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何首乌根肝毒性成分的探索研究

[Exploration research on hepatotoxic constituents from Polygonum multiflorum root].

作者信息

Yang Min, Liu Ting, Feng Wei-Hong, Hui Lian-Qiang, Li Rao-Rao, Liu Xiao-Qian, Chen An-Jia, Li Chun, Wang Zhi-Min

机构信息

Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China.

Shanxi Medical University, Taiyuan 030001, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Apr;41(7):1289-1296. doi: 10.4268/cjcmm20160721.

Abstract

By observing the cytotoxic effects of anthraquinones on HepG2 cell and using the precision-cut liver slices technique to authenticate the cytotoxic constituents, the paper aims to explore the material basis of Polygonum multiflorum root to cause liver toxicity. Firstly, MTT method was used to detect the effect of 11 anthraquinone derivatives on HepG2 cell. Then, the clear cytotoxic ingredients were co-cultured with rat liver slices for 6h respectively, and the liver tissue homogenate was prepared. BCA method was used to determine the content of protein in the homogenate and continuous monitoring method was used to monitor the leakage of alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamine amino transpeptidase (GGT) and lactate dehydrogenase (LDH). The toxic effect of these ingredients on liver tissue was tested by calculating the leakage rate of the monitored enzymes. As a result, rhein, emodin, physcion-8-O-β-D-glucopyranoside and physcion-8-O-(6'-O-acetyl)-β-D-glucopyranoside showed cytotoxic effects on HepG2 cell and their IC₅₀ values were 71.07, 125.62, 242.27, 402.32 μmol•L⁻¹ respectively, but the other 7 compounds are less toxic and their IC₅₀ values can not be calculated. The precision-cut liver slices tests showed that rhein group of 400 μmol•L⁻¹ concentration significantly increased the leakage rate of ALT, AST and LDH (P<0.01), and the rhein group of 100 μmol•L⁻¹ concentration only increased the leakage rate of LDH (P<0.05). With the increase of rhein concentration, the protein content in liver slices decreased significantly (P<0.05) with a certain range of does. Emodin group of 400 μmol•L⁻¹ concentration significantly increased the leakage rate of ALT, GGT and LDH (P<0.01). Physcion-8-O-β-D-glucopyranoside group of 800 μmol•L⁻¹ concentration also significantly increased the leakage rate of ALT, AST and LDH (P<0.01 or P<0.05), but the group of 200 μmol•L⁻¹ concentration only significantly increased the LDH leakage (P<0.05). Along with the increase of the concentration of physcion-8-O-β-D-glucopyranoside, the leakage rate of ALT, AST and LDH showed a trend of increase, but the protein content in liver slices was in decline. Furthermore, MTT reduction ability of liver slices significantly decreased (P<0.01) in the physcion-8-O-β-D-glucopyranoside group of 800 μmol•L⁻¹ concentration. The results suggested that rhein, emodin and physcion-8-O-β-D-glucopyranoside at high concentrations (≥400 μmol•L⁻¹) can produce some damage to the liver tissue. However, the exposure levels of these constituents are very low, so to reach the toxic concentration (400 μmol•L⁻¹ or 800 μmol•L⁻¹) an adult of 65 kg body weight will need at least a single oral 4 898 g, 339 g and 5 581 g of P.multiflorum root respectively, which is far from the statutory dose of crude P. multiflorum root (3-6 g) or its processed product (6-12 g). Therefore, the conclusion that anthraquinones are the prime constituents of the hepatotoxicity of P. multiflorum root are still not be proved.

摘要

通过观察蒽醌类化合物对HepG2细胞的细胞毒性作用,并采用精密肝切片技术鉴定细胞毒性成分,旨在探讨何首乌致肝毒性的物质基础。首先,采用MTT法检测11种蒽醌衍生物对HepG2细胞的作用。然后,将明确的细胞毒性成分分别与大鼠肝切片共培养6小时,制备肝组织匀浆。采用BCA法测定匀浆中蛋白质含量,采用连续监测法监测丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、γ-谷氨酰氨基转移酶(GGT)和乳酸脱氢酶(LDH)的泄漏情况。通过计算所监测酶的泄漏率来检测这些成分对肝组织的毒性作用。结果显示,大黄酸、大黄素、大黄素甲醚-8-O-β-D-吡喃葡萄糖苷和大黄素甲醚-8-O-(6'-O-乙酰基)-β-D-吡喃葡萄糖苷对HepG2细胞具有细胞毒性作用,其IC₅₀值分别为71.07、125.62、242.27、402.32 μmol•L⁻¹,而其他7种化合物毒性较小,无法计算其IC₅₀值。精密肝切片试验表明,400 μmol•L⁻¹浓度的大黄酸组显著增加了ALT、AST和LDH的泄漏率(P<0.01),100 μmol•L⁻¹浓度的大黄酸组仅增加了LDH的泄漏率(P<0.05)。随着大黄酸浓度的增加,肝切片中的蛋白质含量在一定剂量范围内显著降低(P<0.05)。400 μmol•L⁻¹浓度的大黄素组显著增加了ALT、GGT和LDH的泄漏率(P<0.01)。800 μmol•L⁻¹浓度的大黄素甲醚-8-O-β-D-吡喃葡萄糖苷组也显著增加了ALT、AST和LDH的泄漏率(P<0.01或P<0.05),但200 μmol•L⁻¹浓度组仅显著增加了LDH泄漏(P<0.05)。随着大黄素甲醚-8-O-β-D-吡喃葡萄糖苷浓度的增加,ALT、AST和LDH的泄漏率呈上升趋势,但肝切片中的蛋白质含量呈下降趋势。此外,800 μmol•L⁻¹浓度的大黄素甲醚-8-O-β-D-吡喃葡萄糖苷组肝切片的MTT还原能力显著降低(P<0.01)。结果表明,高浓度(≥400 μmol•L⁻¹)的大黄酸、大黄素和大黄素甲醚-8-O-β-D-吡喃葡萄糖苷可对肝组织产生一定损伤。然而,这些成分的暴露水平非常低,因此,一名体重65 kg的成年人要达到毒性浓度(400 μmol•L⁻¹或800 μmol•L⁻¹),分别需要单次口服至少4898 g、339 g和5581 g何首乌,这远远高于何首乌生品(3 - 6 g)或其炮制品(6 - 12 g)的法定剂量。因此,蒽醌类化合物是何首乌肝毒性主要成分的结论仍未得到证实。

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