[1]张兰** 李楠 郭婷 任博 杨鉴冰 崔正***.补肾更年方对围绝经期综合征大鼠神经-内分泌-免疫网络功能的影响[J].现代中医药,2024,(05):088-94.[doi:10.13424/j.cnki.mtcm.2024.05.017]
 ZHANG Lan LI NanGUO TingREN BoYANG Jianbing CUI Zheng.Effect and Mechanism of Bushen Gengnian Formulaon the Function of Neuroendocrine Immune Networkin Rats with Perimenopausal Syndrome[J].Modern Traditional Chinese Medicine,2024,(05):088-94.[doi:10.13424/j.cnki.mtcm.2024.05.017]
点击复制

补肾更年方对围绝经期综合征大鼠神经-内分泌-免疫网络功能的影响()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2024年05期
页码:
088-94
栏目:
出版日期:
2024-09-20

文章信息/Info

Title:
Effect and Mechanism of Bushen Gengnian Formulaon the Function of Neuroendocrine Immune Networkin Rats with Perimenopausal Syndrome
文章编号:
1672-0571(2024)04-0087-10
作者:
张兰1** 李楠1 郭婷2 任博3 杨鉴冰1 崔正1***
1.陕西中医药大学附属医院,陕西 咸阳 712000;
2.西安国际医学中心医院,陕西 西安 710068;
3.西安医学院第一附属医院,陕西 西安 710077
Author(s):
ZHANG Lan1 LI Nan1GUO Ting2REN Bo3YANG Jianbing1 CUI Zheng1
1.Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;
2.Xi’an InternationalMedical Center Hospital,Xi’an 710068,China;
3.First Affiliated Hospital of Xi’an Medical College,Xi’an 710077,China
关键词:
关键词:补肾更年方围绝经期综合征神经-内分泌-免疫网络
Keywords:
Key words:Bushen Gengnian formulaPerimenopausal syndromeNeuroendocrine immune network
分类号:
R256.5
DOI:
10.13424/j.cnki.mtcm.2024.05.017
文献标志码:
A
摘要:
摘 要:目的 通过观察补肾更年方对围绝经期综合征大鼠行为学指标、胸腺、子宫、肾上腺指数、血清和下丘脑NE、5-HT含量和子宫HSP70、ERα36蛋白表达的影响,探讨其对围绝经期综合征(perimenopausal syndrome,PMS)大鼠神经-内分泌-免疫网络功能的效应机制。方法 采用摘除卵巢法复制PMS大鼠模型,将连续5 d动情周期紊乱的大鼠随机分为模型组、西药组、补肾更年方大、中、小剂量组,每组10只,10只为对照组大鼠,西药组采用1 mL/100 g剂量的己烯雌酚水溶液灌胃,补肾更年方三种剂量组分别以0.015 mL·g-1、0.010 mL·g-1、0.005 mL·g-1剂量的水煎液灌胃,对照组和模型组以1 mL/100 g的生理盐水灌胃,连续灌胃45 d,干预结束后,观察各组大鼠一般情况,采用旷场实验和高架十字迷宫实验测试大鼠行为学改变,计算各组大鼠胸腺、子宫、肾上腺指数,采用放免法和化学发光法分别检测各组大鼠血清、下丘脑NE、5-HT含量,采用western blot法检测各组大鼠子宫HSP70和ERα36蛋白表达。结果 与模型组比较,西药和补肾更年方三个剂量干预均可改善大鼠一般情况;与模型组比较,西药和补肾更年方大、中剂量干预可明显增加大鼠中央区域停留时间、总移动距离、开臂停留时间和开臂进入次数(P<0.05),升高大鼠胸腺、子宫、肾上腺指数(P<0.05),降低大鼠血清、下丘脑NE、5-HT含量(P<0.05),上调大鼠子宫HSP70和ERα36蛋白表达(P<0.05)。结论 补肾更年方可能通过提高PMS大鼠胸腺、子宫、肾上腺指数,降低其血清、下丘脑NE、5-HT含量,上调其子宫HSP70和ERα36蛋白表达,综合调控PMS大鼠神经-内分泌-免疫网络功能,改善焦虑样行为,发挥对PMS的治疗效应。
Abstract:
Abstract:Objective To investigate the effects of the Bushen Gengnian formula on behavioral indicators,thymus,uterus,adrenal index,serum and hypothalamic NE and 5-HT content,and uterine HSP70 and ERα36 protein expression in rats with perimenopausal syndrome,and to explore its mechanism of action on the neuroendocrine immune network function of PMS rats.Methods The PMS rat model was replicated by ovariectomy.Rats with disrupted estrous cycles for 5 consecutive days were randomly divided into a model group,a western medicine group,and a large,medium,and small dose group of Bushen Gengnian formula,with 10 rats in each group.The control group consisted of 10 rats.The western medicine group was given a 1 mL/100 g dose of diethylstilbestrol aqueous solution by gavage,while the Bushen Gengnian formula three dose groups were given 0.015 mL·g-1、0.010 mL·g-1、0.005 mL·g-1 doses of decoction by gavage,respectively.The control group and model group were given 1 mL/100g of physiological saline by gavage for 45 consecutive days.After the intervention,the general condition of each group of rats was observed,and an open field experiment was conducted.The elevated cross maze experiment was used to test the behavioral changes of rats,and the thymus,uterus,and adrenal indices of each group of rats were calculated.The serum,hypothalamic NE,and 5-HT contents of each group of rats were detected by radioimmunoassay and chemiluminescence,respectively,Western blot was used to detect the expression of HSP70 and ERα36 proteins in the uterus of rats in each group.Results Compared with the model group,the three doses of Western medicine and Bushen Gengnian formula intervention can improve the general condition of rats;Compared with the model group,Western medicine and the Bushen Gengnian formula at high and medium doses significantly increased the central area residence time,total movement distance,arm opening residence time,and number of arm opening entries in rats (P<0.05),increased thymus,uterus,and adrenal indices (P<0.05),decreased serum and hypothalamic NE and 5-HT levels in rats (P<0.05),and upregulated HSP70 and ERα36 protein expression in rats’uterus (P<0.05).Conclusion The Bushen Gengnian formula may enhance the thymus,uterus,and adrenal indices of PMS rats,reduce their serum and hypothalamic NE and 5-HT levels,upregulate their uterine HSP70 and ER α36 protein expression,comprehensively regulate the neuroendocrine immune network function of PMS rats,improve anxiety like behavior,and exert therapeutic effects on PMS.

参考文献/References:

[1]ZHONG ZY,DONG HX,WANG H,et al.Electroacupuncture for the treatment of perimenopausal syndrome:a systematic review and meta-analysis of randomized controlled trials[J].Acupuncture in Medicine:Journal of the British Medical Acupuncture Society,2022,40(2):111-122.
[2]XU YP,ZHAO L.Therapeutic effect of low-dose estrogen and progestogen replacement therapy on perimenopausal syndrome[J].Minerva Pediatrics,2022,74(5):619-621.
[3]MENG F,DUAN PB,ZHU JY,et al.Effect of Gua Sha therapy on perimenopausal syndrome:a randomized controlled trial[J].Menopause,2017,24(3):299-307.
[4]XUE BB,CHEN XP,WANG XL,et al.Application of multivariate statistical analysis and network pharmacology to explore the mechanism of Danggui Liuhuang Tang in treating perimenopausal syndrome[J].Journal of Ethnopharmacology,2022,284:114543.
[5]XING WY,WANG X,ZHU WT.Effects of acupoint application therapy combined with Chinese herbal medicine on perimenopausal syndrome:a systematic review and meta-analysis of randomized controlled trails[J].Complementary Therapies in Medicine,2023,72:102916.
[6]邱林杰,付燕来,杲春阳,等.基于中医养生理论探讨传统功法对绝经后骨质疏松症的防治[J].陕西中医药大学学报,2022,45(2):57-61.
[7]EL-BANA MA,EL-DALY SM,OMARA EA,et al.Preparation of pumpkin oil-based nanoemulsion as a potential estrogen replacement therapy to alleviate neural-immune interactions in an experimental postmenopausal model[J].Prostaglandins & Other Lipid Mediators,2023,166:106730.
[8]MANYONDA I,TALAULIKAR V,PIRHADI R,et al.Perimenopausal estrogen could prevent breast cancer-For:Estrogen replacement therapy and breast cancer[J].BJOG:an International Journal of Obstetrics and Gynaecology,2021,128(8):1384.
[9]LI Y,ZHENG H,ZHENG QH,et al.Use acupuncture to relieve perimenopausal syndrome:study protocol of a randomized controlled trial[J].Trials,2014,15:198.
[10]MANSON JE,HSIA J,JOHNSON KC,et al.Estrogen plus progestin and the risk of coronary heart disease[J].N Engl J Med,2003,349(6):523-534.
[11]WASSERTHEIL-SMOLLER S,HENDRIX SL,LIMACHER M,et al.Effect of estrogen plus progestin on stroke in postmenopausal women:the Women’s Health Initiative:a randomized trial[J].JAMA 2003,289(20):2673-2684.
[12]潘琳.低剂量雌激素替代疗法治疗围绝经期综合征的临床效果[J].临床合理用药杂志,2022,15(26):99-101.
[13]张晓静,杜小利,李娜,等.围绝经期综合征的临床研究概况[J].现代中医药,2019,39(2):117-120.
[14]BERAL V,BULL D,REEVES G,et al.Endometrial cancer and hormone-replacement therapy in the Million Women Study[J].Lancet,2005,365(9470):1543-1551.
[15]崔淑兰,吴晨燕,张平,等.围绝经期综合征中医证候及用药规律文献研究[J].中医杂志,2019,60(22):1968-1971.
[16]王洪雪,王杰琼,高杰.围绝经期综合征的中医药研究进展[J].西部中医药,2022,35(7):144-147.
[17]张兰,崔正,邰迎春,等.补肾更年方对更年期综合征大鼠血清FSH、LH水平及子宫ERα蛋白表达的影响[J].四川中医,2018,36(9):47-50.
[18]张兰,邰迎春,王渊,等.补肾更年方对去除卵巢大鼠血清E2水平及下丘脑ERα蛋白表达的影响[J].现代中医药,2018,38(5):112-115,120.
[19]杜力军,赵玉男.实验动物与实验动物模型[M].北京:中国医药科技出版社,2012:410.
[20]印丹丹,封瑞,任丽菲,等.阴道涂片法鉴定大鼠生理周期的应用评价[J].解剖科学进展,2014,20(4):360-363.
[21]秦尔奇,鲁凌云,贾必燕,等.针刺治疗围绝经期综合征现代分子机制研究综述[J].中华中医药杂志,2016,31(3):951-953.
[22]LI RL,FU JY,DENG YY,et al.Review of acupuncture treatmentfor perimenopausal syndrome[J]. J Acupunct Tuina Sci,2015,13(2):129-133.
[23]肖敏,梁凤霞.针刺治疗围绝经期综合征机制研究进展和思考[J].中国针灸,2021,41(6):699-702.
[24]刘蒙蒙,方朝晖.方朝晖教授治疗围绝经期综合征诊疗经验[J].陕西中医药大学学报,2019,42(3):28-29,34.
[25]严兴海,吴斌,蔡基鸿,等.何氏葛九膏对围绝经期综合征患者神经内分泌免疫网络的影响[J].国际中医中药杂志,2019,41(11):1174-1178.
[26]靳庆丰,靳紫薇,马晓玲,等.应用百合固金汤与利维爱对更年期综合征患者内分泌以及神经内分泌免疫网络的影响[J].世界中医药,2019,14(5):1222-1226.

相似文献/References:

[1]张晓静 杜小利 李娜 邓玉娥 张艳春 苏莉 王雪怡.围绝经期综合征的临床研究概况[J].现代中医药,2019,(02):117.[doi:10.13424/j.cnki.mtcm.2019.02.034]
[2]魏园园程红.梁文珍治疗围绝经期综合征经验[J].现代中医药,2024,(01):028.[doi:10.13424/j.cnki.mtcm.2024.01.007]
[3]田丽华张晓峰舒瑾王晨刘嘉乐.基于“心肾不交”理论探讨张晓峰教授治疗绝经前后诸证经验*[J].现代中医药,2024,(05):027.[doi:10.13424/j.cnki.mtcm.2024.05.006]
 TIAN LihuaZHANG XiaofengSHU JinWANG ChenLIU Jiale.Professor ZHANG Xiaofengs Experience in TreatingVarious Menopausal Syndrome Based on theTheory of “Heart Kidney Imbalance”[J].Modern Traditional Chinese Medicine,2024,(05):027.[doi:10.13424/j.cnki.mtcm.2024.05.006]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81603656);陕西中医药大学附属医院院级项目(2020MS015);陕西中医药大学青年基金项目(2015QN34);全国第六批名老中医药专家学术经验继承项目(国中医药人教发[2017]29号);全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)
更新日期/Last Update: 2024-09-20