Gong Xiaohong, Zhang Fang, Li Yunxia, Peng Cheng
Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Front Pharmacol. 2023 Mar 6;14:1141147. doi: 10.3389/fphar.2023.1141147. eCollection 2023.
As a traditional Chinese medicine, rhubarb has been used in a variety of liver diseases and it is widely used in clinic to prevent and treat acute liver injury. Anthraquinone, as the main medicinal component of rhubarb, can reverse the further development of liver fibrosis caused by acute liver injury. In this study, metabonomics was used to explore the mechanism of different doses of rhubarb anthraquinone on acute liver injury in rats. Rhubarb anthraquinone was administered intragastric to rats at doses of 3.9, 7.8 and 15.6 mg/kg, respectively, for 7 days, and then 30% CCl was injected intraperitoneally at the dose of 1 ml/kg to replicate the acute liver injury model. The biochemical indicators content of ALT, AST, ALP, γ-GT, TG, TC, LDL, HDL in serum and GSH, Hyp, SOD, TNF-α, IL-6 and IL-8 in liver tissue extract were tested respectively, and liver tissue was histopathologically analysis. At the same time, UPLC-Q-TOF-MS combined with non-targeted metabolomics were used to study the metabolites and metabolic pathways of rhubarb anthraquinone in treating acute liver injury. Compared with normal rats, the contents of ALT, AST, ALP, TG, TC, LDL, γ-GT in serum and Hyp, MDA, IL-6, IL-8, TNF-α in the liver tissue extract were significantly increased in model rats ( < 0.05, < 0.01), and the content of HDL in the serum was significantly decreased ( < 0.05); the activities of GSH and SOD in liver tissue extract were also significantly decreased ( < 0.05). After administration of rhubarb anthraquinone, compared with the model group, with the increase of dosage, some biochemical indexes showed opposite changes, and gradually approached to normal rats. 12 different metabolites were identified by metabonomics, and the biosynthesis and metabolism of phenylalanine, tyrosine and tryptophan, the metabolism of amino sugars, nucleotide sugars and pyrimidines metabolism, and the biosynthesis of steroid hormone were identified based on the biomarker analysis. Based on the biochemical analysis and metabonomics analysis of rats with acute liver injury treated with different doses of rhubarb anthraquinone, combined with histopathological observation, the results show that the protective effect of rhubarb anthraquinone on acute liver injury is related to the dosage; Meanwhile, the metabolic pathway analysis suggested that rhubarb anthraquinone alleviate acute liver injury by regulating inflammation, oxidative stress and fibrosis disorders. This study explained the therapeutic effect of rhubarb anthraquinone on acute liver injury from both material basis and action pathway, and provided safe and effective research ideas for clinical application of rhubarb.
大黄作为一种传统中药,已被用于多种肝脏疾病的治疗,在临床上广泛应用于预防和治疗急性肝损伤。蒽醌作为大黄的主要药用成分,能够逆转急性肝损伤所致肝纤维化的进一步发展。本研究采用代谢组学方法探讨不同剂量大黄蒽醌对大鼠急性肝损伤的作用机制。分别以3.9、7.8和15.6 mg/kg的剂量对大鼠进行大黄蒽醌灌胃给药,连续7天,然后以1 ml/kg的剂量腹腔注射30% CCl₄复制急性肝损伤模型。分别检测血清中ALT、AST、ALP、γ-GT、TG、TC、LDL、HDL的生化指标含量以及肝组织提取物中GSH、Hyp、SOD、TNF-α、IL-6和IL-8的含量,并对肝组织进行病理组织学分析。同时,采用UPLC-Q-TOF-MS结合非靶向代谢组学技术研究大黄蒽醌治疗急性肝损伤的代谢产物及代谢途径。与正常大鼠相比,模型大鼠血清中ALT、AST、ALP、TG、TC、LDL、γ-GT的含量以及肝组织提取物中Hyp、MDA、IL-6、IL-8、TNF-α的含量显著升高(P<0.05,P<0.01),血清中HDL的含量显著降低(P<0.05);肝组织提取物中GSH和SOD的活性也显著降低(P<0.05)。给予大黄蒽醌后,与模型组相比,随着剂量的增加,部分生化指标呈现相反的变化,并逐渐接近正常大鼠。通过代谢组学鉴定出12种不同的代谢产物,并基于生物标志物分析确定了苯丙氨酸、酪氨酸和色氨酸的生物合成与代谢、氨基糖代谢、核苷酸糖代谢和嘧啶代谢以及甾体激素的生物合成。基于不同剂量大黄蒽醌治疗急性肝损伤大鼠的生化分析和代谢组学分析,结合组织病理学观察,结果表明大黄蒽醌对急性肝损伤的保护作用与剂量有关;同时,代谢途径分析表明大黄蒽醌通过调节炎症、氧化应激和纤维化紊乱来减轻急性肝损伤。本研究从物质基础和作用途径两方面解释了大黄蒽醌对急性肝损伤的治疗作用,为大黄的临床应用提供了安全有效的研究思路。