Qiao Dan, Chen Bo, Huang Yuzhen, Su Kunhan, Wu Hao, Tao Weiwei, Liu Wanli
Nanjing University of Chinese Medicine, Nanjing, China.
Department of Gastroenterology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Front Microbiol. 2025 Jun 4;16:1576799. doi: 10.3389/fmicb.2025.1576799. eCollection 2025.
Zuojinwan (ZJW), a traditional herbal formulation, is widely applied in the management of depression and gastrointestinal dysfunction. However, its underlying mechanisms remain inadequately characterized. This study investigated the antidepressant and gastrointestinal modulatory effects of ZJW via the bile acid-gut microbiota axis. A murine model exhibiting both depressive-like behavior and gastrointestinal disturbances was induced through chronic social defeat stress (CSDS). Antidepressant efficacy was evaluated using a battery of behavioral assessments, while gastrointestinal function was assessed by measuring total gastrointestinal transit time, colonic motility, gastric residual volume, and small intestine propulsion rate. Bile acid (BA) levels in the brain, gut, and serum were quantified using UPLC-MS/MS, and gut microbiota composition was analyzed via 16S rRNA sequencing. Histopathological examination and Western blotting (WB) were employed to assess tissue integrity and FXR protein expression, respectively. ZJW markedly ameliorated depressive behaviors and gastrointestinal dysfunction, concurrently mitigating intestinal and hippocampal neuronal damage. Treatment enhanced FXR expression, altered BA profiles, and enriched gut microbial diversity. Notably, co-treatment with the FXR inhibitor (Z)-Guggulsterone diminished the therapeutic effects of ZJW, underscoring the role of FXR signaling. These findings suggest that ZJW exerts its therapeutic benefits by activating FXR, modulating bile acid metabolism, and reshaping the gut microbiota.
左金丸(ZJW)是一种传统草药配方,广泛应用于抑郁症和胃肠功能障碍的治疗。然而,其潜在机制仍未得到充分阐明。本研究通过胆汁酸-肠道微生物群轴研究了左金丸的抗抑郁和胃肠调节作用。通过慢性社会挫败应激(CSDS)诱导出一种同时表现出抑郁样行为和胃肠功能紊乱的小鼠模型。使用一系列行为评估来评估抗抑郁疗效,同时通过测量总胃肠运输时间、结肠动力、胃残余量和小肠推进率来评估胃肠功能。使用超高效液相色谱-串联质谱(UPLC-MS/MS)对脑、肠道和血清中的胆汁酸(BA)水平进行定量,并通过16S rRNA测序分析肠道微生物群组成。分别采用组织病理学检查和蛋白质免疫印迹法(WB)评估组织完整性和法尼醇X受体(FXR)蛋白表达。左金丸显著改善了抑郁行为和胃肠功能障碍,同时减轻了肠道和海马神经元损伤。治疗增强了FXR表达,改变了胆汁酸谱,并丰富了肠道微生物多样性。值得注意的是,与FXR抑制剂(Z)-古古甾酮联合治疗减弱了左金丸的治疗效果,突出了FXR信号传导的作用。这些发现表明,左金丸通过激活FXR、调节胆汁酸代谢和重塑肠道微生物群发挥其治疗作用。
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