Liu Jia, Zhang Jun-Fei, Gong Guo-Hua, Zhang Bin, Wei Cheng-Xi
Medical Experimental Center, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750000, China.
Department of Emergency Medical, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750000, China.
Evid Based Complement Alternat Med. 2020 May 27;2020:5707106. doi: 10.1155/2020/5707106. eCollection 2020.
The traditional Mongolian medicine (TMM) RuXian-I is an empirical formula specifically used for treating the hyperplasia of mammary gland (HMG) in clinic based on the principles of traditional Mongolian medicine, but the treatment mechanism is not completely clear. In this paper, we elaborated the mechanism of RuXian-I in the treatment of HMG induced by estrogen and progestogen from its toxicity and activity. Firstly, RuXian-I exhibited no toxic effect on HMG rats through no changes of body weight and food intake measurement and no pathologic changes of the organs (heart, liver, spleen, lung, and kidney) detected. Secondly, RuXian-I could decrease the increased nipple height and diameter and remarkably relieve the pathologic changes of HMG rats and also alleviate serum sex hormone levels (estradiol (E), luteinizing hormone (LH), progesterone (P), and testosterone (T)) of HMG rats. Finally, RuXian-I could obviously inhibit the upregulation level of antiapoptotic protein CRYAB of HMG rats and promote mammary gland cell apoptosis of HMG rats via increases of promoting apoptosis protein caspases-3, 8, and 9 and Bax and tumor suppressor protein p53, decreases of antiapoptosis protein Bcl-2, and release of cytochrome c. These results suggested that RuXian-I has protective and therapeutic effects on HMG rats induced by estrogen and progestogen possibly via promoting apoptotic pathway regulated by CRYAB and is a promising agent for treating HMG.
传统蒙药乳癖 -I 是基于传统蒙医理论在临床上专门用于治疗乳腺增生(HMG)的经验方,但治疗机制尚不完全清楚。本文从毒性和活性方面阐述了乳癖 -I 治疗雌激素和孕激素诱导的 HMG 的机制。首先,通过测量体重和食物摄入量未发现变化,且未检测到器官(心、肝、脾、肺和肾)的病理变化,表明乳癖 -I 对 HMG 大鼠无毒性作用。其次,乳癖 -I 可降低 HMG 大鼠升高的乳头高度和直径,显著减轻 HMG 大鼠的病理变化,并降低 HMG 大鼠的血清性激素水平(雌二醇(E)、黄体生成素(LH)、孕酮(P)和睾酮(T))。最后,乳癖 -I 可明显抑制 HMG 大鼠抗凋亡蛋白 CRYAB 的上调水平,并通过增加促凋亡蛋白半胱天冬酶 -3、8 和 9 以及 Bax 和肿瘤抑制蛋白 p53,降低抗凋亡蛋白 Bcl-2 以及细胞色素 c 的释放来促进 HMG 大鼠乳腺细胞凋亡。这些结果表明,乳癖 -I 可能通过促进由 CRYAB 调节的凋亡途径对雌激素和孕激素诱导的 HMG 大鼠具有保护和治疗作用,是一种有前景的治疗 HMG 的药物。