山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (9): 29-37.doi: 10.6040/j.issn.1671-7554.0.2023.0309
陈泰宇1,唐学贵1,唐诗宇2,张智彬1,陈思敏3,李敏1,庞峻1
CHEN Taiyu1, TANG Xuegui1, TANG Shiyu2, ZHANG Zhibin1, CHEN Simin3, LI Min1, PANG Jun1
摘要: 目的 探讨白头翁汤对改善短肠综合征(SBS)小鼠肠道通透性和肠道菌群结构的影响。 方法 采用随机数字表法将昆明小鼠平均分为假手术组、模型组、白头翁汤高剂量组、白头翁汤中剂量组、白头翁汤低剂量组。假手术组进行空肠横断吻合,其余组均切除中段小肠,建立SBS模型。假手术组和模型组术后第2天开始,灌胃生理盐水,其余白头翁汤组分别灌胃等体积不同浓度白头翁汤。持续治疗4周后处死小鼠,HE染色观察回肠组织病理形态;免疫组化测定回肠组织咬合蛋白(Occludin)和闭锁小带蛋白-1(ZO-1)蛋白表达水平;ELISA检测血清肿瘤坏死因子-α(TNF-α)和白介素-6(IL-6)含量;16S rDNA测序技术分析小鼠肠道菌群结构。 结果 与SBS模型组相比,白头翁汤小鼠回肠黏膜炎性细胞浸润呈剂量依赖性减少,回肠绒毛高度、环状肌厚度和纵肌厚度均明显增加,隐窝深度明显降低(P<0.05)。回肠Occludin和ZO-1蛋白表达水平明显增加(P<0.01),血清TNF-α和IL-6水平明显下降(P<0.01)。肠道菌群分析显示,白头翁汤可显著调节门和属的相对丰度。 结论 白头翁汤可改善SBS小鼠肠黏膜结构,修复肠黏膜屏障,调节菌群相对丰度,增加肠道菌群多样性。
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