1. 上海中医药大学附属曙光医院
2. 上海中医药大学中医肾病研究所
纸质出版:2021
移动端阅览
[1]姚东升,徐琳,王骆冰,邵命海,叶朝阳,王琛.肾衰Ⅱ号方对慢性肾功能衰竭模型大鼠肠道紧密连接蛋白的影响[J].中医杂志,2021,62(10):898-903.
YAO Dongsheng, XU Lin, WANG Luobing, et al. Effect of Shenshuai Formula Ⅱ (肾衰Ⅱ号方) on Intestinal Tight Junction Protein in Chronic Renal Failure Model Rats[J]. Journal of Traditional Chinese Medicine2021, 62(10): 898-903.
[1]姚东升,徐琳,王骆冰,邵命海,叶朝阳,王琛.肾衰Ⅱ号方对慢性肾功能衰竭模型大鼠肠道紧密连接蛋白的影响[J].中医杂志,2021,62(10):898-903. DOI: 10.13288/j.11-2166/r.2021.10.014.
YAO Dongsheng, XU Lin, WANG Luobing, et al. Effect of Shenshuai Formula Ⅱ (肾衰Ⅱ号方) on Intestinal Tight Junction Protein in Chronic Renal Failure Model Rats[J]. Journal of Traditional Chinese Medicine2021, 62(10): 898-903. DOI: 10.13288/j.11-2166/r.2021.10.014.
目的探讨肾衰Ⅱ号方治疗慢性肾功能衰竭的可能作用机制。方法 SD大鼠采用5/6肾切除方法制备慢性肾功能衰竭大鼠模型
将造模成功的30只大鼠随机分为模型组、肾衰Ⅱ号方组及双歧三联活菌组各10只
另设空白组大鼠10只。肾衰Ⅱ号方组给予浓度为6.09g/ml肾衰Ⅱ号方药液10ml/kg灌胃
双歧三联活菌组大鼠给予双歧三联活菌17.86mg/(kg·d)灌胃
空白组、模型组大鼠给予2ml生理盐水灌胃
均每日1次
连续60天。取材前实验大鼠禁食5h后灌服内毒素(LPS)10mg/kg
3.5h后大鼠腹腔麻醉取血分离血清
10%甲醛固定小肠。检测血肌酐、尿素氮及LPS含量
肠组织采用HE染色观察病理结构
检测肠组织闭锁蛋白(Occludin)、闭锁小带蛋白1(ZO-1)、肌球蛋白轻链激酶(MLCK)、肌球蛋白轻链(MLC)蛋白及其mRNA表达
磷酸化肌球蛋白轻链(p-MLC)蛋白表达。结果与空白组比较
模型组大鼠血肌酐、尿素氮、LPS水平升高
MLCK、p-MLC蛋白及MLCK mRNA表达亦升高
ZO-1、Occludin蛋白及mRNA表达降低(P<0.05)
病理显示小肠绒毛变短变宽
局部隐窝拉长
腺体增殖不活跃。与模型组比较
肾衰Ⅱ号方组血肌酐、尿素氮、LPS水平降低
MLCK蛋白及mRNA、p-MLC蛋白表达降低
ZO-1、Occludin蛋白升高(P<0.05)
肠道病理变化减轻。结论肾衰Ⅱ号方可能通过下调肠组织MLCK的转录与表达
降低MLC磷酸化水平修复紧密连接结构
从而调整肠道屏障功能减少肠源性内毒素入血
达到治疗慢性肾功能衰竭的目的。
Objective To explore the possible mechanism of Shenshuai Formula Ⅱ(肾衰Ⅱ号) in treating chronic kidney failure(CKF). Methods CKF rats model was established by 5/6 nephrectomy in SD rats. Thirty successfully modeled rats were randomly divided into a model group
a Shenshuai Formula Ⅱ group
and bifid triple viable group
with 10 rats in each group; a blank group of 10 rats was also set. Concentration of 6.09 g/ml Shenshuai Formula Ⅱ at dose of 10 ml/kg and concentration of 17.86 mg/(kg·d) bifid triple viable were given by gavage to the rats in the corresponding groups; 2 ml normal saline was given by gavage to the rats in the blank group and model group; all interventions were performed once daily for 60 days. The rats were fasted for five hours before being fed with 10 mg/kg endotoxin(LPS); after 3.5 hours
the rats were anesthetized in the abdominal cavity to collect and separate serum
and the small intestine was fixed with 10% formalin. The serum creatinine
urea nitrogen and LPS content were assessed. HE staining method was used to observe the pathological structure of intestinal tissue. The intestinal tissue atresia protein(Occludin)
zonula atresia protein 1(ZO-1)
myosin light chain kinase(MLCK)
muscle globulin light chain(MLC) protein and the mRNA expression
and phosphorylated myosin light chain(p-MLC) protein expression were detected. Results Compared to the blank group
the model group had higher levels of serum creatinine
urea nitrogen and LPS content
higher expression of MLCK
p-MLC protein and MLCK mRNA
and lower expression of ZO-1 and Occludin protein and mRNA(P<0.05); and the pathological results showed that small intestinal villi became shorter and wider; local crypts elongated; and gland proliferation was not active. Compared to the model group
Shenshuai Formula Ⅱ group had lower serum creatinine
urea nitrogen and LPS content
lower expression of MLCK protein and mRNA and p-MLC protein
and higher expression of ZO-1 and Occludin protein(P<0.05); and the intestinal pathological results were improved. Conclusion Shenshuai Formula Ⅱ may reduce the transcription and expression of MLCK in the intestinal tissue
reduce the phosphorylation level of MLC
and repair the tight junction structure
thereby adjusting the intestinal barrier function and reducing the entry of intestinal endotoxin into the blood so as to treat CKF.
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