基于“脾肾相关”理论防治模拟失重大鼠Wnt信号通路介导的骨形成机制研究
Study on the mechanism of bone formation through the intervention of Wnt signaling pathway in simulated weightlessness rats based on the theory of spleen-kidney correlation
  
DOI:10.3969/j.issn.1006-7108.2021.05.002
中文关键词:  补肾健脾  脾肾相关  尾部悬吊  骨丢失  Wnt信号通路
英文关键词:invigorating spleen and nourishing kidney  spleen-kidney correlation  tail suspension  bone loss  Wnt signaling pathway
基金项目:国家自然科学基金(81774246);辽宁省自然科学基金指导计划(20180551278)
作者单位
王荣 张林* 辽宁中医药大学中医学院辽宁 沈阳 110847 
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中文摘要:
      目的 基于“脾肾相关”理论考察健脾方药、补肾方药和补肾健脾方药对尾吊模拟失重大鼠骨丢失的防治作用,并揭示其分子机制。方法 50只大鼠随机分成空白对照组、尾吊组、健脾组、补肾组、补肾健脾组,每组10只。除空白对照组外,其余各组大鼠均以尾部悬吊法造模,同时对中药干预的各组大鼠予以相应方药灌胃。实验第28天称体重并取材,取大鼠双侧股骨和胫骨并称重,检测大鼠股骨和胫骨骨密度和生物力学性能,Western Blot方法检测大鼠胫骨内碱性磷酸酶(ALP)、骨连接蛋白(SPARC)、转录激活子4(ATF4)、β-连环蛋白(β-catenin)、分泌型糖蛋白(DKK1)、含环蛋白的跨膜蛋白2(Kremen2)、分泌型卷曲相关蛋白2(SFRP2)蛋白表达量。结果 与空白对照组比,尾吊组大鼠股骨和胫骨生物力学性能降低(P<0.05),胫骨和股骨与体重比值、骨密度、胫骨ALP、SPARC、ATF4、β-catenin、SFRP2蛋白表达量显著降低(P<0.01),DKK1、Kremen2蛋白表达量显著升高(P<0.01);与尾吊组比,健脾组、补肾组、补肾健脾组大鼠的胫骨和股骨与体重的比值、骨密度、生物力学性能、胫骨中ALP、SPARC、ATF4蛋白表达量升高,Kremen2蛋白表达量降低(P<0.05),健脾组和补肾健脾组大鼠胫骨β-catenin蛋白表达量显著升高(P<0.01),补肾组和补肾健脾组大鼠胫骨SFRP2蛋白表达量显著升高(P<0.01),DKK1蛋白表达量显著降低(P<0.01);与补肾健脾组比,补肾组和健脾组大鼠的胫骨和股骨与体重比值、骨密度、股骨生物力学性能、胫骨ALP、SPARC、ATF4蛋白表达量降低(P<0.05),补肾组大鼠胫骨生物力学性能、β-catenin蛋白表达量降低、Kremen2蛋白表达量升高(P<0.05),健脾组大鼠胫骨SFRP2蛋白表达量降低、DKK1蛋白表达量升高(P<0.05)。结论 基于“脾肾相关”理论采用的补肾健脾方、补肾方和健脾方均能对抗尾吊模拟失重导致的骨丢失,以补肾健脾方作用为优,作用机制可能与激活经典Wnt信号通路有关。三首方剂作用于经典Wnt信号通路上的靶点略有差异。
英文摘要:
      Objective To investigate the preventive and therapeutic effects of invigorating spleen recipe, nourishing kidney recipe, and invigorating spleen and nourishing kidney recipe on bone loss in tail-suspended simulated weightlessness rats based on the theory of spleen-kidney correlation, and to reveal its molecular mechanism. Methods Fifty rats were randomly divided into blank control group, tail suspension group, invigorating spleen group, nourishing kidney group, and invigorating spleen and nourishing kidney group, with 10 rats in each group. Except for the blank control group, the rats in other groups were modeled by tail suspension. Rats in each group received corresponding Chinese medicine prescriptions. On the 28th day of the experiment, body weight and the bilateral femurs and tibias of the rats were weighed. Bone mineral density and biomechanical properties of the femurs and tibias were detected. Western blotting method was used to detect the protein expressions of alkaline phosphatase (ALP), secreted protein acidic and rich in cysteine (SPARC), activating transcription factor 4 (ATF4), β-catenin, Dickkopf-1 (DKK1), kringle-containing transmembrane protein 2 (Kremen2), and secreted frizzled-relatedprotein 2 (SFRP2). Results Compared to those in blank control group, biomechanical properties of the femur and tibia in tail suspension group decreased (P<0.05), the ratio of femur and tibia to body weight, bone mineral density, ALP, SPARC, ATF4, β-catenin, and SFRP2 protein expressions significantly decreased, and DKK1 and Kremen2 protein expressions significantly increased in tail suspension group (P<0.01). Compared to those in tail suspension group, the ratio of tibia and femur to body weight, bone mineral density, biomechanical properties, ALP, SPARC, ATF4 protein expressions in tibia of rats increased and Kremen2 protein expression decreased in invigorating spleen group, nourishing kidney group, and invigorating spleen and nourishing kidney group (P<0.05), the expression of β-catenin protein in tibia of rats in invigorating spleen group and nourishing kidney group significantly increased (P<0.01), and the expression of SFRP2 protein significantly increased (P<0.01) and DKK1 significantly decreased (P< 0.01) in nourishing kidney group and invigorating spleen and nourishing kidney group. Compared to those in invigorating spleen and nourishing kidney group, the ratio of tibia and femur to body weight, bone mineral density, biomechanical properties of the femur, and ALP, SPARC, and ATF4 protein expressions in the tibia decreased (P<0.05), the biomechanical properties of the tibia, the expression of β-catenin protein decreased, and the expression of Kremen2 protein increased in the invigorating spleen group, nourishing kidney group, respectively (P<0.05), and SFRP2 protein expression in the tibia of the rats decreased and the expression of DKK1 protein increased in the invigorating spleen group (P<0.05). Conclusion Invigorating spleen recipe, nourishing kidney recipe, and invigorating spleen and nourishing kidney recipe based on the theory of spleen-kidney correlation prevent bone loss caused by tail suspension simulated weightlessness. The effect of invigorating spleen recipe is the best. The mechanism may be related to the activation of classic Wnt signaling pathway. The targets of the three prescriptions on the classic Wnt signaling pathway are slightly different.
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