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不同培土中药抗饮食诱导肥胖作用的初步比较研究。

Preliminary comparative study on the effect of different chinese drugs for strengthening Pi in antagonizing diet induced obesity.

机构信息

Internal Medical Department, Hospital Affiliated to Shandong University of Traditional Chinese Medicine, Jinan (250011), China.

出版信息

Chin J Integr Med. 2010 Apr;16(2):138-44. doi: 10.1007/s11655-010-0138-4. Epub 2010 May 16.

Abstract

OBJECTIVE

To observe the difference in fatty degree, glucose-lipid disorder and adipose-hormones between diet induced obesity (DIO) rats and diet induced obesity resistance (DIO-R) rats, and to explore the effect and acting mechanism of Chinese drugs for strengthening Pi (CD-SP) and those for both strengthening Pi and dissolving phlegm (CD-SPDP) in inhibiting obesity.

METHODS

Excepting eight rats allocated in the blank control group, the other 54 rats were fed with high-lipid forage for 12 weeks to establish models of obesity. Finally, 30 DIO rats and 8 DIO-R rats (shown by their body weight) were obtained. The DIO rats were divided into three groups, which were given gastric perfusion, respectively, with normal saline (Group A), CD-SP (Group B), and CD-SPDP (Group C). Fourteen weeks later, the animals' body weight (BW), length (BL), blood levels of fasting insulin (FIn), fasting glucose (FBG), triglyceride (TG), cholesterol (TC), leptin (LP), neuropeptide Y (NPY), C-reactive protein (CRP), tumor necrosis factor-alpha(TNF-alpha), adiponectin (AN), and resistin (RS) were measured; insulin resistance index (IRI) was calculated, and the degree of obesity and lipid content in abdominal cavity of rats were estimated. Moreover, the levels of LP, CRP, TNF-alpha, AN and RS in homogenate of rats' adipose tissues (ATH) were determined.

RESULTS

After 12 weeks of high-lipid diet, the BW of DIO rats was higher than that of normal or DIO-R rats. After a 14-week continuous high-lipid diet feeding, in DIO rats, BW, lipid coefficient (LC), and IRI were significantly increased (P<0.01); serum levels of TNF-alpha, LP and AN were lower, NPY was higher, while the ATH levels of LP and AN were lower and TNF-alpha was higher in DIO rats than in DIO-R rats (P<0.05 or P<0.01); blood levels of FBG and lipids in DIO rats showed an increasing trend but was statistically insignificant (P>0.05); no significant difference was found in serum levels of CRP and RS due to the overly high data dispersion. Comparisons of the 3 DIO groups showed that BW, body weight index (BWI), LC and IRI were significantly lowered after treatment (P<0.01) in Group C, while these indexes were not significantly different between Group A and B; the serum levels of TNF-alpha, LP, and AN increased, NPY decreased in Group B and C, ATH levels of LP and AN increased, and TNF-alpha decreased in the two groups; but NPY, LP, and AN in blood and ATH were higher in Group C than those in Group B (P<0.05 or P<0.01).

CONCLUSION

CD-SPDP could inhibit DIO and IR, showing that the effect is better than that of CD-SP, and its mechanism is related to promotion of LP and AN secretion and elevation of serum NPY.

摘要

目的

观察饮食诱导肥胖(DIO)大鼠和饮食诱导肥胖抵抗(DIO-R)大鼠在脂肪程度、糖脂紊乱和脂肪激素方面的差异,探讨中药健脾化痰方(CD-SP)和健脾化痰方(CD-SPDP)抑制肥胖的作用及作用机制。

方法

除空白对照组 8 只大鼠外,其余 54 只大鼠给予高脂饲料喂养 12 周,建立肥胖模型。最后获得 30 只 DIO 大鼠和 8 只 DIO-R 大鼠(以体重表示)。DIO 大鼠分为三组,分别给予生理盐水(A 组)、CD-SP(B 组)和 CD-SPDP(C 组)灌胃。14 周后,测量大鼠体重(BW)、体长(BL)、空腹胰岛素(FIn)、空腹血糖(FBG)、甘油三酯(TG)、胆固醇(TC)、瘦素(LP)、神经肽 Y(NPY)、C 反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、脂联素(AN)和抵抗素(RS)水平;计算胰岛素抵抗指数(IRI),并估计大鼠肥胖程度和腹腔脂肪含量。此外,还测定了大鼠脂肪组织匀浆(ATH)中 LP、CRP、TNF-α、AN 和 RS 的水平。

结果

高脂饮食 12 周后,DIO 大鼠 BW 高于正常大鼠和 DIO-R 大鼠。经过 14 周的持续高脂饮食喂养,DIO 大鼠 BW、脂系数(LC)和 IRI 显著升高(P<0.01);血清 TNF-α、LP 和 AN 水平降低,NPY 水平升高,而 DIO 大鼠 LP 和 AN 的 ATH 水平降低,TNF-α水平升高(P<0.05 或 P<0.01);DIO 大鼠 FBG 和血脂水平呈上升趋势,但无统计学意义(P>0.05);由于数据分散过高,血清 CRP 和 RS 水平无显著差异。3 组 DIO 大鼠比较显示,C 组治疗后 BW、体重指数(BWI)、LC 和 IRI 明显降低(P<0.01),而 A 组和 B 组之间无显著差异;B 组和 C 组血清 TNF-α、LP 和 AN 水平升高,NPY 水平降低,两组 LP 和 AN 的 ATH 水平升高,TNF-α水平降低;但 C 组的血清 NPY、LP 和 AN 以及 ATH 高于 B 组(P<0.05 或 P<0.01)。

结论

CD-SPDP 可抑制 DIO 和 IR,作用优于 CD-SP,其机制与促进 LP 和 AN 分泌及升高血清 NPY 有关。

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