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基于网络药理学分析健脾清肝饮改善高脂饮食诱导的非酒精性脂肪肝的作用机制,并在体内进行验证。

Network pharmacology analysis on mechanism of Jian Pi Qing Gan Yin decoction ameliorating high fat diet-induced non-alcoholic fatty liver disease and validated in vivo.

机构信息

The Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, Jiangsu, China; Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China.

Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China.

出版信息

J Ethnopharmacol. 2022 Sep 15;295:115382. doi: 10.1016/j.jep.2022.115382. Epub 2022 May 14.

DOI:10.1016/j.jep.2022.115382
PMID:35577161
Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Jian Pi Qing Gan Yin (JPQGY) has been used clinically to relieve non-alcoholic fatty liver disease (NAFLD) in China for decades; however, the underlying mechanisms of JPQGY remain unclear.

AIM OF THE STUDY

We evaluated the effects and mechanisms of JPQGY and hepatic steatosis caused by the middle stage of 13-week-high-fat-diet-induced NAFLD in mice.

MATERIALS AND METHODS

Different dosages of JPQGY (5.5, 11, and 22 g/kg/day) were administered to NAFLD mice simultaneously. Body weight, body mass index (BMI), and liver lipid- and inflammation-related serum indicators were measured enzymatically. Liver samples were stained with Oil Red O and hematoxylin and eosin (H&E). Next, we performed a network pharmacology analysis and verified eight target genes mapping to NAFLD-related lipid metabolism pathways. The mRNA/protein expression was analyzed by real-time polymerase chain reaction (PCR) and western blotting.

RESULTS

JPQGY significantly relieved histological damage (steatosis-inflammation-fibrosis), prevented the downregulation of AMPK and Pparα, and upregulated LXRα, Srebp-1c, F4/80, Nf-κb, and Cyp2e1 in the HFD-induced NAFLD mouse model.

CONCLUSIONS

The present results suggest that chronic treatment with JPQGY ameliorated HFD-induced NAFLD in mice by targeting the first and second phases of hepatic steatosis by stimulating the AMPK/PPARα pathway and inhibiting the LXRα/Srebp1/Nf-κb pathway. Our findings provide evidence that supports the clinical use of this formula for high-fat diet-induced fatty liver disease.

摘要

民族药理学相关性

健脾清肝饮(JPQGY)已在中国临床应用数十年,用于缓解非酒精性脂肪性肝病(NAFLD);然而,其作用机制尚不清楚。

研究目的

本研究旨在评估 JPQGY 对 13 周高脂饮食诱导的 NAFLD 中晚期小鼠肝脂肪变性及肝脂肪变性的作用及机制。

材料与方法

同时给予 NAFLD 小鼠不同剂量的 JPQGY(5.5、11 和 22 g/kg/d)。用酶法测定体重、体重指数(BMI)及肝脂和炎症相关血清指标。油红 O 和苏木精-伊红(H&E)染色肝组织。然后,我们进行了网络药理学分析,并验证了 8 个映射到 NAFLD 相关脂质代谢途径的靶基因。通过实时聚合酶链反应(PCR)和蛋白质印迹法分析 mRNA/蛋白质表达。

结果

JPQGY 可显著缓解组织学损伤(脂肪变性-炎症-纤维化),防止 AMPK 和 Pparα 下调,并上调 LXRα、Srebp-1c、F4/80、Nf-κb 和 Cyp2e1 在 HFD 诱导的 NAFLD 小鼠模型中。

结论

本研究结果表明,慢性给予 JPQGY 通过刺激 AMPK/PPARα 通路和抑制 LXRα/Srebp1/Nf-κb 通路,改善了 HFD 诱导的 NAFLD 小鼠模型的非酒精性脂肪肝。我们的研究结果为该配方治疗高脂饮食诱导的脂肪肝提供了临床应用的证据。

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