张哲;黄运芳;赵雯雯;孙秀蕊;韩洪翠;王雪;荆紫琪;马鹏凯;张玉杰;
ZHANG Zhe;HUANG Yun-fang;ZHAO Wen-wen;SUN Xiu-rui;HAN Hong-cui;WANG Xue;JING Zi-qi;MA Peng-kai;ZHANG Yu-jie;School of Chinese Materia Medica, Bejing University of Chinese Medicine;Department of Pharmacy, Shangluo Central Hospital;

• 1:北京中医药大学中药学院
• 2:商洛市中心医院药学部

摘要(Abstract)：

为了从内源性胆汁酸调控角度探讨酸枣仁汤疏肝治疗失眠的机制,对酸枣仁汤护肝作用、失眠模型小鼠及酸枣仁汤治疗后小鼠血清、肝脏和回肠中胆汁酸分子水平变化进行考察。采用睡眠剥夺法建立小鼠失眠模型,灌胃给予酸枣仁汤(48.96 mg·kg^(-1)·d(-1)·d^(-1))7 d后,对各组小鼠基本药效指标饮水饮食量、体质量以及谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆汁酸(TBA)含量等进行检测,并观察肝脏和回肠病理学变化;运用UPLC-MS/MS技术并结合主成分分析(principal component analysis, PCA)和偏最小二乘判别分析(partial least squares discriminant analysis, PLS-DA)方法对各组小鼠血清、肝脏和回肠中23种胆汁酸分子水平和分布情况进行分析。结果显示,酸枣仁汤可以改善模型组小鼠饮水饮食量减少、体质量减轻及AST和ALT显著升高的现象,并有效逆转肝脏和回肠出现的损伤及炎症。失眠模型小鼠肝脏胆汁酸处于失代偿期,小鼠血清、肝脏和回肠胆汁酸出现下降或上升现象。酸枣仁汤可使这些部位的部分胆汁酸异常水平得到恢复。血清PLS-DA分析筛选出了甘氨熊脱氧胆酸(GUDCA)、甘氨脱氧胆酸(GDCA)、牛磺-α-鼠胆酸(T-α-MCA)、α-鼠胆酸(α-MCA)、牛磺脱氧胆酸钠(TDCA)、牛磺-β-鼠胆酸(T-β-MCA)和LCA等7种胆汁酸,可作为酸枣仁汤调控作用的主要判别成分。综上,酸枣仁汤对肝脏具有一定的保护作用,胆汁酸分子可作为药物治疗失眠性肝功能异常的药效学生化指标;酸枣仁汤疏肝解郁,镇静催眠的机制可能与胆汁酸信号分子水平调控有关。
To explore the mechanism of Suanzaoren Decoction in the treatment of insomnia from endogenous bile acid regulation, the present study investigated the hepatoprotective effect of Suanzaoren Decoction and the molecular changes of bile acids in the serum, liver, and ileum of insomnia model mice and Suanzaoren Decoction treated mice. The insomnia model in mice was established by the sleep deprivation method. After Suanzaoren Decoction(48.96 mg·kg(-1))7 d后,对各组小鼠基本药效指标饮水饮食量、体质量以及谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆汁酸(TBA)含量等进行检测,并观察肝脏和回肠病理学变化;运用UPLC-MS/MS技术并结合主成分分析(principal component analysis, PCA)和偏最小二乘判别分析(partial least squares discriminant analysis, PLS-DA)方法对各组小鼠血清、肝脏和回肠中23种胆汁酸分子水平和分布情况进行分析。结果显示,酸枣仁汤可以改善模型组小鼠饮水饮食量减少、体质量减轻及AST和ALT显著升高的现象,并有效逆转肝脏和回肠出现的损伤及炎症。失眠模型小鼠肝脏胆汁酸处于失代偿期,小鼠血清、肝脏和回肠胆汁酸出现下降或上升现象。酸枣仁汤可使这些部位的部分胆汁酸异常水平得到恢复。血清PLS-DA分析筛选出了甘氨熊脱氧胆酸(GUDCA)、甘氨脱氧胆酸(GDCA)、牛磺-α-鼠胆酸(T-α-MCA)、α-鼠胆酸(α-MCA)、牛磺脱氧胆酸钠(TDCA)、牛磺-β-鼠胆酸(T-β-MCA)和LCA等7种胆汁酸,可作为酸枣仁汤调控作用的主要判别成分。综上,酸枣仁汤对肝脏具有一定的保护作用,胆汁酸分子可作为药物治疗失眠性肝功能异常的药效学生化指标;酸枣仁汤疏肝解郁,镇静催眠的机制可能与胆汁酸信号分子水平调控有关。
To explore the mechanism of Suanzaoren Decoction in the treatment of insomnia from endogenous bile acid regulation, the present study investigated the hepatoprotective effect of Suanzaoren Decoction and the molecular changes of bile acids in the serum, liver, and ileum of insomnia model mice and Suanzaoren Decoction treated mice. The insomnia model in mice was established by the sleep deprivation method. After Suanzaoren Decoction(48.96 mg·kg^(-1)·d(-1)·d^(-1)) intervention by gavage for 7 days, the related indicators, such as water consumption, food intake, body weight, aspartate aminotransferase(AST), alanine transaminase(ALT), and total bile acid(TBA) were detected, and the pathological changes of the liver and ileum were observed. The molecular levels and distribution of 23 bile acids in the serum, liver, and ileum were analyzed by UPLC-MS/MS combined with principal component analysis(PCA) and partial least squares discriminant analysis(PLS-DA). The results showed that Suanzaoren Decoction could improve the decreased water consumption and food intake, weight loss, and increased AST and ALT in the model group, and effectively reverse the injury and inflammation in the liver and ileum. The bile acids in the liver of the insomnia model mice were in the stage of decompensation, and the bile acids in the serum, liver, and ileum of the mice decreased or increased. Suanzaoren Decoction could regulate the anomaly of some bile acids back to normal. Seven bile acids including glycoursodeoxycholic acid(GUDCA), glycodesoxycholic acid(GDCA), tauro-α-MCA(T-α-MCA), α-MCA, taurodeoxycholate(TDCA), T-β-MCA, and LCA were screened out as the main discriminant components by PLS-DA. It is concluded that Suanzaoren Decoction possesses the hepatoprotective effect and bile acids could serve as the biochemical indicators to evaluate the drug efficacy in the treatment of abnormal liver functions caused by insomnia. The mechanism of Suanzao-ren Decoction in soothing the liver, resolving depression, tranquilizing the mind, and improving sleep may be related to the molecular regulation of bile acid signals.

关键词(KeyWords)： 酸枣仁汤;失眠;胆汁酸;血清;肝脏;回肠
Suanzaoren Decoction;insomnia;bile acid;serum;liver;ileum

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目(81673680)

作者(Authors): 张哲;黄运芳;赵雯雯;孙秀蕊;韩洪翠;王雪;荆紫琪;马鹏凯;张玉杰;
ZHANG Zhe;HUANG Yun-fang;ZHAO Wen-wen;SUN Xiu-rui;HAN Hong-cui;WANG Xue;JING Zi-qi;MA Peng-kai;ZHANG Yu-jie;School of Chinese Materia Medica, Bejing University of Chinese Medicine;Department of Pharmacy, Shangluo Central Hospital;

DOI: 10.19540/j.cnki.cjcmm.20210802.402

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