤方) in treating Parkinson's disease (PD) from the perspective of ferroptosis.
Methods
2
A total of 70 SD rats were randomly divided into 7 groups with 10 rats in each group, control group, model group, Nrf2 inhibitor group, levodopa-benserazide group, and low-, medium-, and high-dose
Bushen Zhichan Decoction
groups. PD models were established by subcutaneous injection of proteasome inhibitor in rats except for the control group. Two weeks after modeling, rats in the Nrf2 inhibitor group were intraperitoneally injected with ML385 small molecule compound at 50 mg/kg once every other day for 3 times, while rats in other groups were intraperitoneally injected with normal saline at 2 ml/kg at the same time points. Four weeks after modeling, rats in the low-, medium-, and high-dose
Bushen Zhichan Formula
groups were intragastrically administered with
Bushen Zhichan Formula
granule solution at 1.0, 1.5 and 2.0 ml/(100 g·d), respectively; rats in the levodopa-benserazide group were intragastrically administered with levodopa-benserazide tablets at 200 mg/(100 g·d); rats in the control group, model group and Nrf2 inhibitor group were intragastrically administered with normal saline at 2 ml/(100 g·d). After 3 weeks of intragastric administration, behavioral tests including grid test and pole-climbing test were performed to evaluate the motor function of PD rats. qRT-PCR was used to detect the mRNA expression of nuclear factor E2-related factor 2 (Nrf2) in the substantia nigra of
rats; Western Blot was employed to determine the protein levels of Nrf2, solute carrier family 7 member 11 (SLC7A11) and glutathione peroxidase 4 (GPX4); ELISA was adopted to measure the contents of glutathione (GSH), malondialdehyde (MDA), ferrous ion (Fe
2+
) and GPX4; and a fluorescence microplate reader was used to detect the level of reactive oxygen species (ROS).
Results
2
Compared with the control group, the movement latency in grid test and pole-climbing time prolonged, the contents of GSH and GPX4 in the substantia nigra decreased, the contents of Fe
2+
and MDA increased, the protein levels of Nrf2, SLC7A11 and GPX4 reduced, the ROS level elevated, and the Nrf2 mRNA expression down-regulated in the model group (
P
<0.05). The above indicators in the Nrf2 inhibitor group showed the same changing trend as the model group with more significant degrees, and the differences were statistically significant compared with both the model group and control group (
P
<0.05). Compared with the model group, all indicators were improved in the levodopa-benserazide group and low-, medium-, high-dose
Bushen Zhichan Formula
groups (
P
<0.05); moreover, the improvements of all indicators in the high-dose
Bushen Zhichan Formula
group and levodopa-benserazide group were more significant than those in the low- and medium-dose groups (
P
<0.05). There was no statistically significant difference in improvement between the high-dose
Bushen Zhichan Formula
group and levodopa-benserazide group (
P
>0.05).
Conclusions
2
Bushen Zhichan Formula
may exert a therapeutic effect on PD by activating the expression of Nrf2 in the substantia nigra, and regulating the SLC7A11/GSH/GPX4 signaling pathway, thereby inhibiting lipid peroxidation and ferroptosis.
DORSEY ER , SHERER T , OKUN MS , et al . The emerging evidence of the Parkinson pandemic [J]. J Parkinsons Dis , 2018 , 8 ( s1 ): S3 - S8 .
MAHONEY-SÁNCHEZ L , BOUCHAOUI H , AYTON S , et al . Ferroptosis and its potential role in the physiopatho-logy of Parkinson's disease [J]. Prog Neurobiol , 2021 , 196 : 101890 . doi: 10.1016/j.pneurobio.2020.101890 http://dx.doi.org/10.1016/j.pneurobio.2020.101890 .
DEVOS D , MOREAU C , DEVEDJIAN JC , et al . Targeting chelatable iron as a therapeutic modality in Parkinson's disease [J]. Antioxid Redox Signal , 2014 , 21 ( 2 ): 195 - 210 .
NISHIDA XAVIER DA SILVA T , FRIEDMANN ANGELI JP , INGOLD I . GPX4: old lessons, new features [J]. Biochem Soc Trans , 2022 , 50 ( 3 ): 1205 - 1213 .
DODSON M , DE LA VEGA MR , CHOLANIANS AB , et al . Modulating NRF2 in disease: timing is everything [J]. Annu Rev Pharmacol Toxicol , 2019 , 59 : 555 - 575 . doi: 10.1146/annurev-pharmtox-010818-021856 http://dx.doi.org/10.1146/annurev-pharmtox-010818-021856 .
王正阳 , 王凯华 , 赖思嘉 , 等 . 壮通饮通过Nrf2-SLC7A11-GPX4通路调控铁死亡保护神经元OGD/R损伤的作用机制研究 [J]. 中药材 , 2024 , 47 ( 6 ): 1531 - 1535 .
XIE L , ZHOU C , WU Y , et al . Wenqingyin suppresses ferroptosis in the pathogenesis of sepsis-induced liver injury by activating the Nrf2-mediated signaling pathway [J]. Phytomedicine , 2023 , 114 : 154748 . doi: 10.1016/j.phymed.2023.154748 http://dx.doi.org/10.1016/j.phymed.2023.154748 .
CHEN LL , WANG WJ . p53 regulates lipid metabolism in cancer [J]. Int J Biol Macromol , 2021 , 192 : 45 - 54 . doi: 10.1016/j.ijbiomac.2021.09.188 http://dx.doi.org/10.1016/j.ijbiomac.2021.09.188 .
胡玉英 , 胡跃强 , 陈薇 , 等 . 补肾止颤方联合埋针治疗帕金森病的疗效 [J]. 中国老年学杂志 , 2014 , 34 ( 12 ): 3249 - 3251 .
胡玉英 , 罗荣卿 , 刘永辉 , 等 . 补肾止颤方抑制帕金森病大鼠神经元细胞焦亡的作用机制 [J]. 中华中医药杂志 , 2022 , 37 ( 12 ): 7039 - 7044 .
刘雨清 , 张伟栋 , 李媛媛 . 一种新的帕金森病动物模型 [J]. 中国实验动物学报 , 2007 , 15 ( 2 ): 159 - 160 .
MCNAUGHT KS , PERL DP , BROWNELL AL , et al . Systemic exposure to proteasome inhibitors causes a progressive model of Parkinson's disease [J]. Ann Neurol , 2004 , 56 ( 1 ): 149 - 162 .
陈奇 . 中药药理研究方法学 [M]. 北京 : 人民卫生出版社 , 1993 : 1103 .
ZHANG QS , HENG Y , MOU Z , et al . Reassessment of subacute MPTP-treated mice as animal model of Parkinson's disease [J]. Acta Pharmacol Sin , 2017 , 38 ( 10 ): 1317 - 1328 .
SU Y , JIAO Y , CAI S , et al . The molecular mechanism of ferroptosis and its relationship with Parkinson's disease [J]. Brain Res Bull , 2024 , 213 : 110991 . doi: 10. 1016/j.brainresbull.2024.110991 http://dx.doi.org/10.1016/j.brainresbull.2024.110991 .
GRIFFITHS PD , DOBSON BR , JONES GR , et al . Iron in the basal ganglia in Parkinson's disease. An in vitro study using extended X-ray absorption fine structure and cryo-electron microscopy [J]. Brain , 1999 , 122 (Pt 4 ): 667 - 673 .
SHI L , HUANG C , LUO Q , et al . Clioquinol improves motor and non-motor deficits in MPTP-induced monkey model of Parkinson's disease through AKT/mTOR pathway [J]. Aging (Albany NY) , 2020 , 12 ( 10 ): 9515 - 9533 .
KO CJ , GAO SL , LIN TK , et al . Ferroptosis as a major factor and therapeutic target for neuroinflammation in Parkinson's disease [J]. Biomedicines , 2021 , 9 ( 11 ): 1679 .
WANG Y , SHEN Z , ZHAO S , et al . Sipeimine ameliorates PM 2.5-induced lung injury by inhibiting ferroptosis via the PI3K/Akt/Nrf2 pathway: a network pharmacology approach [J]. Ecotoxicol Environ Saf , 2022 , 239 : 113615 . doi: 10.1016/j.ecoenv.2022.113615 http://dx.doi.org/10.1016/j.ecoenv.2022.113615 .
CHEN X , KANG R , KROEMER G , et al . Broadening horizons: the role of ferroptosis in cancer [J]. Nat Rev Clin Oncol , 2021 , 18 ( 5 ): 280 - 296 .
QIU Y , CAO Y , CAO W , et al . The application of ferroptosis in diseases [J]. Pharmacol Res , 2020 , 159 : 104919 . doi: 10.1016/j.phrs.2020.104919 http://dx.doi.org/10.1016/j.phrs.2020.104919 .
LIU MR , ZHU WT , PEI DS . System Xc(-): a key regulatory target of ferroptosis in cancer [J]. Invest New Drugs , 2021 , 39 ( 4 ): 1123 - 1131 .
GU SC , XIE ZG , GU MJ , et al . Myricetin mitigates motor disturbance and decreases neuronal ferroptosis in a rat model of Parkinson's disease [J]. Sci Rep , 2024 , 14 ( 1 ): 15107 .
IMAI H , MATSUOKA M , KUMAGAI T , et al . Lipid peroxidation-dependent cell death regulated by GPx4 and ferroptosis [J]. Curr Top Microbiol Immunol , 2017 , 403 : 143 - 170 . doi: 10.1007/82_2016_508 http://dx.doi.org/10.1007/82_2016_508 .
XIE Y , HOU W , SONG X , et al . Ferroptosis: process and function [J]. Cell Death Differ , 2016 , 23 ( 3 ): 369 - 379 .
KINOWAKI Y , KURATA M , ISHIBASHI S , et al . Glutathione peroxidase 4 overexpression inhibits ROS-induced cell death in diffuse large B-cell lymphoma [J]. Lab Invest , 2018 , 98 ( 5 ): 609 - 619 .
STOCKWELL BR . Ferroptosis turns 10: emerging mechanisms, physiological functions, and therapeutic applications [J]. Cell , 2022 , 185 ( 14 ): 2401 - 2421 .
佘旭 , 唐文静 , 唐标 . 铁死亡与脑卒中的神经损伤 [J]. 中国生物化学与分子生物学报 , 2020 , 36 ( 7 ): 756 - 765 .
DENG Y , WU Y , ZHAO P , et al . The Nrf2/HO-1 axis can be a prognostic factor in clear cell renal cell carcinoma [J]. Cancer Manag Res , 2019 , 11 : 1221 - 1230 . doi: 10.2147/CMAR.S188046 http://dx.doi.org/10.2147/CMAR.S188046 .
HE R , LIU B , XIONG R , et al . Itaconate inhibits ferroptosis of macrophage via Nrf2 pathways against sepsis-induced acute lung injury [J]. Cell Death Discov , 2022 , 8 ( 1 ): 43 .
WANG M , ZHENG HS , YE WL , et al . The mechanism of electroacupuncture-mediated improvement in Parkinson's disease by inhibiting ferroptosis through activating the Nrf2/GPX4 signal pathway [J]. Front Aging Neurosci , 2025 , 17 : 1551404 . doi: 10.3389/fnagi.2025. 1551404 http://dx.doi.org/10.3389/fnagi.2025.1551404 .
刘相玲 , 徐长江 , 杨玲玲 . 龟鹿二仙汤加减联合针刺治疗阿尔茨海默病疗效观察 [J]. 中医临床研究 , 2020 , 12 ( 21 ): 92 - 93 .
崔拓拓 , 曹俊岭 , 欧阳竞锋 , 等 . 大定风珠对帕金森病模型小鼠脑黑质小胶质细胞活化及TLR4/MyD88/NF-κB信号通路的影响 [J]. 中医杂志 , 2023 , 64 ( 9 ): 930 - 938 .
胡玉英 , 李伦甘 , 刘永辉 , 等 . 补肾止颤方调控miR-296-5p/GSDMD通路抑制帕金森病大鼠神经元焦亡机制研究 [J]. 中华中医药学刊 , 2023 , 41 ( 4 ): 114 - 119,280 .
胡玉英 , 罗宇雄 , 钱凯 , 等 . 补肾止颤方联合埋针对帕金森病大鼠行为学及黑质区自由基清除的影响 [J]. 中西医结合心脑血管病杂志 , 2019 , 17 ( 2 ): 200 - 203 .
中华医学会神经病学分会帕金森病及运动障碍学组 , 中国医师协会神经内科医师分会帕金森病及运动障碍学组 . 中国帕金森病治疗指南(第四版) [J]. 中华神经科杂志 , 2020 , 53 ( 12 ): 973 - 986 .
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010102007558号