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[五比山药丸对腺嘌呤致肾阳虚大鼠性功能障碍的影响]

[Effect of Wubi Shanyao Pills on sexual dysfunction in rats with adenine-induced kidney-Yang deficiency].

作者信息

Fang Ping, Su Jie, Chen Wei, Zhu Jia-Ming, Yu Jing-Jing, Yan Mei-Qiu, Sun Chen-Chen, Huang Qi-di, Liu Ting, Chen Su-Hong, Lyu Gui-Yuan

机构信息

Zhejiang Chinese Medical University Hangzhou 310053, China Fifth People's Hospital of Yuhang District Hangzhou 311100, China.

Zhejiang Chinese Medical University Hangzhou 310053, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2020 May;45(10):2439-2445. doi: 10.19540/j.cnki.cjcmm.20200107.403.

Abstract

The aim of this paper was to study the effect of Wubi Shanyao Pills on sexual dysfunction in rats with kidney-Yang deficiency and to investigate its possible mechanism. Adenine(100 mg·kg(-1)) was administered to male SD rats for 8 weeks to establish kidney-Yang deficiency model, and at the same time, Wubi Shanyao Pills(2, 1, 0.5 g·kg(-1)) were administered to rats for 8 weeks. The syndrome manifestation of kidney-Yang deficiency was observed in rats and the scores of symptoms were evaluated. Sexual behavior indexes(incubation period and times of capture, straddle and ejaculation) were measured by mating experiment. The levels of serum testosterone(T), estradiol(E_2), follicle stimulating hormone(FSH), luteinizing hormone(LH), and gonadotropin releasing hormone(GnRH) were measured by radioimmunoassay. The wet weights of testis and seminal vesicle were measured. The content of fructose in seminal plasma was detected by UV spectrophotometry. The pathological changes of testis and epididymis were observed by HE staining. The expression levels of transforming growth factor(TGF-β1) and cytochrome P450 aromatase(CYP19) in testis were detected by immunohistochemistry and Western blot. The results showed that Wubi Shanyao Pills could significantly reduce the score of kidney-Yang deficiency syndrome, improve the symptoms of kidney-Yang deficiency syndrome, shorten capture, straddle and ejaculation latency, increase capture and straddle times, increase serum T, LH, FSH, E_2 and GnRH levels, increase the wet weight of testis and seminal vesicle and fructose content in seminal plasma, improve the pathological structure of testis and epididymis, and inhibit the expression of TGF-β1 and increase CYP19 in testis of the model rats. Therefore, Wubi Shanyao Pills can significantly improve sexual dysfunction in rats with kidney-Yang deficiency, and its mechanism may be related to regulating the low function of hypothalamus pituitary gonad(HPG) axis and improving the disorder of sex hormone secretion. In addition, it may be also related to inhibiting the expression of testicular TGF-β1, increasing the expression of CYP19 protein, and then regulating the amount of T converted to E_2.

摘要

本文旨在研究无比山药丸对肾阳虚大鼠性功能障碍的影响,并探讨其可能的作用机制。将腺嘌呤(100 mg·kg⁻¹)给予雄性SD大鼠,连续8周以建立肾阳虚模型,同时将无比山药丸(2、1、0.5 g·kg⁻¹)给予大鼠,连续8周。观察大鼠肾阳虚证候表现并评估症状评分。通过交配实验测量性行为指标(潜伏期及捕捉、跨骑和射精次数)。采用放射免疫分析法测定血清睾酮(T)、雌二醇(E₂)、卵泡刺激素(FSH)、黄体生成素(LH)和促性腺激素释放激素(GnRH)水平。测量睾丸和精囊的湿重。采用紫外分光光度法检测精浆中果糖含量。通过苏木精-伊红(HE)染色观察睾丸和附睾的病理变化。采用免疫组织化学和蛋白质印迹法检测睾丸中转化生长因子(TGF-β1)和细胞色素P450芳香化酶(CYP19)的表达水平。结果表明,无比山药丸可显著降低肾阳虚证评分,改善肾阳虚证症状,缩短捕捉、跨骑和射精潜伏期,增加捕捉和跨骑次数,提高血清T、LH、FSH、E₂和GnRH水平,增加睾丸和精囊湿重及精浆中果糖含量,改善睾丸和附睾的病理结构,并抑制模型大鼠睾丸中TGF-β1的表达,增加CYP19表达。因此,无比山药丸可显著改善肾阳虚大鼠的性功能障碍,其机制可能与调节下丘脑-垂体-性腺(HPG)轴功能低下、改善性激素分泌紊乱有关。此外,还可能与抑制睾丸TGF-β1表达、增加CYP19蛋白表达,进而调节T转化为E₂的量有关。

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