Liu Xuejiao, Yang Keming, Jia Yuebo, Yeertai Yeliya, Wu Chenheng, Wang Xiangxiang, Jia Qingling, Gu Zhijian, Cong Jun, Ling Jianghong
Department of Gastroenterology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Gastroenterology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, China.
Front Immunol. 2025 Feb 18;16:1549554. doi: 10.3389/fimmu.2025.1549554. eCollection 2025.
Functional dyspepsia (FD) is a prevalent functional gastrointestinal disorder associated with oxidative stress (OS) and dysbiosis. Chaihushugan powder (CHSGP) demonstrates efficacy in treating FD; however, the underlying therapeutic mechanism is not yet elucidated. This study aims to investigate the effects of CHSGP on OS and gut microbiota (GM) in FD rats, with a particular emphasis on the role of GM as a potential target for the antioxidant properties of CHSGP.
The FD rat model was established with a modified tail-clamp stimulation and the administration of the CHSGP decoction at a dosage of 9.6 g/kg via gavage for a duration of 4 weeks. The GM was depleted by the administration of a cocktail of metronidazole (200 mg/kg), ampicillin (200 mg/kg), neomycin sulfate (200 mg/kg), and vancomycin (100 mg/kg). Fecal microbiota transplantation (FMT) was performed with CHSGP-treated fecal supernatant at a dosage of 10 mL/kg. The gastrointestinal motility was measured using the rates of gastric emptying and small intestine propulsion. Hematoxylin and eosin staining was employed to elucidate the pathological changes, while the transmission electron microscope was used to examine the microstructures of the interstitial cells of Cajal (ICC). Chemiluminescence, colorimetric assay, immunofluorescence co-staining, and western blot assay were employed to identify the OS-related markers (ROS, SOD, NOX4, PRDX1, and TRX2). Sequencing of fecal microbiota was performed utilizing 16S rDNA.
The CHSGP decoction promoted gastrointestinal motility, protected the microstructure of ICC, and reduced OS in FD rats. The GM composition was also regulated by CHSGP. However, these effects disappeared after microbiota depletion. Fortunately, the FMT therapy reinstated them.
Chaihushugan powder decoction might regulate the GM to alleviate mitochondrial OS in the gastric tissues of FD rats.
功能性消化不良(FD)是一种常见的功能性胃肠疾病,与氧化应激(OS)和肠道菌群失调有关。柴胡疏肝散(CHSGP)在治疗FD方面显示出疗效;然而,其潜在的治疗机制尚未阐明。本研究旨在探讨CHSGP对FD大鼠氧化应激和肠道微生物群(GM)的影响,特别强调GM作为CHSGP抗氧化特性潜在靶点的作用。
采用改良尾夹刺激法建立FD大鼠模型,并以9.6 g/kg的剂量通过灌胃给予CHSGP水煎剂,持续4周。通过给予甲硝唑(200 mg/kg)、氨苄青霉素(200 mg/kg)、硫酸新霉素(200 mg/kg)和万古霉素(100 mg/kg)的混合物来清除GM。用10 mL/kg剂量的CHSGP处理的粪便上清液进行粪便微生物群移植(FMT)。使用胃排空率和小肠推进率来测量胃肠动力。采用苏木精-伊红染色来阐明病理变化,同时使用透射电子显微镜检查Cajal间质细胞(ICC)的微观结构。采用化学发光法、比色法、免疫荧光共染色和蛋白质印迹法来鉴定与氧化应激相关的标志物(ROS、SOD、NOX4、PRDX1和TRX2)。利用16S rDNA对粪便微生物群进行测序。
CHSGP水煎剂促进了FD大鼠的胃肠动力,保护了ICC的微观结构,并降低了氧化应激。CHSGP还调节了GM的组成。然而,在微生物群清除后这些作用消失了。幸运的是,FMT疗法恢复了这些作用。
柴胡疏肝散水煎剂可能通过调节GM来减轻FD大鼠胃组织中的线粒体氧化应激。