山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (8): 23-29.doi: 10.6040/j.issn.1671-7554.0.2022.0011
张秉芬1,周胜红2,王哲3
ZHANG Bingfen1, ZHOU Shenghong2, WANG Zhe3
摘要: 目的 探讨延龄草皂苷对肺间质纤维化大鼠的治疗作用及其可能机制。 方法 雄性SD大鼠50只,随机分为对照组,模型组,延龄草皂苷低、中、高剂量组[25 mg/(kg·d)、50 mg/(kg·d)和100 mg/(kg·d)],每组10只。除对照组外,其余各组采用气管插管注入伯莱霉素法(5 mg/kg)建立大鼠肺纤维化模型;次日开始连续给药28 d。处死大鼠后,取肺组织称重并计算肺系数;进行HE和Masson染色观察小鼠肺组织形态病理学变化;ELISA法检测大鼠白细胞介素-1β(IL-1β)、肿瘤坏死因子(TNF-α)、白细胞介素-6(IL-6)、丙二醛(MDA)和活性氧(ROS)的表达以及超氧化物歧化酶(SOD)的活性;Western blotting法检测大鼠肺组织中纤连蛋白(fibronectin)、胶原蛋白Ⅰ型(Collagen Ⅰ)、α-平滑肌肌动蛋白(α-SMA)、转化生长因子-β(TGF-β)、SMAD同源物3(Smad3)、Wnt3a、β-连环蛋白(β-catenin)和糖原合成酶激酶-3β(GSK-3β)的蛋白表达水平。 结果 与模型组比较,延龄草皂苷低、中、高剂量组的肺系数降低;大鼠肺组织炎性细胞浸润、胶原沉积和纤维化程度改善;大鼠IL-1β、TNF-α、IL-6、MDA和ROS的表达水平降低, SOD的活性升高,发挥抗炎、抗氧化作用;肺纤维化标志蛋白fibronectin,Collagen Ⅰ和α-SMA表达被抑制;大鼠肺组织TGF-β1、Smad3、Wnt3a、β-catenin和GSK-3β蛋白的表达水平降低,且治疗效果呈现剂量依赖性。 结论 延龄草皂苷可通过抗炎、抗氧化,抑制TGF-β/Smad3与Wnt/β-catenin信号通路激活,从而对肺纤维化产生保护作用。
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