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[温脾丸对不同饮食诱导的非酒精性脂肪肝小鼠脂质代谢的影响]

[Effect of Wenpi Pills on lipid metabolism in mice with non-alcoholic fatty liver disease induced by various diets].

作者信息

Zhang Chen-Fang, Liu Kai, Fan Chao-Wen, Tai Mei-Ting, Zhang Xin, Zhang Rong, Chen Qin-Wen, Ke Zun-Li

机构信息

Guizhou University of Traditional Chinese Medicine Guiyang 550025,China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2025 May;50(10):2730-2739. doi: 10.19540/j.cnki.cjcmm.20250120.401.

Abstract

The aim of this study was to investigate the improvement effect of Wenpi Pills(WPP) on non-alcoholic fatty liver disease(NAFLD). The experiment was divided into two parts, using C57BL/6 mouse models induced by a high-fat diet(HFD) and a methionine and choline deficiency diet(MCD). The HFD-induced experiment lasted for 16 weeks, while the MCD-induced experiment lasted for 6 weeks. Mice in both parts were divided into four groups: control group, model group, low-dose WPP group(3.875 g·kg(-1), WPP_L), and high-dose WPP group(15.5 g·kg(-1), WPP_H). After sample collection from the HFD-induced mice, lipid content in the serum and liver, liver function indexes in the serum, and hepatic pathology were examined. Real-time fluorescent quantitative reverse transcription PCR(qRT-PCR) was used to detect the expression of lipid-related genes. After sample collection from the MCD-induced mice, serum liver function indexes and inflammatory factors were measured, and hepatic pathology and lipid changes were analyzed by hematoxylin-eosin(HE) staining and widely targeted lipidomic profiling, respectively. The results from the HFD-induced experiment showed that, compared with the HFD group, WPP administration significantly reduced the levels of aspartate aminotransferase(AST), alanine aminotransferase(ALT), triglyceride(TG), and total cholesterol(TC) in the serum, with the WPP_H group showing the most significant improvement. HE staining results indicated that, compared with the HFD group, WPP treatment improved the morphology of white adipocytes, reducing their size, and alleviated hepatic steatosis and lipid droplet accumulation. The qRT-PCR results suggested that WPP might increase the mRNA expression of liver cholesterol-converting genes, such as liver X receptor α(LXRα) and cytochrome P450 family 27 subfamily A member 1(CYP27A1), as well as lipid consumption genes like peroxisome proliferator-activated receptor α(PPARα) and adenosine mono-phosphate-activated protein kinase(AMPK). Meanwhile, WPP decreased the mRNA expression of lipid synthesis genes, including fatty acid synthetase(FAS), stearoyl-CoA desaturase 1(SCD1), and sterol regulatory element-binding protein 1c(SREBP-1c), thereby reducing liver lipid accumulation. The results from the MCD-induced experiment showed that, compared with the MCD group, WPP administration reduced the levels of ALT, AST, and inflammatory factors in the serum, thereby alleviating liver injury and the inflammatory response. HE staining of liver tissue indicated that WPP effectively improved hepatic steatosis. Non-targeted lipidomics analysis showed that WPP improved lipid metabolism disorders in the liver, mainly by affecting the metabolism of TG and cholesterol esters. In conclusion, WPP can improve hepatic lipid accumulation in NAFLD mice induced by both HFD and MCD. This beneficial effect is primarily achieved by alleviating liver injury and inflammation, as well as regulating lipid metabolism.

摘要

本研究旨在探讨温脾丸(WPP)对非酒精性脂肪性肝病(NAFLD)的改善作用。实验分为两部分,采用高脂饮食(HFD)和蛋氨酸胆碱缺乏饮食(MCD)诱导的C57BL/6小鼠模型。HFD诱导的实验持续16周,而MCD诱导的实验持续6周。两部分实验中的小鼠均分为四组:对照组、模型组、低剂量WPP组(3.875 g·kg⁻¹,WPP_L)和高剂量WPP组(15.5 g·kg⁻¹,WPP_H)。从HFD诱导的小鼠采集样本后,检测血清和肝脏中的脂质含量、血清肝功能指标以及肝脏病理学。采用实时荧光定量逆转录PCR(qRT-PCR)检测脂质相关基因的表达。从MCD诱导的小鼠采集样本后,检测血清肝功能指标和炎症因子,并分别通过苏木精-伊红(HE)染色和广泛靶向脂质组学分析肝脏病理学和脂质变化。HFD诱导实验的结果表明,与HFD组相比,给予WPP显著降低了血清中天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、甘油三酯(TG)和总胆固醇(TC)的水平,其中WPP_H组改善最为显著。HE染色结果表明,与HFD组相比,WPP治疗改善了白色脂肪细胞的形态,减小了其大小,并减轻了肝脏脂肪变性和脂滴积累。qRT-PCR结果提示,WPP可能增加肝脏胆固醇转化基因如肝脏X受体α(LXRα)和细胞色素P450家族27亚家族A成员1(CYP27A1)以及脂质消耗基因如过氧化物酶体增殖物激活受体α(PPARα)和单磷酸腺苷激活蛋白激酶(AMPK)的mRNA表达。同时,WPP降低了脂质合成基因包括脂肪酸合成酶(FAS)、硬脂酰辅酶A去饱和酶1(SCD1)和固醇调节元件结合蛋白1c(SREBP-1c)的mRNA表达,从而减少肝脏脂质积累。MCD诱导实验的结果表明,与MCD组相比,给予WPP降低了血清中ALT、AST和炎症因子的水平,从而减轻了肝脏损伤和炎症反应。肝脏组织的HE染色表明WPP有效改善了肝脏脂肪变性。非靶向脂质组学分析表明,WPP改善了肝脏脂质代谢紊乱,主要是通过影响TG和胆固醇酯的代谢。总之,WPP可改善HFD和MCD诱导的NAFLD小鼠的肝脏脂质积累。这种有益作用主要是通过减轻肝脏损伤和炎症以及调节脂质代谢来实现的。

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