Article(id=1322928402579194731, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926985957221241, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2025.11.010, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793340309996, onlineDateStr=2026-10-30, pubDate=1762704000000, pubDateStr=2025-11-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793340309996, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793340309996, creator=13701087609, updateTime=1793340309996, updator=13701087609, issue=Issue{id=1322926985957221241, tenantId=1146029695717560320, journalId=1255847919539208197, year='2025', volume='43', issue='11', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1762704000000', pubDateStr='2025-11-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793339972247, creator='13701087609', updateTime=1793340743335, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322930220201804556, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926985957221241, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322930220201804557, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926985957221241, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=43, endPage=46, ext={EN=ArticleExt(id=1322928402801492844, articleId=1322928402579194731, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Mechanism of Linggui Zhugan Decoction(苓桂术甘汤)Interfering with miR-125a/ERRα/CPT1C Pathway to Affect Fatty Acid Breakdown and Slow Down NAFLD in Mice, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the effect of Linggui Zhugan Decoction(苓桂术甘汤)on lipid metabolism in mice with non-alcoholic fatty liver disease(NAFLD),and to provide a new therapeutic strategy and experimental basis for clinical treatment of NAFLD.

Methods

C57BL/6Jmice were used as blank control group. ApoE-/-mice were divided into model group and Linggui Zhugan Decoction low,middle and high dose groups. The blood lipid levels of mice were detected by automatic biochemical analyzer. HE staining and oil red O staining were used to determine the degree of liver steatosis in NAFLD mice. Free fatty acids(FFA)and triglyceride(TG)kits were used to detect the changes of liver FFA and TG levels in each group. RT-qPCR was used to detect the expressions of miR-125a-5p,estrogen receptor-related receptorsα(ERRα),carnitine palmitoyltransferase1C(CPT1C)and ACCmRNA. Western Blot was used to detect the protein expressions of ERRα,CPT1Cand ACC.

Results

After treatment with Linggui Zhugan Decoction,the serum levels of total cholesterol(TC),TG and low density lipoprotein cholesterol(LDL-C)were down-regulated(P<0.05). The levels of FFA and TGin liver of each group were down-regulated(P<0.05). The expression of miR-125a-5p mRNA was increased(P<0.01),and the expression of ERRα,CPT1Cand ACCmRNA were decreased(P<0.01). The protein expressions of ERRα,CPT1C and ACC were decreased(P<0.05).

Conclusion

-Linggui Zhugan Decoction may prevent and treat NAFLD by interfering with miR-125a/ERRa/CPT1C pathway to affect fatty acid decomposition.

, authors=Yuan ZHANG1, Zhuo YANG1, Yuan CAO2, Qun WANG2, authorsList=Yuan ZHANG, Zhuo YANG, Yuan CAO, Qun WANG, authorCompany=null, correspAuthors=Zhuo YANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322928404525351803, articleId=1322928402579194731, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=苓桂术甘汤干预miR-125a/ERRα/CPT1C途径影响脂肪酸分解减缓小鼠非酒精性脂肪肝的机制研究, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的

探讨苓桂术甘汤对非酒精性脂肪肝(non-alcoholic fatty liver disease,NAFLD)小鼠脂质代谢的影响,为临床治疗NAFLD提供新的治疗策略和实验依据。

方法

C57BL/6J小鼠作为空白对照组,将ApoE-/-小鼠分为模型组、苓桂术甘汤低中高剂量组。利用全自动生化分析仪检测小鼠的血脂水平;苏木精-伊红(hematoxylin and eosin staining,HE)染色与油红O染色判断NAFLD小鼠肝脏脂肪变性程度;游离脂肪酸(free fatty acids,FFA)、甘油三酯(triglyceride,TG)试剂盒检测各组小鼠肝脏FFA、TG水平变化;RT-qPCR方法检测miR-125a、雌激素受体相关受体(estrogen receptor-related receptorsα,ERRα)、肉毒棕榈酰基转移酶1C(carnitine palmitoyltransferase1C,CPT1C)、乙酰辅酶a羧化酶(acetyl-coa carboxylase,ACC)mRNA的表达情况;蛋白质印迹法(western blot,WB)方法检测ERRα、CPT1C、ACC蛋白表达情况。

结果

经苓桂术甘汤治疗后,下调了小鼠血清的总胆固醇(total cholesterol,TC)、TG及低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)水平(P<0.05);下调了各组小鼠肝脏FFA、TG水平(P<0.05);miR-125a mRNA表达升高(P<0.01),ERRα、CPT1C、ACC mRNA表达降低(P<0.01);ERRα、CPT1C、ACC蛋白表达降低(P<0.05)。

结论

苓桂术甘汤可能通过干预miR-125a/ERRa/CPT1C途径影响脂肪酸分解进而防治NAFLD发展。

, authors=张援1, 杨卓1, 曹媛2, 王群2, authorsList=张援, 杨卓, 曹媛, 王群, authorCompany=null, correspAuthors=杨卓, authorNote=

张援(1984-),女,辽宁海城人,副主任医师,硕士,研究方向:中西医结合治疗消化系统疾病。

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杨卓(1976-),男,辽宁沈阳人,主任医师,博士,研究方向:中西医结合治疗消化系统疾病。E-mail:。
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张援(1984-),女,辽宁海城人,副主任医师,硕士,研究方向:中西医结合治疗消化系统疾病。

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unstructuredReference=吕丹,金迪,隋国媛,等. 基于AMPK调控ACC/CPT1信号通路介导脂肪酸代谢探究化瘀祛痰方含药血清对HepG2细胞脂质沉积的影响[J]. 中华中医药学刊,2024,42(3):194-197,286., articleTitle=基于AMPK调控ACC/CPT1信号通路介导脂肪酸代谢探究化瘀祛痰方含药血清对HepG2细胞脂质沉积的影响, refAbstract=null)], funds=[Fund(id=1322928409503990698, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, awardId=2017YFC112303, language=CN, fundingSource=国家重点研发计划项目(2017YFC112303), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1322928404735067004, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, xref=1., ext=[AuthorCompanyExt(id=1322928404743455613, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, companyId=1322928404735067004, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.General Hospital of Northern Theater Command,Shenyang 110000,Liaoning,China), 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figureFileSmall=wK58RBNd5rHPWu2xiOfjxg==, figureFileBig=9iJT/MdK4RV+xda2xDw89w==, tableContent=null), ArticleFig(id=1322928408837096355, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=CN, label=图4, caption=各组小鼠肝脏ERRα、CPT1C和ACC蛋白表达水平, figureFileSmall=wK58RBNd5rHPWu2xiOfjxg==, figureFileBig=9iJT/MdK4RV+xda2xDw89w==, tableContent=null), ArticleFig(id=1322928408941953956, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
引物名称引物序列(5’→3’)
miR-125aFCCACAGTTCCCTGAGACCCT
RTATGGTTGTTCTGCTCACTGTCTC
CPT1CFAACTACGTCAGCGACTGGTG
RCTCTGCACTGTCATGGGTCG
ERRαFGACGGCAGAAGTACAAACGG
RATGGCGTACAGCTTCTCAGG
ACCFTTCACTGTGGCTTCTCCAGC
RGACCACCGACGGATAGATCG
GAPDHFCAAGGCTGAGAATGGGAAGC
RGAAGACGCCAGTAGACTCCA
), ArticleFig(id=1322928409025840037, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=CN, label=表1, caption=

miR-125a、CPT1C、ERRα、ACC、GAPDH引物序列

, figureFileSmall=null, figureFileBig=null, tableContent=
引物名称引物序列(5’→3’)
miR-125aFCCACAGTTCCCTGAGACCCT
RTATGGTTGTTCTGCTCACTGTCTC
CPT1CFAACTACGTCAGCGACTGGTG
RCTCTGCACTGTCATGGGTCG
ERRαFGACGGCAGAAGTACAAACGG
RATGGCGTACAGCTTCTCAGG
ACCFTTCACTGTGGCTTCTCCAGC
RGACCACCGACGGATAGATCG
GAPDHFCAAGGCTGAGAATGGGAAGC
RGAAGACGCCAGTAGACTCCA
), ArticleFig(id=1322928409109726118, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
组别nTGTCHDL-CLDL-C
空白对照组31.46±0.111.91±0.520.99±0.360.22±0.36
模型组33.47±0.17**35.18±0.46**1.11±0.037.78±0.18**
苓桂术甘汤低剂量组33.05±0.21∧∧31.27±1.15∧∧0.89±0.137.41±0.12
苓桂术甘汤中剂量组32.82±0.06∧28.63±1.41∧∧0.88±0.056.84±0.24∧∧
苓桂术甘汤高剂量组32.45±0.19∧∧24.67±0.93∧∧0.98±0.066.63±0.10∧∧
), ArticleFig(id=1322928409206195111, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=CN, label=表2, caption=

各组小鼠血清TG、TC、LDL-C、HDL-C水平比较(±s)

, figureFileSmall=null, figureFileBig=null, tableContent=
组别nTGTCHDL-CLDL-C
空白对照组31.46±0.111.91±0.520.99±0.360.22±0.36
模型组33.47±0.17**35.18±0.46**1.11±0.037.78±0.18**
苓桂术甘汤低剂量组33.05±0.21∧∧31.27±1.15∧∧0.89±0.137.41±0.12
苓桂术甘汤中剂量组32.82±0.06∧28.63±1.41∧∧0.88±0.056.84±0.24∧∧
苓桂术甘汤高剂量组32.45±0.19∧∧24.67±0.93∧∧0.98±0.066.63±0.10∧∧
), ArticleFig(id=1322928409285886888, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
组别nFFATG
空白对照组30.180±0.0071.74±0.09
模型组30.657±0.020**3.11±0.04**
苓桂术甘汤低剂量组30.570±0.016∧2.94±0.18∧
苓桂术甘汤中剂量组30.468±0.019∧∧2.68±0.17∧∧
苓桂术甘糖高剂量组30.365±0.017∧∧2.49±0.04∧∧
), ArticleFig(id=1322928409361384361, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928402579194731, language=CN, label=表3, caption=

各组小鼠肝脏FFA、TG水平比较(±s)

, figureFileSmall=null, figureFileBig=null, tableContent=
组别nFFATG
空白对照组30.180±0.0071.74±0.09
模型组30.657±0.020**3.11±0.04**
苓桂术甘汤低剂量组30.570±0.016∧2.94±0.18∧
苓桂术甘汤中剂量组30.468±0.019∧∧2.68±0.17∧∧
苓桂术甘糖高剂量组30.365±0.017∧∧2.49±0.04∧∧
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苓桂术甘汤干预miR-125a/ERRα/CPT1C途径影响脂肪酸分解减缓小鼠非酒精性脂肪肝的机制研究
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张援 1 , 杨卓 1 , 曹媛 2 , 王群 2
中华中医药学刊 | 国家项目点击 2025,43(11): 43-46
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中华中医药学刊 |国家项目点击 2025 , 43 (11) : 43 -46
苓桂术甘汤干预miR-125a/ERRα/CPT1C途径影响脂肪酸分解减缓小鼠非酒精性脂肪肝的机制研究
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张援(1984-),女,辽宁海城人,副主任医师,硕士,研究方向:中西医结合治疗消化系统疾病。

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张援1, 杨卓1 , 曹媛2, 王群2
作者信息
  • 1.中国人民解放军北部战区总医院,辽宁 沈阳 110000
  • 2.辽宁中医药大学,辽宁 沈阳 110847
通讯作者:
杨卓(1976-),男,辽宁沈阳人,主任医师,博士,研究方向:中西医结合治疗消化系统疾病。E-mail:。
作者简介:

张援(1984-),女,辽宁海城人,副主任医师,硕士,研究方向:中西医结合治疗消化系统疾病。

Mechanism of Linggui Zhugan Decoction(苓桂术甘汤)Interfering with miR-125a/ERRα/CPT1C Pathway to Affect Fatty Acid Breakdown and Slow Down NAFLD in Mice
Yuan ZHANG1, Zhuo YANG1 , Yuan CAO2, Qun WANG2
Affiliations
  • 1.General Hospital of Northern Theater Command,Shenyang 110000,Liaoning,China
  • 2.Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China
出版时间: 2025-11-10 doi: 10.13193/j.issn.1673-7717.2025.11.010
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目的

探讨苓桂术甘汤对非酒精性脂肪肝(non-alcoholic fatty liver disease,NAFLD)小鼠脂质代谢的影响,为临床治疗NAFLD提供新的治疗策略和实验依据。

方法

C57BL/6J小鼠作为空白对照组,将ApoE-/-小鼠分为模型组、苓桂术甘汤低中高剂量组。利用全自动生化分析仪检测小鼠的血脂水平;苏木精-伊红(hematoxylin and eosin staining,HE)染色与油红O染色判断NAFLD小鼠肝脏脂肪变性程度;游离脂肪酸(free fatty acids,FFA)、甘油三酯(triglyceride,TG)试剂盒检测各组小鼠肝脏FFA、TG水平变化;RT-qPCR方法检测miR-125a、雌激素受体相关受体(estrogen receptor-related receptorsα,ERRα)、肉毒棕榈酰基转移酶1C(carnitine palmitoyltransferase1C,CPT1C)、乙酰辅酶a羧化酶(acetyl-coa carboxylase,ACC)mRNA的表达情况;蛋白质印迹法(western blot,WB)方法检测ERRα、CPT1C、ACC蛋白表达情况。

结果

经苓桂术甘汤治疗后,下调了小鼠血清的总胆固醇(total cholesterol,TC)、TG及低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)水平(P<0.05);下调了各组小鼠肝脏FFA、TG水平(P<0.05);miR-125a mRNA表达升高(P<0.01),ERRα、CPT1C、ACC mRNA表达降低(P<0.01);ERRα、CPT1C、ACC蛋白表达降低(P<0.05)。

结论

苓桂术甘汤可能通过干预miR-125a/ERRa/CPT1C途径影响脂肪酸分解进而防治NAFLD发展。

非酒精性脂肪肝  /  苓桂术甘汤  /  脂肪酸分解
Objective

To investigate the effect of Linggui Zhugan Decoction(苓桂术甘汤)on lipid metabolism in mice with non-alcoholic fatty liver disease(NAFLD),and to provide a new therapeutic strategy and experimental basis for clinical treatment of NAFLD.

Methods

C57BL/6Jmice were used as blank control group. ApoE-/-mice were divided into model group and Linggui Zhugan Decoction low,middle and high dose groups. The blood lipid levels of mice were detected by automatic biochemical analyzer. HE staining and oil red O staining were used to determine the degree of liver steatosis in NAFLD mice. Free fatty acids(FFA)and triglyceride(TG)kits were used to detect the changes of liver FFA and TG levels in each group. RT-qPCR was used to detect the expressions of miR-125a-5p,estrogen receptor-related receptorsα(ERRα),carnitine palmitoyltransferase1C(CPT1C)and ACCmRNA. Western Blot was used to detect the protein expressions of ERRα,CPT1Cand ACC.

Results

After treatment with Linggui Zhugan Decoction,the serum levels of total cholesterol(TC),TG and low density lipoprotein cholesterol(LDL-C)were down-regulated(P<0.05). The levels of FFA and TGin liver of each group were down-regulated(P<0.05). The expression of miR-125a-5p mRNA was increased(P<0.01),and the expression of ERRα,CPT1Cand ACCmRNA were decreased(P<0.01). The protein expressions of ERRα,CPT1C and ACC were decreased(P<0.05).

Conclusion

-Linggui Zhugan Decoction may prevent and treat NAFLD by interfering with miR-125a/ERRa/CPT1C pathway to affect fatty acid decomposition.

non-alcoholic fatty liver  /  Linggui Zhugan Decoction(苓桂术甘汤)  /  fatty acid decomposition
张援, 杨卓, 曹媛, 王群. 苓桂术甘汤干预miR-125a/ERRα/CPT1C途径影响脂肪酸分解减缓小鼠非酒精性脂肪肝的机制研究. 中华中医药学刊, 2025 , 43 (11) : 43 -46 . DOI: 10.13193/j.issn.1673-7717.2025.11.010
Yuan ZHANG, Zhuo YANG, Yuan CAO, Qun WANG. Mechanism of Linggui Zhugan Decoction(苓桂术甘汤)Interfering with miR-125a/ERRα/CPT1C Pathway to Affect Fatty Acid Breakdown and Slow Down NAFLD in Mice[J]. Chinese Archives of Traditional Chinese Medicine, 2025 , 43 (11) : 43 -46 . DOI: 10.13193/j.issn.1673-7717.2025.11.010
非酒精性脂肪肝(non-alcoholic fatty liver disease,NAFLD)是一种慢性肝病,常伴随高血压、肥胖、高脂血症、糖尿病发生,主要为高脂肪和/或高果糖摄入等因素导致过多的脂肪储存所致,其全球发病率可达25.2%,并呈逐年递增趋势,该疾病的种类涵盖了肝脂肪变性、非酒精性脂肪性肝炎、肝硬化和肝癌,这些疾病在临床上的预防和治疗具有深远的意义[1-2]。中医药强调“未病先防,既变防变”,对NAFLD及其疾病谱的防治已成为研究热点。在中医理论中,NAFLD并没有明确的病名,但根据其医学特性,它被归类为胁痛、积聚和肝癖等疾病,属于本虚标实的范畴,脾虚夹杂痰、湿、浊、瘀、热等病理产物。苓桂术甘汤最早出现在《金匮要略》一书中,是由茯苓、桂枝、白术和甘草这四种草药组合而成的,其主要作用是温暖阳气、强健脾脏以促进化饮,以及淡渗和利湿以平衡冲逆,临床研究证实苓桂术甘汤改善血脂异常防治NAFLD疗效确定[3-4],但其防治NAFLD分子机制尚需深入研究。
MicroRNA(miRNA)是一种具有极短长度的非编码调控单链小分子RNA,它通过与其目标mRNA分子的3'端非编码区域(3'-untranslatedregion,3'UTR)进行互补匹配,从而导致该mRNA分子的翻译能力受到限制[5-6]。MiR-125家族成员(包括miR-125a和miR-125b)从线虫到人类的物种均高度保守,在细胞分化、增殖及凋亡中发挥重要作用[7-8]。雌激素受体相关受体(estrogen receptor-related receptorsα,ERRα)在身体的多种组织中都有广泛的表达,它们可以通过转录来调节与能量代谢有关的基因,从而影响身体的能量代谢活动,例如脂肪酸的氧化和葡萄糖的代谢[9]。研究证实miR-125a通过靶向成脂促进因子ERRα发挥负调控作用,影响脂肪细胞分化[10],ERRα调控肉毒棕榈酰基转移酶1C(carnitine palmitoyltransferase1C,CPT1C)影响脂质分解代谢[11]。由此,本文旨在以miR-125a/ERRα/CPT1C途径影响脂肪酸分解为切入点,探讨苓桂术甘汤干预小鼠非酒精性脂肪肝的分子机制,为中西医结合防治NAFLD提供研究策略及实验依据。
实验小鼠购自辽宁沈阳格润斯特(长生生物科技股份有限公司子公司):6~8周,雄性,体质量(20±5)g,C57BL/6J小鼠8只,ApoE-/-小鼠32只,实验动物许可证号:SCXK(辽)2020-0001,饲养于辽宁中医药大学实验动物中心。小鼠予以高脂饲料饲喂以此构建NAFLD小鼠模型。造模成功后,NAFLD模型小鼠随机分为模型组、苓桂术甘汤低、中、高剂量组。在苓桂术甘汤中,中剂量组是基于人与小鼠体表面积比转换的等效给药剂量;而苓桂术甘汤的低剂量组为等效剂量的1/2;苓桂术甘汤的高剂量组为等效剂量的2倍。苓桂术甘汤各剂量组小鼠每日灌胃相应剂量苓桂术甘汤1次,持续灌胃30 d;空白对照组和模型组小鼠灌胃等量生理盐水。本研究已取得辽宁中医药大学实验动物伦理委员会的批准。
苓桂术甘汤是由茯苓、桂枝、白术和甘草几种药材组合而成的。根据《伤寒论》的原始配方,茯苓、桂枝、白术和甘草的比例是4∶3∶2∶2。茯苓40 g,桂枝30 g,白术20 g,甘草20 g。饮片在辽宁中医药大学附属医院购买,使用纯水进行回流提取,每2 h进行3次提取,然后将提取液冷冻干燥,制成粉末以备后用。在溶解过程中,使用超纯水来溶解粉末,然后使用浓度为200 mg/mL的0.22μm的滤膜进行过滤,过滤完成后以-20℃的温度保存以备后用。
ERRα、CPT1C、乙酰辅酶a羧化酶(Acetyl-coa carboxylase,ACC)、GAPDH抗体(武汉三鹰,14017-1-AP、66072-1-Ig、21923-1-AP、60004-1-Ig);HiFi-Script gDNA Removal cDNA Synthesis Kit、UltraSYBR Mixture(Low ROX)、BCA Protein Assay Kit(康为世纪生物科技有限公司,CW2582M、CW0957M、CW0014S);全自动生化分析仪(东芝);组织破碎机(IKA);普通光学显微镜(Leica);冷冻高速离心机、酶标仪、Nanodrop 2000紫外分光光度计(Thermo);梯度PCR仪、实时荧光定量PCR仪(Applied Biosystems)、电泳槽和转膜槽(BioRad)。
取材时,在对小鼠进行麻醉之后,从其腹主动脉提取血液,经过静置和离心处理后,取出-80℃的血清进行保存以备后用。实验过程中采集不同时间点动物血液样品进行分析研究。根据仪器和试剂的使用说明,使用全自动生化分析仪来测定小鼠血清中的甘油三酯(triglyceride,TG)、总胆固醇(total cholesterol,TC)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)含量。
HE染色:通过逐级梯度酒精脱水和二甲苯透明后的浸蜡、石蜡包埋,再进行切片和脱蜡处理,然后用苏木精-伊红染液进行染色,脱水后进行中性树脂封片,最后使用光学显微镜来观察小鼠肝脏的病理形态学变化。油红O染色:首先将石蜡包裹好的组织进行冰冻切片,然后用油红O染色10 min,接着用蒸馏水冲洗苏木素,再复染5 min,最后用1%的盐酸酒精进行分色和水洗,最后封片并用显微镜观察小鼠肝脏的脂质沉积情况。
使用Animal Total RNA Isolation试剂盒来提取大鼠肝脏的总RNA,并采用HiFi-Script gDNA Removal cDNA Synthesis Kit方法去除RNA的基因组DNA,然后逆转录为cDNA。接着,使用UltraSYBR Mixture(Low ROX)试剂盒来检测待测基因和内参基因的CT值,并根据公式相对含量=2-ΔΔCT,计算目的基因mRNA相对表达量。见表1。
称取0.1 g小鼠肝脏,加入预冷的装有2 mL蛋白裂解液的EP管中,冰上剪碎并应用组织破碎机研磨充分,静置后离心取上清,BCA法测样品蛋白浓度,随后在100℃条件下热处理5 min引发蛋白质变性。每个电泳槽加入60μg混合液,使用SDS-PAGE技术进行分离。随后,用110 V电压进行湿式电转70 min,将分离的蛋白质转至PVDF膜上。完成染色及脱色后,用5%脱脂奶粉封闭1 h。根据marker的定位,将目标蛋白剪切,并放在含有一抗的环境中,在4℃的摇床上进行过夜。然后,用TBST洗涤3次,每次约10 min,接着加入二抗,孵化1 h。再次使用TBST进行3次清洗,每次大约10 min,之后准备ECL发光液进行曝光及保存。最终,运用灰度值分析法,以GAPDH为内部参照物,对蛋白质条带进行了相对定量分析。
采用Prism 6统计软件进行分析,计量资料以均值±标准差()表示,多组间比较采用单因素方差分析,当P<0.05表示差异有统计学意义。
与空白对照组相比,模型组NAFLD小鼠血清HDL-C水平变化差异无统计学意义(P>0.05),TG、TC、LDL-C水平显著升高(P<0.01)。与模型组相比,不同剂量苓桂术甘汤干预后,HDL-C水平变化差异无统计学意义(P>0.05),不同剂量苓桂术甘汤组血清TG、TC、LDL-C水平有所降低,尤其以高剂量为最佳(P<0.05)。见表2。
空白对照组小鼠肝细胞排列整齐,细胞核居中,肝窦结构规则,模型组小鼠肝细胞质结构疏松,肝细胞排列紊乱,细胞肿大,细胞核分布不居中,且脂肪空泡和脂质沉积明显;给予苓桂术甘汤干预后,上述病理变化及脂质沉积情况有所改善,表现为肝细胞肿胀减轻,脂肪空泡及脂质沉积减少,肝细胞排列紊乱明显改善,尤以中剂量与高剂量苓桂术甘汤组为显著。见插页Ⅵ图1、插页Ⅵ图2。
与空白对照组相比,模型组小鼠肝脏FFA、TG水平显著升高(P<0.05);与模型组相比,不同剂量苓桂术甘汤干预后,结果显示不同剂量苓桂术甘汤组FFA、TG水平有所降低,尤其以高剂量为最佳(P<0.05或P<0.01)。见表3。
与空白对照组比较,模型组小鼠肝脏miR-125a水平显著下降,ERRα、CPT1C与ACC mRNA表达水平显著升高(P<0.01),不同剂量苓桂术甘汤干预后,中剂量于高剂量苓桂术甘汤小鼠肝脏miR-125a水平不同程度有所上调,ERRα、CPT1C与ACC mRNA表达水平不同程度有所下调(P<0.01),尤其以高剂量为最佳,低剂量苓桂术甘汤对以上指标影响均不显著(P>0.05)。见插页Ⅶ图3。
与空白对照组比较,模型组小鼠肝脏ERRa、CPT1C与ACC蛋白表达水平显著升高(P<0.01),不同剂量苓桂术甘汤干预后,小鼠肝脏ERRα、CPT1C与ACC蛋白表达水平不同程度有所下调(P<0.05或P<0.01),尤其以高剂量为最佳。见插页Ⅶ图4。
随着经济的发展,生活方式的改变,肥胖和糖尿病等代谢性疾病越来越多,这对全球公共卫生产生了巨大影响。NAFLD是以脂质代谢紊乱为直接原因的慢性肝病之一,具有高发病率及高病死率。目前研究发现,NAFLD的发生和胰岛素抵抗、甘油三酯等蓄积、氧化应激、炎性反应等密切相关[12-14],中医药防治NAFLD越来越成为临床重点。苓桂术甘汤以茯苓为君,健脾渗湿,祛痰化饮;以桂枝为臣,温阳化气;佐以白术健脾燥湿,助脾化运;使以甘草益气和中[4],本文选取苓桂术甘汤低中高3种剂量观察不同剂量对NAFLD的治疗效果。miRNA在众多疾病研究中都可以被视为预后的指标或可能的治疗目标[15]。在脂质代谢过程中,miRNA也扮演了关键角色。脂类物质通过不同途径影响着机体内细胞和组织功能,而这些改变又会反过来导致相应靶器官或系统发生病理生理变化。在一项针对NAFLD与单纯肥胖参照者的血清外泌体miRNA表达差异的研究中,观察到miRNA表达差异的功能性分析,其主要涉及脂质代谢和肝脏发育等方面,miRNA被视为NAFLD早期检测的关键指标之一[16]。MiRNA-125家族miR-125a和miR-125b,在线虫到人类的物种中高度保守,而miR-125a位于人体的19号染色体上,经过转录及切割等步骤形成miR-125a-5p[17]。最新研究表明,miR-125a有能力通过针对高密度脂蛋白受体B类清道夫受体1(scavenger receptor class B type I,SR-B1)参与胆固醇的吸收和类固醇的形成。此外,在肥胖的受试者脂肪组织中miR-125a的表达也呈现下降趋势[18]。本研究结果也表明,模型组小鼠肝脏miR-125a水平显著下降。ERRα作为一种孤儿核受体,其缺失可延缓NAFLD发展[19-20]。也有研究明确肝脏ERRα缺失可引起VLDL分泌紊乱,导致NAFLD/NASH 发生[21]。研究证实miR-125a通过靶向成脂促进因子ERRα发挥负调控作用,CPTs参与了脂肪酸氧化分解(fatty acid oxidation,FAO)的第一步,即酰基辅酶a酯和肉碱的可逆酯交换,在线粒体膜[22]中形成酰基肉碱酯。AMPK-ACC-CPTC1信号通路被认为是FAO的关键调控因子,CPT1C的表达可以通过AMPK激活以p53依赖的方式来诱导[23-24]。乙酰辅酶a羧化酶(Acetylcoa carboxylase,ACC)是脂肪酸合成的关键酶,它的主要功能是促进乙酰辅酶A的羧化,从而产生丙二酰辅酶A[25],ACC羧化生成的丙二酰辅酶A能够有效抑制CPT1C,相应地影响FAO,而FAO 的增强有利于降低TG 水平,从而改善NAFLD[26]。
综上所述,苓桂术甘汤可改善NAFLD小鼠血脂异常与肝脏脂质沉积,下调miR-125a表达,上调ERRα、CPT1C与ACC表达,减缓NAFLD进展,提示苓桂术甘汤防治NAFLD可能与miR-125a/ERRα/CPT1C途径相关,为中西医防治NAFLD提供更多的研究策略和实验依据。
  • 国家重点研发计划项目(2017YFC112303)
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2025年第43卷第11期
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doi: 10.13193/j.issn.1673-7717.2025.11.010
  • 首发时间:2026-10-30
  • 出版时间:2025-11-10
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国家重点研发计划项目(2017YFC112303)
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    1.中国人民解放军北部战区总医院,辽宁 沈阳 110000
    2.辽宁中医药大学,辽宁 沈阳 110847

通讯作者:

杨卓(1976-),男,辽宁沈阳人,主任医师,博士,研究方向:中西医结合治疗消化系统疾病。E-mail:。
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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
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
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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