Huang Zhiqi, Zhao Ziyang, Shi Haonan, He Runcheng, Feng Qianqian, Geng Yang, Zhang Lei, Zhang Ti, Yan Zhenteng, Jia Zhanhong, Jiang Yanyan, Sun Jianning, Cai Ang, Dong Shifen, Yang Lin
School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, China.
Department of Biomedical and Pharmaceutical Sciences, College of Pharmacy, University of Rhode Island, Kingston, RI, USA.
Chin Med. 2025 May 9;20(1):60. doi: 10.1186/s13020-025-01111-3.
Obesity has become a critical public health challenge worldwide. Prioritizing prevention and tackling root causes-rather than merely managing symptoms-is critical to curbing this pandemic. Strategies that activate and expand brown adipose tissue and beige adipose tissue increase energy expenditure in animal models and offer therapeutic promise to treat obesity. Sanhuang Xiexin Decoction (SHX) is a well-known traditional Chinese medicine that possesses several beneficial effects, including anti-inflammatory and anti-atherosclerotic properties. This study aims to investigate whether SHX can alleviate obesity by promoting the browning process in adipose tissue.
UPLC MS/MS was used to detect the constituents of SHX extraction, as well as the absorbed components of SHX in rat plasma. In vivo, C57BL/6 J mice were fed with 60% calorie high-fat diet for 8 weeks to induce obesity. 3T3-L1 white adipocyte and HIB-1B brown adipocyte were cultured. Parameters of body weight, food intake, Lee's index, skin temperature, adipose tissue mass, and blood glucose and lipids of mice were detected. The histological features of BAT and iWAT were observed by H&E staining, and the protein expression of UCP1 in adipose tissue was detected by immunohistochemistry method, and the UCP1 protein expression of 3T3-L1 and HIB-1B cells was tested using immunofluorescence staining. Gene expression of browning markers (e.g. Ucp1, Pgc1α, Prdm16, Cidea, Cd137, Tbx1, and Tmem26), fatty acid oxidation factors (e.g. Cpt-1β, Cyto-c, and Fatp1) and mitochondrial biogenic transcription factors (e.g. Nrf1, Nrf2, and Tfam) of adipose tissue, 3T3-L1 and HIB-1B cells was detected using qRT-PCR method.
A total of 58 chemical components of Sanhuang Xiexin Decoction were identified by UPLC-LTQ-Orbitrap-MS method, which provided the basis for the basic research of SHX pharmacodynamic substances. In vivo, SHX extraction could reduce body weight gain, improve glucose and lipid metabolism, enhance the activity of brown adipose tissue and induce the development of brown-like adipocytes of iWAT in obese mice. Furthermore, SHX extraction improved the gene expression of brown markers including Ucp1, Pgc1α and Prdm16, and mitochondrial biogenic transcription factors including Nrf1 and Tfam, as well as the UCP1 protein levels in white and brown adipocytes.
Our study suggested that Sanhuang Xiexin Decoction could be used as a potential therapeutic candidate for the treatment of obesity and its complications by inducing browning of white adipose tissue and activating brown adipose tissue.
肥胖已成为全球严峻的公共卫生挑战。优先考虑预防并解决根本原因——而非仅仅控制症状——对于遏制这一流行病至关重要。激活并扩展褐色脂肪组织和米色脂肪组织的策略可增加动物模型中的能量消耗,并为治疗肥胖提供了治疗前景。三黄泻心汤(SHX)是一种著名的中药,具有多种有益作用,包括抗炎和抗动脉粥样硬化特性。本研究旨在探讨三黄泻心汤是否能通过促进脂肪组织的褐变过程来减轻肥胖。
采用超高效液相色谱串联质谱法(UPLC MS/MS)检测三黄泻心汤提取物的成分以及大鼠血浆中三黄泻心汤的吸收成分。在体内,给C57BL/6 J小鼠喂食60%热量的高脂饮食8周以诱导肥胖。培养3T3-L1白色脂肪细胞和HIB-1B褐色脂肪细胞。检测小鼠的体重、食物摄入量、李氏指数、皮肤温度、脂肪组织质量以及血糖和血脂参数。通过苏木精-伊红(H&E)染色观察褐色脂肪组织(BAT)和腹股沟白色脂肪组织(iWAT)的组织学特征,采用免疫组织化学方法检测脂肪组织中解偶联蛋白1(UCP1)的蛋白表达,并使用免疫荧光染色检测3T3-L1和HIB-1B细胞的UCP1蛋白表达。采用实时定量聚合酶链反应(qRT-PCR)方法检测脂肪组织、3T3-L1和HIB-1B细胞中褐变标志物(如Ucp1、Pgc1α、Prdm16、Cidea、Cd137、Tbx1和Tmem26)、脂肪酸氧化因子(如肉碱棕榈酰转移酶-1β(Cpt-1β)、细胞色素c(Cyto-c)和脂肪酸转运蛋白1(Fatp1))以及线粒体生物发生转录因子(如核呼吸因子1(Nrf1)、核因子E2相关因子2(Nrf2)和线粒体转录因子A(Tfam))的基因表达。
采用超高效液相色谱-线性离子阱-静电场轨道阱质谱法(UPLC-LTQ-Orbitrap-MS)鉴定出三黄泻心汤共有58种化学成分,为三黄泻心汤药效物质基础研究提供了依据。在体内,三黄泻心汤提取物可减轻肥胖小鼠的体重增加,改善糖脂代谢,增强褐色脂肪组织的活性,并诱导iWAT中出现类褐色脂肪细胞。此外,三黄泻心汤提取物改善了包括Ucp1、Pgc1α和Prdm16在内的褐色标志物以及包括Nrf1和Tfam在内的线粒体生物发生转录因子的基因表达,以及白色和褐色脂肪细胞中的UCP1蛋白水平。
我们的研究表明,三黄泻心汤可通过诱导白色脂肪组织褐变和激活褐色脂肪组织,作为治疗肥胖及其并发症的潜在治疗候选药物。