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基于粪便代谢组学的麻黄细辛附子汤毒性作用机制研究
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          王耀东 ,李 灿 ,杨 勇 ,孙启慧 ,容 蓉 (1.山东中医药大学药学院,济南 250355;2.山东中医药大学实
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          验中心,济南 250355)
          中图分类号  R965      文献标志码  A      文章编号  1001-0408(2023)02-0144-06
          DOI  10.6039/j.issn.1001-0408.2023.02.04

          摘   要  目的  研究麻黄细辛附子汤(MXF)对正常小鼠的毒性作用机制。方法  将48只SPF级BABL/C小鼠随机分为空白组和
          MXF低、中、高剂量组,每组12只。MXF低、中、高剂量组小鼠分别按照11.262、33.786、45.050 g/kg的剂量灌胃给药,空白组小鼠
          灌胃等体积生理盐水,每日1次,连续灌胃7 d,记录体质量、肛温、生存率,并检测脏器指数、血清生化因子等指标。末次给药后收
          集小鼠粪便样品,采用超高效液相-质谱联用(UHPLC-QE/MS)技术检测。结果  与空白组相比,MXF中剂量组小鼠在给药第3~5
          天、MXF高剂量组小鼠给药第2~7天体质量显著低于空白组(P<0.05);各给药组小鼠肛温差异无统计学意义;MXF中、高剂量
          组小鼠的生存率分别为58.33%、50.00%。与空白组相比,MXF低、中、高剂量组小鼠的脾、肺、胸腺、肾上腺指数和肌酸激酶,MXF
          低、高剂量组小鼠的睾丸指数,MXF低剂量组小鼠的肌酸激酶同工酶与肌酸激酶比值,MXF中剂量组α-羟丁酸脱氢酶、乳酸脱氢
          酶、碱性磷酸酶,MXF 中、高剂量组小鼠的尿素和胱抑素 C 的差异均有统计学意义(P<0.05)。经粪便代谢组学分析发现,MXF
          低、中、高剂量组中苯丙酮酸、L-酪氨酸、磷脂酰胆碱、3-磷酸甘油等 19 个生物标志物与空白组的差异均有统计学意义。结论
          MXF达到一定剂量会对小鼠体质量、多脏器和血清生化指标产生不良影响,从而表现出一定的毒性作用,其作用机制可能与扰乱
          机体的肠道菌群代谢、引起炎症反应和造成免疫失调有关。
          关键词  麻黄细辛附子汤;毒性作用;粪便代谢组学

          Study on the toxic mechanism of Mahuang xixin fuzi decoction based on fecal metabolomics
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          WANG Yaodong ,LI Can ,YANG Yong ,SUN Qihui ,RONG Rong (1.  School  of  Pharmacy,  Shandong
          University of Traditional Chinese Medicine, Jinan 250355, China; 2. Experimental Center, Shandong University
          of Traditional Chinese Medicine, Jinan 250355, China)
          ABSTRACT    OBJECTIVE To study the toxic mechanism of Mahuang xixin fuzi decoction (MXF) on normal mice. METHODS
          Totally 48 SPF grade BABL/C mice were randomly divided into blank group, MXF low-dose, medium-dose and high-dose groups,
          with  12  mice  in  each  group.  MXF  low-dose,  medium-dose  and  high-dose  groups  were  given  drug  intragastrically  at  the  dose  of
          11.262,  33.786,  45.050  g/kg,  respectively.  Blank  group  was  administered  with  equal  volume  of  normal  saline,  once  a  day,  for
          consecutive  7  d.  The  body  weight,  anal  temperature  and  survival  rate  were  recorded,  organ  index  and  serum  biochemical  factors
          were  detected.  After  the  last  administration,  fecal  samples  of  mice  were  collected  and  detected  by  UHPLC-QE/MS.  RESULTS
          Compared with blank group, the body weight was decreased significantly from the 3rd to the 5th day after administration in MXF
          medium-dose  group,  and  from  the  2nd  to  the  7th  day  after  administration  in  MXF  high-dose  group  significantly (P<0.05). There
          was no significant difference in anal temperature among the treatment groups; the average survival rates of MXF medium-dose and
          high-dose  groups  were  58.33%  and  50.00%,  respectively.  Compared  with  blank  group,  there  were  significant  difference  in  the
          indexes  of  spleen,  lung,  thymus,  adrenal  gland  and  creatine  kinase  in  MXF  low-dose,  medium-dose  and  high-dose  groups,  the
          testis  index  in  MXF  low-dose  and  high-dose  groups,  the  creatine  kinase  isoenzyme/creatine  kinase  ratio  in  MXF  low-dose  group,
          the  α-hydroxybutyrate  dehydrogenase,  lactate  dehydrogenase  and  alkaline  phosphatase  in  MXF  medium-dose  group,  the  urine  and
          cystatin C in MXF medium-dose and high-dose groups (P<0.05). The fecal metabonomic analysis showed that 19 biomarkers such
          as  phenylpyruvate,  L-tyrosine,  phosphatidylcholine,  glycerol  3-phosphate  in  MXF  low-dose,  medium-dose  and  high-dose  groups
          were  significantly  different  from  those  in  the  blank  group.  CONCLUSIONS  When  MXF  reaches  a  certain  dose,  it  will  have
                                                              adverse effects on the body weight, multiple organs and serum
              Δ 基金项目 国家自然科学基金资助项目(No.81873220);山东省
                                                              biochemical  indicators  of  mice,  thus  showing  a  certain  toxic
          重点研发计划(重大科技创新工程)项目(No.2020CXGC010505);济南
                                                              effect. Its mechanism may be related to disrupting the intestinal
          市“新高校20条”资助项目(No.2021GXRC028)
                                                              flora  metabolism,  causing  inflammatory  reaction  and  immune
             *第一作者 硕士研究生。研究方向:中药及复方活性成分与质量
          控制。E-mail:1813948286@qq.com                         disorders.
              # 通信作者 教授,博士生导师,博士。研究方向:中药及复方活性                 KEYWORDS    Mahuang  xixin  fuzi  decoction;  toxic  effects;
          成分与质量控制。E-mail:rosierong@163.com                    fecal metabolomics


          · 144 ·    China Pharmacy  2023 Vol. 34  No. 2                               中国药房  2023年第34卷第2期
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