Liu Min, Chen Jianyong, Zhan Chenger, Wu Shuwen, Zhang Zhaolin, Wang Chenyang, Shi Linlin, Chen Dongya
Department of Gastroenterology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, China.
Department of Computer Science and Technology, Changchun University of Science and Technology, China.
Adv Clin Exp Med. 2024 Nov;33(11):1209-1215. doi: 10.17219/acem/175808.
Liqi Tongbian is a traditional Chinese medicine (TCM) preparation that contains herbs that may treat slow transit constipation (STC). Atractylodes macrocephala, Astragalus membranaceus, Fructus aurantii, radish seed, uncooked Polygonum multiflorum, and Agastache rugosa were included in the formula for their unique qualities. The control of water transfer in the colon is greatly influenced by aquaporin 3 (AQP3).
Based on this, the Liqi Tongbian mixture was used to detect the concentrations of aquaporins (AQPs), 5-HT and nitrix oxide synthase 1 (NOS1) in STC rats, and explore its effect, in order to provide a theoretical basis for the remedy of STC with TCM.
Zhejiang University of Traditional Chinese Medicine provided 32 three-week-old Sprague Dawley rats of SPF-grade. The pairs licensed under SYXK (Zhejiang) 2021-0012 were kept at 20-25°C and humidity of 50-65%. The compound diphenoxylate caused constipation in the control, model, Liqi laxative (LQTB), and mosapride groups. The Liqi laxative rats were administered a mixture of traditional Chinese herbs after modeling, while mosapride was given to the other group. The levels of 5-HT, NOS1 and AQPs were tested in the feces and intestinal tissues.
Comparing the condition of rat feces, it was found that the model group had significantly lower overall bulk, score and particles within 24 h compared to the control group. In comparison to mosapride, LQTB performed better. The model group had higher levels of 5-HT and NOS1 in intestinal tissue, while the LQTB and mosapride groups had decreased levels of these AQPs. LQTB had lower levels of AQP1, AQP3 and AQP4 than mosapride, while the model group had higher levels of these AQPs.
Liqi Tongbian mixture works better than mosapride in improving constipation symptoms in rats with STC, and its mechanism is related to regulating the level of intestinal AQPs and neurotransmitters.
理气通便为一种中药制剂,其所含草药可能对慢传输型便秘(STC)具有治疗作用。该配方中包含白术、黄芪、枳实、莱菔子、生何首乌和藿香,因其独特功效而被选用。结肠中水分转运的调控受水通道蛋白3(AQP3)的显著影响。
基于此,采用理气通便合剂检测STC大鼠水通道蛋白(AQPs)、5-羟色胺(5-HT)和一氧化氮合酶1(NOS1)的浓度,探讨其作用效果,为中医药治疗STC提供理论依据。
浙江中医药大学提供32只3周龄SPF级Sprague Dawley大鼠。许可证号为SYXK(浙江)2021-0012的动物对饲养于20-25°C、湿度为50-65%的环境中。对照组、模型组、理气通便组和莫沙必利组采用复方地芬诺酯致便秘。理气通便组大鼠造模后给予中药合剂,另一组给予莫沙必利。检测粪便及肠道组织中5-HT、NOS1和AQPs水平。
比较大鼠粪便情况发现,与对照组相比,模型组24小时内粪便总体积、评分及颗粒数显著降低。与莫沙必利相比,理气通便合剂效果更佳。模型组肠道组织中5-HT和NOS1水平较高,而理气通便组和莫沙必利组这些AQPs水平降低。理气通便合剂组AQP1、AQP3和AQP4水平低于莫沙必利组,而模型组这些AQPs水平较高。
理气通便合剂改善STC大鼠便秘症状的效果优于莫沙必利,其机制与调节肠道AQPs及神经递质水平有关。