[1]程迎迎,刘志琴,郑 凯,等.清肠化湿方调控Nrf2/ARE通路缓解溃疡性结肠炎的机制研究[J].南京师大学报(自然科学版),2024,(04):86-97.[doi:10.3969/j.issn.1001-4616.2024.04.010]
 Cheng Yingying,Liu Zhiqin,Zheng Kai,et al.Mechanistic Study of Qingchang Huashi Recipe Regulating the Nrf2/ARE Pathway to Alleviate Ulcerative Colitis[J].Journal of Nanjing Normal University(Natural Science Edition),2024,(04):86-97.[doi:10.3969/j.issn.1001-4616.2024.04.010]
点击复制

清肠化湿方调控Nrf2/ARE通路缓解溃疡性结肠炎的机制研究()
分享到:

《南京师大学报(自然科学版)》[ISSN:1001-4616/CN:32-1239/N]

卷:
期数:
2024年04期
页码:
86-97
栏目:
生物学
出版日期:
2024-12-15

文章信息/Info

Title:
Mechanistic Study of Qingchang Huashi Recipe Regulating the Nrf2/ARE Pathway to Alleviate Ulcerative Colitis
文章编号:
1001-4616(2024)04-0086-12
作者:
程迎迎1刘志琴2郑 凯3张 洁1徐 希2
(1.南京中医药大学附属医院,江苏省中医院检验科,江苏 南京 210029)
(2.南京理工大学分子代谢中心,江苏 南京 210094)
(3.南京中医药大学附属医院,江苏省中医院消化科,江苏 南京 210029)
Author(s):
Cheng Yingying1Liu Zhiqin2Zheng Kai3Zhang Jie1Xu Xi2
(1.Affiliated Hospital of Nanjing University of Chinese Medicine,Laboratory Department,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China)
(2.Center for Molecular Metabolism,Nanjing University of Science & Technology,Nanjing 210094,China)
(3.Affiliated Hospital of Nanjing University of Chinese Medicine,Department of Gastroenterology,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China)
关键词:
清肠化湿方溃疡性结肠炎氧化应激抗氧化反应元件
Keywords:
Qingchang Huashi Recipe(QHR)ulcerative colitis(UC)oxidative stressantioxidant response element(ARE)
分类号:
R285.5
DOI:
10.3969/j.issn.1001-4616.2024.04.010
文献标志码:
A
摘要:
溃疡性结肠炎(ulcerative colitis,UC)是一类特发性的慢性炎症性肠道疾病,该病易反复,严重影响了患者的身体健康和生活质量. 本研究使用构建的小鼠溃疡性结肠炎模型,以氧化应激途径为重点,探讨清肠化湿方缓解UC的作用机制. 主要以DSS(Dextran Sodium Sulfate)作为诱导剂,构建小鼠溃疡性结肠炎模型. 每日测量小鼠体重,观察并记录小鼠粪便性状及出血情况. 实验结束后,留取小鼠结肠组织并记录结肠长度,分别从基因、蛋白和病理水平检测相关指标. 采用qRT-PCR检测结肠组织中HO-1、NQO-1、Keap1和Nrf2的表达; 核磁代谢组学分析各组结肠代谢物的变化并进行多元统计分析; 制备结肠病理切片并进行HE染色和免疫组化,HE染色后评估结肠病理炎症情况,免疫组化检测结肠组织中Keap1和Nrf2的表达. 结果显示,清肠化湿方(Qingchang Huashi Recipe,QHR)可提高溃疡性结肠炎小鼠的生存率; 与正常对照组(Ctrl)相比,DSS模型组小鼠体重降低,结肠长度变短(P<0.05),结肠组织病理炎症评分较高(P<0.05),抗氧化反应元件表达降低,差异均具有统计学意义(P<0.05); QHR给药后,与DSS组相比,小鼠体重升高,结肠长度变长(P<0.05),结肠组织病理炎症评分较低(P<0.05),结肠组织中HO-1、NHO-1、Nrf2表达升高,Keap1表达降低,差异均具有统计学意义(P<0.05). 本研究发现,QHR通过升高Nrf2从而上调ARE相关分子的表达,进而缓解过度氧化引起的肠道黏膜损伤.
Abstract:
Ulcerative colitis(UC)is a type of idiopathic chronic inflammatory bowel disease that tending to recur and significantly affecting the health and quality of life of patients. This study utilized a mouse model of UC,focusing on the oxidative stress pathway,to investigate the mechanisms through which Qingchang Huashi Recipe(QHR)alleviates UC. The primary methods involved inducing UC in mice using Dextran Sodium Sulfate(DSS). Daily measurements of mouse body weight,observation and recording of fecal characteristics and bleeding were conducted. After the treatment,the mouse colon length was measured,and colon tissue was collected. Various parameters were evaluated at the genetic,protein,and pathological levels. A portion of the collected colon tissue was subjected to qRT-PCR to assess the expression of HO-1,NQO-1,Keap1,and Nrf2 in colon tissue. Another portion was subjected to nuclear magnetic resonance metabolomics analysis to examine changes in colon metabolites among different groups and perform multivariate statistical analysis. A third portion was used to prepare colon pathological sections for hematoxylin and eosin(HE)staining and immunohistochemistry. HE staining was used to assess the pathological inflammation in colon tissue,and immunohistochemistry was employed to determine the expression of Keap1 and Nrf2 in colon tissue. The results demonstrated that QHR could increase the survival rate of mice with UC. Compared to the normal control group(Ctrl),mice in the DSS model group exhibited decreased body weight,shorter colon length(P<0.05),higher colon tissue pathological inflammation scores(P<0.05),and decreased expression of antioxidant response elements,all of which were statistically significant(P<0.05). After QHR administration,mice showed increased body weight,longer colon length(P<0.05),lower colon tissue pathological inflammation scores(P<0.05),and higher expression of HO-1,NHO-1,Nrf2,with a decrease in Keap1 expression,all of which were statistically significant(P<0.05)compared to the DSS group. This study found that QHR alleviated mucosal damage in the intestine caused by excessive oxidation by increasing Nrf2 expression and subsequently upregulating ARE-related molecules.

参考文献/References:

[1]UNGARO R,MEHANDRU S,ALLEN P B,et al. Ulcerative colitis[J]. Lancet,2017,389(10080):1756-1770.
[2]ADAMS S M,CLOSE E D,SHREENATH A P. Ulcerative colitis:rapid evidence review[J]. American family physician,2022,105(4):406-411.
[3]PUGLIESE N,RODA G,PEYRIN-BIROULET L,et al. Emerging therapies for the treatment of ulcerative colitis[J]. Expert opinion on emerging drugs,2020,25(1):71-79.
[4]GAJENDRAN M,LOGANATHAN P,JIMENEZ G,et al. A comprehensive review and update on ulcerative colitis[J]. Disease-a-month,2019,65(12):100851.
[5]NG S C,SHI H Y,HAMIDI N,et al. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century:a systematic review of population-based studies[J]. Lancet,2018,390(10114):2769-2778.
[6]LICHTENSTEIN G R,SHAHABI A,SEABURY S A,et al. Lifetime economic burden of crohn's disease and ulcerative colitis by age at diagnosis[J]. Clinical gastroenterology and hepatology,2020,18(4):889-897.
[7]KOBAYASHI T,SIEGMUND B,LE BERRE C,et al. Ulcerative colitis[J]. Nature reviews disease primers,2020,6(1):1-74.
[8]朱磊,沈洪,顾培青,等. 沈洪教授治疗溃疡性结肠炎的经验探析[J]. 中华中医药杂志,2015,30(7):2381-2383.
[9]赵崧,王晓骁,张露,等. 清肠化湿方联合美沙拉嗪对溃疡性结肠炎患者粪便钙卫蛋白的影响[J]. 河北医学,2018,24(3):445-448.
[10]顾培青,沈洪,朱磊,等. 清肠化湿方对TNBS大鼠结肠组织PPAR-γ/p38 MAPK的影响[J]. 山东中医药大学学报,2017,41(1):81-85.
[11]刘丽,康安,刘春样,等. 清肠化湿方改善溃疡性结肠炎小鼠炎症及肠道菌群的影响[J]. 南京中医药大学学报(自然科学版),2021,37(1):47-53.
[12]HU J,HUANG H,CHE Y,et al. Qingchang Huashi Formula Attenuates DSS-Induced colitis in mice by restoring gut microbiota-metabolism homeostasis and goblet cell function[J]. Journal of ethnopharmacology,2021,266(113394):1-13.
[13]QIN S,HOU D X. Multiple regulations of Keap1/Nrf2 system by dietary phytochemicals[J]. Molecular nutrition & food research,2016,60(8):1731-1755.
[14]JARAMILLO M C,ZHANG D D. The emerging role of the Nrf2-Keap1 signaling pathway in cancer[J]. Genes & development,2013,27(20):2179-2191.
[15]ZHANG Y L,GUAN L,WANG X F,et al. Protection of chlorophyllin against oxidative damage by inducing HO-1 and NQO1 expression mediated by PI3K/Akt and Nrf2[J]. Free radical research,2008,42(4):362-371.
[16]KHODIR A E,ATEF H,SAID E,et al. Implication of Nrf2/HO-1 pathway in the coloprotective effect of coenzyme Q10 against experimentally induced ulcerative colitis[J]. Inflammopharmacology,2017,25(1):119-135.
[17]钟坤霞. β-葡聚糖Salecan缓解脂多糖诱导的急性肺损伤及其相关机制研究[D]. 南京:南京理工大学,2021.
[18]WIRTZ S,POPP V,KINDERMANN M,et al. Chemically induced mouse models of acute and chronic intestinal inflammation[J]. Nature protocols,2017,12(7):1295-1309.
[19]WANG Z Q,LI S,CAO Y,et al. Oxidative stress and carbonyl lesions in ulcerative colitis and associated colorectal cancer[J]. Oxidative medicine and cellular longevity,2016(9875298):1-15.
[20]HE L,HE T,FARRAR S,et al. Antioxidants maintain cellular redox homeostasis by elimination of reactive oxygen species[J]. Cellular physiology and biochemistry,2017,44(2):532-553.
[21]LI B T,WANG Y X,JIANG X L,et al. Natural products targeting Nrf2/ARE signaling pathway in the treatment of inflammatory bowel disease[J]. Biomedicine & pharmacotherapy,2023,164(114950):1-18.
[22]KHOR T O,HUANG M T,KWON K H,et al. Nrf2-deficient mice have an increased susceptibility to dextran sulfate sodium-induced colitis[J]. Cancer research,2006,66(24):11580-11584.
[23]OSBURN W O,KARIM B,DOLAN P M,et al. Increased colonic inflammatory injury and formation of aberrant crypt foci in Nrf2-deficient mice upon dextran sulfate treatment[J]. International journal of cancer,2007,121(9):1883-1891.
[24]WEN H X,ZHANG H F,LI Q Q,et al. Ruscogenins improve CD-Like enteritis by inhibiting apoptosis of intestinal epithelial cells and activating Nrf2/NQO1 pathway[J]. Oxidative medicine and cellular longevity,2022(4877275):1-12.
[25]PARK J,CHEON J H. Updates on conventional therapies for inflammatory bowel diseases:5-aminosalicylates,corticosteroids,immunomodulators,and anti-TNFalpha[J]. Korean journal of internal medicine,2022,37(5):895-905.
[26]BRUSCOLI S,FEBO M,RICCARDI C,et al. Glucocorticoid therapy in inflammatory bowel disease:mechanisms and clinical practice[J]. Frontiers in immunology,2021,12(691480):1-9.
[27]SATTLER L,HANAUER S B,MALTER L. Immunomodulatory agents for treatment of patients with inflammatory bowel disease(review safety of anti-TNF,anti-Integrin,anti IL-12/23,JAK inhibition,sphingosine 1-phosphate receptor modulator,azathioprine/6-MP and methotrexate)[J]. Current gastroenterology reports,2021,23(12):30.
[28]KIENZL M,STORR M,SCHICHO R. Cannabinoids and opioids in the treatment of inflammatory bowel diseases[J]. Clinical and translational gastroenterology,2020,11(1):e00120.
[29]STALLMACH A,HAGEL S,BRUNS T. Adverse effects of biologics used for treating IBD[J]. Best practice & research clinical gastroenterology,2010,24(2):167-182.
[30]SEYEDIAN S S,NOKHOSTIN F,MALAMIR M D. A review of the diagnosis,prevention,and treatment methods of inflammatory bowel disease[J]. Journal of medicine and life,2019,12(2):113-122.
[31]YUAN Z W,YANG L H,ZHANG X S,et al. Huang-Lian-Jie-Du decoction ameliorates acute ulcerative colitis in mice via regulating NF-kappaB and Nrf2 signaling pathways and enhancing intestinal barrier function[J]. Frontiers in pharmacology,2019,10(1354):1-18.
[32]CHEN G,YANG Y,LIU M L,et al. Banxia xiexin decoction protects against dextran sulfate sodium-induced chronic ulcerative colitis in mice[J]. Journal of ethnopharmacology,2015,166:149-156.
[33]屈芸,朱磊,王琼,等. 清肠化湿方通过激活AhR/IL-22缓解小鼠溃疡性结肠炎的作用机制研究[J]. 南京中医药大学学报(自然科学版),2021,37(6):823-829.
[34]傅书山,朱磊,王琼,等. 清肠化湿方对溃疡性结肠炎湿热证小鼠NLRP6蛋白及相关炎症因子表达的影响[J]. 中国中西医结合杂志,2020,40(5):582-588.
[35]LIU H,JOHNSTON L J,WANG F L,et al. Triggers for the Nrf2/ARE signaling pathway and its nutritional regulation:potential therapeutic applications of ulcerative colitis[J]. International journal of molecular sciences,2021,22(21):11411.
[36]LU M C,JI J A,JIANG Z Y,et al. The Keap1-Nrf2-ARE pathway as a potential preventive and therapeutic target:an update[J]. Medicinal research reviews,2016,36(5):924-963.
[37]SIEGEL D,BOLTON E M,BURR J A,et al. The reduction of alpha-tocopherolquinone by human NAD(P)H:quinone oxidoreductase:the role of alpha-tocopherolhydroquinone as a cellular antioxidant[J]. Molecular pharmacology,1997,52(2):300-305.
[38]CHIANG S K,CHEN S E,CHANG L C. The Role of HO-1 and Its crosstalk with oxidative stress in cancer cell survival[J]. Cells,2021,10(9):2401.
[39]STURGEON B E,SIPE H J,BARR D P,et al. The fate of the oxidizing tyrosyl radical in the presence of glutathione and ascorbate. Implications for the radical sink hypothesis[J]. Journal of biological chemistry,1998,273(46):30116-30121.

备注/Memo

备注/Memo:
收稿日期:2023-10-29.
基金项目:国家中医临床研究基地开放课题(JD2019SZ07).
通讯作者:徐希,副教授,研究方向:感染性疾病的分子代谢. E-mail:xuxi@njust.edu.cn
更新日期/Last Update: 2024-12-15