康复新液抑制NF-κB通路及巨噬细胞M1型极化减轻IBD小鼠结肠炎的作用机制
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大理大学第一附属医院

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云南省教育厅科学研究基金(2024Y894)


The mechanism of colitis alleviation by inhibiting the NF-κB pathway and macrophage M1 polarization via Kangfuxin Liquid in IBD mice
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The First Affiliated Hospital of Dali University

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Scientific Research Fund of Yunnan Provincial Education Department (2024Y894)

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    摘要:

    目的 基于炎症性肠病(inflammatory bowel disease, IBD)的病理机制与核因子κB(NF-κB)信号通路的过度激活及巨噬细胞M1型极化密切相关,利用康复新液比较研究探索IBD疾病过程中对NF-κB通路及巨噬细胞M1型极化的调节机制。方法 通过硫酸葡聚糖钠(DSS)诱导构建小鼠IBD模型,将48只C57BL/6小鼠分为对照组、模型组、柳氮磺吡啶组(SASP)、康复新液不同剂量组(5、10、20 mL/kg)、NF-κB抑制剂预处理组及NF-κB抑制剂预处理+高剂量康复新液组等8组。记录疾病活动指数(DAI)、结肠黏膜损伤指数(CMDI)、组织病理学评分、荧光定量PCR法检测结肠组织CD86、肿瘤坏死因子-α(TNF-α)、磷酸化IκBα(p-IκBα)和IL-1β的mRNA表达水平及蛋白质印迹法(Western blot)检测结肠组织CD86、iNOS、磷酸化IκBα(p-IκBα)的蛋白表达水平,运用流式细胞术分析康复新液对疾病模型的影响,检测结果在组间进行比较分析。结果 DSS诱导成功构建了小鼠IBD模型,各项研究指标的测得值均在模型组最高(P<0.05),通过药物干预后,除柳氮磺吡啶组CD86下调程度较小并与模型组比较差异无统计学意义外(P>0.05)外,各组各项指标与模型组比较均显著降低(P<0.05),而康复新液干预的3组中以高剂量组的指标下调明显(P<0.05),但NF-κB抑制剂与高剂量康复新液联合干预后并未明显增加疗效,各指标测得值与药物单独干预各组间的差异无统计学意义(P>0.05)。结论 NF-κB抑制剂、柳氮磺吡啶和康复新液均对DSS诱导的IBD模型小鼠结肠炎症有保护作用,但作用部位不同,NF-κB抑制剂和康复新液是通过降低IκBα磷酸化水平抑制NF-κB通路活化,以及下调巨噬细胞M1型极化,协同减轻肠道炎症反应。

    Abstract:

    Objective Based on the close association between the pathological mechanism of inflammatory bowel disease (IBD) and the overactivation of the nuclear factor κB (NF-κB) signaling pathway and M1 polarization of macrophages, this study uses Kangfuxin Solution to conduct a comparative study exploring the regulatory mechanism of the NF-κB pathway during the progression of IBD. Methods A mouse model of inflammatory bowel disease (IBD) was established by inducing with dextran sodium sulfate (DSS). Forty-eight C57BL/6 mice were divided into eight groups: the control group, the model group, the sulfasalazine group (SASP), different-dose Kangfuxin Liquid groups (5, 10, 20 mL/kg), the NF-κB inhibitor pretreatment group, and the NF-κB inhibitor pretreatment + KFX-H group. The disease activity index (DAI), colonic mucosal damage index (CMDI), histopathological scores were recorded, the mRNA expression levels of CD86, tumor necrosis factor-α (TNF-α), phosphorylated IκBα (p-IκBα) and IL-1β in colonic tissues were detected by fluorescence quantitative PCR, and protein expression levels of CD86, iNOS, and phosphorylated IκBα (p-IκBα) in colon tissues by protein blotting (Western Blot). Flow cytometry was used to analyze the effect of Kangfuxin liquid on the disease model. The detection results were compared and analyzed among groups. Results The DSS-induced method successfully established a mouse IBD model, with the measured values of various research indicators being the highest in the model group (P<0.05). After drug intervention, except for the sulfasalazine group in which the downregulation of CD86 was relatively small and the difference compared with the model group was not statistically significant (P>0.05), the indicators in each group were significantly decreased compared with those in the model group (P<0.05). Among the three groups intervened with Kangfuxin Liquid, the high-dose group showed a significant downregulation of indicators (P<0.05). However, the combined intervention of NF-κB inhibitor and high-dose Kangfuxin Liquid did not significantly enhance the therapeutic effect, and the differences in the measured values of each indicator compared with those in the groups with single-drug intervention were not statistically significant (P>0.05). Conclusion NF-κB inhibitors, sulfasalazine, and Kangfuxin liquid all have protective effects on colonic inflammation in DSS-induced IBD model mice, but their sites of action differ. NF-κB inhibitors and Kangfuxin liquid are synergistic in attenuating the intestinal inflammatory response by inhibiting NF-κB pathway activation through lowering the level of IκBα phosphorylation, as well as down-regulating macrophage M1-type polarization.

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  • 收稿日期:2025-05-08
  • 最后修改日期:2025-10-12
  • 录用日期:2025-11-21
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