Miao Yanfang,Wang Yuxian,Zhang Shengsheng.Effects of Tongxie-Yaofang on visceral sensitivity and expression of 5-HT and SERT in IBS-D model rats[J].,2021,43(12):1209-1214.[doi:10.3760/cma.j.cn115398-20210122-00231]
痛泻要方对腹泻型肠易激综合征大鼠内脏敏感性及5-羟色胺、5-羟色胺转运体蛋白的影响
- Title:
- Effects of Tongxie-Yaofang on visceral sensitivity and expression of 5-HT and SERT in IBS-D model rats
- Keywords:
- Irritable bowel syndrome; Tong Xie Yao Fang; Visceral hypersensitivity; 5-hydroxytryptamine; Serotonin transporter; Rats
- 摘要:
- 目的 探讨痛泻要方对腹泻型肠易激综合征模型大鼠内脏敏感性的影响及其作用机制。方法 将30只雄性1日龄SD大鼠按随机数字表法分为正常组(10只)和造模组(20只)。采用母婴分离+束缚应激构建腹泻型肠易激综合征大鼠模型。造模成功后,将造模组随机分为模型组和痛泻要方组,每组10只。痛泻要方组大鼠灌胃痛泻要方4.92 g/ml,正常组、模型组灌胃等体积生理盐水,按2 ml/100 g大鼠体重灌胃,1次/d,连续灌胃14 d。采用电子恒压器测定结直肠扩张刺激下腹外斜肌肌电反应,评价内脏敏感性,采用HE染色观察大鼠结肠组织形态,ELISA法检测大鼠结肠中5-羟色胺(5-hydroxytryptamine, 5-HT)水平,qPCR法检测结肠组织中5-羟色胺转运体(serotonin transporter, SERT) mRNA水平,Western blot检测大鼠结肠和下丘脑SERT蛋白表达。结果 与模型组比较,痛泻要方组在球囊扩张压力为60、80 mmHg时,肌电图积分变化率[(179.51±18.26)%比(226.42±25.78)%;(242.13±15.42)%比(306.02±51.51)%]降低(P<0.05或P<0.01),结肠5-HT[(8.85±0.53)ng/mg比(12.25±1.95)ng/mg]水平降低(P<0.01),结肠SERT mRNA[(0.85±0.12)比(0.38±0.02)]、蛋白[(0.53±0.11)比(0.36±0.17)]表达升高(P<0.05或P<0.01),下丘脑SERT蛋白[(0.88±0.12)比(0.36±0.13)]表达升高(P<0.05)。结论 痛泻要方可调节腹泻型肠易激综合征模型大鼠5-HT及SERT表达,从而降低内脏高敏感。
- Abstract:
- Objective To explore the effect of Tongxie-Yaofang on visceral sensitivity in IBS-D and the possible mechanism. Methods Divided 30 male SD rats (one-day old) into normal group (10 rats) and IBS-D model group (20 rats) randomly. IBS-D was induced by the method of neonatal maternal separation and restraint stress. After successful modeling, the IBS-D model group was randomly divided into model group and Tongxie-Yaofang group, with 10 rats in each group. Tongxie-Yaofang group was given Tongxie-Yaofang formula, 4.92 g/ml by gavage, while the normal and model groups were given the same amount of normal saline, rats were gavaged with 2 ml/100 g body weight once a day for 14 days. The electromyography of the exorectus muscle was used to meature colorectal distension and by using electronic constant pressure apparatus to evaluate visceral sensitivity. The morphology of colon by HE staining and Enzyme-linked immunosorbent assay (ELISA) were used to determine the level of colonic 5-hydroxytryptamine (5-HT), qPCR was used to detect the colonic mRNA expression of serotonin transporter (SERT) and Western blot was used to detect SERT expression in colon and hypothalamus. Results Compared with the model group, at the expansion pressure of 60 mmHg and 80 mmHg, the electromyographic response [(179.51 ± 18.26)% vs. (226.42 ± 25.78)%; (242.13 ± 15.42)% vs. (306.02 ± 51.51)%] in Tongxie-Yaofang group was significantly decreased ( P<0.05 or P<0.01). The colonic content of 5-HT was significantly lower than that in the model group [(8.85 ± 0.53) ng/mg vs.(12.25 ± 1.95) ng/mg] (P<0.01), the expression of SERT mRNA (0.85 ± 0.12 vs. 0.38 ± 0.02) and SERT protein (0.53 ± 0.11 vs. 0.36 ± 0.17) in the colon was significantly increased ( P<0.05 or P<0.01), the expression of SERT protein (0.88 ± 0.12 vs. 0.36 ± 0.13) in the hypothalamus was significantly increased ( P<0.05). Conclusion Tongxie-Yaofang could relieve the visceral hypersensitivity, which may be achieved by regulating the 5-HT and SERT expression.
参考文献/References:
[1].Chey WD,Kurlander J,Eswaran S. Irritable bowel syndrome:a clinical review[J]. JAMA,2015,313(9):949-958. DOI:10. 1001/jama.2015.0954.
[2].中华中医药学会脾胃病分会. 肠易激综合征中医诊疗专家共识意见(2017)[J]. 中医杂志,2017,58(18):1614-1620. DOI:10.13288/j.11-2166/r.2017.18.024.
[3].肖梦丽,赵迎盼,应佳珂,等. 基于功能性胃肠病的量表疗效评价研究进展[J]. 中国中西医结合消化杂志,2021,29(2): 154-160. DOI:10.3969/j.issn.1671-038X.2021.02.16.
[4].Simrén M ,Tack J. New treatments and therapeutic targets for IBS and other functional bowel disorders[J]. Nat Rev Gastroenterol Hepatol,2018,15(10):589-605. DOI:10.1038/ s41575-018-0034-5.
[5].Wiley JW,Chang L. Functional Bowel Disorders[J]. Gastroenterology,2018,155(1):1-4. DOI:10.1053/j.gastro.2018. 02.014.
[6].陈富丽,窦志芳. 痛泻要方治疗肠易激综合征肝郁脾虚证5-羟色胺作用机制研究[J]. 世界中西医结合杂志,2017, 12(12):1686-1690. DOI :10.13935/j.cnki.sjzx.171214.
[7].杨成,张声生,李晓玲,等. 痛泻要方对内脏高敏感大鼠的影响及机制[J]. 中华中医药杂志,2015,30(12):4268-4271.
[8].李培彩,卢小芳,张声生,等. 腹泻型肠易激综合征大鼠模型的评价研究[J]. 中国中西医结合消化杂志,2016,24(3): 174-177. DOI:10.3969/j.issn.1671-038X.2016.03.04.
[9].Dai YK,Li DY,Zhang YZ,et al. Efficacy and safety of Modified Tongxie Yaofang in diarrhea-predominant irritable bowel syndrome management:A meta-analysis of randomized, positive medicine-controlled trials[J]. PLoS One,2018,13(2): e0192319. DOI:10.1371/journal.pone.0192319.
[10].Bian Z,Wu T,Liu L,et al. Effectiveness of the Chinese herbal formula TongXieYaoFang for irritable bowel syndrome:a systematic review[J]. J Altern Complement Med,2006,12(4): 401-407. DOI:10.1089/acm.2006.12.401.
[11].Pan F,Zhang T,Zhang YH,et al. Effect of Tongxie Yaofang Granule in treating diarrhea-predominate irritable bowel syndrome[J]. Chin J Integr Med,2009,15(3):216-219. DOI:10.1007/s11655-009-0216-7.
[12].Mayer EA,Labus JS,Tillisch K,et al. Towards a systems view of IBS[J]. Nat Rev Gastroenterol Hepatol,2015,12(10): 592-605. DOI:10.1038/nrgastro.2015.121.
[13].Hou Q,Huang Y,Zhu Z,et al. Tong-Xie-Yao-Fang improves intestinal permeability in diarrhoea-predominant irritable bowel syndrome rats by inhibiting the NF-κB and notch signalling pathways[J]. BMC Complement Altern Med,2019,19(1):337. DOI:10.1186/s12906-019-2749-4.
[14].Bennett G,Talley NJ. Irritable bowel syndrome in the elderly[J]. Best Pract Res Clin Gastroenterol,2002,16(1): 63-76. DOI:10.1053/bega.2001.0266.
[15].Stasi C,Bellini M,Bassotti G,et al. Serotonin receptors and their role in the pathophysiology and therapy of irritable bowel syndrome[J]. Tech Coloproctol,2014,18(7):613-621. DOI:10. 1007/s10151-013-1106-8.
[16].Moloney RD,Dinan TG,Cryan JF. Strain-dependent variations in visceral sensitivity:relationship to stress,anxiety and spinal glutamate transporter expression[J]. Genes Brain Behav,2015, 14(4):319-329. DOI:10.1111/gbb.12216.
[17].Wang EM,Li WT,Yan XJ,et al. Vagal afferent-dependent cholecystokinin modulation of visceral pain requires central amygdala NMDA-NR2B receptors in rats[J]. Neurogastroenterol Motil,2015,27(9):1333-1343. DOI:10. 1111/nmo.12633.
[18].Heredia DJ,Gershon MD,Koh SD,et al. Important role of mucosal serotonin in colonic propulsion and peristaltic reflexes:in vitro analyses in mice lacking tryptophan hydroxylase 1[J]. J Physiol,2013,591(23):5939-5957. DOI:10.1113/jphysiol.2013.256230.
[19].Wang LH,Fang XC,Pan GZ. Bacillary dysentery as a causative factor of irritable bowel syndrome and its pathogenesis[J]. Gut,2004,53(8):1096-1101. DOI:10.1136/gut.2003.021154.
[20].范东芬,奚耕思,梁开丹,等. 五羟色胺转运体的研究进展[J]. 生命科学,2011,23(4):385-389.
[21].常颖. SERT基因多态性及结肠黏膜SERT表达与肠易激综合征关系的研究[D]. 天津:天津医科大学,2012.
[22].陆敏,张伟,姚青,等. 肠康方对肠易激综合征内脏高敏感模型大鼠脑肠轴中5-羟色胺转运体的作用[J]. 世界华人消化杂志,2015,23(8):1231-1237. DOI:10.11569/wcjd.v23.i8.1231.
相似文献/References:
[1]褚衍友.社会支持程度对IBS患者治疗依从性、疗效及生活质量的影响[J].国际中医中药杂志,2009,31(06):542.[doi:10.3760/cma.j.issn.1673-4246.2009.06.034]
CHU Yan-you.Influence of Social Support on Treatment Compliance, Efficacy and Quality of Life in Patients with Rrritable Bowel Syndrome[J].,2009,31(12):542.[doi:10.3760/cma.j.issn.1673-4246.2009.06.034]
[2]叶涛 陶夏平.乌梅丸用于寒热错杂型腹泻型肠易激综合征的疗效评价[J].国际中医中药杂志,2013,35(08):689.[doi:DOI:10.3760/cma.j.issn.1673-4246.2013.08.006]
YE Tao,TAO Xia-ping.Curative effect evaluation on 46 cases of cold-heat complex diarrhea type irritable bowel syndrome treated with Wumei pill[J].,2013,35(12):689.[doi:DOI:10.3760/cma.j.issn.1673-4246.2013.08.006]
[3]陈日辉.附子理中汤治疗腹泻型肠易激综合征脾肾阳虚证临床研究[J].国际中医中药杂志,2016,38(04):329.[doi:10.3760/cma.j.issn.1673-4246.2016.04.012]
Chen Rihui..Clinical study of Fuzi-Lizhong decoction for diarrhea irritable bowel syndrome with Chinese pattern of spleen kidney yang deficiency [J].,2016,38(12):329.[doi:10.3760/cma.j.issn.1673-4246.2016.04.012]
[4]罗海生 杨永光 蔡贤良.针刺联合安肠散穴位贴敷治疗腹泻型肠易激综合征临床研究[J].国际中医中药杂志,2018,40(4):319.[doi:10.3760/cma.j.issn.1673-4246.2018.04.008]
Luo Haisheng,Yang Yongguang,Cai Xianliang..Observation of curative effect of acupuncture combined with Anchang powder acupoint application in the treatment of irritable bowel syndrome with diarrhea [J].,2018,40(12):319.[doi:10.3760/cma.j.issn.1673-4246.2018.04.008]
[5]崔利娜 刘雷蕾 王韶 孟静岩.中医药治疗肠易激综合征的研究进展[J].国际中医中药杂志,2018,40(7):673.[doi:10.3760/cma.j.issn.1673-4246.2018.07.026]
Cui Lina*,Liu Leilei,Wang Shao,et al.Research status of traditional Chinese medicine for irritable bowel syndrome [J].,2018,40(12):673.[doi:10.3760/cma.j.issn.1673-4246.2018.07.026]
[6]黄丽 李慢中 李佳.参苓白术散对腹泻型肠易激综合征模型大鼠胃肠激素、消化酶及炎性细胞因子的影响[J].国际中医中药杂志,2018,40(9):836.[doi:10.3760/cma.j.issn.1673-4246.2018.09.012]
Huang Li*,Li Manzhong,Li Jia..Effect of Shenling-Baizhu powder on gastrointestinal hormone, digestive enzyme and inflammatory factors in diarrhea-predominant irritable bowel syndrome rats [J].,2018,40(12):836.[doi:10.3760/cma.j.issn.1673-4246.2018.09.012]
[7]罗大智 王垂杰.中西医结合治疗腹泻型肠易激综合征研究进展[J].国际中医中药杂志,2019,41(10):1150.[doi:10.3760/cma.j.issn.1673-4246.2019.10.028]
Luo Dazhi,Wang Chuijie.Research progress of integrated traditional Chinese and western medicine for diarrhea-predominant irritable bowel syndrome[J].,2019,41(12):1150.[doi:10.3760/cma.j.issn.1673-4246.2019.10.028]
[8]马永会.自拟健脾调肝温肾汤治疗腹泻型肠易激综合征临床研究[J].国际中医中药杂志,2019,41(11):1201.[doi:10.3760/cma.j.issn.1673-4246.2019.11.011]
Ma Yonghui.Clinical study on self-made Jianpi-Tiaogan-Wenshen decoction in the treatment of diarrhea-predominant irritable bowel syndrome [J].,2019,41(12):1201.[doi:10.3760/cma.j.issn.1673-4246.2019.11.011]
[9]刘朝霞 郭秋怡 李贺薇.谢晶日治疗便秘型肠易激综合征肝郁脾虚证经验[J].国际中医中药杂志,2020,42(04):379.[doi:10.3760/cma.j.cn115398-20190420-00144]
[J].,2020,42(12):379.[doi:10.3760/cma.j.cn115398-20190420-00144]
[10]梁依敏 钟子劭 黄俊敏 黄穗平.基于网络药理学和分子对接探讨四逆散干预肠易激综合征作用机制[J].国际中医中药杂志,2021,43(06):580.[doi:10.3760/cma.j.cn115398-20200610-00129]
Liang Yimin,Zhong Zishao,Huang Junmin,et al.Mechanism of Sini Powder on treating irritable bowel syndrome based on network pharmacology and molecular docking[J].,2021,43(12):580.[doi:10.3760/cma.j.cn115398-20200610-00129]
[11]孙玉玲 赵登贤.痛泻药方加减治疗腹泻型肠易激综合征83例[J].国际中医中药杂志,2009,31(05):429.[doi:10.3760/cma.j.issn.1673-4246.2009.05.028]
SUN Yu-ling,ZHAO Deng-xian.Treatment of Irritable Bowel Syndrome with Modified TongXieYaoFang: A 83 Cases Study[J].,2009,31(12):429.[doi:10.3760/cma.j.issn.1673-4246.2009.05.028]
备注/Memo
(收稿日期:2021-01-22)
更新日期/Last Update:
2021-12-16