Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China..
Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Phytomedicine. 2024 Dec;135:156184. doi: 10.1016/j.phymed.2024.156184. Epub 2024 Oct 28.
Gui-Ling-Ji (GLJ) described in the ancient medical book 'Yunji Qijian' is a traditional Chinese medicine formula used to improve male fertility. It is now available for the treatment of oligoasthenoteratozoospermia (OAT). However, the active ingredients and mechanism of GLJ are not clear.
The aim of this study was to clarify the active ingredients and mechanism of GLJ in OAT.
Firstly, the cyclophosphamide-induced OAT rat model was established to evaluate the efficacy of GLJ. Secondly, serum/urine-based metabolomics and lipidomics and tissue-based transcriptomics were performed to discover the differential metabolites and genes in rats. Furthermore, network pharmacology was constructed to explore the associated mechanisms based on the results of multi-omics analysis. Finally, cellular experiment on testicular mesenchymal stromal cells (TM3) was used to validate the active ingredients and the key metabolic pathway.
Rats were administered GLJ by gavage every day for 3 weeks. Testicular damage and weight loss caused by cyclophosphamide were restored in rats, the sperm count and motility were improved, and levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH) and testosterone (T) secretion were also elevated. Compared to the metabolites of OAT rats, 51 and 37 differential metabolites regulated by GLJ were identified from serum and urine respectively, 54 lipid differential metabolites regulated by GLJ were identified by lipidomics. At the same time, 23 of the 258 differential genes were found to be regulated by OAT rats and then reverse-regulated by GLJ. Network pharmacology has identified 13 pathways (Steroid hormone biosynthesis, Taurine and hypotaurine metabolism, Primary bile acid biosynthesis, Linoleic acid metabolism, Retinol metabolism, Glycerophospholipid metabolism, Ether lipid metabolism, Sphingolipid metabolism, Arachidonic acid metabolism, Glutathione metabolism, Arginine biosynthesis, Arginine and proline metabolism, D-Arginine and D-ornithine metabolism), four metabolites (arachidonic acid, oestrone sulphate, phosphatidylglycerol choline and sphingomyelin) and 15 targets (ABCB11, ALDH18A1, CCL3, CD244, CIITA, CYP2C8, DLL1, ITGA4, ESR1, AR, ABCB1, ABCC1, ALB, PLA2G1B and NOS2). GLJ, psoralen, isopsoralen, liquiritin, isoliquiritin, liquiritigenin, and ginsenoside Ro could significantly promote T secretion from TM3 cells. Additionally, arachidonic acid metabolism particularly the cyclooxygenase pathway, is closely related to the promotion of testosterone secretion by GLJ in TM3.
GLJ has a therapeutic efficacy in cyclophosphamide-induced OAT rats, which can modulate the disorders of lipid metabolism and amino acid metabolism. Arachidonic acid metabolism may be a key pathway, and six prototype compounds are potential key active ingredients for GLJ.
《云笈七签》中记载的古方归灵剂(GLJ)是一种用于提高男性生育能力的中药方剂,现已用于治疗少弱精子症(OAT)。然而,GLJ 的活性成分和作用机制尚不清楚。
本研究旨在阐明 GLJ 治疗少弱精子症的活性成分和作用机制。
首先,建立环磷酰胺诱导的少弱精子症大鼠模型,评价 GLJ 的疗效。其次,进行血清/尿液代谢组学和脂质组学以及组织转录组学分析,以发现大鼠中差异表达的代谢物和基因。此外,基于多组学分析结果构建网络药理学,以探讨相关机制。最后,在睾丸间质基质细胞(TM3)中进行细胞实验,验证活性成分和关键代谢途径。
大鼠每天灌胃 GLJ 3 周。环磷酰胺引起的睾丸损伤和体重减轻得到恢复,精子计数和活力提高,促黄体生成素(LH)、促卵泡激素(FSH)和睾酮(T)的分泌水平也升高。与 OAT 大鼠的代谢物相比,从血清和尿液中分别鉴定出 51 种和 37 种受 GLJ 调节的差异代谢物,通过脂质组学鉴定出 54 种受 GLJ 调节的差异脂质代谢物。同时,发现 258 个差异基因中有 23 个受 OAT 大鼠调节,然后被 GLJ 反向调节。网络药理学确定了 13 条通路(甾体激素生物合成、牛磺酸和牛磺酸代谢、初级胆汁酸生物合成、亚油酸代谢、视黄醇代谢、甘油磷脂代谢、醚脂代谢、鞘脂代谢、花生四烯酸代谢、谷胱甘肽代谢、精氨酸生物合成、精氨酸和脯氨酸代谢、D-精氨酸和 D-鸟氨酸代谢)、4 种代谢物(花生四烯酸、雌酮硫酸酯、磷脂酰甘油胆碱和神经鞘磷脂)和 15 个靶点(ABCB11、ALDH18A1、CCL3、CD244、CIITA、CYP2C8、DLL1、ITGA4、ESR1、AR、ABCB1、ABCC1、ALB、PLA2G1B 和 NOS2)。GLJ、补骨脂素、异补骨脂素、甘草苷、异甘草苷、甘草素和人参皂苷 Ro 可显著促进 TM3 细胞中 T 的分泌。此外,花生四烯酸代谢,特别是环氧化酶途径,与 GLJ 在 TM3 中促进睾酮分泌密切相关。
GLJ 对环磷酰胺诱导的少弱精子症大鼠具有治疗作用,可调节脂质代谢和氨基酸代谢紊乱。花生四烯酸代谢可能是一个关键途径,六种原型化合物可能是 GLJ 的潜在关键活性成分。