补肾活血方对糖尿病小鼠骨质疏松骨代谢的影响
Effect of Bushen Huoxue prescription on bone metabolism in diabetic mice with osteoporosis was investigated based on the RUNX2/COL1 signaling pathway
  
DOI:10.3969/j.issn.1006-7108.2025.07.005
中文关键词:  糖尿病性骨质疏松  补肾活血方  RUNX2/COL1信号通路
英文关键词:diabetic osteoporosis  Bushen Huoxue prescription  RUNX2/COL1 signaling pathway
基金项目:广东省中医药局科研项目(20221178)
作者单位
吕冰遥1 叶仕成2 隋丽丽1 陈桐莹2 林定坤3 罗丹3* 1.广州中医药大学第一附属医院广东 广州510405 2.广州中医药大学第三附属医院广东 广州510405 3.广州中医药大学第二附属医院广东 广州 510405 
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中文摘要:
      目的 探讨补肾活血方对糖尿病性骨质疏松(diabetic osteoporosis,DOP)的治疗作用及其机制。方法 通过构建了一个1型糖尿病的小鼠模型并对其进行了为期12周的补肾活血方的不同剂量的干预,随后对各个小组的空腹血糖值、体重变动等指标进行了研究,以评价其效果;接着使用Micro CT技术测量了股骨末端的骨微结构及其骨形态体积参数,同时利用HE染色法检查了小鼠股骨组织的病变状况,还运用免疫组化法观测了小鼠股骨组织内COLL1与RUNX2的表达程度,最后采用Western blot法探究了股骨组织内的RUNX2蛋白质和OPG蛋白质的含量,并且用ELISA测试了血液样本中的炎症因子IL-6、IL-1β和TNF-α的水平。结果 补肾活血方可以降低糖尿病小鼠空腹血糖(P<0.05),增加糖尿病小鼠体重(P<0.05),缓解糖尿病症状;改善骨小梁结构,减少骨髓空腔,显著增加BV/TV、Tb.N、Tb.Th水平(P<0.05),明显降低Tb.Sp、SMI值(P<0.05);增加骨组织中RUNX2、COL1表达水平;增加股骨组织中RUNX2、OPG蛋白表达水平(P<0.05);通过降低血清中的炎症因子IL-6、IL-1β和TNF-α的水平(P<0.05),可以有效地减缓糖尿病小鼠的炎症反应。 结论 补肾活血方可以预防STZ诱导的DOP,修复骨微结构,对DOP具有一定治疗作用,其机制可能是通过激活RUNX2/COL1信号通路影响骨代谢,从而发挥降血糖和缓解骨质疏松的作用。
英文摘要:
      Objective To explore the therapeutic effect and mechanism of Bushen Huoxue Recipe on diabetes osteoporosis (DOP). Methods By constructing a mouse model of type 1 diabetes, different doses of Bushen Huoxue prescription were given for 12 weeks , and then the fasting blood glucose value, weight change and other indicators of each group were studied to evaluate its effect. Micro CT scans were employed to examine the microstructure and histomorphometric features of the bone in the distal femur. HE staining enabled the detection of any pathological changes in the femur. Imm studies noted the presence of RUNX2 and COL1 genes in the femur of mice. unohistochemical reactions.Western blot was used to detect the presence of RUNX2 and OPG-related proteins in the femur, while ELISA was used to measure the levels of IL-6, IL-1β, and TNF-α inflammatory factors in the serum. Results Prescribing bushen huoxue had been shown to lower fasting blood sugar levels in diabetic mice (P<0.05), elevate their body weight (P<0.05), and alleviate diabetes symptoms.Significantly increased BV/TV, Tb.N and Tb.Th indexes(P<0.05)were observed in the trabecular structure, while a reduction of bone marrow cavity was noted; additionally, Tb.Sp and SMI values were significantly decreased(P<0.05). Elevate the levels of RUNX2 and COL1 expression in bone tissue, leading to an increase in the expression levels of RUNX2 and OPG protein in femoral tissue (P<0.05). Simultaneously, there was a significant decrease in serum inflammatory factors IL-6, IL-1β, and TNF-α (P<0.05), resulting in the alleviation of the inflammatory response in diabetic mice. Conclusion Bushen Huoxue prescription can prevent STZ-induced DOP, repair bone microstructure, and has a certain therapeutic effect on DOP. The mechanism may be to affect bone metabolism by activating the RUNX2/COL1 signaling pathway, thus playing a role in lowering blood glucose and alleviating osteoporosis.
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