[1]陈 玥,陈 思,张 蕾,等.基于雌激素受体途径探讨补肾活血汤干预免疫性卵巢早衰小鼠模型机制研究[J].陕西中医,2023,(5):556-561.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.003]
 CHEN Yue,CHEN Si,ZHANG Lei,et al.Investigation of the mechanism of intervention in immune premature ovarian failure mouse model with Bushen Huoxue decoction based on estrogen receptor pathway[J].,2023,(5):556-561.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.003]
点击复制

基于雌激素受体途径探讨补肾活血汤干预免疫性卵巢早衰小鼠模型机制研究
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年5期
页码:
556-561
栏目:
基础研究
出版日期:
2023-05-05

文章信息/Info

Title:
Investigation of the mechanism of intervention in immune premature ovarian failure mouse model with Bushen Huoxue decoction based on estrogen receptor pathway
作者:
陈 玥12陈 思1张 蕾1钟伟萍1佘婧瑶2卢 燕1王佩娟1王 静1
(1.江苏省中西医结合医院妇产科,江苏 南京 210028; 2.南京中医药大学第三临床医学院,江苏 南京 210023)
Author(s):
CHEN YueCHEN SiZHANG LeiZHONG WeipingSHE JingyaoLU YanWANG PeijuanWANG Jing
(Department of Obstetrics and Gynecology,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing 210028,China)
关键词:
免疫性卵巢早衰 透明带3多肽 雌激素受体 补肾活血汤 小鼠模型 免疫组化
Keywords:
Immune premature ovarian failure Peptide zona pellucida 3 Estrogen receptor Bushen Huoxue decoction Mouse models Immunohistochemistry
分类号:
R 711.75
DOI:
DOI:10.3969/j.issn.1000-7369.2023.05.003
文献标志码:
A
摘要:
目的:以透明带3多肽(pZP3)诱导的免疫性卵巢早衰(POF)小鼠为研究对象,观察其血清性激素水平及卵巢组织中雌激素受体(ER)表达情况,探讨免疫性卵巢早衰可能的发生机制及补肾活血汤的潜在治疗途径。 方法:将40只雌性B6AF1小鼠随机分为空白组、模型组、补佳乐组及补肾活血汤组。除空白组外,各组小鼠第1天、第14天两次予pZP3联合弗氏佐剂皮下注射造模,空白组同期予0.9%氯化钠溶液皮下注射; 建模成功后空白组、模型组、补佳乐组及补肾活血汤组分别予以等体积0.9%氯化钠溶液、戊酸雌二醇及补肾活血汤灌胃,每天 2 次。灌胃28 d后处死小鼠,采用酶联免疫吸附测定法(ELISA)检测血清卵泡刺激素(FSH)、雌二醇(E2)、抗缪勒氏管激素(AMH)水平; 采用HE染色和免疫组化方法检测卵巢组织病理变化及雌激素受体α(ERα)、雌激素受体β(ERβ)的表达情况。结果:①与空白组相比,模型组小鼠呈现出典型的低雌激素高促性腺激素表型(P<0.01); 经补佳乐及补肾活血汤灌胃治疗后,小鼠血清E2、AMH水平上升,FSH水平下降(P<0.05或P<0.01),补佳乐组雌激素上升水平更加显著(P<0.05)。②模型组中,小鼠卵巢中卵泡数目减少,闭锁卵泡增多,ER表达与E2水平下降呈现平行趋势(P<0.01); 予补佳乐及补肾活血汤灌胃后,小鼠卵巢中各级卵泡恢复发育,雌激素受体表达明显上调(P<0.01),补肾活血汤组小鼠卵巢中ERα的表达上调较补佳乐组更加显著(P<0.05)。 结论:pZP3造模可有效构建POF模型,补肾活血汤的治疗机制可能是通过提高卵巢雌激素受体表达,从而增强雌激素的生物学效应的发挥,介导疾病恢复过程。
Abstract:
Objective:Immune premature ovarian failure(POF)mice induced by zona pellucida 3 polypeptide(pZP3)were recruited to investigate the serum levels of sex hormones and the expression of estrogen receptor(ER)in ovarian tissue,as well as to explore the possible mechanism of immune POF and the potential therapeutic pathway of Bushen Huoxue decoction.Methods:Forty female B6AF1 mice(6-8 weeks old)were randomly divided into control group,model group,Bujiale group,and Bushen Huoxue decoction group.Two injections of pZP3 combined with Freund's adjuvant subcutaneously on days 1 and 14 in each group except the control,and 0.9% saline subcutaneously during the same period in the control group.After successful modeling,the control group,model group,Bujiale group,and Bushen Huoxue decoction group were treated with equal volumes of 0.9% saline,estradiol valerate,and Bushen Huoxue decoction by gavage once a day.Mice were sacrificed after 28 days of gavage,and serum levels of the follicular stimulating hormone(FSH),estradiol(E2),and anti-Mullerian hormone(AMH)were assessed by ELISA.The ovarian pathology and the expression of estrogen receptor changes were observed by HE staining and immunohistochemistry.Results:①Compared with the control group,the model mince was characterized by low estrogen and high gonadotropin levels(P<0.01).After treatment with estradiol valerate and Bushen Huoxue decoction,the serum levels of FSH were reduced considerably,while the E2 and AMH levels were significantly increased(P<0.05 or P<0.01).The E2 levels in Bujiale group were more obviously(P<0.05).②In the model group,the number of follicles in the ovaries decreased,the number of atretic follicles increased,and the ER expression showed a parallel trend with the decrease in E2 level(P<0.01).The development of follicles at all levels was restored,and the expression of estrogen receptor in the ovary of mice was significantly up-regulated after gavage with Bujiale and Bushen Huoxue decoction(P<0.01).The up-regulation of ERα expression in the Bushen Huoxue decoction group was more significant than that in the Bujiale group(P<0.05).Conclusion:POF model was successfully established by pZP3.The therapeutic mechanism of Bushen Huoxue decoction may be that it can enhance the biological effect of estrogen and mediate the process of disease recovery by increasing the expression of estrogen receptor in the ovary.

参考文献/References:

[1] Luo X,Xu J,Zhao R,et al.The role of inactivated NF-κB in premature ovarian failure[J].The American Journal of Pathology,2022,192(3):468-483.
[2] 俞菊珍.女性尿液中邻苯二甲酸盐代谢物水平与卵巢早衰和生殖激素相关性研究[J].陕西医学杂志,2022,51(1):100-102,110.
[3] Blumenfeld Z.Premature ovarian failure:Etiology and possible prevention[J].Expert Review of Endocrinology & Metabolism,2009,4(2):173-181.
[4] 耿海慧,曹爱华.卵巢癌患者多种血清肿瘤标志物表达水平及其对疾病的诊断价值研究[J].陕西医学杂志,2022,51(7):886-889.
[5] Chen S,Lu Y,Chen Y,et al.The effect of Bu Shen Huo Xue Tang on autoimmune premature ovarian insufficiency via modulation of the Nrf2/Keap1 signaling pathway in mice [J].Journal of Ethnopharmacology,2021,273:113996.
[6] Wang PJ,Peng YR,Luo YH.Effects of Bushen Huoxue decoction on neurobiochemical markers in the hippocampus of female rats with repeated immobilization stress [J].Chinese Journal of Integrated Traditional and Western Medicine,2011,31(6):794-798.
[7] Huhtaniem I,Hovatta O,Lamarca A,et al.Advances in the molecular pathophysiology,genetics,and treatment of primary ovarian insufficiency [J].Trends in Endocrinology and Metabolism,2018,29(6):400-419.
[8] Siopien R.Mood disorders in women with premature ovarian insufficiency[J].Przeglad Mmenopauzalny,2018,17(3):124-126.
[9] Sullivan S,Lehma NA,Thoma SF,et al.Effects of self-reported age at nonsurgical menopause on time to first fracture and bone mineral density in the Women's Health Initiative Observational Study[J].Menopause(New York,NY),2015,22(10):1035-1044.
[10] Rocca W,Grossardt B,Andrade M,et al.Survival patterns after oophorectomy in premenopausal women:A population-based cohort study[J].The Lancet Oncology,2006,7(10):821-828.
[11] Lin J,Wu D,Jia L,et al.The treatment of complementary and alternative medicine on premature ovarian failure [J].Evidence-based Complementary and Alternative Medicine:eCAM,2021,2021:6677767.
[12] Webber L,Anderson R,Davies M,et al.HRT for women with premature ovarian insufficiency:A comprehensive review [J].Human Reproduction Open,2017,2017(2):7-13.
[13] Lobo R.Hormone-replacement therapy:Current thinking[J].Nature Reviews Endocrinology,2017,13(4):220-231.
[14] Liu Y,Ma L,Yang X,et al.Menopausal hormone replacement therapy and the risk of ovarian cancer:A meta-analysis [J].Frontiers in Endocrinology,2019,10:801.
[15] 傅 山.傅青主女科[M].天津:天津科学技术出版社,1999:15.
[16] 汤春琼,王爱敏,闫 青.补肾健脾养血膏治疗肾虚血瘀型月经过少疗效及对患者子宫内膜厚度和性激素的影响 [J].陕西中医,2018,39(10):1333-1335.
[17] 虞 抟.医学正传[M].北京:中医古籍出版社,2002:179.
[18] 陈 思.补肾活血汤改善早发性卵巢功能不全的临床研究和调节模型小鼠Keap1/Nrf2/ARE信号通路的机制研究[D].南京:南京中医药大学,2021.
[19] Wang P,Lu Y,Chen S,et al.Protective function of Bu Shen Huo Xue formula on the immunity of B6AF1 mice with experimental autoimmune premature ovarian failure [J].Exp Ther Med,2018,15(4):3302-3310.
[20] 钟伟萍,王佩娟,叶宇齐,等.补肾活血汤治疗心理精神因素所致卵巢储备功能减退的临床观察[J].河北中医,2017,39(2):203-207.
[21] Colvin C,Abdullatif H.Anatomy of female puberty:The clinical relevance of developmental changes in the reproductive system[J].Clinical Anatomy(New York,NY),2013,26(1):115-129.
[22] Iliopoulos D,Hirsch H,Wang G,et al.Inducible formation of breast cancer stem cells and their dynamic equilibrium with non-stem cancer cells via IL-6 secretion [J].Proceedings of the National Academy of Sciences of the United States of America,2011,108(4):1397-1402.
[23] Gibson DA,Saunders PT.Estrogen dependent signaling in reproductive tissues:A role for estrogen receptors and estrogen related receptors [J].Mol Cell Endocrinol,2012,348(2):361-372.
[24] 史红杰,张兴伟,马二梅,等.逐瘀消癥方治疗子宫肌瘤疗效及对患者细胞凋亡蛋白和雌、孕激素受体表达的影响[J].陕西中医,2020,41(11):1559-1562.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81903998,81904245,82074487); 中国中西医结合妇产科专项研究基金普正制药专项课题(FCK-PZ-09); 江苏省名老中医药专家王佩娟传承工作室建设项目(20SG2S001)
更新日期/Last Update: 2023-05-09