连翘苷调节JAK2/STAT3信号通路对大鼠痔术后创面愈合及炎症反应的影响及作用机制
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1.辽宁中医药大学附属第三医院辽宁省肛肠医院 药剂科;2.辽宁中医药大学 第三临床学院;3.东北大学医院 药械科

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]国家中医药管理局全国中药特色技术传承人才培训项目(国中医药人教函[2019]43号)


Effects and action mechanism of phillyrin on wound healing and inflammatory response after hemorrhoid surgery in rats by adjusting the JAK2/STAT3 signaling pathway
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1.Department of Pharmacy,The Third Affiliated Hospital of Liaoning University of Traditional Chinese MedicineLiaoning Province Anorectal Hospital;2.Third Clinical College,Liaoning University of Traditional Chinese Medicine;3.Department of Pharmaceutical,Northeastern University Hospital

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    摘要:

    【】目的:探讨连翘苷(Phil)调节Janus激酶2(JAK2)/信号转导和转录激活因子3(STAT3)信号通路对大鼠痔术后创面愈合及炎症反应的影响。方法:采用冰醋酸注射法构建大鼠痔疮模型,并随机分为模型组(Model)、Phil-低、高剂量组(Phil-L、H),Phil-H+JAK2A激活剂香豆霉素(CA1)组,另取健康大鼠作为对照组(NC),每组12只。游标卡尺测量计算各组大鼠创面面积,观察并评估肛周水肿程度;全血细胞计数仪检测各组大鼠白细胞、中性粒细胞和淋巴细胞数;酶联免疫吸附实验检测血清中炎症因子[肿瘤坏死因子(TNF)-α,白细胞介素(IL)-6,IL-1β]水平;苏木素伊红染色观察肛周组织病理学变化;实时荧光定量PCR检测肛周组织中JAK2、STAT3 mRNA水平;免疫印迹法检测肛周组织中血管内皮生长因子(VEGF)、基质金属酶(MMP)-9及JAK2/STAT3通路相关蛋白表达。结果:与NC组比,Model组大鼠肛周组织中炎性细胞浸润增多,创面面积、水肿程度显著上升,白细胞数、中性粒细胞占比、血清中IL-1β、IL-6、TNF-α水平、肛周组织中JAK2、STAT3 mRNA水平及p-JAK2、p-STAT3蛋白表达显著升高,淋巴细胞占比和VEGF、MMP-9蛋白表达显著降低(均P<0.05);与Model组比,Phil可以明显减少大鼠肛周组织中炎性细胞浸润明显,降低创面面积、肛周水肿程度,且白细胞数、中性粒细胞占比、IL-1β、IL-6、TNF-α、JAK2、STAT3 mRNA水平和p-JAK2、p-STAT3蛋白表达降低,VEGF、MMP-9蛋白表达显著升高(均P<0.05),且变化幅度呈剂量依赖性(均P<0.05);与Phil-H组比,Phil-H+CA1组大鼠肛周创面面积、水肿程度显著上升,白细胞数、中性粒细胞占比、血清中IL-1β、IL-6、TNF-α水平、肛周组织中JAK2、STAT3 mRNA水平及p-JAK2、p-STAT3蛋白表达显著升高,淋巴细胞占比和VEGF、MMP-9蛋白表达显著降低(均P<0.05)。结论:Phil可以通过抑制JAK2/STAT3信号通路,抑制大鼠痔术后炎症反应,并促进创面愈合。

    Abstract:

    Objective: To explore the effects of phillyrin (Phil) on wound healing and inflammatory response after hemorrhoid surgery in rats by adjusting the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway. Methods: A rat model of hemorrhoids was established using acetic acid injection, and randomly included into Model group, Phil-L low and high dose groups (Phil-L, H), and Phil-H+JAK2A activator coumermycin A1 (CA1) group, in addition, another healthy rats were served as the control group (NC), each with 12 rats. Vernier caliper was used to measure and calculate the wound area of rats, and the degree of perianal edema was observed and evaluated. The total blood cell count was used to detect the number of white blood cells, neutrophils and lymphocytes in each group of rats. Enzyme linked immunosorbent assay was used to detect the inflammatory factors [tumor necrosis factor (TNF)-α, interleukin (IL)-6, IL-1β] in serum. Hematoxylin-eosin staining was used to observe pathological changes in perianal tissues. Real-time fluorescence quantitative PCR was used to measure JAK2 and STAT3 mRNAs in perianal tissues. Immunoblotting was used to measure the vascular endothelial growth factor (VEGF), matrix metalloproteinase (MMP)-9, and JAK2/STAT3 pathway related proteins in perianal tissues. Results: Compared with the NC group, the Model group showed increased infiltration of inflammatory cells in the perianal tissue of rats, conspicuously increased wound area and edema degree, conspicuously increased white blood cell count, neutrophil percentage, IL-1β, IL-6, TNF-α in serum, JAK2, STAT3 mRNAs and p-JAK2, p-STAT3 proteins in perianal tissue, and conspicuously decreased the proportion of lymphocytes, VEGF and MMP-9 proteins (all P<0.05). Compared with the Model group, Phil could conspicuously reduce inflammatory cell infiltration in perianal tissue, decrease wound area and perianal edema degree, and reduce white blood cell count, neutrophil percentage, IL-1β, IL-6, TNF-α, JAK2, STAT3 mRNAs and p-JAK2, p-STAT3 proteins, conspicuously increased the proportion of lymphocytes, VEGF and MMP-9 proteins (all P<0.05), and the changes were dose-dependent (all P<0.05). Compared with the Phil-H group, the Phil-H+CA1 group showed a conspicuous increase in perianal wound area and edema degree in rats, conspicuously raised wound area and edema degree, conspicuously raised white blood cell count, neutrophil percentage, IL-1β, IL-6, TNF-α in serum, JAK2, STAT3 mRNAs and p-JAK2, p-STAT3 proteins in perianal tissue, and conspicuously decreased the proportion of lymphocytes, VEGF and MMP-9 proteins (all P<0.05). Conclusion: Phil can inhibit the JAK2/STAT3 signaling pathway, suppress the inflammatory response after hemorrhoid surgery in rats, and promote wound healing.

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  • 收稿日期:2025-09-04
  • 最后修改日期:2025-11-27
  • 录用日期:2026-03-06
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