Li Zirong, Wu Mengyao, Liu Deguo, Wang Xiaoye, Yang Wenli, Wang Yuhong, Xiao Changjiang
State Key Laboratory of Chinese Medicine Powder and Medicine Innovation in Hunan (Incubation), Hunan University of Chinese Medicine, Changsha, China.
Zhuzhou Qianjin Pharmaceutical Co., Ltd., Zhuzhou, China.
Ann Palliat Med. 2021 Feb;10(2):1904-1919. doi: 10.21037/apm-20-1371. Epub 2020 Dec 16.
ROS/Akt pathway oxidative stress refers to a procedural response that activates various stress-sensitive signaling pathways in the cell thereby inducing insulin resistance (IR), and is closely related to high blood pressure. This study aims to investigate the effects of Pingyang Jiangya Fang (PYJYF) on the ROS/Akt pathway oxidative stress response in spontaneously hypertensive rats (SHRs) with Liver-Yang hyperactivity syndrome.
Except for the Wistar-Kyoto (WKY) and SHR groups, the other groups' rats were administered with Fuzi Decoction, to duplicated the model of hyperactivity of Liver-Yang. These rat's scleral color of deepens and become red, and rat's degree of irritability reached to above II degree. Compared with control group, rat's water consumption increased significantly, rotation tolerance time reduced significantly, pain threshold reduced significantly, rat tail vein systolic blood pressure (SBP) increased significantly. It shows that the model rats with hyperactivity of Liver-Yang have successfully replicated. Then, the corresponding drugs in the positive medicine group (candesartan cilexetil tablets) and the high, middle, and low dose groups of PYJYF (PYJYF-H, PYJYF-M, PYJYF-L) were administered. This work detected and analyzed behavior, SBP, renin-angiotensin system (RASS), expression of skeletal muscle angiotensin II type 1 receptor/angiotensin II type 2 receptor (AT1R/AT2R), IR index, renal/renal vascular/skeletal muscle tissue damage in each group. Moreover, we identified the target effect of point composition in the ROS/Akt signaling pathway.
Unlike the WKY and SHR groups, the model group exhibited the phenotype of Liver-Yang hyperactivity syndrome, markedly increased SBP, hyper-RASS system, increased urine N-acetyl-β-Dglucosidase (NAG) and microalbuminuria (m-ALB), increased AT1R/AT2R ratio of skeletal muscle, IR, concomitant renal and skeletal muscle damage, as well as significant upregulation in the expression of ROS/ Akt signaling factor. PYJYF-H and PYJYF-M improved Liver-Yang hyperactivity syndrome, reduced SBP, the RASS system, urine NAG and m-ALB, AT1R/AT2R ratio, IR index, repair renal, renal vascular, and skeletal muscle tissue injury, as well as downregulated the expression of ROS/Akt signal factor.
PYJYF reduces blood pressure by inhibiting ROS/Akt pathway oxidative stress and reducing IR.
ROS/Akt通路氧化应激是一种程序性反应,可激活细胞内各种应激敏感信号通路,从而诱导胰岛素抵抗(IR),并与高血压密切相关。本研究旨在探讨平阳降压方(PYJYF)对肝阳上亢证自发性高血压大鼠(SHRs)ROS/Akt通路氧化应激反应的影响。
除Wistar-Kyoto(WKY)和SHR组外,其他组大鼠给予附子汤,以复制肝阳上亢模型。这些大鼠巩膜颜色加深变红,易怒程度达到Ⅱ度以上。与对照组相比,大鼠饮水量显著增加,旋转耐受时间显著缩短,痛阈显著降低,大鼠尾静脉收缩压(SBP)显著升高。表明肝阳上亢模型大鼠复制成功。然后,给予阳性药组(坎地沙坦酯片)及PYJYF高、中、低剂量组(PYJYF-H、PYJYF-M、PYJYF-L)相应药物。检测并分析各组大鼠的行为、SBP、肾素-血管紧张素系统(RASS)、骨骼肌血管紧张素Ⅱ1型受体/血管紧张素Ⅱ2型受体(AT1R/AT2R)表达、IR指数、肾/肾血管/骨骼肌组织损伤情况。此外,明确了穴位组合在ROS/Akt信号通路中的靶向作用。
与WKY和SHR组不同,模型组呈现肝阳上亢证表型,SBP显著升高,RASS系统亢进,尿N-乙酰-β-D-葡萄糖苷酶(NAG)及微量白蛋白尿(m-ALB)增加,骨骼肌AT1R/AT2R比值升高,出现IR,伴有肾和骨骼肌损伤,以及ROS/Akt信号因子表达显著上调。PYJYF-H和PYJYF-M改善了肝阳上亢证,降低了SBP、RASS系统、尿NAG和m-ALB、AT1R/AT2R比值、IR指数,修复了肾、肾血管和骨骼肌组织损伤,并下调了ROS/Akt信号因子的表达。
PYJYF通过抑制ROS/Akt通路氧化应激和降低IR来降低血压。