吉林大学学报(医学版) ›› 2022, Vol. 48 ›› Issue (2): 383-390.doi: 10.13481/j.1671-587X.20220215

• 基础研究 • 上一篇    下一篇

通管消癥饮对输卵管炎性不孕症模型大鼠血清炎症因子水平的影响及其机制

李艳青1(),赵方2,高蕊2,吴昕3,牛小斌4   

  1. 1.河南中医药大学第二附属医院妇科,河南 郑州 450003
    2.河南中医药大学研究生处,河南 郑州 450046
    3.河南中医药大学第一附属医院妇科,河南 郑州 450099
    4.河南中医药大学第二附属医院检验科,河南 郑州 450003
  • 收稿日期:2021-07-30 出版日期:2022-03-28 发布日期:2022-05-10
  • 通讯作者: 李艳青 E-mail:ynqhn658@163.com
  • 作者简介:李艳青(1974-),女,河南省南阳市人,副主任医师,医学硕士,主要从事中医妇科方面的研究。
  • 基金资助:
    河南省中医管理局中医药科学研究专项课题(2017ZY2106)

Effect of Tongguan Xiaozheng Decoction on levels of serum inflammatory factors in rats with tubal inflammatory infertility and its mechanism

Yanqing LI1(),Fang ZHAO2,Rui GAO2,Xin WU3,Xiaobin NIU4   

  1. 1.Department of Gynecology,Second Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450003,China
    2.Graduate Office,Henan University of Chinese Medicine,Zhengzhou 450046,China
    3.Department of Gynecology,First Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450099,China
    4.Department of Clinical Laboratory,Second Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450003,China
  • Received:2021-07-30 Online:2022-03-28 Published:2022-05-10
  • Contact: Yanqing LI E-mail:ynqhn658@163.com

摘要: 目的

观察通管消癥饮(TGXZ)对输卵管炎性不孕症大鼠的影响,探讨其可能的分子机制。

方法

选取6~8周龄SD雌性大鼠92只,采用混合菌阴道接种法构建输卵管炎性不孕症大鼠模型。将造模成功的60只大鼠随机分为模型组、西药组(甲硝唑片和盐酸左氧氟沙星胶囊)、低剂量TGXZ组(5.33 g·kg-1)、中剂量TGXZ组(10.67 g·kg-1)和高剂量TGXZ组(21.33 g·kg-1),每组12只,另取12只正常大鼠作为正常对照组。所有实验动物每日灌胃2次,早晚各1次,共1剂,共灌胃30 d。观察并记录大鼠精神状态、活动量、饮水量和爪色等情况,采用ELISΑ法测定各组大鼠血清中白细胞介素1β(IL-1β)、白细胞介素6(IL-6)、白细胞介素10(IL-10)和肿瘤坏死因子α(TNF-α)水平,苏木精-伊红(HE)染色法观察各组大鼠输卵管组织病理形态表现,蛋白免疫印迹(Western blotting)法检测各组大鼠输卵管组织中Toll样受体4(TLR4)/核因子κB(NF-κB)信号通路相关蛋白表达水平;观察各组大鼠受孕率。

结果

正常对照组大鼠精神状态良好,活动量和饮水量正常,爪色粉白;模型组大鼠精神状态萎靡,活动量和饮水量降低,爪色暗红;中剂量TGXZ组、高剂量TGXZ组和西药组大鼠的一般情况得到明显改善,大鼠精神状态恢复,活动量和饮水量增加,爪色颜色变浅。与正常对照组比较,模型组大鼠血清炎症因子IL-1β、IL-6、IL-10和TNF-α水平明显升高(P<0.05),输卵管组织炎性细胞浸润评分明显升高(P<0.05),输卵管组织中TLR4、磷酸化NF-κB抑制剂α(p-IκBα)和NF-κB p65蛋白表达水平明显升高(P<0.05),IκBα蛋白表达水平明显降低(P<0.05),大鼠受孕率明显降低(P<0.05);与模型组比较,中和高剂量TGXZ组及西药组大鼠血清中IL-1β、IL-6、IL-10和TNF-α水平明显降低(P<0.05),输卵管组织炎性细胞浸润评分明显降低(P<0.05),输卵管组织中TLR4、p-IκBα和NF-κB p65表达水平均明显降低(P<0.05),IκBα表达水平明显升高(P<0.05),大鼠受孕率明显提高(P<0.05),而低剂量TGXZ组大鼠的以上指标差异无统计学意义(P>0.05);与低剂量TGXZ组比较,中和高剂量TGXZ组大鼠血清中IL-1β、IL-6、IL-10和TNF-α水平,输卵管组织炎性细胞浸润评分,输卵管组织中TLR4、p-IκBα和NF-κB p65蛋白表达水平均明显降低(P<0.05),IκBα蛋白表达水平和大鼠受孕率明显升高(P<0.05)。

结论

TGXZ能有效降低输卵管炎性不孕症大鼠血清炎症因子水平,其机制可能与抑制TLR4/NF-κB信号通路活性有关。

关键词: 通管消癥饮, 输卵管炎性不孕, 炎症因子, Toll样受体4, 核因子-κB

Abstract: Objective

To investigate the effect of Tongguan Xiaozheng Decoction (TGXZ) in the rats with tubal inflammatory infertility, and to explore its possible molecular mechanism.

Methods

A total of 92 SD female rats aged 6-8 weeks were selected, and the rat models of tubal inflammatory infertility were constructed by vaginal inoculation with mixed bacteria. The 60 model rats were randomly divided into model group, western medicine (metronidazole tablets and levofloxacin hydrochloride capsules) group and low (5.33 g·kg-1), medium (10.67 g·kg-1), and high (21.33 g·kg-1) doses of TGXZ groups, with 12 rats in each group, and another 12 normal rats were taken as normal control group. All rats were intragastrically administered twice a day, once in the morning and evening, for a total of 1 dose, for 30 d. The mental state, activity levels, water consumptions, paw color, etc. of the rats in various groups were observed and recorded; ELISA method was used to measure the levels of serum interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α) of the rats in various groups; Hematoxylin eosin (HE) staining was used to observe the pathomorphology of fallopian tube tissue of the rats in various groups; Western blotting method was used to detect the expression levels of Toll-like receptor 4/nuclear factor-kB (TLR4/NF-κB) signaling pathway related proteins in the fallopian tube tissue of the rats in various groups; the conception rates of rats in various groups were calculated.

Results

The rats in normal control group had good mental state, normal activity and drinking water, and white claw color. The mental state of the rats in model group was depressed, the amount of activity and drinking water were decreased, and the claw color was dark red. The general situation of rats in medium dose of TGXZ group, high dose of TGXZ group and Western medicine group was significantly improved, the mental state of rats recovered, the amounts of activity and drinking water were increased, and the color of claw became lighter. Compared with normal control group, the serum IL-1β, IL-6, IL-10, and TNF-α levels of the rats in model group were significantly increased (P<0.05), and the inflammatory cell infiltration score of fallopian tube tissue was significantly increased (P<0.05), the expression levels of TLR4, p-IκBα and NF-κB p65 proteins in fallopian tube tissue were significantly increased (P<0.05), the IκBα protein expression level was significantly reduced (P<0.05), and the conception rate of rats was significantly reduced (P<0.05). Compared with model group, the levels of serum IL-1β, IL-6, IL-10, and TNF-α in medium and high doses of TGXZ groups were significantly reduced (P<0.05), and the inflammatory cell infiltration scores of fallopian tube tissue were significantly reduced (P<0.05), the expression levels of TLR4, p-IκBα and NF-κB p65 in fallopian tube tissue were significantly decreased (P<0.05), the IκBα protein expression level was significantly increased (P<0.05), and the conception rate was significantly increased (P<0.05); but there were no significant differences in the above indicators in low dose of TGXZ group (P>0.05). Compared with low dose of TGXZ group, the serum IL-1β, IL-6, IL-10, and TNF-α levels of the rats in medium and high dose of TGXZ groups, the inflammatory cell infiltration scores of fallopian tube tissue, the expression levels of TLR4, p-IκBα and NF-κB p65 proteins in fallopian tube tissue were decreased significantly (P<0.05),and the conception rates and the IκBα expression levels were increased significantly (P<0.05).

Conclusion

TGXZ can effectively reduce the levels of serum inflammatory factors in the rats with tubal inflammatory infertility, and its mechanism may be related to the inhibition of the activity of TLR4/NF-κB signaling pathway.

Key words: Tongguan Xiaozheng Decoction, Tubal inflammatory infertility, Inflammatory factor, Toll like receptor 4, Nuclear factor-kappa B

中图分类号: 

  • R966