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[扶正化瘀方抑制小鼠自噬的抗纤维化机制研究]

[Study on anti- fibrotic mechanism of Fuzheng -Huayu formula to suppress autophagy in mice].

作者信息

Huang L W, Jiang N, Ping J, Zhang J, Xu L M

机构信息

Department of Gastroenterology, Baoshan Branch, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201999, China;Institute of Liver Diseases, Shanghai University of TCM, Shanghai 201203, China.

Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Institute of Liver Diseases, Shanghai University of TCM, Shanghai 201203, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2019 Aug 20;27(8):621-627. doi: 10.3760/cma.j.issn.1007-3418.2019.08.007.

Abstract

To determine whether the anti-hepatic fibrosis effect of Fuzheng-Huayu formula is related to suppress autophagy in mice. C57 mice were randomly divided into normal group (N group) and model group. The model group was induced by intraperitoneal injection of carbon tetrachloride to induce liver fibrosis in mice, and the normal group was injected with equal volume of olive oil. After 1 week, the model group was randomly divided into model (M) group, rapamycin (Rapa) group, rapamycin plus chloroquine (Rapa+CQ) group, rapamycin plus salvianolic acid B (Rapa+Sal B) group, rapamycin plus Fuzheng -Huayu formula (Rapa+FZ) group. Each drug group was administered corresponding drugs by gavage on a daily basis, and N group and M group were given the equal amount of drinking water by gavage. After 5 weeks, the mice were sacrificed, and HE and Sirius red staining were used to observe the inflammation and collagen deposition on liver tissue in each group. The hydroxyproline content was determined by alkaline hydrolysis method. Western blotting was used to detect changes in the expression of autophagy in liver tissue and microtubule-associated protein 1 light chain 3II/I (LC3II/I), p62, α-smooth muscle actin (ɑ-SMA) and type I collagen expression. Immunofluorescence staining was used to observe the immunofluorescence localization of ɑ-SMA and LC3B in liver tissues of each group. ). A t-test was used to compare the two independent samples. LSD or Dunnett's T3 test were used to compare the mean of multiple samples. There was no significant difference in N and M groups in terms of body weight. The body weight of the mice in each drug group decreased significantly ( = 14.041, < 0.001). The liver/spleen /body weight ratios of each drug group and M group were significantly higher than the N group ( = 26.992, 6.589, < 0.001). The expression of p62 protein in the liver tissue of mice in each drug group was lower than M group, and the difference between Rapa group and Rapa+Sal B group ( = 3.085, = 0.039, 0.003) was statistically significant, while that of Rapa + Sal B group was lower. Compared with group M, the expression of LC3B II in Rapa group was significantly higher ( = 7.514, = 0.01). Immunofluorescence staining showed that LC3B and α-SMA CO-stained cells were absent in the liver of mice in N group, and co-stained cells were found in the liver of mice in M group. The co-stained cells in the liver of mice in each drug group were significantly higher than M group, and the co-stained cells in Rapa+FZ group were fewer. Compared with the N group, the collagen deposition of M group and each drug group was significantly increased; the collagen deposition of each drug group was lower than that of the M group. There was no statistically significant difference between each drug group. Compared with N group (77.75 + 48.79), hydroxyproline in liver tissue of mice in M group was significantly increased (293.48 + 84.43) ( = 3.015, = 0.005), and the content of hydroxyproline in liver tissue of mice in each drug group was lower than M group, but the difference was not statistically significant ( = 0.750, = 0.573). Compared with the N group, the expressions of α-SMA and type I collagen in the M group were significantly increased ( = 27.718, 18.893, < 0.01). The expression of α-SMA in Rapa group and Rapa+Sal B group was similar to M group, while Rapa + CQ group and Rapa + FZ group were significantly lower than Rapa group and M group ( < 0.01). The expression of type I collagen in Rapa + CQ group was significantly higher than Rapa group ( = 0.017), while the expression of type I collagen in Rapa + FZ group was significantly lower than M group ( = 0.013). Autophagy of hepatic stellate cells was observed in carbon tetrachloride-induced liver fibrosis model. Rapamycin can promote autophagy in hepatocytes and hepatic stellate cells. Fuzheng-Huayu formula and Salvianolic Acid B might antagonize the effect of rapamycin on autophagy.

摘要

为确定扶正化瘀方抗肝纤维化作用是否与抑制小鼠自噬有关。将C57小鼠随机分为正常组(N组)和模型组。模型组通过腹腔注射四氯化碳诱导小鼠肝纤维化,正常组注射等体积橄榄油。1周后,将模型组随机分为模型(M)组、雷帕霉素(Rapa)组、雷帕霉素加氯喹(Rapa+CQ)组、雷帕霉素加丹酚酸B(Rapa+Sal B)组、雷帕霉素加扶正化瘀方(Rapa+FZ)组。各药物组每日经口灌胃给予相应药物,N组和M组经口灌胃给予等量饮用水。5周后,处死小鼠,采用HE和天狼星红染色观察各组肝组织炎症及胶原沉积情况。采用碱性水解法测定羟脯氨酸含量。采用蛋白质免疫印迹法检测肝组织自噬相关蛋白微管相关蛋白1轻链3II/I(LC3II/I)、p62、α平滑肌肌动蛋白(ɑ-SMA)及I型胶原表达变化。采用免疫荧光染色观察各组肝组织中ɑ-SMA和LC3B的免疫荧光定位。采用t检验比较两个独立样本。采用LSD或Dunnett's T3检验比较多个样本的均值。N组和M组小鼠体重无显著差异。各药物组小鼠体重显著下降(F=14.041,P<0.001)。各药物组及M组肝/脾/体重比值均显著高于N组(F=26.992、6.589,P<0.001)。各药物组小鼠肝组织p62蛋白表达均低于M组,其中Rapa组与Rapa+Sal B组比较差异有统计学意义(t=3.085,P=0.039、0.003),且Rapa+Sal B组更低。与M组比较,Rapa组LC3B II表达显著升高(t=7.514,P=0.01)。免疫荧光染色显示,N组小鼠肝脏中未见LC3B与α-SMA共染细胞,M组小鼠肝脏中可见共染细胞。各药物组小鼠肝脏中共染细胞均显著多于M组,其中Rapa+FZ组共染细胞较少。与N组比较,M组及各药物组胶原沉积均显著增加;各药物组胶原沉积均低于M组。各药物组间比较差异无统计学意义。与N组(77.75±48.79)比较,M组小鼠肝组织羟脯氨酸含量显著升高(293.48±84.43)(t=3.015,P=0.005),各药物组小鼠肝组织羟脯氨酸含量均低于M组,但差异无统计学意义(F=0.750,P=0.573)。与N组比较,M组α-SMA及I型胶原表达均显著增加(t=27.718、18.893,P<0.01)。Rapa组和Rapa+Sal B组α-SMA表达与M组相似,而Rapa+CQ组和Rapa+FZ组显著低于Rapa组和M组(P<0.01)。Rapa+CQ组I型胶原表达显著高于Rapa组(t=0.017),而Rapa+FZ组I型胶原表达显著低于M组(t=0.013)。在四氯化碳诱导的肝纤维化模型中观察到肝星状细胞自噬。雷帕霉素可促进肝细胞和肝星状细胞自噬。扶正化瘀方和丹酚酸B可能拮抗雷帕霉素对自噬的作用。

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