School of Pharmacy, Jiangxi University of Chinese Medicine, Nanchang, 330004, China.
The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, 330006, China.
J Ethnopharmacol. 2024 May 10;325:117826. doi: 10.1016/j.jep.2024.117826. Epub 2024 Jan 30.
Bawei Guben Huashi Jiangzhi Decoction (BGHJ), a traditional Chinese compound formula, comprises eight Chinese medicinal herbs: Codonopsis Radix, Atractylodis Macrocephalae Rhizoma, Cassiae Semen, Lysimachiae Herba, Edgeworthiae Gardner Flos, Oryzae Semen cum Monasco, Nelumbinis Folium, and Alismatis Rhizoma. It has the therapeutic effects of improving digestive and absorptive functions of the gastrointestinal tract, reducing cholesterol levels, and helping to lose weight. Therefore, BGHJ is mainly used to treat spleen-deficient obesity (SDO) clinically.
This study aims to examine the efficacy and mechanism of BGHJ in a model of SDO in rats, as well as the potentially involved constituents entering the blood and differential metabolites.
The SDO rat model was replicated utilizing a high-fat and high-sugar diet in conjunction with exhaustive swimming. Subsequently, the rats were subjected to a six-week intervention comprising varying dosages of BGHJ and a positive control, orlistat. To evaluate the efficacy of BGHJ on SDO model rats, we first measured the rats' body weight, body surface temperature, spleen index, as well as biochemical indicators in the serum and colon, and then assessed the pathological state of the colon and liver. Afterward, we analyzed the 16S rDNA gut microbiota, non-targeted serum metabolomics, and serum pharmacology to study the main active components of BGHJ and its action mechanism against SDO model rats. In addition, we constructed a network diagram for overall visualization and analysis, and experimentally verified the predicted results. Finally, we used quantitative polymerase chain reaction (qPCR) to detect the gene expression of proopiomelanocortin (POMC) and neuropeptide Y (NPY) indicators in rat hypothalamic neurons. We quantitatively targeted the detection of neurotransmitters dopamine (DA), acetylcholine (Ach), 5-hydroxytryptamine (5-HT), and noradrenaline (NA) in rat hypothalamus.
The results demonstrated that all dosage regimens of BGHJ exhibited the capacity to moderately modulate parameters including body weight, surface temperature, spleen index, total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), glucagon-like peptide-1 (GLP-1), cholecystokinin (CCK), 5-HT, interleukin 6 (IL-6) and interleukin 17 (IL-17), while concurrently reducing hepatic lipid droplet deposition and restoring intestinal integrity. Subsequent experimental results showed that we successfully identified 27 blood components of BGHJ and identified 52 differential metabolites in SDO model rats. At the same time, the experiment proved that BGHJ could effectively inhibit the metabolic pathway of arachidonic acid. In addition, BGHJ can also restore the intestinal microbiota composition of SDO model rats. Finally, we also found that BGHJ could regulate the expression of hypothalamic neurons and neurotransmitters.
The research revealed the main active ingredients of BGHJ and its mechanism against SDO model rats through gut microbiota, non-target serum metabolomics, and serum drug chemistry.
八味固本化瘀降脂减肥汤(BGHJ)是一种中药复方,由八种中药组成:党参、白术、决明子、金钱草、广藿香、稻芽、荷叶和泽泻。它具有改善胃肠道消化吸收功能、降低胆固醇水平和帮助减肥的治疗效果。因此,BGHJ 主要用于临床治疗脾虚型肥胖(SDO)。
本研究旨在探讨 BGHJ 在 SDO 大鼠模型中的疗效和机制,以及潜在参与血液的成分和差异代谢物。
采用高脂高糖饮食联合力竭游泳的方法复制 SDO 大鼠模型,然后对大鼠进行为期六周的干预,包括不同剂量的 BGHJ 和阳性对照奥利司他。为了评估 BGHJ 对 SDO 模型大鼠的疗效,我们首先测量了大鼠的体重、体表温度、脾脏指数以及血清和结肠中的生化指标,然后评估了结肠和肝脏的病理状态。之后,我们进行了 16S rDNA 肠道微生物组、非靶向性血清代谢组学和血清药物化学分析,以研究 BGHJ 的主要活性成分及其对 SDO 模型大鼠的作用机制。此外,我们构建了一个整体可视化和分析的网络图,并通过实验验证了预测结果。最后,我们使用定量聚合酶链反应(qPCR)检测大鼠下丘脑神经元中前阿黑皮素原(POMC)和神经肽 Y(NPY)指标的基因表达。我们对大鼠下丘脑的神经递质多巴胺(DA)、乙酰胆碱(Ach)、5-羟色胺(5-HT)和去甲肾上腺素(NA)进行了定量靶向检测。
结果表明,BGHJ 的所有剂量方案均能适度调节体重、体表温度、脾脏指数、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、胰高血糖素样肽-1(GLP-1)、胆囊收缩素(CCK)、5-HT、白细胞介素 6(IL-6)和白细胞介素 17(IL-17)等参数,同时减少肝脂质滴沉积并恢复肠道完整性。后续实验结果表明,我们成功鉴定了 BGHJ 的 27 种血液成分,并在 SDO 模型大鼠中鉴定了 52 种差异代谢物。同时,实验证明 BGHJ 能有效抑制花生四烯酸的代谢途径。此外,BGHJ 还可以恢复 SDO 模型大鼠的肠道微生物群落组成。最后,我们还发现 BGHJ 可以调节下丘脑神经元和神经递质的表达。
本研究通过肠道微生物组学、非靶向性血清代谢组学和血清药物化学,揭示了 BGHJ 对 SDO 模型大鼠的主要活性成分及其作用机制。