葛根芩连汤通过调节 CUMS 大鼠的肠道微环境缓解抑郁样行为。

Gegen Qinlian decoction alleviates depression-like behavior by modulating the gut microenvironment in CUMS rats.

机构信息

Department of Human Anatomy and Histoembryology, Nanjing University of Chinese Medicine, Nanjing, 210023, China.

Department of Physiology, Yonsei University College of Medicine, Seoul, South Korea.

出版信息

BMC Complement Med Ther. 2024 Sep 20;24(1):339. doi: 10.1186/s12906-024-04638-4.

Abstract

BACKGROUND

Gegen Qinlian Decoction (GQD) is a classical traditional Chinese medicine (TCM) formula primarily utilized for treating gut disorders. GQD showed therapeutic effects on several diseases in clinical and animal studies by targeting gut microbes. Our recent studies also found that GQD efficiently alleviated anxiety in methamphetamine-withdrawn mice via regulating gut microbiome and metabolism. Given that various studies have indicated the link between the gut microbiome and the development of depression, here we endeavor to explore whether GQD can manage depression disorders by targeting the gut microbiome.

METHODS AND MATERIALS

The depression-like model was induced in rats through chronic unpredictable mild stress (CUMS) and the depression levels were determined using the sucrose preference test (SPT). To address the depression-like behavior in rats, oral administration of GQD was employed. The colon microbiome and metabolite patterns were determined by 16s rRNA sequencing and untargeted metabolomics, respectively.

RESULTS

We found 6 weeks of CUMS can induce depression-like behavior in rats and 4 weeks of GQD treatment can significantly alleviate the depression-like behavior. GQD treatment can also ameliorate the histological lesions in the colon of CUMS rats. Then, CUMS increased the abundance of gut microbes, while GQD treatment can restore it to a lower level. We further discovered that the abundances of 19 bacteria at the genus level were changed with CUMS treatment, among which the abundances of Ruminococcus, Lachnoclostridium, Pygmaiobacter, Bacteroides, Pseudomonas, and Pseudomonas Family_XIII_AD3011_group were stored by GQD treatment. Besides, we identified the levels of 36 colon metabolites were changed with CUMS treatment, among which the levels of Fasciculic acid B, Spermine, Fludrocortisone acetate, alpha-Ketoglutaric acid, 2-Oxoglutaric acid, N'-(benzoyloxy)-2-(2,2-dichlorocyclopropyl) ethanimidamide, N6-Succinyl Adenosine Oleanolic acid, KQH, Ergosta-5,7,9(11),22-Tetraen-3-beta-Ol, Gentisic acid, 4-Hydroxyretinoic Acid, FAHFA (3:0/16:0), Leucine-enkephalin and N-lactoyl-phenylalanine can be restored by GQD treatment.

CONCLUSION

Our findings provide evidence supporting the therapeutic efficacy of GQD in alleviating depression-like behavior in CUMS rats, potentially being targeted on colon bacteria (especially the abundance of Ruminococcus and Bacteroides) and metabolites (especially the level of Oleanolic acid).

摘要

背景

葛根芩连汤(GQD)是一种经典的中药方剂,主要用于治疗肠道疾病。临床和动物研究表明,葛根芩连汤通过靶向肠道微生物对多种疾病具有治疗作用。我们最近的研究还发现,葛根芩连汤通过调节肠道微生物组和代谢物有效地缓解了甲基苯丙胺戒断小鼠的焦虑。鉴于各种研究表明肠道微生物组与抑郁症的发展之间存在联系,我们在这里尝试探讨葛根芩连汤是否可以通过靶向肠道微生物组来治疗抑郁症。

方法与材料

通过慢性不可预测轻度应激(CUMS)诱导大鼠出现抑郁样模型,并通过蔗糖偏好测试(SPT)来确定抑郁水平。为了研究葛根芩连汤对大鼠抑郁样行为的影响,我们采用口服给药的方式。通过 16s rRNA 测序和非靶向代谢组学分别检测结肠微生物组和代谢物图谱。

结果

我们发现,6 周的 CUMS 可诱导大鼠出现抑郁样行为,而 4 周的葛根芩连汤治疗可显著缓解抑郁样行为。葛根芩连汤治疗还可以改善 CUMS 大鼠的结肠组织学损伤。然后,CUMS 增加了肠道微生物的丰度,而葛根芩连汤治疗可以将其恢复到较低水平。我们进一步发现,19 种细菌属水平的丰度在 CUMS 治疗后发生变化,其中 Ruminococcus、Lachnoclostridium、Pygmaiobacter、Bacteroides、Pseudomonas 和 Pseudomonas Family_XIII_AD3011_group 的丰度被葛根芩连汤治疗所储存。此外,我们发现 36 种结肠代谢物的水平在 CUMS 治疗后发生变化,其中 Fasciculic acid B、Spermine、Fludrocortisone acetate、alpha-Ketoglutaric acid、2-Oxoglutaric acid、N'-(benzoyloxy)-2-(2,2-dichlorocyclopropyl) ethanimidamide、N6-Succinyl Adenosine Oleanolic acid、KQH、Ergosta-5,7,9(11),22-Tetraen-3-beta-Ol、Gentisic acid、4-Hydroxyretinoic Acid、FAHFA(3:0/16:0)、Leucine-enkephalin 和 N-lactoyl-phenylalanine 的水平可以被葛根芩连汤治疗所恢复。

结论

我们的研究结果为葛根芩连汤缓解 CUMS 大鼠抑郁样行为的治疗效果提供了证据,这可能是通过靶向结肠细菌(尤其是 Ruminococcus 和 Bacteroides 的丰度)和代谢物(尤其是齐墩果酸的水平)来实现的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e091/11416015/bef6fe4898e9/12906_2024_4638_Fig4_HTML.jpg

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