[1]樊一波,文颖娟△,李 蒙,等.以脾胃为中心的葛根相关配伍对糖尿病心肌病大鼠受损心肌线粒体的改善作用*[J].陕西中医,2020,(10):1351-1355.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.002]
 FAN Yibo,WEN Yingjuan,LI Meng,et al.Improving effect of Pueraria-related compatibility centered on spleen and stomach on injured myocardial mitochondria in DCM rats[J].,2020,(10):1351-1355.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.002]
点击复制

以脾胃为中心的葛根相关配伍对糖尿病心肌病大鼠受损心肌线粒体的改善作用*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年10期
页码:
1351-1355
栏目:
基础研究
出版日期:
2020-10-05

文章信息/Info

Title:
Improving effect of Pueraria-related compatibility centered on spleen and stomach on injured myocardial mitochondria in DCM rats
作者:
樊一波12文颖娟1△李 蒙1李 静1朱瑞超1
1.陕西中医药大学(咸阳712046); 2.宝鸡职业技术学院(宝鸡 721013)
Author(s):
FAN YiboWEN YingjuanLI Menget al.
Shaanxi University of Chinese Medicine(Xianyang 712046)
关键词:
葛根 配伍 糖尿病心肌病 线粒体 改善作用 大鼠
Keywords:
Pueraria lobata Compatibility Diabetic cardio myopathy Mitochondrial quality Improvement Rats
分类号:
R587.2
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.002
文献标志码:
A
摘要:
目的:观察葛根及其配伍对糖尿病心肌病(DCM)大鼠心肌线粒体质量变化的影响,探寻治疗糖尿病心肌病的最优配伍及机制。方法:采用链脲佐菌素腹腔注射进行模型大鼠制备,并将60只成模大鼠随机分为模型组6.5 g/(kg·d)、达美康组16.7 mg/(kg·d)、葛根组1.04 g/(kg·d)、葛芪组2.6 g/(kg·d)、葛参组2.6 g/(kg·d)、葛蒌组4.48g/(kg·d)及葛芪参蒌组7.6 g/(kg·d)各8只,同时选取空白大鼠8只,为对照组6.5 g/(kg·d)。各组依据上述剂量,以相应药物持续灌胃9周后,对比各组心肌线粒体超微结构变化、心肌线粒体膜电位变化及心肌ATP变化情况。结果:电镜显示各药物干预组心肌线粒体超微结构较模型组均有不同程度的改善,其中葛芪参蒌组改善效果最为明显,与空白组无明显差异; 流式细胞仪检测显示:各干预组波峰均在模型组、空白组之间; 其中葛芪参蒌组、葛参组、葛根组波峰位于达美康组右侧; 葛芪组、葛蒌组则位于达美康组左侧; 以葛芪参蒌组波峰与空白组最为接近。心肌ATP浓度检测显示:各中药干预组心肌ATP浓度均较模型组有所提升(P<0.05),其中葛芪参蒌组ATP值较其余各干预组提升最为明显(P<0.05),但仍低于空白组(P>0.05)。结论:葛根相关配伍均能够对心肌线粒体结构、心肌线粒体膜电位进行正向调控,进而使因糖尿病心肌病导致的心肌线粒体受损得以恢复,其中以益气、化瘀、祛痰三法合用的组方原则进行配伍的葛芪参蒌方改善效果最优。可见其治疗机制可能是通过益气、化瘀、祛痰的协同作用,正向调控心肌线粒体质量而达到治疗目的。
Abstract:
Objective:To observe the effects of Pueraria and its compatibility on the changes of myocardial mitochondria in rats with diabetic cardiomyopathy,and to explore the optimal compatibility and mechanism for the treatment of diabetic cardiomyopathy.Methods:Model rats were prepared by intraperitoneal injection of STZ,and 60 model rats were randomly divided into a model group 6.5 g/(kg·d),a Damicon group 16.7 mg/(kg·d),and a Pueraria group 1.04 g/(kg·d),Geqi group 2.6 g/(kg·d),Geshen group 2.6 g/(kg·d),Gelou group 4.48 g/(kg·d),and Geqishenlou group 7.6 g/(kg·d)8 rats each,and 8 blank rats were selected as control group 6.5 g/(kg·d).According to the above doses,each group was continuously administrated with the corresponding drugs for 9 weeks,and the changes of myocardial mitochondrial ultrastructure,myocardial mitochondrial membrane potential and myocardial ATP were compared in each group.Results:Electron microscopy showed that the myocardial mitochondrial ultrastructure of each drug intervention group was improved to a different extent than the model group,and the improvement effect of Geqi shenlou group was the most obvious,and there was no significant difference from the blank group.Flow cytometry showed that the peaks of each intervention group were between the model group and the blank group.The peaks of the Geqi shenlou group,the Geshen group,and the Gegen group are located on the right side of the Damekang group.The Geqi group and Gelou group were located on the left side of Damicon group; The peaks of Geqi shenlou group were closest to the blank group.Measurement of myocardial ATP concentration showed that the myocardial ATP concentration of each Chinese medicine intervention group was increased compared with the model group(P<0.05),and the ATP value of Geqi Shenlou group was most significantly improved than the other intervention groups(P<0.05),but still lower than the blank group(P> 0.05).Conclusion:Pueraria related compatibility can positively regulate myocardial mitochondrial structure and myocardial mitochondrial membrane potential,thereby recovering myocardial mitochondrial damage caused by diabetic cardiomyopathy.The improvement effect of Geqi Shenlou recipe on principle is the best.The therapeutic mechanism may be achieved through the synergistic effects of benefiting qi,removing blood stasis and expectorant,and positively regulating the quality of myocardial mitochondria.

参考文献/References:

[1] 段云燕,赵 雯,张 军.糖尿病心肌病发病机理研究进展[J].心血管病学进展,2011,32(4):524-527.
[2] Abdelhamid AAM,Firgany AEL.Favorable outcomes ofmetforminon coronary microvasculature in experimentaldiabeticcardiomyopathy[J].Mol Histol,2018,49(6):639-649.
[3] Song H.Engineered heart tissue model of diabetic myocardium[J].Tissue Engineering Part A,2011,17(13):1869-1878.
[4] Inoue T,Inoguchi T,Sonoda N,et al.GLP-1 analog liraglutide protects against cardiac steatosis,oxidative stress and apoptosis in streptozotocin-induced diabetic rats[J].Atherosclerosis,2015,240(1):250-259.
[5] Vajir M,Anil BG.Telmisartan and thiorphan combination treatment attenuates fibrosis and apoptosis in preventing diabetic cardiomyopathy[J].Cardiovascular Research,2018,115(2):373-384.
[6] Er F,Dahlem KM,Nia AM,et al.Randomized control of sympathetic drive with continuous intravenous esmolol in patients with acute ST-segment elevation myocardial infarction[J].JACC:Cardiovascular Interventions,2016,9(3):231-240.
[7] Jing QM,Feng N.Fluvastatin attenuates myocardial interstitial fibrosis and cardiac dysfunction in diabetic rats by inhibiting over-expression of connective tissue growth factor[J].Chinese Medical Journal,2011,124(1):89-94.
[8] 刘桂芳.仝小林以“胃肠”为中心诊治2型糖尿病的经验[J].中医药临床杂志,2012,24(2):139-141.
[9] 游艳婷,金丽琴.中医脾虚证与线粒体的相关性[J].温州医科大学学报,2015,45(10):774-778.
[10] 倪 菲,于 睿,崔家鹏,等.香砂六君子汤对脾气虚证浅表性胃炎大鼠线粒体能量代谢影响研究[J].陕西中医,2020,41(2):152-155.
[11] Rerkpattanapipat PD,Agostino RB,Link KM,et al.Location of arterial stiffening differs in those with impaired fasting glucose versus diabetes:implications for left ventricular hypertrophy from the multi-ethnic study of atherosclerosis[J].Diabetes,2009,58(4):946-953.
[12] 余 薇,刘 超,吴基良.糖尿病心肌病线粒体损伤的研究进展[J].中国药理学通报,2013,29(12):1651-1654.
[13] 傅延龄,张 林,刘绍永.葛根历代临床用量分析[J].中医杂志,2014,55(20):1773-1776.
[14] 杨 婧,习 玲,尹丽婷,等.尼可地尔对糖尿病心肌病大鼠心肌细胞凋亡的干预作用[J].中华老年病研究电子杂志,2018,5(4):15-19.
[15] 谷玉红,李 景,王 军,等.MMPs和TIMPs与糖尿病心肌病心室重构的关系及糖心宁的干预作用[J].世界中医药,2017,12(1):25-29.
[16] 成永霞,张大伟,孙立新,等.肝X受体激动剂GW3965对高糖所致心肌细胞凋亡的影响及作用机制[J].陕西医学杂志,2017,46(7):819-822.
[17] 江时森,程训民.线粒体通透性转换孔在糖尿病心肌病中的作用[J].解放军医药杂志,2010,35(7):785-787.
[18] 余 薇,刘 超,吴基良.糖尿病心肌病线粒体损伤的研究进展[J].中国药理学通报,2013,29(12):1651-1654.
[19] 宋晓冬,刘孟安,孙丰润,等.中药胃肠舒对胃肠平滑肌细胞ATP生成的影响[J].世界华人消化杂志,2007,15(30):3162.
[20] Fillmore N,Mori J,Lopaschuk GD,et al.Mitochondrialfatty acid oxidation alterations in heart failure,ischaemic heart disease anddiabeticcardiomyopathy[J].Br J Pharmacol,2014,171(8):2080-2090.

相似文献/References:

[1]谭 锴,曾普华,郜文辉,等.基于癌毒-态靶理论探讨生物碱类天然药物配伍治疗癌痛[J].陕西中医,2022,(11):1585.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.022]
 TAN Kai,ZENG Puhua,GAO Wenhui,et al.Exploring the compatibility of alkaloids in natural medicines in the treatment of cancer pain based on cancer toxin-state and target theory[J].,2022,(10):1585.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.022]
[2]陈 潇,刘红梅,赵文灏,等.慢性主观性头晕中药药对常用配伍探析[J].陕西中医,2022,(11):1628.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.033]

备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81202642);陕西省科学技术厅资助项目(2017SF-323);第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24 号)
更新日期/Last Update: 2020-10-10