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复方苦参汤通过调节 Notch 信号通路增强葡聚糖硫酸钠诱导结肠炎小鼠的肠道屏障功能。

Compound sophorae decoction enhances intestinal barrier function of dextran sodium sulfate induced colitis via regulating notch signaling pathway in mice.

机构信息

Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

Biomed Pharmacother. 2021 Jan;133:110937. doi: 10.1016/j.biopha.2020.110937. Epub 2020 Nov 17.

Abstract

BACKGROUND

Compound sophorae decoction (CSD), a Chinese Herbal decoction, is frequently clinically prescribed for patients suffered from ulcerative colitis (UC) characterized by bloody diarrhea. Yet, the underlying mechanism about how this formulae works is remain elusive.

METHODS

In the present study, the experimental colitis in C57BL/6 J mice was induced by oral administration of standard diets containing 3% dextran sodium sulfate (DSS), and CSD was given orally for treatment at the same time. The clinical symptoms including stool and body weight were recorded each day, and colon length and its histopathological changes were observed. Apoptosis of colonic epithelium was studied by detecting protein expression of cleaved caspase-3, and cell proliferation by Ki-67 immunohistochemistry. Tight junction complex like ZO-1 and occludin were also determined by transmission electron microscope and immunofluorescence. The concentration of FITC-dextran 4000 was measured to evaluate intestinal barrier permeability and possible signaling pathway was investigated. Mucin2 (MUC2) and notch pathway were tested through western blot. The M1/M2 ratio in spleen and mesenteric lymph nodes were detected by flow cytometry. And the mRNA levels of iNOS and Arg1 were examined by qRT-PCR.

RESULTS

CSD could significantly alleviate the clinical manifestations and pathological damage. Body weight loss and DAI score of mice with colitis were improved and shortening of colon was inhibited. The administration of CSD was able to reduce apoptotic epithelial cells and facilitate epithelial cell regeneration. Increased intestinal permeability was reduced in DSS-induced colitis mice. In addition, CSD treatment obviously up-regulated the expression of ZO-1 and occludin and the secretion of MUC2, regulated notch signaling, and decreased the ratio of M1/M2.

CONCLUSIONS

These data together suggest that CSD can effectively mitigate intestinal inflammation, promote phenotypic change in macrophage phenotype and enhance colonic mucosal barrier function by, at least in part, regulating notch signaling in mice affected by DSS-induced colitis.

摘要

背景

复方苦参汤(CSD)是一种中药方剂,常用于治疗以血性腹泻为特征的溃疡性结肠炎(UC)患者。然而,其作用机制仍不清楚。

方法

本研究采用 3%葡聚糖硫酸钠(DSS)标准饮食灌胃诱导 C57BL/6J 小鼠实验性结肠炎,同时给予 CSD 口服治疗。每天记录粪便和体重等临床症状,观察结肠长度及其组织病理学变化。通过检测 cleaved caspase-3 蛋白表达研究结肠上皮细胞凋亡,通过 Ki-67 免疫组化研究细胞增殖。通过透射电镜和免疫荧光法检测紧密连接复合物 ZO-1 和 occludin。通过测量 FITC-葡聚糖 4000 的浓度来评估肠道屏障通透性,并探讨可能的信号通路。通过 Western blot 检测 MUC2 和 notch 通路。通过流式细胞术检测脾和肠系膜淋巴结中 M1/M2 比值。通过 qRT-PCR 检测 iNOS 和 Arg1 的 mRNA 水平。

结果

CSD 可显著缓解临床症状和病理损伤。结肠炎小鼠的体重减轻和 DAI 评分得到改善,结肠缩短得到抑制。CSD 给药可减少上皮细胞凋亡,促进上皮细胞再生。CSD 治疗可降低 DSS 诱导的结肠炎小鼠的肠道通透性。此外,CSD 治疗明显上调 ZO-1 和 occludin 的表达和 MUC2 的分泌,调节 notch 信号,并降低 M1/M2 比值。

结论

这些数据表明,CSD 可有效缓解 DSS 诱导的结肠炎小鼠的肠道炎症,通过调节 notch 信号,促进巨噬细胞表型的表型变化,增强结肠黏膜屏障功能。

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