皮质酮诱导小鼠静息能量代谢率变化及补肾方剂干预的线粒体机制研究
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1.复旦大学附属华山医院中西医结合研究所;2.复旦大学附属华山医院

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Study on the mitochondrial mechanism of resting energy metabolic rate changes induced by corticosterone and kidney tonifying prescription intervention effects in mice
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1.Institute of Integrated Traditional Chinese and Western Medicine,Huashan Hospital Affiliated to Fudan University;2.Huashan Hospital Affiliated to Fudan University

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    摘要:

    目的 探究皮质酮(Corticosterone,CORT)诱导小鼠静息能量代谢率(Resting metabolic rate,RMR)改变的趋势和相关机制,观察经典补肾方剂知柏地黄丸和金匮肾气丸的干预作用。方法 64只实验小鼠随机分为短期和长期2批,每批随机分为4组:空白对照组、模型组、知柏地黄丸组、金匮肾气丸组。模型组、知柏地黄丸组、金匮肾气丸组小鼠给予含皮质酮无菌饮用水,空白对照组小鼠给予含1 %无水乙醇的无菌饮用水。知柏地黄丸组、金匮肾气丸组小鼠给予知柏地黄丸、金匮肾气丸混悬液灌胃,空白对照组及模型组小鼠给予等量生理盐水灌胃。造模及中药干预期间动态监测各组小鼠RMR,实验结束后,留取各组小鼠血清、肝脏、肌肉。透射电镜观察各组肝脏、肌肉组织线粒体形态;免疫荧光观察各组肝脏、肌肉组织甲状腺素受体(Thyroid hormone receptor, TR)表达水平,检测各组肝脏、肌肉组织丙二醛(Malondialdehyde,MDA)、三磷酸腺苷(Adenosine triphosphate,ATP)水平,各组血清促肾上腺皮质激素(Adrenocorticotropic hormone,ACTH)、促甲状腺素(Thyroid stimulating hormone,TSH)、胰岛素(Insulin,INS)、三碘甲状腺原氨酸(Triiodothyronine,T3)、甲状腺素(Thyroxine,T4)、游离三碘甲状腺原氨酸(Free triiodothyronine,FT3)、游离甲状腺素(Free thyroxine,FT4)、8-羟基脱氧鸟苷(8-hydroxydeoxyguanosine,8-OHdG)、成纤维细胞生长因子-21(Fibroblast growth factor 21,FGF-21)、生长分化因子-15(Growth differentiation factor 15,GDF-15)、L-乳酸(L(+)-Lactic acid)、丙酮酸(Pyruvic acid)水平。结果。与空白对照组比较,模型组小鼠肝脏、肌肉组织线粒体形态受损、TR表达量降低。短期批次(Day8),模型组小鼠RMR、肝脏组织ATP含量、血清T4、ACTH、INS水平显著升高,血清FGF-21、TSH水平、肝脏组织MDA含量显著降低,长期批次(Day56),模型组小鼠RMR、血清8-OhdG、INS水平、肝脏、肌肉组织ATP含量显著降低,血清FGF-21、GDF-15、T3、T4、FT3、FT4水平、肝脏、肌肉组织MDA含量显著升高。与模型组比较,短期批次,知柏地黄丸组肌肉组织TRα表达量升高;金匮肾气丸组肌肉组织线粒体形态改善,肌肉组织TRα表达量升高。长期批次,金匮肾气丸组肌肉组织TRα表达量也明显升高。与模型组比较,短期批次,知柏地黄丸组小鼠RMR、血清L-乳酸水平显著降低,血清8-OHdG水平显著升高。金匮肾气丸组小鼠血清FGF-21水平显著升高,血清L-乳酸、FT4、肝脏组织ATP水平显著降低。长期批次,知柏地黄丸组血清FGF-21显著降低。金匮肾气丸组RMR、肝脏组织ATP水平显著升高,血清FGF-21、GDF-15、T3、FT4水平、肌肉组织MDA水平显著降低。 结论 CORT诱导小鼠RMR随干预时间出现先升高、再降低的趋势。CORT短期应用时,知柏地黄丸显著降低小鼠RMR,长期应用时,金匮肾气丸显著升高小鼠RMR。其机制可能与组织线粒体损伤、甲状腺素分泌、甲状腺素受体表达相关。

    Abstract:

    Objective To explore the change trend and related mechanism of resting energy metabolic rate induced by corticosterone in mice, and observe the intervention effect of Zhibai Dihuang Pill and Jinkui Shenqi pill. Methods Sixty-four mice were randomly divided into two short-term and long-term groups, and each group was randomly divided into four groups: blank control group, model group, Zhibai Dihuang pill group and Jinkui Shenqi pill group. Mice in model group, Zhibai Dihuang Pill group and Jinkui Shenqi pill group were given sterile drinking water containing corticosterone, and mice in blank control group were given sterile drinking water containing 1% anhydrous ethanol. Mice in Zhibai Dihuang Pill group and Jinkui Shenqi pill group were given of Zhibai Dihuang Pill and Jinkui Shenqi pill suspension, and mice in blank control group and model group were given the same amount of normal saline. RMR of mice in each group was dynamically monitored during modeling and Chinese medicine intervention. After the experiment, serum, liver and muscle of mice in each group were retained. The morphology of mitochondria in liver and muscle were observed by transmission electron microscope. The Thyroid hormone receptor (TR) expression level in liver and muscle tissues of each group was observed by immunofluorescence, and Malondialdehyde (MDA) was detected in liver and muscle tissues of each group. Levels of MDA, Adenosine triphosphate (ATP), adrenocorticotropic hormone (ACTH), thyroid stimulating hormone (TSH), Insulin (INS), Triiodothyronine (T3), Thyroxine (T4), Free triiodothyronine (FT3), Free thyroxine (FT4), 8-hydroxydeoxyguanosine (8-OHdG), Fibroblast growth factor 21 (FGF-21), Growth differentiation factor 15 (GDF-15), L-lactic acid\ Pyruvic acid levels. Results Compared with the Ctrl group, the mitochondrial morphology of liver and muscle was damaged and the expression of TR was decreased in the CORT group. Compared with Ctrl group, RMR, ATP contents in liver, thr levels of T4, ACTH and INS in serum were significantly increased in CORT group in short-term (Day8), while the levels of FGF-21, TSH in serum and MDA contents in liver were significantly decreased in long-term (Day56). The levels of RMR, the levels of 8-OhdG, INS in serum, ATP contents in liver and muscle were significantly decreased in CORT group, while the levels of FGF-21, GDF-15, T3, T4, FT3, FT4 in serum, MDA contents in liver and muscle were significantly increased. Compared with CORT group, TRα expression in muscle tissue of ZBDH Group increased in short-term. The mitochondrial morphology of muscle tissue in JKSQ Group was improved, and the expression of TRα in muscle tissue was increased. Long-term, JKSQ Group also significantly increased TRα expression in muscle tissue. Compared with CORT group, RMR and levels of L-lactic acid in serum were significantly decreased and levels of 8-OHdG in serum were significantly increased in ZBDH Group. The levels of FGF-21 in serum in JKSQ Group were significantly increased, and the levels of L-lactic acid, FT4 in serum and ATP contents in liver tissue were significantly decreased. In long-term, the levels of FGF-21 in serum in ZBDH Group was significantly decreased. The levels of RMR and ATP contents in liver were significantly increased, while the levels of FGF-21, GDF-15, T3, FT4 and MDA in muscle tissue were significantly decreased in JKSQ Group. Conclusion CORT induced RMR to increase first and then decrease with the intervention time. In the short-term application of CORT, Zhibai Dihuang Pill significantly decreased RMR in mice, while in the long-term application, Jinkui Shenqi Pill significantly increased RMR in mice. The mechanism may be related to mitochondrial injury, thyroxine secretion and thyroxine receptor expression.

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  • 收稿日期:2024-11-11
  • 最后修改日期:2025-05-07
  • 录用日期:2025-06-13
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