Wang Jia-Jun, Yuan Jian-Mei, Wang Li-Ying, Li Yong, Ren Mi-Hong, Li Hong-Yan, Gong Dao-Yin, Wang Jian
School of Pharmacy, Chengdu University of Traditional Chinese Medicine Chengdu 611100,China.
Affiliated Hospital of Chengdu University of Traditional Chinese Medicine Chengdu 610031, China.
Zhongguo Zhong Yao Za Zhi. 2022 Jun;47(11):3038-3048. doi: 10.19540/j.cnki.cjcmm.20211216.706.
Based on the brain-gut axis, the present study investigated the effect of Huanglian Houpo Decoction(HLHPD) in the treatment of ulcerative colitis(UC) and explored the mechanism in the regulation of 5-hydroxytryptamine(5-HT), substance P(SP), and vasoactive intestinal peptide(VIP) using modern technologies and molecular docking. Sixty male C57 BL/6 J mice were randomly divided into a blank control group, a model group, a sulfasalazine(SASP) group, and high-(5.00 g·kg(-1)), medium-(2.50 g·kg(-1)), and low-dose(1.25 g·kg~(-1)) HLHPD groups. The UC model was induced by oral administration of water containing 3% dextran sulfate sodium salt(DSS) in mice except those in the blank control group. After HLHPD was administered for 10 days, the mice were sacrificed for sample collection. Morphological changes of colon tissues were observed by HE staining. The expression of 5-HT, SP, VIP, tumor necrosis factor α(TNF-α), interleukin-6(IL-6), and interleukin-1β(IL-1β) in the hypothalamus, serum, and colon was determined by the enzyme-linked immunosorbent assay(ELISA). The expression of tryptophan hydroxylase 1(TPH1), SP, and VIP in colon tissues was evaluated by immunohistochemistry. The expression of brain-gut peptide receptors, such as 5-HT3 A, neurokinin receptor 1(NK-1 R), and VIP receptor 1(VPAC1) in colon tissues was investigated by Western blot. The binding affinity of the brain-gut peptide receptors to the main components of HLHPD was analyzed by molecular docking. After HLHPD intervention, UC mice showed increased body weight, reduced DAI score and occult blood, prolonged colon, down-regulated levels of TNF-α, IL-1β, and IL-6 in colon tissues, and relieved pathological damage in the colon. The VIP levels in the colon were significantly up-regulated in the HLHPD groups. The high-and medium-dose HLHPD could significantly down-regulated SP and 5-HT in colon tissues and 5-HT in the serum, and up-regulated the VIP in the serum. The high-dose HLHPD group could down-regulate 5-HT and up-regulate VIP in the hypothalamus. It is suggested that HLHPD can reverse the levels of brain-gut peptides in UC mice to varying degrees. Correlation analysis results suggested that the expression levels of brain-gut peptides in the hypothalamus, serum, and colon tissues were related to inflammatory factors. Molecular docking results showed that berberine, coptisine, and epiberberine were presumedly the material basis for HLHPD in regulating the levels of 5-HT3 A, NK-1 R, and VPAC1. The main components of HLHPD may reduce colonic inflammation and pathological damage of colon tissues by regulating the activity of brain-gut peptides and their receptors, thereby reducing DSS-induced colitis in mice.
基于脑-肠轴,本研究探讨了黄连厚朴汤(HLHPD)治疗溃疡性结肠炎(UC)的效果,并运用现代技术和分子对接方法探究其对5-羟色胺(5-HT)、P物质(SP)和血管活性肠肽(VIP)的调节机制。将60只雄性C57 BL/6 J小鼠随机分为空白对照组、模型组、柳氮磺胺吡啶(SASP)组以及高剂量(5.00 g·kg⁻¹)、中剂量(2.50 g·kg⁻¹)和低剂量(1.25 g·kg⁻¹)HLHPD组。除空白对照组小鼠外,其余小鼠通过口服含3%葡聚糖硫酸钠(DSS)的水诱导建立UC模型。HLHPD给药10天后,处死小鼠收集样本。通过苏木精-伊红(HE)染色观察结肠组织的形态学变化。采用酶联免疫吸附测定(ELISA)法测定下丘脑、血清和结肠中5-HT、SP、VIP、肿瘤坏死因子α(TNF-α)、白细胞介素-6(IL-6)和白细胞介素-1β(IL-1β)的表达。通过免疫组织化学法评估结肠组织中色氨酸羟化酶1(TPH1)、SP和VIP的表达。采用蛋白质免疫印迹法检测结肠组织中脑-肠肽受体如5-HT3 A、神经激肽受体1(NK-1 R)和VIP受体1(VPAC1)的表达。通过分子对接分析脑-肠肽受体与HLHPD主要成分的结合亲和力。HLHPD干预后,UC小鼠体重增加,疾病活动指数(DAI)评分和隐血降低,结肠长度延长,结肠组织中TNF-α、IL-1β和IL-6水平下调,结肠病理损伤减轻。HLHPD各剂量组结肠中VIP水平显著上调。高、中剂量HLHPD可显著下调结肠组织中SP和5-HT以及血清中5-HT水平,并上调血清中VIP水平。高剂量HLHPD组可下调下丘脑中5-HT并上调VIP。提示HLHPD可不同程度地逆转UC小鼠脑-肠肽水平。相关性分析结果表明,下丘脑、血清和结肠组织中脑-肠肽的表达水平与炎症因子相关。分子对接结果显示,小檗碱、黄连碱和表小檗碱可能是HLHPD调节5-HT3 A、NK-1 R和VPAC1水平的物质基础。HLHPD的主要成分可能通过调节脑-肠肽及其受体的活性减轻结肠炎症和结肠组织的病理损伤,从而减轻DSS诱导的小鼠结肠炎。