实验动物与比较医学 ›› 2026, Vol. 46 ›› Issue (5): 629-639.DOI: 10.12300/j.issn.1674-5817.2025.212

• 实验动物与中药学研究 • 上一篇    下一篇

葛根芩连汤缓解糖尿病小鼠心肌损伤的作用机制研究

江淼淼1,2, 方金萍2, 黄宗炫2, 厉嘉敏3, 廖欢1,2, 张文强1,2, 余佳颖2, 杨燕燕4, 连大卫1,2()()   

  1. 1. 福建中医药大学中西医结合研究院, 福州 350122
    2. 福建中医药大学中西医结合学院, 福州 350122
    3. 福建中医药大学药学院, 福州 350122
    4. 福建中医药大学 科技创新与转化中心, 福州 350122
  • 收稿日期:2025-12-17 修回日期:2026-02-26 出版日期:2026-10-25 发布日期:2026-10-16
  • 通讯作者: 连大卫(1988—),男,博士,副研究员,研究方向:心血管疾病。E-mail:675836257@qq.com。ORCID:0009-0007-4430-8284
  • 作者简介:
    江淼淼(1998—),女,硕士研究生,研究方向:心血管疾病。E-mail:15980224379@163.com
  • 基金资助:
    国家自然科学基金青年科学基金项目“葛根通过调控ASM-NLRP3信号通路改善炎症微环境修复糖尿病血管内皮损伤的机制研究”(82204662); 福建省自然科学基金科技项目“基于空间多组学探讨清达颗粒减轻高血压血管内皮损伤的作用机制及物质基础研究”(2024J010032); 福建省科技创新联合资金项目“基于智能多组学技术探讨清达颗粒治疗临界高血压的新作用及新机制”(2024Y9514); 福建中医药大学高层次人才科研启动资金项目“基于Rab蛋白家族调控内皮细胞焦亡探讨高血压的机制及清达颗粒的干预作用”(X2022001-人才)

Study on the Mechanism of Gegen Qinlian Decoction in Improving Diabetic Myocardial Injury

JIANG Miaomiao1,2, FANG Jinping2, HUANG Zongxuan2, LI Jiamin3, LIAO Huan1,2, ZHANG Wenqiang1,2, YU Jiaying2, YANG Yanyan4, LIAN Dawei1,2()()   

  1. 1. Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
    2. College of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
    3. College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
    4. Innovation and Transformation Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
  • Received:2025-12-17 Revised:2026-02-26 Published:2026-10-25 Online:2026-10-16
  • Correspondence to:
    LIAN Dawei (ORCID: 0009-0007-4430-8284), E-mail:

摘要:

目的 通过网络药理学和动物实验探究葛根芩连汤(Gegen Qinlian decoction)对高脂饮食联合链脲佐菌素诱导2型糖尿病小鼠心肌损伤的改善作用及其机制。 方法 结合网络药理学方法筛选葛根芩连汤干预糖尿病性心脏病(diabetic heart disease)的潜在信号通路。再取36只8周龄SPF级雄性C57BL/6J小鼠,适应性饲喂1周后,将小鼠随机分为正常对照组(n=6)和造模组(n=30)。造模组小鼠以60%高脂饲料+5%葡萄糖水饲喂4周,禁食12 h后腹腔注射100 mg/kg链脲佐菌素诱导2型糖尿病动物模型;正常对照组小鼠给予普通饲料、饮水,同期禁食12 h后腹腔注射等体积柠檬酸盐缓冲液。糖尿病小鼠模型构建成功后,造模组小鼠按体重随机分为二甲双胍阳性对照组、模型对照组、葛根芩连汤低剂量组、葛根芩连汤中剂量组和葛根芩连汤高剂量组,每组6只,分别灌胃二甲双胍、ddH2O和不同剂量葛根芩连汤连续6周。6组小鼠经2%异氟烷吸入麻醉后,摘眼球取血,随后以心脏放血安乐死小鼠并采集心脏组织。采用HE和麦胚凝集素(wheat germ agglutinin,WGA)染色观察心肌组织病理损伤并测量心肌细胞横截面积;采用ELISA测定血清中促炎性细胞因子的表达水平,采用免疫组织化学染色法检测心肌组织中晚期糖基化终末产物受体(receptor for advanced glycation end products,RAGE)、核苷酸结合结构域富含亮氨酸重复序列和含热蛋白结构域受体3(nucleotide-binding domain leucine-rich repeat and pyrin domain-containing receptor 3,NLRP3)及磷酸化核因子κB p65(phosphorylated nuclear factor-κB p65,p-p65)的表达水平。 结果 网络药理学分析显示,葛根芩连汤干预糖尿病性心脏病的靶点显著富集于晚期糖基化终末产物-晚期糖基化终末产物受体轴、肿瘤坏死因子、白细胞介素-17等炎症通路。WGA和HE染色结果显示,与正常对照组相比,模型对照组小鼠出现心肌纤维断裂和细胞肿胀,心肌细胞横截面积显著增大(P<0.05);与模型对照组相比,葛根芩连汤干预能显著改善心肌纤维断裂与细胞肿胀,减轻心肌细胞肥大等病理变化。免疫组织化学染色和ELISA检测结果显示,与模型对照组相比,葛根芩连汤干预可显著下调心肌组织中RAGE、NLRP3和p-p65蛋白以及血清中促炎性细胞因子的表达水平(P<0.05)。 结论 葛根芩连汤可有效缓解饮食诱导2型糖尿病小鼠的心肌病理损伤,其机制可能与抑制RAGE/p-p65/NLRP3信号通路活化、减轻心肌炎症反应有关。

关键词: 葛根芩连汤, 糖尿病心肌损伤, 炎症, C57BL/6J小鼠

Abstract:

Objective To explore the effect and mechanism of Gegen Qinlian decoction (GQD) on myocardial injury induced by high-fat diet combined with streptozotocin in type 2 diabetic mice through network pharmacology and animal experiments. Methods Network pharmacology was applied to screen the potential signaling pathways of GQD in the intervention of diabetic heart disease (DHD). A total of 36 specific pathogen-free (SPF) male C57BL/6J mice aged 8 weeks were acclimatized for 1 week and randomly divided into a normal control group (n=6) and a model group (n=30). Mice in the model group were fed a 60% high-fat diet and 5% glucose water for 4 weeks, and were intraperitoneally injected with 100 mg/kg streptozotocin after 12 h of fasting to establish the type 2 diabetes model. Mice in the normal control group were given a conventional diet and drinking water, and were intraperitoneally injected with an equal volume of citrate buffer after 12 h of fasting at the same time point. After successful establishment of the diabetic mouse model, the model mice were randomly divided into five groups according to body weight: model control group, GQD low-dose group, GQD medium-dose group, GQD high-dose group, and metformin positive control group, with 6 mice in each group. After 6 weeks of intragastric administration of corresponding doses of GQD, metformin, and ddH2O respectively, all mice in the six groups (one normal control group and five model groups) were anesthetized with inhaled 2% isoflurane, blood samples were collected via eyeball enucleation, and heart tissues were harvested after euthanasia by cardiac exsanguination. Hematoxylin-eosin (HE) staining and wheat germ agglutinin (WGA) staining were performed to observe the pathological damage of myocardial tissues and measure the cross-sectional area of cardiomyocytes. Enzyme-linked immunosorbent assay (ELISA) was used to measure the levels of pro-inflammatory cytokines in serum. Immunohistochemical staining was adopted to determine the protein expression levels of receptor for advanced glycation end products (RAGE), nucleotide-binding domain leucine-rich repeat and pyrin domain-containing receptor 3 (NLRP3), and phosphorylated nuclear factor-κB p65 (p-p65) in myocardial tissues. Results Network pharmacology analysis revealed that the targets of GQD against DHD were significantly enriched in inflammatory pathways, including the advanced glycation end products (AGEs)-RAGE axis, tumor necrosis factor (TNF) and interleukin-17 (IL-17) signaling pathways. HE and WGA staining results showed that, compared with the normal control group, the model control group exhibited myocardial fiber rupture, cardiomyocyte swelling, and significantly increased cardiomyocyte cross-sectional area (P<0.05). Compared with the model control group, GQD intervention significantly ameliorated the pathological changes, including myocardial fiber rupture, cell swelling, and cardiomyocyte hypertrophy. The results of immunohistochemical staining and ELISA indicated that compared with the model control group, GQD intervention markedly downregulated the protein expression of RAGE, NLRP3, and p-p65 in myocardial tissues, as well as the levels of serum pro-inflammatory cytokines (P<0.05). Conclusion GQD can effectively alleviate myocardial pathological injury in diet-induced type 2 diabetic mice, and its mechanism may be related to inhibiting the activation of the RAGE/p-p65/NLRP3 signaling pathway and reducing myocardial inflammatory response.

Key words: Gegen Qinlian decoction, Diabetic myocardial injury, Inflammation, C57BL/6J mice

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