1.上海中医药大学附属龙华医院脾胃病研究所(上海 200032)
2.上海中医药大学公共健康学院(上海 201203)
3.中药制药共性技术国家重点实验室(山东 临沂 276006)
余思雨,女,硕士研究生,主要从事中医药防治慢性肝病临床与研究工作
张莉,研究员,博士研究生导师;E-mail:zhangli.hl@163.com
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余思雨,操颖,朱明哲,等.化滞柔肝颗粒减轻非酒精性脂肪性肝炎相关肝纤维化的机制研究[J].上海中医药杂志,2023,57(2):41-50.
YU Siyu,CAO Ying,ZHU Mingzhe,et al.Revealing the mechanism of Huazhi Rougan Granule in alleviating non⁃alcoholic steatohepatitis⁃related fibrosis[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(2):41-50.
余思雨,操颖,朱明哲,等.化滞柔肝颗粒减轻非酒精性脂肪性肝炎相关肝纤维化的机制研究[J].上海中医药杂志,2023,57(2):41-50. DOI: 10.16305/j.1007-1334.2023.2209029.
YU Siyu,CAO Ying,ZHU Mingzhe,et al.Revealing the mechanism of Huazhi Rougan Granule in alleviating non⁃alcoholic steatohepatitis⁃related fibrosis[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(2):41-50. DOI: 10.16305/j.1007-1334.2023.2209029.
目的,2,结合网络药理学研究方法,探讨化滞柔肝颗粒(HZRG)减轻非酒精性脂肪性肝炎(NASH)相关肝纤维化的作用机制。,方法,2,借助网络药理学分析聚焦HZRG治疗NASH的潜在靶点。将雄性C57BL/6小鼠随机分为对照组、模型组和HZRG低、高剂量组,每组8只。除对照组外,其余各组小鼠给予蛋氨酸胆碱缺乏饮食诱导NASH相关纤维化模型,造模的同时给予相应药物干预,连续4周。HE染色观察肝组织病理变化,并行非酒精性脂肪性肝病活动度评分(NAS);天狼猩红和Masson染色法观察肝脏胶原沉积情况;免疫组化法观察肝组织中α-平滑肌肌动蛋白(α-SMA)和Ⅰ型胶原蛋白α1链(Col1a1)的表达情况,并用ImageJ软件分析阳性表达面积。试剂盒检测肝组织总胆固醇(TC)、三酰甘油(TG)水平。采用生化分析仪检测各组小鼠血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、碱性磷酸酶(ALP)水平,ELISA试剂盒检测血清肿瘤坏死因子-α(TNF-α)水平。Western blot法和免疫荧光法检测α-SMA、Col1a1、p53蛋白表达水平;RT-qPCR法检测,p53, mRNA相对表达量。不同浓度转化生长因子-β1(TGF-β1)或Tenovin-6处理人源性肝星状细胞系LX2细胞24 h,检测相关指标。,结果,2,①网络药理学研究结果提示,p53是HZRG发挥效应的潜在靶点。②HE染色、Masson染色和天狼猩红染色结果显示,模型组小鼠肝脏脂质累积、炎细胞浸润、纤维化形成,与对照组比较,模型组小鼠肝组织病理α-SMA、Col1a1阳性表达面积增加(,P,<,0.05),NAS评分升高(,P,<,0.05);HZRG低、高剂量组小鼠肝细胞内脂滴减少,肝脏脂肪变和炎细胞浸润程度明显减轻,与模型组比较,HZRG低、高剂量组肝组织病理α-SMA、Col1a1阳性表达面积减少(,P,<,0.05),NAS评分降低(,P,<,0.05)。③与对照组比较,模型组小鼠血清ALT、AST、LDH、ALP水平升高(,P,<,0.05);与模型组比较,HZRG低、高剂量组小鼠血清ALT、AST、LDH、TNF-α水平降低(,P,<,0.05),HZRG低剂量组小鼠血清ALP水平降低(,P,<,0.05)。④与对照组比较,模型组小鼠肝组织TG、α-SMA蛋白水平升高(,P,<,0.05);与模型组比较,HZRG高剂量组小鼠肝组织α-SMA蛋白水平降低(,P,<,0.05),HZRG低、高剂量组小鼠肝组织TG、Col1a1蛋白水平降低(,P,<,0.05)。⑤各组小鼠肝组织,p53 ,mRNA表达水平比较,差异无统计学意义(,P,>,0.05)。⑥p53蛋白在NASH小鼠肝组织及活化的LX2细胞中表达降低,HZRG及Tenovin-6可上调其表达;p53蛋白表达升高,可缓解NASH小鼠肝组织纤维化进展、抑制LX2细胞活化。,结论,2,HZRG减轻NASH相关肝纤维化的机制可能与上调p53蛋白表达有关。
Objective,2,To explore the mechanism of Huazhi Rougan Granule (HZRG) in improving non-alcoholic steatohepatitis (NASH)-related fibrosis by network pharmacology methods.,Methods,2,Potential targets of HZRG for NASH were investigated through the analysis of network pharmacology. Male C57BL/6 mice were randomly divided into control group, model group and HZRG low dose group and HZRG high dose group, and 8 mice were allocated per group. The mice in each group were given a methionine choline-deficient diet (MCD) to induce NASH-related fibrosis model except those in the control group, and the corresponding pharmacological interventions were given at the same time of modeling for 4 consecutive weeks. HE staining was used to observe the pathological changes of liver tissues, and the non-alcoholic fatty liver disease activity score (NAS) was used in parallel; Sirius red staining and Masson’s trichrome staining were used to observe the liver collagen deposition; immunohistochemistry was used to detect the expressions of α-smooth muscle actin (α-SMA) and type I collagen α1 chain (Col1a1) in liver tissues, and the area of positive expression was analyzed by ImageJ. The reagent kit was used to detect TC and TG levels in liver tissues. Biochemical analyzer was used to measure the blood alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH) and alkaline phosphatase (ALP) levels of mice in each group, and ELISA kits was used to measure the level of serum tumor necrosis factor-α (TNF-α). The expressions of fibrosis parameters α-SMA, Col1a1 and p53 were detected by western blot and immunofluorescence, respectively; and the expression of ,p53, mRNA was detected by RT-qPCR. LX2 cells were treated with different concentrations of TGF-β1 and/or Tenovin-6 for 24 hours, and related indicators were detected.,Results,2,①The results of network pharmacology suggested that p53 was a potential target for HZRG to exert its effect on. ②The results of HE, Sirius red and Masson’s trichrome staining showed hepatic lipid accumulation, inflammatory cell infiltration and fibrosis formation in mice of the model group, and the mice in the model group had larger area of positive expression of α-SMA and Col1a1 (,P,<,0.05) and higher NAS score (,P,<,0.05) than those in the control group. HZRG low and high dose groups of mice had reduced intra-hepatocellular lipid droplets and significantly reduced liver steatosis and inflammatory cell infiltration. The mice in the HZRG low and high dose groups had smaller area of positive expression of α-SMA and Col1a1 (,P,<,0.05) and lower NAS score (,P,<,0.05) than those in the model group. ③The serum levels of ALT, AST, LDH, ALP were higher in mice of the model group than those in mice of the control group (,P,<,0.05). The serum levels of ALT, AST, LDH and TNF-α were lower in mice of the HZRG low and high dose groups than those in mice of the control group (,P,<,0.05). The serum levels of ALP were lower in mice of the HZRG low dose groups than those in mice of the control group (,P,<,0.05).④The TG and α-SMA protein expression in liver tissues of mice in the model group were higher than that in the control group (,P,<,0.05). The α-SMA protein expression in liver tissues of mice in the HZRG high dose group was lower than that in the model group (,P,<,0.05), and the TG and Col1a1 protein expression in liver tissues of mice in the HZRG low and high dose groups was lower than that in the model group (,P,<,0.05). ⑤The difference in ,p53, mRNA expression in liver tissues of mice among each group was not statistically significant (,P,>,0.05). ⑥The expression of p53 decreased in liver tissues of NASH mice and activated LX2 cells, and its expression could be up-regulated by HZRG and Tenovin-6; The elevated expression of p53 might alleviate the progression of liver fibrosis in NASH mice and inhibit LX2 cell activation.,Conclusion,2,The mechanism by which HZRG alleviates NASH-related fibrosis may be related to the upregulation of p53 expression.
非酒精性脂肪性肝炎肝纤维化化滞柔肝颗粒中医药疗法网络药理学作用机制
non-alcoholic steatohepatitishepatic fibrosisHuazhi Rougan Granuletraditional Chinese medicine therapynetwork pharmacologymechanism of action
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