Article(id=1291707168961618711, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, articleNumber=null, orderNo=null, doi=10.13699/j.cnki.1001-6821.2025.21.013, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1750953600000, receivedDateStr=2025-06-27, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1785896587838, onlineDateStr=2026-08-05, pubDate=1763308800000, pubDateStr=2025-11-17, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1785896587838, onlineIssueDateStr=2026-08-05, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1785896587838, creator=13701087609, updateTime=1785896587838, updator=13701087609, issue=Issue{id=1291706987964822180, tenantId=1146029695717560320, journalId=1246415772164075586, year='2025', volume='41', issue='21', pageStart='3001', pageEnd='3150', issueExtLink='null', onlineDate='null', pubDate='1763308800000', pubDateStr='2025-11-17', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1785896544684, creator='13701087609', updateTime=1785896721343, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1291707729324826977, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1291707729324826978, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1291706987964822180, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=3075, endPage=3082, ext={EN=ArticleExt(id=1291707169553015576, articleId=1291707168961618711, tenantId=1146029695717560320, journalId=1246415772164075586, language=EN, title=Research of geniposide on insulin resistance and oxidative stress damage in polycystic ovary syndrome rats by regulating the Nrf2/HO-1 signaling pathway, columnId=1246531407326105792, journalTitle=Chinese Journal of Clinical Pharmacology, columnName=Clinical and Basic Bridging Research, runingTitle=null, highlight=null, articleAbstract=
Objective

To explore the effects of geniposide on insulin resistance and oxidative stress damage in polycystic ovary syndrome (PCOS) rats by regulating the nuclear factor E2-related factor 2 (Nrf2)/heme oxygenase-1(HO-1) signaling pathway.

Methods

A PCOS model was induced by gavage of letrozole for 21d and rats were randomly assigned into blank group (not modeled +normal saline), model group (modeled +normal saline), low-dose geniposide group (modeled+400 mg·kg-1 geniposide by gavage), high-dose geniposide group (modeled+800 mg·kg-1 geniposide by gavage), positive control group (modeled+0.34 mg·kg-1 ethinylestradiol and cyproterone by gavage) and high-dose geniposide+ML385 group (modeled+800 mg·kg-1 geniposide by gavage+30 mg·kg-1 ML385 by by intraperitoneal injection), with 10 rats in each group. The levels of fasting blood glucose (FBG) and fasting insulin (FINS) were measured by blood glucose meter and enzyme-linked immunosorbent assay (ELISA) and then homeostatic model assessment of insulin resistance (HOMA-IR) was calculated. The levels of serum sex hormones and inflammatory were detected by ELISA and ovarian tissue oxidative stress index levels were detected by test kit, hematoxylin-eosin (HE) staining was used to measure the number of cystic follicles in rat ovarian tissue. TdT-media duTP nict end labeling (TUNEL) method was used to measure apoptosis of rat ovarian granulosa cells. Moreover, Western blot (WB) was used to detect apoptosis and Nrf2/HO-1 signaling pathway related protein expression in ovarian tissues.

Results

The FBG levels in the low-dose geniposide group, high-dose geniposide group, positive control group, high-dose geniposide+ML385 group and control group, as well as the model group were (6.87±0.42), (5.21±0.28), (5.03±0.31), (8.32±0.51), (4.90±0.35) and (8.56±0.54) mmol·L-1, respectively; FINS were (16.13±1.62), (10.46±1.37), (10.21±1.51), (20.67±1.82), (9.82±1.14) and (21.45±2.05) mIU·L-1, respectively; HOMA-IR were 4.93±0.48、2.42±0.53、2.28±0.36、7.64±0.72、2.14±0.31 and 8.16±0.67, respectively; follicle-stimulating hormone (FSH) levels were (5.14±0.56), (7.49±0.62), (7.62±0.71), (2.95±0.54), (7.83±0.76) and (2.71±0.43) IU·L-1, respectively; the superoxide dismutase (SOD) levels were (42.91±3.22), (56.45±4.16), (58.02±3.98), (32.16±2.85), (59.73±4.35) and (30.84±2.74) U·mg prot-1, respectively. The relative protein expression levels of Nrf2 were 0.67±0.08, 1.10±0.12, 1.12±0.13, 0.26±0.07, 1.13±0.14 and 0.24±0.06, respectively; HO-1 were 0.61±0.07, 1.06±0.08, 1.08±0.10, 0.18±0.05, 1.09±0.11 and 0.16±0.04, respectively. The malondialdehyde (MDA) levels were (2.47±0.33), (1.39±0.21), (1.30±0.19), (3.38±0.42), (1.21±0.26) and (3.62±0.47) nmol·mg prot-1, respectively. The number of ovarian antral follicles was 9.60±0.74, 4.30±0.57, 4.10±0.71, 14.20±0.98, 3.90±0.65 and 15.10±1.13, respectively. The ovarian granulosa cell apoptosis index was (16.27±1.16)%, (7.48±0.91)%, (7.19±0.76)%, (23.86±1.23)%, (6.94±0.85)% and (25.31±1.42)%, respectively. Compared blank group with the control group; compared model group with low-dose geniposide group, high-dose geniposide group and positive control group; compared low-dose geniposide group with high-dose geniposide group and compred high-dose geniposide group with high-dose geniposide+ML385 group, the differences of above indexes were all statistically significant (all P<0.05).

Conclusion

Geniposide can alleviate insulin resistance and oxidative stress damage in PCOS rats, possibly by activating the Nrf2/HO-1 signaling pathway.

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目的

研究栀子苷调节核因子红细胞系2相关因子2(Nrf2)/血红素加氧酶-1(HO-1)信号通路对多囊卵巢综合征(PCOS)大鼠胰岛素抵抗及氧化应激损伤的影响。

方法

SD大鼠通过灌胃来曲唑21 d来诱导建立PCOS模型,并随机分为空白组(不建模+生理盐水)、模型组(建模+生理盐水)、栀子苷低剂量实验组(建模+灌胃给予400 mg·kg-1栀子苷)、栀子苷高剂量实验组(建模+灌胃给与800 mg·kg-1栀子苷)、阳性对照组(建模+灌胃给予0.34 mg·kg-1炔雌醇环丙孕酮)、栀子苷高剂量+ML385组(建模+灌胃给与800 mg·kg-1栀子苷+腹腔注射30 mg·kg-1 ML385),每组10只。用血糖仪、酶联免疫吸附法分别检测大鼠空腹血糖(FBG)和空腹胰岛素(FINS)水平,并计算胰岛素抵抗指数(HOMA-IR);用酶联免疫吸附法测定血清性激素与炎性水平,用试剂盒法检测卵巢组织氧化应激指标水平;用苏木精-伊红(HE)染色法检测大鼠卵巢组织囊状卵泡数量;用原位末端标记法(TUNEL)检测大鼠卵巢颗粒细胞凋亡;用蛋白质印迹法(WB)检测各组大鼠卵巢组织凋亡和Nrf2/HO-1信号通路相关蛋白相对表达水平。

结果

栀子苷低、高剂量实验组、阳性对照组、栀子苷高剂量+ML385组、空白组和模型组的FBG分别为(6.87±0.42)、(5.21±0.28)、(5.03±0.31)、(8.32±0.51)、(4.90±0.35)和(8.56±0.54)mmol·L-1;FINS分别为(16.13±1.62)、(10.46±1.37)、(10.21±1.51)、(20.67±1.82)、(9.82±1.14)和(21.45±2.05)mIU·L-1;HOMA-IR分别为4.93±0.48、2.42±0.53、2.28±0.36、7.64±0.72、2.14±0.31和8.16±0.67,促卵泡激素(FSH)水平分别为(5.14±0.56)、(7.49±0.62)、(7.62±0.71)、(2.95±0.54)、(7.83±0.76)和(2.71±0.43)IU·L-1;超氧化物歧化酶(SOD)分别为(42.91±3.22)、(56.45±4.16)、(58.02±3.98)、(32.16±2.85)、(59.73±4.35)和(30.84±2.74)U·mg prot-1;Nrf2蛋白相对表达水平分别为0.67±0.08、1.10±0.12、1.12±0.13、0.26±0.07、1.13±0.14和0.24±0.06;HO-1蛋白相对表达水平分别为0.61±0.07、1.06±0.08、1.08±0.10、0.18±0.05、1.09±0.11和0.16±0.04;丙二醛(MDA)水平分别为(2.47±0.33)、(1.39±0.21)、(1.30±0.19)、(3.38±0.42)、(1.21±0.26)和(3.62±0.47)nmol·mg prot-1;卵巢囊状卵泡数量分别为(9.60±0.74)、(4.30±0.57)、(4.10±0.71)、(14.20±0.98)、(3.90±0.65)和(15.10±1.13)个;卵巢颗粒细胞凋亡指数分别为(16.27±1.16)%、(7.48±0.91)%、(7.19±0.76)%、(23.86±1.23)%、(6.94±0.85)%和(25.31±1.42)%,模型组的上述指标与空白组比较;栀子苷低、高剂量实验组及阳性对照组的上述指标与模型组比较,栀子苷低剂量实验组的上述指标与栀子苷高剂量试验组比较,栀子苷高剂量+ML385组与栀子苷高剂量实验组比较,在统计学上差异均有统计学意义(均P<0.05)。

结论

栀子苷可减轻PCOS大鼠胰岛素抵抗及氧化应激损伤,可能是通过激活Nrf2/HO-1信号通路实现的。

, authors=马卿莲1, 田琴1, 张艳2, 杨菁3, authorsList=马卿莲, 田琴, 张艳, 杨菁, authorCompany=null, correspAuthors=杨菁, authorNote=

马卿莲(1978-),女,副主任医师,主要从事妇科内分泌相关的研究和工作

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杨菁,主任医师 MP: 13507182023 E-mail:
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栀子苷调节Nrf2/HO-1信号通路对多囊卵巢综合征大鼠胰岛素抵抗及氧化应激损伤的研究
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马卿莲 1 , 田琴 1 , 张艳 2 , 杨菁 3
中国临床药理学杂志 | 临床与基础桥接研究 2025,41(21): 3075-3082
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中国临床药理学杂志 |临床与基础桥接研究 2025 , 41 (21) : 3075 -3082
栀子苷调节Nrf2/HO-1信号通路对多囊卵巢综合征大鼠胰岛素抵抗及氧化应激损伤的研究
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马卿莲1, 田琴1, 张艳2, 杨菁3
作者信息
  • 1.武汉市红十字会医院 妇产科,湖北 武汉 430000
  • 2.武汉大学 人民医院 检验科,湖北 武汉 430029
  • 3.武汉大学 人民医院 生殖医学中心,湖北 武汉 430029
通讯作者:
杨菁,主任医师 MP: 13507182023 E-mail:
作者简介:

马卿莲(1978-),女,副主任医师,主要从事妇科内分泌相关的研究和工作

Research of geniposide on insulin resistance and oxidative stress damage in polycystic ovary syndrome rats by regulating the Nrf2/HO-1 signaling pathway
Qing-lian MA1, Qin TIAN1, Yan ZHANG2, Jing YANG3
Affiliations
  • 1.Department of Obstetrics and Gynecology, Wuhan Red Cross Hospital, Wuhan 430000, Hubei Province, China
  • 2.Department of Laboratory Medicine, Wuhan University People’s Hospital, Wuhan 430029, Hubei Province, China
  • 3.Reproductive Medicine Center, People’s Hospital of Wuhan University, Wuhan 430029, Hubei Province, China
出版时间: 2025-11-17 doi: 10.13699/j.cnki.1001-6821.2025.21.013
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目的

研究栀子苷调节核因子红细胞系2相关因子2(Nrf2)/血红素加氧酶-1(HO-1)信号通路对多囊卵巢综合征(PCOS)大鼠胰岛素抵抗及氧化应激损伤的影响。

方法

SD大鼠通过灌胃来曲唑21 d来诱导建立PCOS模型,并随机分为空白组(不建模+生理盐水)、模型组(建模+生理盐水)、栀子苷低剂量实验组(建模+灌胃给予400 mg·kg-1栀子苷)、栀子苷高剂量实验组(建模+灌胃给与800 mg·kg-1栀子苷)、阳性对照组(建模+灌胃给予0.34 mg·kg-1炔雌醇环丙孕酮)、栀子苷高剂量+ML385组(建模+灌胃给与800 mg·kg-1栀子苷+腹腔注射30 mg·kg-1 ML385),每组10只。用血糖仪、酶联免疫吸附法分别检测大鼠空腹血糖(FBG)和空腹胰岛素(FINS)水平,并计算胰岛素抵抗指数(HOMA-IR);用酶联免疫吸附法测定血清性激素与炎性水平,用试剂盒法检测卵巢组织氧化应激指标水平;用苏木精-伊红(HE)染色法检测大鼠卵巢组织囊状卵泡数量;用原位末端标记法(TUNEL)检测大鼠卵巢颗粒细胞凋亡;用蛋白质印迹法(WB)检测各组大鼠卵巢组织凋亡和Nrf2/HO-1信号通路相关蛋白相对表达水平。

结果

栀子苷低、高剂量实验组、阳性对照组、栀子苷高剂量+ML385组、空白组和模型组的FBG分别为(6.87±0.42)、(5.21±0.28)、(5.03±0.31)、(8.32±0.51)、(4.90±0.35)和(8.56±0.54)mmol·L-1;FINS分别为(16.13±1.62)、(10.46±1.37)、(10.21±1.51)、(20.67±1.82)、(9.82±1.14)和(21.45±2.05)mIU·L-1;HOMA-IR分别为4.93±0.48、2.42±0.53、2.28±0.36、7.64±0.72、2.14±0.31和8.16±0.67,促卵泡激素(FSH)水平分别为(5.14±0.56)、(7.49±0.62)、(7.62±0.71)、(2.95±0.54)、(7.83±0.76)和(2.71±0.43)IU·L-1;超氧化物歧化酶(SOD)分别为(42.91±3.22)、(56.45±4.16)、(58.02±3.98)、(32.16±2.85)、(59.73±4.35)和(30.84±2.74)U·mg prot-1;Nrf2蛋白相对表达水平分别为0.67±0.08、1.10±0.12、1.12±0.13、0.26±0.07、1.13±0.14和0.24±0.06;HO-1蛋白相对表达水平分别为0.61±0.07、1.06±0.08、1.08±0.10、0.18±0.05、1.09±0.11和0.16±0.04;丙二醛(MDA)水平分别为(2.47±0.33)、(1.39±0.21)、(1.30±0.19)、(3.38±0.42)、(1.21±0.26)和(3.62±0.47)nmol·mg prot-1;卵巢囊状卵泡数量分别为(9.60±0.74)、(4.30±0.57)、(4.10±0.71)、(14.20±0.98)、(3.90±0.65)和(15.10±1.13)个;卵巢颗粒细胞凋亡指数分别为(16.27±1.16)%、(7.48±0.91)%、(7.19±0.76)%、(23.86±1.23)%、(6.94±0.85)%和(25.31±1.42)%,模型组的上述指标与空白组比较;栀子苷低、高剂量实验组及阳性对照组的上述指标与模型组比较,栀子苷低剂量实验组的上述指标与栀子苷高剂量试验组比较,栀子苷高剂量+ML385组与栀子苷高剂量实验组比较,在统计学上差异均有统计学意义(均P<0.05)。

结论

栀子苷可减轻PCOS大鼠胰岛素抵抗及氧化应激损伤,可能是通过激活Nrf2/HO-1信号通路实现的。

栀子苷  /  核因子红细胞系2相关因子2/血红素加氧酶-1  /  多囊卵巢综合征  /  胰岛素抵抗  /  氧化应激
Objective

To explore the effects of geniposide on insulin resistance and oxidative stress damage in polycystic ovary syndrome (PCOS) rats by regulating the nuclear factor E2-related factor 2 (Nrf2)/heme oxygenase-1(HO-1) signaling pathway.

Methods

A PCOS model was induced by gavage of letrozole for 21d and rats were randomly assigned into blank group (not modeled +normal saline), model group (modeled +normal saline), low-dose geniposide group (modeled+400 mg·kg-1 geniposide by gavage), high-dose geniposide group (modeled+800 mg·kg-1 geniposide by gavage), positive control group (modeled+0.34 mg·kg-1 ethinylestradiol and cyproterone by gavage) and high-dose geniposide+ML385 group (modeled+800 mg·kg-1 geniposide by gavage+30 mg·kg-1 ML385 by by intraperitoneal injection), with 10 rats in each group. The levels of fasting blood glucose (FBG) and fasting insulin (FINS) were measured by blood glucose meter and enzyme-linked immunosorbent assay (ELISA) and then homeostatic model assessment of insulin resistance (HOMA-IR) was calculated. The levels of serum sex hormones and inflammatory were detected by ELISA and ovarian tissue oxidative stress index levels were detected by test kit, hematoxylin-eosin (HE) staining was used to measure the number of cystic follicles in rat ovarian tissue. TdT-media duTP nict end labeling (TUNEL) method was used to measure apoptosis of rat ovarian granulosa cells. Moreover, Western blot (WB) was used to detect apoptosis and Nrf2/HO-1 signaling pathway related protein expression in ovarian tissues.

Results

The FBG levels in the low-dose geniposide group, high-dose geniposide group, positive control group, high-dose geniposide+ML385 group and control group, as well as the model group were (6.87±0.42), (5.21±0.28), (5.03±0.31), (8.32±0.51), (4.90±0.35) and (8.56±0.54) mmol·L-1, respectively; FINS were (16.13±1.62), (10.46±1.37), (10.21±1.51), (20.67±1.82), (9.82±1.14) and (21.45±2.05) mIU·L-1, respectively; HOMA-IR were 4.93±0.48、2.42±0.53、2.28±0.36、7.64±0.72、2.14±0.31 and 8.16±0.67, respectively; follicle-stimulating hormone (FSH) levels were (5.14±0.56), (7.49±0.62), (7.62±0.71), (2.95±0.54), (7.83±0.76) and (2.71±0.43) IU·L-1, respectively; the superoxide dismutase (SOD) levels were (42.91±3.22), (56.45±4.16), (58.02±3.98), (32.16±2.85), (59.73±4.35) and (30.84±2.74) U·mg prot-1, respectively. The relative protein expression levels of Nrf2 were 0.67±0.08, 1.10±0.12, 1.12±0.13, 0.26±0.07, 1.13±0.14 and 0.24±0.06, respectively; HO-1 were 0.61±0.07, 1.06±0.08, 1.08±0.10, 0.18±0.05, 1.09±0.11 and 0.16±0.04, respectively. The malondialdehyde (MDA) levels were (2.47±0.33), (1.39±0.21), (1.30±0.19), (3.38±0.42), (1.21±0.26) and (3.62±0.47) nmol·mg prot-1, respectively. The number of ovarian antral follicles was 9.60±0.74, 4.30±0.57, 4.10±0.71, 14.20±0.98, 3.90±0.65 and 15.10±1.13, respectively. The ovarian granulosa cell apoptosis index was (16.27±1.16)%, (7.48±0.91)%, (7.19±0.76)%, (23.86±1.23)%, (6.94±0.85)% and (25.31±1.42)%, respectively. Compared blank group with the control group; compared model group with low-dose geniposide group, high-dose geniposide group and positive control group; compared low-dose geniposide group with high-dose geniposide group and compred high-dose geniposide group with high-dose geniposide+ML385 group, the differences of above indexes were all statistically significant (all P<0.05).

Conclusion

Geniposide can alleviate insulin resistance and oxidative stress damage in PCOS rats, possibly by activating the Nrf2/HO-1 signaling pathway.

geniposide  /  nuclear factor E2-related factor 2/ heme oxygenase-1  /  polycystic ovary syndrome  /  insulin resistance  /  oxidative stress
马卿莲, 田琴, 张艳, 杨菁. 栀子苷调节Nrf2/HO-1信号通路对多囊卵巢综合征大鼠胰岛素抵抗及氧化应激损伤的研究. 中国临床药理学杂志, 2025 , 41 (21) : 3075 -3082 . DOI: 10.13699/j.cnki.1001-6821.2025.21.013
Qing-lian MA, Qin TIAN, Yan ZHANG, Jing YANG. Research of geniposide on insulin resistance and oxidative stress damage in polycystic ovary syndrome rats by regulating the Nrf2/HO-1 signaling pathway[J]. Chinese Journal of Clinical Pharmacology, 2025 , 41 (21) : 3075 -3082 . DOI: 10.13699/j.cnki.1001-6821.2025.21.013
  • 湖北省卫生健康委员会科研基金资助项目(WJ2019F017)
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doi: 10.13699/j.cnki.1001-6821.2025.21.013
  • 接收时间:2025-06-27
  • 首发时间:2026-08-05
  • 出版时间:2025-11-17
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  • 收稿日期:2025-06-27
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湖北省卫生健康委员会科研基金资助项目(WJ2019F017)
作者信息
    1.武汉市红十字会医院 妇产科,湖北 武汉 430000
    2.武汉大学 人民医院 检验科,湖北 武汉 430029
    3.武汉大学 人民医院 生殖医学中心,湖北 武汉 430029

通讯作者:

杨菁,主任医师 MP: 13507182023 E-mail:
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
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多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
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