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补阳还五汤对心衰大鼠肠道菌群及TMAO的影响 被引量:16
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作者 李洁白 袁慧婵 +1 位作者 赵静 沈晓旭 《世界中西医结合杂志》 2020年第10期1814-1818,共5页
目的观察心衰(Heart failure)大鼠肠道内菌群组成及含量的改变及血清中氧化三甲胺(TMAO)的变化,研究补阳还五汤对其的干预作用。方法 40只雄性清洁级SD大鼠,运用随机数字表法分为假手术组大鼠与造模组大鼠,造模组大鼠采用向腹腔一次性... 目的观察心衰(Heart failure)大鼠肠道内菌群组成及含量的改变及血清中氧化三甲胺(TMAO)的变化,研究补阳还五汤对其的干预作用。方法 40只雄性清洁级SD大鼠,运用随机数字表法分为假手术组大鼠与造模组大鼠,造模组大鼠采用向腹腔一次性注射野百合碱(MCT)的方法造成大鼠心衰,3周后将造模组大鼠随机分为模型组、西药组与中药组3组。其中中药组大鼠用7.37 g/(kg·d)补阳还五汤灌胃、西药组大鼠用0.008 9g/(kg·d)酒石酸美托洛尔悬浊液灌胃,假手术组和模型组用相应等体积的去离子水灌胃,每日1次。药物干预4周后,运用酶联免疫吸附测法(El ISA)观察每组大鼠血清TMAO的含量,运用聚合酶链式反应法(PCR)观察每组大鼠肠道菌群的变化。结果模型组大鼠血清TMAO含量较假手术组显著升高(P<0.01);而中药组与西药组大鼠血清TMAO含量与模型组相比明显降低(P<0.01)。与假手术组相比,模型组大鼠肠道中双歧杆菌及乳酸菌基因表达下降(P<0.01,P<0.05);中药组与西药组大鼠肠道中双歧杆菌基因表达含量较模型组大鼠明显升高(P<0.01),西药组乳酸菌基因表达含量较模型组升高(P<0.05)。模型组大鼠肠道中大肠埃希菌、肠球菌与梭状杆菌基因表达较假手术组大鼠明显升高(P<0.01);而中药组与西药组大鼠肠道大肠埃希菌基因表达含量与模型组相比明显降低(P<0.01),梭状杆菌基因表达含量有所下降(P<0.05);中药组肠球菌基因表达较模型组显著降低(P<0.01),西药组肠球菌基因表达含量较模型组也有所下降(P<0.05)。结论补阳还五汤可降低心衰大鼠血清TMAO含量,改善肠道菌群的变化,具有从多方面干预心衰,延缓病程进展的作用。 展开更多
关键词 心衰 补阳还五汤 肠道菌群 TMAO 益气活血法
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Effects of Buyang Huanwu Decoction on Intestinal Barrier, Intestinal Flora, and Trimethylamine Oxide in Rats with Heart Failure 被引量:3
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作者 WENG Jie-qiong li jie-bai +7 位作者 YUAN Meng-fei YAO Ting-ting ZHANG Jing-fang ZENG Yuan-yuan ZHAO Jing li Ying XU Ke SHEN Xiao-xu 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2023年第2期155-161,共7页
Objective: To explore the mechanisms of Buyang Huanwu Decoction(BYHWD) modulating the gut microbiome and trimethylamine oxide(TAMO) to exert cardioprotective effects. Methods: Ligation of the left anterior descending ... Objective: To explore the mechanisms of Buyang Huanwu Decoction(BYHWD) modulating the gut microbiome and trimethylamine oxide(TAMO) to exert cardioprotective effects. Methods: Ligation of the left anterior descending coronary artery was performed in rats to induce heart failure(HF). Except for the shamoperation group(n=10), 36 operation-induced models were randomized into 3 groups using a random number table(n=12 in each group): the model group, the BYHWD group(15.02 g/kg BYHWD), and the positive group(4.99 g/kg metoprolol succinate). After 4-week treatment(once daily by gavage), echocardiography was applied to evaluate the cardiac function and the Tei index(the ratio of ventricular isovolumic contraction time(IVCT)and isovolumic diastolic time(IVRT) to ejection time(ET)) was calculated;hematoxylin-eosin(HE) staining was observed to characterize the pathology of the myocardium and small intestinal villi. D-lactic acid was detected by an enzyme-linked immunosorbent assay(ELISA). Expressions of occludin, claudin-1, and zonula occludens(ZO-1) were detected by Western blot. 16S ribosomal ribonucleic acid(16S rRNA) sequencing was used to explore the changes in the intestinal flora. TMAO was detected via liquid chromatography-tandem mass spectrometry(LC-MS/MS). Results: In the echocardiography, the Tei index was considerably lower in the positive and BYHWD groups compared with the model group(P<0.05). Besides, BYHWD improved the pathology of myocardium and small intestine of HF rats and lowered the D-lactic acid content in the serum, when compared with the model group(P<0.05). BYHWD also improved the expression of occludin and claudin-1(P<0.05);in the gut microbiota analysis, BYHWD slowed down modifications in the structure distribution of gut microbiota and regulated the diversity of intestinal flora in HF rats. The content of TMAO in the serum was significantly lowered by BYWHT compared with the model group(P<0.05). Conclusion: BYHWD may delay progression of HF by enhancing the intestinal barrier structure, and regulating intestinal flora and TAMO. 展开更多
关键词 Buyang Huanwu Decoction heart failure intestinal flora trimethylamine oxide
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补阳还五汤对舒张性心衰大鼠心肌线粒体能量代谢及AMPK/PPARα信号通路的影响 被引量:41
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作者 王臻 李洁白 +1 位作者 董昕 沈晓旭 《中国实验方剂学杂志》 CAS CSCD 北大核心 2019年第9期12-17,共6页
目的:探讨补阳还五汤基于腺苷酸激活蛋白激酶(AMPK)/过氧化物酶体增殖物激活受体α(PPARα)信号通路对舒张性心衰(DHF)大鼠心肌线粒体能量代谢的影响及其机制研究。方法:将48只SD大鼠随机分为假手术组与模型组,模型组大鼠运用腹主动脉... 目的:探讨补阳还五汤基于腺苷酸激活蛋白激酶(AMPK)/过氧化物酶体增殖物激活受体α(PPARα)信号通路对舒张性心衰(DHF)大鼠心肌线粒体能量代谢的影响及其机制研究。方法:将48只SD大鼠随机分为假手术组与模型组,模型组大鼠运用腹主动脉缩窄法建立DHF大鼠模型。将造模成功的大鼠随机分为模型组,补阳还五汤组(12.72 g·kg^(-1)·d^(-1)),酒石酸美托洛尔组(0.004 5 g·kg^(-1)·d^(-1)),灌胃给予相应药物,假手术组、模型组给予等量的去离子水,各组均每日灌胃1次。药物连续干预8周后,采用酶联免疫吸附测定(ELISA)检测大鼠外周血中单磷酸腺苷(AMP),二磷酸腺苷(ADP),三磷酸腺苷(ATP)的含量;采用投射电镜检测心肌线粒体超微结构的变化;采用蛋白免疫印迹法(Western blot)检测大鼠心肌组织中AMPK,PPARα,PPARγ辅助激活因子1α(PGC-1α)的蛋白表达量。结果:与假手术组比较,模型组大鼠AMP,ADP含量显著升高,ATP含量显著下降(P<0.05,P<0.01);与模型组比较,补阳还五汤组、酒石酸美托洛尔组大鼠AMP含量明显降低(P<0.01),ADP含量下降(P<0.05),ATP含量升高。与假手术组比较,模型组大鼠线粒体数量减少,形态异常;与模型组比较,补阳还五汤组、酒石酸美托洛尔组大鼠线粒体数量明显增加,形态明显改善。与假手术组比较,各组大鼠AMPK蛋白表达量无统计学差异;与假手术组比较,模型组PPARα,PGC-1α蛋白表达水平明显降低(P<0.05)。与模型组比较,补阳还五汤组、酒石酸美托洛尔组PPARα,PGC-1α蛋白表达水平明显升高(P<0.05)。结论:补阳还五汤可能是通过改善线粒体结构和功能,激活AMPK并上调AMPK/PPARα信号通路的表达,从而改善衰竭心脏的能量代谢,延缓心衰进展。 展开更多
关键词 补阳还五汤 舒张性心衰大鼠 心肌线粒体 能量代谢 腺苷酸激活蛋白激酶(AMPK)/过氧化物酶体增殖物激活受体α(PPARα)信号通路
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