加味芪黄饮改善糖尿病肾病的 PTEN/ PI3K/Akt/mTOR 通路机制研究
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吴立友,男,主任中医师,主要研究方向是中西医结合治疗慢性肾脏病。

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R 587.2

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广东省中医药局管理局科研项目(20212168);广东省中医药管理局项目(20210097); 广州市中医药和中西医结合科技项目(2021A011008)


Study on the Mechanism of PTEN/PI3K/Akt/mTOR Pathway of Jiawei Qihuang Yin in Improving Diabetic Nephropathy
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    摘要:

    摘 要目的:研究加味芪黄饮通过 PTEN /磷脂酰肌醇 3 激酶(PI3K)/蛋白激酶 B(Akt)/哺乳动物雷帕 霉素靶标(mTOR)通路改善糖尿病肾病(DN)的作用机制。 方法:Sprague–Dawle(SD)大鼠利用高脂饲料饲养 联合腹腔注射链脲佐菌素(STZ)建立 DN 模型,采用完全随机法分为模型组、加味芪黄饮低剂量组、中剂量组、 高剂量组及氯沙坦组。各 10 只。根据临床用量换算,设定加味芪黄饮低剂量组、中剂量组、高剂量组[生药含量: 200、400、800 mg·kg-1 ·d-1],空白组及模型组予 0.9 % 氯化钠注射液灌胃。8 周后取材,检测 DN 大鼠 24 h 尿蛋 白、血肌酐(SCr)、血尿素氮水平(BUN),苏木精 – 伊红(HE)染色观察肾脏病理变化,免疫组化检测肾组织中 PTEN、PI3K、Akt 和 mTOR 等蛋白表达。 结果:与空白组相比,模型组大鼠 24 h 尿蛋白、SCr、BUN 水平显著升高 (P < 0.0001);加味芪黄饮干预后肾功能指标相比于模型组有所降低(P < 0.001),免疫组化结果提示:模型组 PTEN 表达降低,PI3K、Akt、mTOR 表达升高(P < 0.01);加味芪黄饮干预后,PTEN 表达量上升,PI3K、Akt 及 mTOR 表达量下降,相比模型组差异均具有统计学意义(P < 0.05)。加味芪黄饮高剂量组与氯沙坦组疗效差异无统 计学意义(P > 0.05)。 结论:加味芪黄饮可能通过 PTEN/PI3K/Akt/mTOR 通路延缓 DN 发展。

    Abstract:

    AbstractObjective To study the mechanism of Jiawei Qihuang Yin in improving diabetic nephropathy (DN) through PTEN/ phosphatidylinositol 3 kinase (PI3K)/protein kinase B (Akt)/mechanistic target of rapamycin (mTOR) pathway. Methods Sprague Dawle (SD) rats were fed with high-fat diet combined with intraperitoneal injection of streptozotocin (STZ) to establish a DN model. The rats were divided by completely random method into model group, low-dose group, middle-dose group, high-dose group of Jiawei Qihuang Yin and losartan group. There were 10 rats in each group. According to the conversion of clinical dosage, the low-dose group, middle-dose group and high-dose group of Jiawei Qihuang Yin were set (crude drug content: 200, 400, 800 mg·kg-1 ·d-1. And the blank group and model group were given 0.9% sodium chloride injection by gavage. After 8 weeks, the levels of 24-hour urine protein, serum creatinine (SCr), and blood urea nitrogen (BUN) were measured. The pathological changes of kidney were observed by Hematoxylin-eosin (HE) staining, and the protein expressions of PTEN, PI3K, Akt and mTOR in renal tissue were detected by immunohistochemistry. Results Compared with the blank group, the levels of 24 h urine protein, SCr and BUN in the model group were significantly increased (P < 0.0001), and the renal function indexes in the model group were lower than those in the model group after intervention with Jiawei Qihuang Yin (P < 0.001). Immunohistochemical results showed that the expression of PTEN in the model group decreased, while the expression of PI3K, Akt, and mTOR increased (P<0.01). After the intervention of Jiawei Qihuang Yin, the expression of PTEN was increased, while the expression of PI3K, Akt and mTOR decreased, with statistical significances (P < 0.05). There was no significant difference between the high-dose group of Jiawei Qihuang Drink and the losartan group (P > 0.05). Conclusion Jiawei Qihuang Yin may delay the development of DN through the PTEN/PI3K/Akt/mTOR pathway.

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  • 收稿日期:2024-02-13
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  • 在线发布日期: 2024-08-09
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