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强精汤对少弱精子症抗氧化及能量代谢的改善作用:一项实验研究

[Antioxidating and energy metabolism improving effects of Qiangjing Decoction on oligospermia and asthenospermia: An experimental study].

作者信息

Tang Qian-li, He Qing-hu, Dai Bo, Liu Zhao-sheng, Huang Xin, Wang Quan-sheng, Bin Bin

出版信息

Zhonghua Nan Ke Xue. 2016 Feb;22(2):153-9.

Abstract

OBJECTIVE

To explore the mechanisms of Qianjing Decoction in the treatment of oligoasthenospermia (OAS).

METHODS

We randomly divided 100 SPF male rats into five groups of equal number: normal, model, Huangjingzanyu, levocarnitine, and Qiangjing. OAS models were established in the animals followed by intragastrical administration of normal saline, ornidazole, Huangjingzanyu Capsules (200 mg per kg body weight per day), levocarnitine (100 mg per kg body weight per day), and Qianjing Decoction (10 g per kg body weight per day), respectively, qd, for 4 successive weeks. Then, we detected the concentration and motility of the epididymal sperm, obtained the contents of superoxide dismutase (SOD), malonaldehyde (MDA), glutathione peroxidase (GSH-Px), lactate dehydrogenase (LDH), α-glucosidase, and fructose in the epididymis, and determined the mRNA expressions of nuclear factor erythroid 2-related factor 2 (Nrf2) and succinate dehydrogenase (SDH) in the epididymal tissue of the rats by real-time PCR.

RESULTS

The concentration and motility of the epididymal sperm in the model, Huangjingzanyu, levocarnitine, and Qianging groups were (35.34 ± 4.22) x 10(6)/ml and (40.04 ± 7.05)%, (48.12 ± 5.56) x 10(6)/ml and (62.46 ± 7.12)%, (47.14 ± 4.87) x 10(6)/ml and (63.23 ± 6.34)%, and (50.25 ± 5.08) x 10(6)/ml and (66.34 ± 7.58)%, respectively, all significantly lower than in the normal group ([53.05 ± 4.55] x 10(6)/ml and [70.20 ± 8.54]%) (P < 0.05), but remarkably higher in the Huangjingzanyu, levocarnitine, and Qiangjing groups than in the model rats (P < 0.05). Compared with the thinned epididymal lumen walls, decreased sperm count, and disorderly and loose arrangement of the lumens in the OAS models, the rats in the Huangjingzanyu, levocarnitine, and Qiangjing groups showed evidently thicker epididymal lumen walls, with the lumens full of sperm cells and arranged regularly and compactly, similar to those of the normal rats. The levels of SOD and GSH-Px were significantly lower but that of MDA markedly higher in the model rats ([84.12 ± 23.25], [10.56 ± 3.02], and [14.04 ± 2.06] nmol/mg) than in the normal group ([110.04 ± 19.56], [17.25 ± 3.56], and [8.87 ± 1.35] nmol/mg) (P < 0.05), while the former two indexes remarkably higher and the latter one significantly lower in the animals treated with Qiangjing Decoction ([120.56 ± 23.68], [16.34 ± 3.12], and [8.45 ± 1.56] nmol/mg), Huangjingzanyu Capsules ([115.34 ± 21.35], [15.23 ± 3.67], and [8.33 ± 1.54] nmol/mg), and levocarnitine ([116.67 ± 22.67], [15.35 ± 3.45], and [8.05 ± 1.78] nmol/mg) than in the models (P < 0.05). The levels of fructose, LDH and α-glucosidase were decreased markedly in the OAS models ([100.22 ± 12.12] mg/[ ml x g], [322 ± 46.13] U/[ ml x g], and [10.48 ± 2.33] U/[ml x g]) as compared with the normal rats ([128.12 ± 13.45] mg/[ml x g], [428 ± 35.12] U/[ml x g], and [15.34 ± 3.12] U/[ ml x g]) (P < 0.05), remarkably higher in the rats treated with Qiangjing ([130.23 ± 13.67] mg/[ml x g] [455 ± 51.50] U/[ml x g], and [18.56 ± 4.67] U/[ml x g]), Huangjingzanyu ([124.16 ± 14.02] mg/[ml x g], [ 419 ± 43.14] U/[ml x g], and [17.64 ± 4.08] U/[ml x g]), and levocarnitine ([123.34 ± 14.02] mg/[ml x g], [430 ± 31.80] U/ [ml x g], and [16.85 ± 5.55] U/[ml x g]) than in the models (P < 0.05). The Nrf2 mRNA expression was significantly reduced in the models as compared with the normal rats (P < 0.05) but remarkably increased in the Huangingzanyu, Qiangjing and levocarnitine groups as compared with the model and normal animals (P < 0.05). The SDH mRNA expression was significantly lower in the model than in the normal rats (P < 0.05) but markedly elevated in the Huangjingzanyu, Qiangjing and levocarnitine groups as compared with the model and normal animals (P < 0.05), remarkably higher in the Qiangjing than in the Huangjingzanyu group (P < 0.05).

CONCLUSION

Ornidazole induces OAS in rats, which is closely associated with excessive oxidation and energy metabolism dysfunction. Qiangjing Decoction can improve and even reverse ornidazole-induced OAS in rats as well as improve the ultrastructure of their testicular and epididymal tissues. Antioxidation and improvement of energy metabolism are probably the action mechanisms of Qiangjing Decoction in the treatment of OAS.

摘要

目的

探讨 Qianjing Decoction 治疗少弱精子症(OAS)的机制。

方法

将 100 只 SPF 级雄性大鼠随机分为数量相等的五组:正常组、模型组、黄精赞育组、左卡尼汀组和 Qianjing 组。建立 OAS 模型后,分别给予动物灌胃生理盐水、奥硝唑、黄精赞育胶囊(每天每千克体重 200 毫克)、左卡尼汀(每天每千克体重 100 毫克)和 Qianjing Decoction(每天每千克体重 10 克),每日 1 次,连续 4 周。然后,检测附睾精子浓度和活力,获取附睾中超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-Px)、乳酸脱氢酶(LDH)、α-葡萄糖苷酶和果糖的含量,并通过实时 PCR 测定大鼠附睾组织中核因子红细胞 2 相关因子 2(Nrf2)和琥珀酸脱氢酶(SDH)的 mRNA 表达。

结果

模型组、黄精赞育组、左卡尼汀组和 Qianjing 组附睾精子浓度和活力分别为(35.34±4.22)×10⁶/ml 和(40.04±7.05)%、(48.12±5.56)×10⁶/ml 和(62.46±7.12)%、(47.14±4.87)×10⁶/ml 和(63.23±6.34)%、(50.25±5.08)×10⁶/ml 和(66.34±7.58)%,均显著低于正常组([53.05±4.55]×10⁶/ml 和[70.20±8.54]%)(P<0.05),但黄精赞育组、左卡尼汀组和 Qianjing 组明显高于模型大鼠(P<0.05)。与 OAS 模型中附睾管腔壁变薄、精子数量减少以及管腔排列紊乱疏松相比,黄精赞育组、左卡尼汀组和 Qianjing 组大鼠的附睾管腔壁明显增厚,管腔内充满精子细胞且排列规则紧密,与正常大鼠相似。模型大鼠中 SOD 和 GSH-Px 水平显著降低,但 MDA 水平明显升高([84.12±23.25]、[10.56±3.02]和[14.04±2.06]nmol/mg),与正常组([110.04±19.56]、[17.25±3.56]和[8.87±1.35]nmol/mg)相比(P<0.05),而用 Qianjing Decoction([120.56±23.68]、[16.34±3.12]和[8.45±1.56]nmol/mg)、黄精赞育胶囊([115.34±21.35]、[15.23±3.67]和[8.33±1.54]nmol/mg)和左卡尼汀([116.67±22.67]、[15.35±3.45]和[8.05±1.78]nmol/mg)处理的动物中前两个指标明显升高,后一个指标明显低于模型组(P<0.05)。与正常大鼠相比,OAS 模型中果糖、LDH 和α-葡萄糖苷酶水平明显降低([100.22±12.12]mg/[ml×g]、[322±46.13]U/[ml×g]和[10.48±2.33]U/[ml×g])([128.12±13.45]mg/[ml×g]、[428±35.12]U/[ml×g]和[15.34±3.12]U/[ml×g])(P<0.05),用 Qianjing([130.23±13.67]mg/[ml×g]、[455±51.50]U/[ml×g]和[18.56±4.67]U/[ml×g])、黄精赞育([124.16±14.02]mg/[ml×g]、[419±43.14]U/[ml×g]和[17.64±4.08]U/[ml×g])和左卡尼汀([123.34±14.02]mg/[ml×g]、[430±31.80]U/[ml×g]和[16.85±5.55]U/[ml×g])处理的大鼠明显高于模型组(P<0.05)。与正常大鼠相比,模型中 Nrf2 mRNA 表达明显降低(P<0.05),但与模型组和正常动物相比黄精赞育组、Qianjing 组和左卡尼汀组明显升高(P<0.05)。模型中 SDH mRNA 表达明显低于正常大鼠(P<0.05),但与模型组和正常动物相比黄精赞育组、Qianjing 组和左卡尼汀组明显升高(P<0.05),Qianjing 组明显高于黄精赞育组(P<0.05)。

结论

奥硝唑诱导大鼠发生 OAS,这与过度氧化和能量代谢功能障碍密切相关。Qianjing Decoction 可改善甚至逆转奥硝唑诱导的大鼠 OAS,并改善其睾丸和附睾组织的超微结构。抗氧化和改善能量代谢可能是 Qianjing Decoction 治疗 OAS 的作用机制。

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