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首乌降气汤对胰岛素抵抗型多囊卵巢综合征大鼠的显著治疗作用。

Potent therapeutic effects of shouwu jiangqi decoction on polycystic ovary syndrome with insulin resistance in rats.

作者信息

Wang Li-hong, Wang Xu, Yu Xi-zhong, Xu Wen-ting

机构信息

Zhangjiagang Hospital of Chinese Medicine, Zhangjiagang, Jiangsu Province, 215600, China.

The First Clinical College, Nanjing University of Chinese Medicine, Nanjing, 210046, China.

出版信息

Chin J Integr Med. 2016 Feb;22(2):116-23. doi: 10.1007/s11655-015-2147-9. Epub 2015 Jul 16.

Abstract

OBJECTIVE

To investigate the effect of Shouwu Jiangqi Decoction (SJD) on polycystic ovary syndrome (PCOS) with insulin resistance (IR) in rats and to explore the underlining molecular mechanisms.

METHODS

A total of 51 female Sprague-Dawley rats were randomly divided into 6 groups: control group (n=7), model group (n=8), SJD high-dose group (n=9), SJD medium-dose group (n=9), SJD low-dose group (n=9) and DMBG group (n=9). Radioimmunoassay was used to measure serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and testosterone concentrations and qRT-PCR and western blot were used to examine the expression levels of mRNA and protein respectively of insulin receptor substrate 1 (IRS-1) and phosphatidylinositide 3-kinases (PI3K) p85α in different groups.

RESULTS

FSH level significantly decreased in the model group compared with the normal control (P<0.01), and high-dose SJD and DMBG can significantly increase FSH level (P<0.01). LH level showed a mild increase without statistic significance in the model group compared with the control and different dosages of SJD had no significance effect on LH level, while DMBG can significantly decrease LH level (P<0.01). Testosterone level significantly increased in the model group compared with the control group (P<0.01), and high-dose SJD and DMBG can significantly decrease testosterone level (P<0.01). The expression of IRS-1 as well as PI3Kp85α were significantly decreased in the model group compared with the normal control group at both mRNA (P<0.001) and protein (P<0.01) level, and both high-dose SJD and DMBG can enhance IRS-1 and PI3K expression (P<0.05).

CONCLUSIONS

SJD has potent therapeutic effects on PCOS with IR in rats. The therapeutic effects of SJD on IR and ovulatory dysfunction are probably achieved through correcting the defective insulin signaling transduction.

摘要

目的

探讨首乌降气汤(SJD)对胰岛素抵抗(IR)型多囊卵巢综合征(PCOS)大鼠的影响,并探究其潜在分子机制。

方法

将51只雌性Sprague-Dawley大鼠随机分为6组:对照组(n = 7)、模型组(n = 8)、SJD高剂量组(n = 9)、SJD中剂量组(n = 9)、SJD低剂量组(n = 9)和二甲双胍组(n = 9)。采用放射免疫分析法测定血清促卵泡生成素(FSH)、促黄体生成素(LH)和睾酮浓度,采用qRT-PCR和蛋白质印迹法分别检测不同组胰岛素受体底物1(IRS-1)和磷脂酰肌醇3-激酶(PI3K)p85α的mRNA和蛋白质表达水平。

结果

与正常对照组相比,模型组FSH水平显著降低(P < 0.01),高剂量SJD和二甲双胍可显著提高FSH水平(P < 0.01)。与对照组相比,模型组LH水平轻度升高但无统计学意义,不同剂量的SJD对LH水平无显著影响,而二甲双胍可显著降低LH水平(P < 0.01)。与对照组相比,模型组睾酮水平显著升高(P < 0.01),高剂量SJD和二甲双胍可显著降低睾酮水平(P < 0.01)。与正常对照组相比,模型组IRS-1以及PI3Kp85α在mRNA(P < 0.001)和蛋白质(P < 0.01)水平均显著降低,高剂量SJD和二甲双胍均可增强IRS-1和PI3K表达(P < 0.05)。

结论

SJD对IR型PCOS大鼠具有显著治疗作用。SJD对IR和排卵功能障碍的治疗作用可能是通过纠正胰岛素信号转导缺陷实现的。

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