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1.郑州大学第一附属医院,河南省郑州市建设东路1号,450052
2.佛山市中医院
3.广州中医药大学第一临床医学院
4.广州中医药大学第一附属医院
Received:04 September 2025,
Revised:2025-11-14,
Published:17 February 2026
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王永福,柯威,谢翔雨等.肠激安方对肝郁脾虚型腹泻型肠易激综合征模型大鼠结肠组织miR-29b-3p/TRAF3/NF-κB/MLCK轴的影响[J].中医杂志,2026,67(04):439-446.
WANG Yongfu,KE Wei,XIE Xiangyu,et al.Effect of Changji'an Formula (肠激安方) on the miR-29b-3p/TRAF3/NF-κB/MLCK Axis in Colonic Tissues in Diarrhea-predominant Irritable Bowel Syndrome Model Rat with Liver Depression and Spleen Deficiency Syndrome[J].Journal of Traditional Chinese Medicine,2026,67(04):439-446.
王永福,柯威,谢翔雨等.肠激安方对肝郁脾虚型腹泻型肠易激综合征模型大鼠结肠组织miR-29b-3p/TRAF3/NF-κB/MLCK轴的影响[J].中医杂志,2026,67(04):439-446. DOI: 10.13288/j.11-2166/r.2026.04.016.
WANG Yongfu,KE Wei,XIE Xiangyu,et al.Effect of Changji'an Formula (肠激安方) on the miR-29b-3p/TRAF3/NF-κB/MLCK Axis in Colonic Tissues in Diarrhea-predominant Irritable Bowel Syndrome Model Rat with Liver Depression and Spleen Deficiency Syndrome[J].Journal of Traditional Chinese Medicine,2026,67(04):439-446. DOI: 10.13288/j.11-2166/r.2026.04.016.
目的
2
从微小RNA-29b-3p(miR-29b-3p)/肿瘤坏死因子受体相关因子3(TRAF3)/核因子κB(NF-κB)/肌球蛋白轻链激酶(MLCK)轴探究肠激安方对肝郁脾虚型腹泻型肠易激综合征(IBS-D)肠道通透性影响的可能机制。
方法
2
取出生1天的雄性SD窝鼠24只,采用三因素法(母婴分离+醋酸刺激+束缚应激)共6周制备肝郁脾虚型IBS-D大鼠模型。造模成功后随机分为模型组、匹维溴铵组和肠激安方低、高剂量组,每组6只,另取6只同龄未造模SD大鼠作为对照组。肠激安方低、高剂量组分别给予肠激安方溶液16.74、33.48 g/(kg·d)灌胃,匹维溴铵组大鼠给予匹维溴铵片0.018 g/(kg·d)灌胃,对照组同时予10 ml/(kg·d)蒸馏水灌胃。每日1次,连续
14天。灌胃结束后,检测各组大鼠粪便含水量,采用ELISA法检测大鼠血清肠道通透性指标D-乳酸(D-LA)、二胺氧化酶(DAO)和脂多糖(LPS)含量,实时荧光定量PCR法检测大鼠结肠组织
miR
-
29b
-
3p、TRAF3
、肿瘤坏死因子α(
TNF
-
α)、p65、p50、MLCK
mRNA表达,Western Blot法检测结肠组织TRAF3、TNF-α、p65、磷酸化p65(p-p65)、MLCK、肌球蛋白轻链(MLC)、磷酸化肌球蛋白轻链(p-MLC)及紧密连接蛋白[连接黏附因子A(JAM-A)、闭锁蛋白(Occludin)、紧密连接蛋白1(Claudin-1)]蛋白水平。
结果
2
与对照组比较,模型组大鼠粪便含水量和血清D-LA、DAO、LPS含量均升高,结肠组织JAM-A、Occludin、Claudin-1蛋白水平降低(
P
<0.05或
P
<0.01),结肠组织
miR
-
29b
-
3p、TNF
-
α、p65、p50、MLCK
mRNA表达升高,
TRAF3
mRNA及蛋白表达降低,TNF-α、MLCK蛋白水平及p-p65/p65、p-MLC/MLC比值升高(
P
<0.01)。与模型组比较,各给药组大鼠粪便含水量及血清D-LA、DAO、LPS含量降低,结肠组织
miR
-
29b
-
3p、TNF
-
α、p65、p50、MLCK
mRNA表达降低,
TRAF3
mRNA表达升高;匹维溴铵组、肠激安方高剂量组大鼠结肠组织Occludin、Claudin-1、TRAF3蛋白水平升高,TNF-α、MLCK蛋白水平及p-p65/p65、p-MLC/MLC比值降低(
P
<0.05或
P
<0.01)。与肠激安方低剂量组比较,肠激安方高剂量组粪便含水量和血清DAO、LPS含量降低(
P
<0.01)。与匹维溴铵组比较,肠激安方高剂量组大鼠血清DAO含量降低(
P
<0.01)。
结论
2
肠激安方可能通过调控miR-29b-3p/TRAF3/NF-κB/MLCK轴,从而降低肝郁脾虚型IBS-D模型大鼠肠道通透性,恢复肠道屏障功能。
Objective
2
To explore the potential mechanism of
Changji'an Formula
(肠激安方) on intestinal permeability for rats with diarrhea-predominant irritable bowel syndrome (IBS-D) of liver depression and spleen deficiency syndrome by the microRNA-29b-3p (miR-29b-3p)/tumor necrosis factor receptor-associated factor 3 (TRAF3)/nuclear factor-κB (NF-κB)/myosin light chain kinase (MLCK) axis.
Methods
2
Twenty-four 1-day-old male Sprague-Dawley (SD) suckling rats were selected, and the IBS-D rat model of liver depression and spleen deficiency syndrome was established via a three-factor method,i.e. maternal separation plus a
cetic acid stimulation and restraint stress, for 6 consecutive weeks. After successful modeling, the rats were randomly divided into a model group, pinaverium bromide group, low-dose and high-dose
Changji'an Formula
groups, with 6 rats in each group. Another 6 age-matched non-modeled SD rats were included as the control group. The low-dose and high-dose
Changji'an Formula
groups were given intragastric administration of
Changji'an Formula
solution at doses of 16.74 g/(kg·d) and 33.48 g/(kg·d), respectively; the pinaverium bromide group received intragastric administration of pinaverium bromide tablets at 0.018 g/(kg·d); and the control group was given distilled water at 10 ml/(kg·d) via intragastric gavage. The intervention was conducted once daily for 14 consecutive days. After the gavage treatment, the fecal water content of rats in each group was measured. Enzyme-linked immunosorbent assay (ELISA) was used to detect the serum levels of intestinal permeability indicators, including D-lactic acid (D-LA), diamine oxidase (DAO), and lipopolysaccharide (LPS). Quantitative real-time polymerase chain reaction (qRT-PCR) was conducted to determine the mRNA expression levels of
miR
-
29b
-
3p
,
TRAF3
, tumor necrosis factor-α (
TNF
-
α
),
p65
,
p50
, and
MLCK
in colonic tissues. Western Blot analysis was employed to detect the protein expression levels of TRAF3, TNF-
α
, p65, phosphorylated p65 (p-p65), MLCK, myosin light chain (MLC), phosphorylated MLC (p-MLC), and tight junction proteins including junctional adhesion molecule-A (JAM-A), Occludin, and Claudin-1 in colonic tissues.
Results
2
Compared with the control group, the model group exhibited significantly increased fecal water content and serum levels of D-LA, DAO, and LPS, along with decreased protein expression levels of JAM-A,
Occludin, and Claudin-1 in colonic tissues (
P
<0.05 or
P
<0.01). Additionally, in the model group, the mRNA expression levels of
miR
-
29b
-
3p
,
TNF
-
α
,
p65
,
p50
, and
MLCK
in colonic tissues were up-regulated, while the mRNA and protein expression levels of
TRAF3
were down-regulated; the protein levels of TNF-α and MLCK, as well as the ratios of p-p65/p65 and p-MLC/MLC, significantly elevated (
P
<0.01). Compared with the model group, all treatment groups showed reduced fecal water content and serum levels of D-LA, DAO, and LPS, along with down-regulated mRNA expression levels of
miR
-
29b
-
3p
,
TNF
-
α
,
p65
,
p50
, and
MLCK
, and up-regulated
TRAF3
mRNA expression in colonic tissues. Moreover, the pinaverium bromide group and high-dose
Changji'an Formula
group presented increased protein levels of Occludin, Claudin-1, and TRAF3, as well as decreased protein levels of TNF-α and MLCK, and reduced ratios of p-p65/p65 and p-MLC/MLC in colonic tissues (
P
<0.05 or
P
<0.01). Compared with the low-dose
Changji'an Formula
group, the high-dose group had lower fecal water content and serum levels of DAO and LPS (
P
<0.01). In comparison with the pinaverium bromide group, the high-dose
Changji'an Formula
group showed a significant decrease in serum DAO level (
P
<0.01).
Conclusions
2
Changji'an Formula
can reduce intestinal permeability and restore intestinal barrier function in IBS-D rats of liver depression and spleen deficiency syndrome by regulating the miR-29b-3p/TRAF3/NF-κB/MLCK axis.
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