抑肝扶脾汤调控 PKA/ PKC-CREB 通路修复肠道屏障降低 IBS 敏感性的机制研究
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1. 浙江省中医药研究院,杭州 310007;2. 浙江中医药大学附属省立同德医院,杭州 310007

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Mechanistic study of Yigan Fupi decoction-mediated repair of the intestinal barrier and reduction of IBS sensitivity through regulation of the PKA / PKC-CREB pathway
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1. Zhejiang Provincial Institute of Traditional Chinese Medicine, Hangzhou 310007, China; 2. Provincial Tongde Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Hangzhou 310007, China

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    摘要:

    目的 研究抑肝扶脾汤 ( Yigan Fupi decoction, YGFP ) 对肠易激综合征 ( irritable bowel syndrome,IBS)的改善作用,并从 PKA/ PKC-CREB 通路深入研究其修复肠道屏障降低 IBS 敏感性的作用机制。 方法 将母婴分离后的大鼠随机分为模型对照(M)组、抑肝扶脾汤(YGFP)组和未母婴分离的大鼠作为正常对照(N)组,YGFP 组予 YGFP 连续 4 周。 腹壁撤退反射(abdominal withdraw reflux,AWR)评估肠道敏感性,LCMS / MS 法检测胆汁酸代谢物浓度,ELISA 法检测 IL-6 和 CXCL1 的血清水平,苏木素-伊红(HE)染色观察结肠病理学变化,Western Blot 和免疫组化检测 PKA、PKC、CREB、5HT2AR、5-HT7R、ZO-1、Claudin 1 的蛋白相对表达。 结果 与 N 组比,M 组的内脏疼痛阈值降低,总胆汁酸代谢物、IL-6 和 CXCL1 含量明显升高,PKA、PKC、CREB、5HT2AR、5-HT7R 蛋白相对表达显著升高,ZO-1、Claudin 1 的蛋白相对表达明显下降。 与 M 组相比,抑肝扶脾汤可显著增加 IBS 大鼠的内脏疼痛阈值,显著降低总胆汁酸代谢物、IL-6 和 CXCL1 含量,使 PKA、PKC、CREB、5HT2AR、5-HT7R 蛋白相对表达明显降低,ZO-1、Claudin 1 的蛋白相对表达升高。 结论 抑肝扶脾汤可有效改善 IBS,其机制可能是通过调控 PKA/ PKC-CREB 通路修复肠道屏障降低其敏感性实现的。

    Abstract:

    Objective To study the therapeutic effects of Yigan Fupi decoction (YGFP) on irritable bowel syndrome (IBS) and its mechanism of action in repairing the intestinal barrier and reducing IBS sensitivity through the PKA/ PKC-CREB pathway. Methods Baby rats separated from their mother were randomly divided into a model control (M) and a YGFP group, while baby rats without maternal separation were used as a normal control(N)group.The YGFP group was given YGFP for 4 weeks. Abdominal withdrawal reflux was used to evaluate intestinal sensitivity. Liquid chromatography tandem mass spectrometry and ELISA were used to detect bile acid metabolite concentrations and serum levels of interleukin ( IL)-6 and CXCL1, respectively. HE staining was used to observe pathological changes in the colon, and Western Blot and immunohistochemistry were used to analyze the relative protein expression levels of PKA, PKC, CREB, 5HT2AR, 5-HT7R, ZO-1, and Claudin 1. Results Compared with the normal control group, the M group showed a significantly decreased visceral pain threshold, significantly increased levels of total bile acid metabolites, IL-6, and CXCL1, significantly increased relative expression of PKA, PKC,CREB, 5HT2AR, and 5-HT7R, and significantly decreased relative expression of ZO-1 and Claudin 1. Compared with the M group, the YGFP group showed a significantly increased visceral pain threshold, significantly reduced levels of total bile acid metabolites, IL-6, and CXCL1, significantly reduced relative expression of PKA, PKC,CREB, 5HT2AR, and 5-HT7R, and increased relative expression of ZO-1 and Claudin 1. Conclusions YGFP effectively improved IBS through a mechanism that may involve repair of the intestinal barrier and reduced sensitivity through the PKA/ PKC-CREB pathway.

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陈宇,施佳君,富丹婷,杨钦钦,傅睿,朱佳杰,朱明锦,刘忻颖,陈明显.抑肝扶脾汤调控 PKA/ PKC-CREB 通路修复肠道屏障降低 IBS 敏感性的机制研究[J].中国实验动物学报,2025,33(4):512~521.

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  • 收稿日期:2024-09-30
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  • 在线发布日期: 2025-06-09
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