南京中医药大学附属医院(江苏省中医院)
纸质出版:2020
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[1]沈洪,朱磊,刘亚军,张露,邢敬,顾培青.健脾补肾清肠方对溃疡性结肠炎模型大鼠结肠组织IL-6/JAK2/STAT3信号通路的影响[J].中医杂志,2020,61(22):1977-1982.
SHEN Hong, ZHU Lei, LIU Yajun, et al. Effects of Jianpi Bushen Qingchang Formula(健脾补肾清肠方) on IL-6/JAK2/STAT3 Signaling Pathway in Colon Tissue of Ulcerative Colitis Model Rats[J]. Journal of Traditional Chinese Medicine2020, 61(22): 1977-1982.
[1]沈洪,朱磊,刘亚军,张露,邢敬,顾培青.健脾补肾清肠方对溃疡性结肠炎模型大鼠结肠组织IL-6/JAK2/STAT3信号通路的影响[J].中医杂志,2020,61(22):1977-1982. DOI: 10.13288/j.11-2166/r.2020.22.013.
SHEN Hong, ZHU Lei, LIU Yajun, et al. Effects of Jianpi Bushen Qingchang Formula(健脾补肾清肠方) on IL-6/JAK2/STAT3 Signaling Pathway in Colon Tissue of Ulcerative Colitis Model Rats[J]. Journal of Traditional Chinese Medicine2020, 61(22): 1977-1982. DOI: 10.13288/j.11-2166/r.2020.22.013.
目的探讨健脾补肾清肠方治疗溃疡性结肠炎的可能作用机制。方法采用三硝基苯磺酸+乙醇灌肠法建立溃疡性结肠炎大鼠模型
将造模成功的大鼠随机分为模型组和健脾补肾清肠方低、中、高剂量组
另设正常组
每组10只。造模后健脾补肾清肠方低、中、高剂量组分别给于健脾补肾清肠方混悬液3.4、6.8、13.6g/(kg·d)灌胃
正常组和模型组给予蒸馏水1ml/(100g·d)灌胃。10天后取结肠组织进行病理学观察
ELISA法检测血清和结肠组织白细胞介素1β(IL-1β)、白细胞介素6(IL-6)、白细胞介素8(IL-8)和肿瘤坏死因子α(TNF-α)的含量
RT-qPCR法检测结肠组织IL-6 mRNA表达
Western blot法检测结肠组织Janus激酶2(JAK2)、信号转导及转录激活因子3(STAT3)蛋白及其磷酸化蛋白的表达水平。结果病理结果显示
正常组大鼠结肠组织黏膜结构完整
腺体排列整齐;模型组结肠黏膜结构破坏严重
腺体排列紊乱或缺失
可见大量炎性细胞浸润;健脾补肾清肠方高剂量组结肠腺体破坏较轻
结构基本恢复正常
而健脾补肾清肠方中、低剂量组黏膜少量恢复
有部分炎性细胞的浸润。与正常组比较
模型组大鼠结肠组织及血清中IL-6、IL-1β、IL-8和TNF-α含量
结肠组织IL-6 mRNA表达
p-JAK2/JAK2和p-STAT3/STAT3值均显著增高(P<0.01);与模型组比较
健脾补肾清肠方低、中、高剂量组上述指标均不同程度降低(P<0.05或P<0.01)
且以健脾补肾清肠方高剂量组各指标改善最明显(P<0.05或P<0.01)。结论健脾补肾清肠方能够减轻溃疡性结肠炎大鼠结肠组织炎症反应
修复受损黏膜
抑制结肠组织IL-6/JAK2/STAT3信号通路可能是其作用机制之一。
Objective To explore the possible mechanism of Jianpi Bushen Qingchang Formula(健脾补肾清肠方) in the treatment of ulcerative colitis. Methods A rat model of ulcerative colitis was established with trinitrobenzene sulfonic acid and ethanol enema. The rats that were successfully modeled were randomly divided into a model group
Jianpi Bushen Qingchang Formula low
medium and high dose group
and a normal group
with 10 rats in each group. After the model was established
Jianpi Bushen Qingchang Formula low
medium and high doses group were given Jianpi Bushen Qingchang Formula suspension 3.4
6.8
13.6 g/(kg·d) respectively by gavage
and the normal group and model group were given distilled water 1 ml/(100 g·d) by gavage. After 10 days
the colon tissue was taken for pathological observation. The serum and colon tissue interleukin 1β(IL-1β)
interleukin 6(IL-6)
interleukin 8(IL-8) and tumor necrosis factor α(TNF-α) were detected by ELISA. The expression of IL-6 mRNA in colon tissue was detected by RT-qPCR
and the Janus kinase 2(JAK2)
signal transducer and activator of transcription 3(STAT3) protein and the expression level of phosphorylated protein were detected by Western blot. Results The pathological results showed that the mucosal structure of the colon tissue of the normal group was complete
and the glands were arranged neatly; the colon mucosal structure of the model group was seriously damaged
the glands were arranged disorderly or missing
and a large number of inflammatory cell infiltrations were seen; the colonic glands were less damaged and the structure basically returned to normal in Jianpi Bushen Qingchang Formula high dose group
while the mucosa recovered a little
and some inflammatory cells were infiltrated in Jianpi Bushen Qingchang Formula low-dose and medium-dose group. Compared with the normal group
the contents of IL-6
IL-1β
IL-8 and TNF-α in the colon tissue and serum
the expression of IL-6 mRNA in the colon tissue
p-JAK2/JAK2 and p-STAT3/STAT3 values were significantly increased in the model group(P<0.01); compared with the model group
the above indicators of the low
medium
and high dose groups of Jianpi Bushen Qingchang Formula were reduced to varying degrees(P<0.05 or P<0.01)
and the improvement of indexes of Jianpi Bushen Qingchang Formula high-dose group was most significant(P<0.05 or P<0.01). Conclusion Jianpi Bushen Qingchang Formula can alleviate the inflammation in the colon tissue of ulcerative colitis model rats
and repairing the damaged mucosa
and inhibiting the IL-6/JAK2/STAT3 signaling pathway in the colon tissue
and may be one of its mechanisms.
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