五苓散调控支链氨基酸代谢改善链脲佐菌素诱导糖尿病肾病小鼠肾损伤的研究
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R285.5

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深圳市自然科学基金项目(JCYJ20240813152347062);广东省医学科学技术研究基金项目(A2025155)


Study on Wuling San in Regulating Branched-Chain Amino Acid Metabolism to Ame⁃ liorate Renal Injury in Streptozotocin-Induced Diabetic Kidney Disease Mice
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    摘要:

    目的:探究五苓散对糖尿病肾病小鼠的肾脏保护作用和代谢机制。方法:将24 只6 周龄雄性C57BL/6J小鼠随机分为正常组6只和造模组18只。造模组连续5 d腹腔注射55 mg/kg链脲佐菌素建立糖尿病模型。造模成功后随机分为模型组、五苓散组和培哚普利组,每组6只。五苓散组给予9.75 g/kg五苓散中药混悬液灌胃,培哚普利组予0.52 mg/kg培哚普利混悬液灌胃,正常组和模型组予等剂量生理盐水灌胃。持续灌胃12周。观察各组小鼠体质量、8 h空腹血糖、24 h尿量、饮水量等;检测24 h尿微量白蛋白水平;采用过碘酸-雪夫染色(PAS)、苏木精-伊红染色(HE) 观察肾组织病理形态;采用超高效液相色谱-三重四极杆串联质谱联用技术(UPLC-QQQ-MS/MS) 检测肾组织支链氨基酸及其代谢物水平。结果:与正常组比较,模型组小鼠干预4、8、12 周体质量均降低,8 h 空腹血糖和24 h 尿量均增加,干预12 周后24 h 尿微量白蛋白水平升高(P<0.05)。与模型组比较,五苓散组和培哚普利组干预8、12周体质量均升高;五苓散组干预4周空腹血糖降低、干预12周24 h尿量降低,培哚普利组干预4周24 h尿量降低;五苓散组和培哚普利组24 h尿微量白蛋白水平均降低(P<0.05)。模型组小鼠可见肾小球系膜区增宽、肾小管空泡变性、刷状缘脱落、肾小管上皮细胞肿胀及局灶性炎性细胞浸润,五苓散组和培哚普利组上述病理改变均有不同程度减轻。与正常组比较,模型组肾组织亮氨酸、缬氨酸、异亮氨酸、丁酰-L-肉碱和异丁酰-L-肉碱水平均升高(P<0.05);与模型组比较,五苓散组亮氨酸、缬氨酸、异亮氨酸、丁酰-L-肉碱、异丁酰-L-肉碱及琥珀酰辅酶A水平均降低(P<0.05)。结论:五苓散对链脲佐菌素诱导糖尿病肾病小鼠具有肾保护作用,其作用可能与调节肾脏支链氨基酸代谢紊乱有关。

    Abstract:

    Abstract:Objective:To explore the renoprotective effects and metabolic mechanisms of Wuling San in diabetic kidney disease (DKD) mice. Methods:Twenty-four 6-week-old male C57BL/6J mice were randomly divided into a normal group (6 mice) and a modeling group (18 mice). The modeling group received intraperitoneal injections of 55 mg/kg streptozotocin (STZ) for 5 consecutive days to establish the diabetes model. After successful modeling,the mice were randomly divided into a model group,a Wuling San group,and a perindopril group,with 6 mice in each group. The Wuling San group was given 9.75 g/kg of Wuling San suspension by gavage,the perindopril group was given 0.52 mg/kg of perindopril suspension by gavage, and the normal group and model group were given equal volumes of normal saline by gavage. All groups were administered continuously for 12 weeks. Body weight, 8-hour fasting blood glucose, 24-hour urine volume, and water intake were observed in each group. Twenty-four-hour urinary microalbumin levels were measured. Renal histopathology was observed using periodic acid-Schiff (PAS) staining and hematoxylin-eosin (HE) staining. Ultra-performance liquid chromatography-triple quadrupole tandem mass spectrometry (UPLC-QQQ-MS/MS) was used to detect the levels of branched-chain amino acids (BCAAs) and their metabolites in renal tissues. Results: Compared with the normal group, the model group showed decreased body weight at 4,8,and 12 weeks of intervention,increased 8-hour fasting blood glucose and 24-hour urine volume,and elevated 24-hour urinary microalbumin levels after 12 weeks of intervention (P<0.05). Compared with the model group,the Wuling San group and perindopril group showed increased body weight at 8 and 12 weeks of intervention; the Wuling San group showed decreased fasting blood glucose at 4 weeks and decreased 24-hour urine volume at 12 weeks,while the perindopril group showed decreased 24-hour urine volume at 4 weeks;both the Wuling San group and perindopril group showed decreased 24-hour urinary microalbumin levels (P<0.05). The model group exhibited widened glomerular mesangial areas, renal tubular vacuolar degeneration, brush border shedding, renal tubular epithelial cell swelling, and focal inflammatory cell infiltration. These pathological changes were alleviated to varying degrees in the Wuling San group and perindopril group. Compared with the normal group, the model group showed elevated levels of leucine,valine,isoleucine,butyryl-L-carnitine,and isobutyryl-L-carnitine in renal tissues (P< 0.05). Compared with the model group,the Wuling San group showed decreased levels of leucine,valine,isoleucine, butyryl-L-carnitine, isobutyryl-L-carnitine, and succinyl-CoA (P<0.05). Conclusion: Wuling San exerts renoprotective effects in STZ-induced DKD mice, and its mechanism may be related to the regulation of branchedchain amino acid metabolism disorders in the kidneys.

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邱婷,古秀芬,周奕敏,罗明宏,孙家英,戈娜.五苓散调控支链氨基酸代谢改善链脲佐菌素诱导糖尿病肾病小鼠肾损伤的研究[J].新中医,2026,58(19):275-282

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  • 在线发布日期: 2026-10-16
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