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探索提取物在治疗局部肥胖方面的潜力。

Exploring the therapeutic potential of extract in targeting localized adiposity.

作者信息

You Yeon Choi, Seong Chul Jin, Mi Hye Kim, Hee Kyung Baek, Dong Hyun Kim, Sung Hyuk O H, Woong Mo Yang

机构信息

Department of Convergence Korean Medical Science, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.

College of Korean Medicine, Woosuk University, Wanju 555338, Republic of Korea.

出版信息

J Tradit Chin Med. 2025 Oct;45(5):970-978. doi: 10.19852/j.cnki.jtcm.2025.05.004.

DOI:10.19852/j.cnki.jtcm.2025.05.004
PMID:41015795
Abstract

OBJECTIVE

To determine direct targeting of localized adiposity through bark injection based on pharmacology network analysis.

METHODS

Male C57BL/6J mice were fed a high-fat diet (HFD) to induce obesity. After 6 weeks on HFD, the water extract of bark (MAB, 2 mg/mL) was locally injected into one inguinal fat pad, while saline was injected into the other side, 3 times/week for 6 weeks ( = 6/group). The water extract of MAB was freeze-dried and then diluted in saline before use.

RESULTS

HFD-fed mice treated with local MAB topical injection showed reduced adipocyte weight and size in inguinal fat pads by dual-energy X-ray absorptiometry. No toxicity changes seen in liver, spleen, kidney tissue, or alanine aminotransferase / aspartate aminotransferase levels in serum by MAB injection. Protein levels of phosphorylated insulin receptor substrate-1 and glucose transporter type 4, and mRNA expression of adiponectin, were increased in inguinal adipose tissue injected with MAB locally. Locally MAB injection led to a decrease in glucose-6-phosphatase and phosphoenolpyruvate carboxykinase, linked to gluconeogenesis, while forkhead box protein O1, which regulates these factors, was increased. Moreover, there was an increase in adenosine 5'-monophosphate-activated protein kinase, related to lipogenesis, as well as elevated levels of hormone-sensitive lipase and fatty acid synthase, both associated with lipolysis. These results support the 'insulin signaling pathway' and 'regulation of lipolysis in adipocytes' identified in the Kyoto Encyclopedia of Genes and Genomes pathway through network analysis.

CONCLUSION

This study suggests that MAB topical injection exhibits localized fat reduction by inhibiting insulin resistance, gluconeogenesis and lipogenesis mediator, while activating lipolysis enzymes within targeted adipose site.

摘要

目的

基于药理学网络分析确定通过树皮注射对局部肥胖进行直接靶向作用。

方法

给雄性C57BL/6J小鼠喂食高脂饮食(HFD)以诱导肥胖。在HFD喂养6周后,将树皮水提取物(MAB,2mg/mL)局部注射到一侧腹股沟脂肪垫中,而另一侧注射生理盐水,每周3次,共6周(每组n = 6)。MAB水提取物经冷冻干燥后,在使用前用生理盐水稀释。

结果

通过双能X线吸收法检测,局部注射MAB的HFD喂养小鼠腹股沟脂肪垫中的脂肪细胞重量和大小减轻。MAB注射后,肝脏、脾脏、肾脏组织或血清中的丙氨酸转氨酶/天冬氨酸转氨酶水平未见毒性变化。在局部注射MAB的腹股沟脂肪组织中,磷酸化胰岛素受体底物-1和4型葡萄糖转运蛋白的蛋白质水平以及脂联素的mRNA表达增加。局部注射MAB导致与糖异生相关的葡萄糖-6-磷酸酶和磷酸烯醇丙酮酸羧激酶减少,而调节这些因子的叉头框蛋白O1增加。此外,与脂肪生成相关的5'-单磷酸腺苷激活蛋白激酶增加,以及与脂肪分解相关的激素敏感性脂肪酶和脂肪酸合酶水平升高。这些结果支持通过网络分析在《京都基因与基因组百科全书》途径中确定的“胰岛素信号通路”和“脂肪细胞中脂肪分解的调节”。

结论

本研究表明,MAB局部注射通过抑制胰岛素抵抗、糖异生和脂肪生成介质来减少局部脂肪,同时激活靶向脂肪部位内的脂肪分解酶。

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本文引用的文献

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Effect and mechanism of pharmacopuncture for treating localized fat via network pharmacology and experimental study.基于网络药理学和实验研究探讨药物穴位注射治疗局部脂肪堆积的作用及机制
Integr Med Res. 2023 Jun;12(2):100948. doi: 10.1016/j.imr.2023.100948. Epub 2023 Apr 7.
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Morus alba: a comprehensive phytochemical and pharmacological review.白桑:全面的植物化学和药理学综述。
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An Overview of Hormone-Sensitive Lipase (HSL).
激素敏感性脂肪酶(HSL)概述。
ScientificWorldJournal. 2022 Dec 8;2022:1964684. doi: 10.1155/2022/1964684. eCollection 2022.
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Distinct AMPK-Mediated FAS/HSL Pathway Is Implicated in the Alleviating Effect of Nuciferine on Obesity and Hepatic Steatosis in HFD-Fed Mice.荷叶碱通过 AMPK 介导的 FAS/HSL 通路减轻高脂饮食诱导的肥胖及肝脂肪变性。
Nutrients. 2022 Apr 30;14(9):1898. doi: 10.3390/nu14091898.
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LIPOSA pharmacopuncture, a new herbal formula, affects localized adiposity by regulating lipid metabolism .脂糖素药针,一种新的草药配方,通过调节脂质代谢来影响局部肥胖。
Exp Ther Med. 2021 Nov;22(5):1290. doi: 10.3892/etm.2021.10725. Epub 2021 Sep 13.
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Anti-Obesity Effects of L. and in a High-Fat Diet-Induced Obese C57BL/6J Mouse Model.嗜酸乳杆菌和双歧杆菌在高脂饮食诱导的肥胖C57BL/6J小鼠模型中的抗肥胖作用。 (原文中“L. and ”表述不完整,推测可能是“Lactobacillus and Bifidobacterium”之类,这里按完整推测后的内容翻译,你可根据实际情况调整)
Foods. 2021 Aug 18;10(8):1914. doi: 10.3390/foods10081914.
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Diabetes Mellitus and Its Metabolic Complications: The Role of Adipose Tissues.糖尿病及其代谢并发症:脂肪组织的作用。
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Eat Weight Disord. 2021 Dec;26(8):2429-2441. doi: 10.1007/s40519-021-01109-4. Epub 2021 Feb 8.
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Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications.肥胖、胰岛素抵抗与2型糖尿病:关联及治疗意义
Diabetes Metab Syndr Obes. 2020 Oct 9;13:3611-3616. doi: 10.2147/DMSO.S275898. eCollection 2020.