红景天苷抗代谢功能障碍相关脂肪性肝炎肝纤维化作用机制研究
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R285.5

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浙江省自然科学基金(LY23H290004);国家中医药管理局-浙江省中医药管理局共建科技计划项目(GZY-ZJ-KJ-23092);浙江省自然科学基金(LQ22H290001);浙江省中医药重点学科建设项目(2024-XK-64);宁波市自然科学基金(2022J242);宁波市2022重大科技专项项目(2022Z128)


Study on Mechanism of Salidroside Attenuates Liver Fibrosis in Metabolic Dysfunction- Associated Steatohepatitis
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    摘要:

    目的:探讨红景天苷治疗代谢功能障碍相关脂肪性肝炎(MASH) 肝纤维化的作用机制。方法: 将30只雄性C57BL/6小鼠随机分为对照组(Control组)、模型组(CDAHFD组)、红景天苷低剂量组(Sal-L 组)、红景天苷高剂量组(Sal-H组) 和Sting抑制剂组(C-176组) 5组,各6只。除Control组外,其余组以 CDAHFD饲料诱导9周制备MASH肝纤维化模型;第4周起,Sal-L、Sal-H组小鼠分别给予25 mg/kg、50 mg/kg 红景天苷灌胃,C-176组小鼠给予15 mg/kg C-176抑制剂,腹腔注射,每周3次;Control组、CDAHFD组小鼠 分别以等体积生理盐水灌胃,持续6周。采用生化试剂盒法检测小鼠血清丙氨酸氢基转移酶(ALT)、天门冬氨 酸氨基转移酶(AST) 活性和小鼠肝组织甘油三酯(TG) 及羟脯氨酸(Hyp) 含量;苏木素-伊红(HE) 及天 狼星红染色评估脂肪变性、炎症、纤维化;半定量非酒精性脂肪性肝病活动度评分(NAS);RT-qPCR检测胞 浆线粒体(mt) DAN 含量;Western Blot 检测微管相关蛋白1 轻链3-Ⅱ/Ⅰ (LC 3-Ⅱ/Ⅰ)、磷酸化核因子 κB(p-NF-κB)、环鸟苷酸-腺苷酸合成酶(cGAS)、磷酸化干扰素基因刺激因子(p-Sting)、肿瘤坏死因子- α(TNF-α)、白细胞介素(IL) -1β蛋白表达水平。结果:与Control组比较,CDAHFD组小鼠血清AST、ALT、 TG水平均升高(P<0.05)。与CDAHFD组比较,Sal-L、Sal-H组及C-176组小鼠血清AST、ALT、TG水平均 下降(P<0.05)。与Control 组比较, CDAHFD 组小鼠肝组织α-平滑肌肌动蛋白(α-SMA)、Hyp 水平升 高(P<0.05)。与CDAHFD 组比较,Sal-L、Sal-H 组及C-176 组小鼠肝组织α-SMA、Hyp 水平降低(P< 0.05)。与Control组比较,CDAHFD组小鼠肝组织cGAS、p-Sting、Sting、p-NF-κB、NF-κB、TNF-α、IL-1β 蛋白表达及胞质mtDNA 含量升高(P<0.05)。与CDAHFD 组比较,Sal-L、Sal-H 组及C-176 组小鼠肝组织 LC3-Ⅱ蛋白表达升高(P<0.05),cGAS、p-Sting、Sting、p-NF-κB、NF-κB、TNF-α、IL-1β 蛋白表达及 mtDNA含量降低(P<0.05)。结论:红景天苷通过激活肝细胞线粒体自噬,减少mtDNA释放,抑制cGAS-Sting 炎性通路,减轻MASH相关肝纤维化。

    Abstract:

    Abstract: Objective: To explore the mechanism of salidroside in the treatment of liver fibrosis in metabolic dysfunction-associated steatohepatitis (MASH). Methods:Thirty male C57BL/6 mice were randomly divided into five groups (n=six per group): the Control group, the model group (CDAHFD group), the low-dose salidroside group (Sal-L group),the high-dose salidroside group (Sal-H group),and the Sting inhibitor group (C-176 group). Except for the Control group,all other groups were fed a CDAHFD diet for nine weeks to induce the MASH-related liver fibrosis model. Starting from the 4th week, mice in the Sal-L and Sal-H groups received oral gavage of salidroside at 25 mg/kg and 50 mg/kg,respectively,three times per week. The C-176 group received intraperitoneal injection of the C-176 inhibitor at 15 mg/kg,three times per week. Mice in the Control and CDAHFD groups received oral gavage of an equal volume of normal saline for six weeks. Serum ALT and AST activities,as well as hepatic triglyceride (TG) and hydroxyproline (Hyp) contents were measured using biochemical assay kits. Hepatic steatosis, inflammation, and fibrosis were assessed by HE and Sirius red staining, along with semi-quantitative NAS scoring. Cytosolic mtDNA content was detected by RT-qPCR. Western blot was used to measure the protein expression levels of microtubuleassociated protein 1 light chain 3-Ⅱ/Ⅰ (LC3-Ⅱ/Ⅰ),phosphorylated nuclear factor kappa B (p-NF-κB),cyclic GMP-AMP synthase (cGAS), phosphorylated stimulator of interferon genes (p-Sting), tumor necrosis factoralpha (TNF-α),and interleukin-1β (IL-1β). Results:Compared with the Control group,serum AST,ALT,and TG levels were significantly increased in the CDAHFD group (P<0.05). Compared with the CDAHFD group,serum AST, ALT, and TG levels were significantly decreased in the Sal-L, Sal-H, and C-176 groups (P<0.05). Compared with the Control group, hepatic α -smooth muscle actin (α -SMA) and Hyp levels were significantly increased in the CDAHFD group (P<0.05). Compared with the CDAHFD group,hepatic α-SMA and Hyp levels were significantly decreased in the Sal-L, Sal-H, and C-176 groups (P<0.05). Compared with the Control group, the protein expression of cGAS,p-Sting,Sting,p-NF-κB,NF-κB,TNF-α,IL-1β,and cytosolic mtDNA content were significantly increased in the liver of the CDAHFD group (P<0.05). Compared with the CDAHFD group,LC3-Ⅱ protein expression was significantly increased (P<0.05), while the protein expression of cGAS, p-Sting, Sting, p-NF-κB,NF-κB,TNF-α,IL-1β,and cytosolic mtDNA content were significantly decreased in the Sal-L,Sal-H, and C-176 groups (P<0.05). Conclusion: Salidroside alleviates MASH-associated liver fibrosis by activating mitochondrial autophagy in hepatocytes, reducing mtDNA release, and thereby inhibiting the cGAS-Sting inflammatory pathway.

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夏占杨,刘洪亮,张俊,何哲耘,李红山.红景天苷抗代谢功能障碍相关脂肪性肝炎肝纤维化作用机制研究[J].新中医,2026,58(5):213-220

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  • 在线发布日期: 2026-03-12
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