Page 39 - 《中国药房》2023年8期

肝宝胶囊对非酒精性脂肪性肝病模型大鼠肠黏膜屏障和肠道菌

群的影响
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范 兴 ，何 艳 ，杨成梓 ，林雅婷 ，黄德福 （1.福建医科大学孟超肝胆医院药学部，福州 350025；2.浙大
城市学院医学院，杭州 310015；3.福建中医药大学药学院，福州 350122）
中图分类号 R965 文献标志码 A 文章编号 1001-0408（2023）08-0929-06
DOI 10.6039/j.issn.1001-0408.2023.08.07

摘 要 目的 研究肝宝胶囊对非酒精性脂肪性肝病（NAFLD）模型大鼠肠黏膜屏障和肠道菌群的影响，探讨其防治NAFLD的机
制。方法 将26只SD大鼠随机选择8只作为空白组，给予普通饲料喂养，剩余18只喂食高脂饲料建立NAFLD模型（2只用于成模
检查），造模成功后，按随机数字表法分为模型组和肝宝组，每组8只。肝宝组大鼠灌胃肝宝胶囊溶液（1 440 mg/kg），空白组与模
型组大鼠灌胃等体积蒸馏水，每日1次，连续5周。采用全自动生化分析仪检测大鼠血清中丙氨酸转氨酶（ALT）、天冬氨酸转氨酶
（AST）和甘油三酯（TG）含量；酶联免疫吸附测定法检测大鼠血清中脂多糖、肿瘤坏死因子α（TNF-α）、白细胞介素6（IL-6）、IL-1β
含量；苏木精-伊红染色法观察大鼠肝脏和回肠组织病理形态；免疫组化法测定回肠组织中闭合蛋白（Occludin）和闭锁小带蛋白-1
（ZO-1）的表达；16S核糖体RNA基因测序技术测定大鼠肠道菌群。结果 与模型组比较，肝宝组大鼠血清中ALT、AST、TG、脂多
糖、TNF-α、IL-6与IL-1β含量均显著降低（P＜0.01），肝脏和回肠组织病变程度均明显改善，回肠组织中Occludin和ZO-1蛋白表达
水平均显著升高（P＜0.01）。肠道菌群分析显示，与模型组比较，肝宝胶囊能提高大鼠肠道菌群的丰富度和多样性；在门水平上，
肝宝胶囊能显著升高拟杆菌门相对丰度，降低厚壁菌门相对丰度以及二者相对丰度比值（P＜0.01）；在属水平上，肝宝胶囊能显著
升高乳杆菌属、布劳特氏菌属、拟杆菌属和阿克曼菌属的相对丰度，显著降低普雷沃氏菌属、苏黎世杆菌属、魏斯氏菌属、SMB53和
脱硫弧菌属的相对丰度（P＜0.05或P＜0.01）。各组大鼠肠道菌群间均有差异物种。结论 肝宝胶囊可能通过保护肠黏膜屏障功
能和调节肠道益生菌/有害菌结构来改善NAFLD。
关键词 肝宝胶囊；非酒精性脂肪性肝病；肠黏膜屏障；肠道菌群；16S核糖体RNA

Effects of Ganbao capsules on intestinal mucosal barrier and gut microbiota in rats with non-alcoholic
fatty liver disease
FAN Xing ，HE Yan ，YANG Chengzi ，LIN Yating ，HUANG Defu （1. Dept. of Pharmacy， Mengchao
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Hepatobiliary Hospital of Fujian Medical University， Fuzhou 350025， China；2. School of Medicine， Zhejiang
University City College， Hangzhou 310025， China；3. Pharmacy College， Fujian University of Traditional
Chinese Medicine， Fuzhou 350122， China）
ABSTRACT OBJECTIVE To study the effects of Ganbao capsules on intestinal mucosal barrier and gut microbiota in rats with
non-alcoholic fatty liver disease （NAFLD）， and to explore its mechanism of prevention and treatment of NAFLD. METHODS
Eight of 26 SD rats were randomly selected as blank group and fed with ordinary diet， and the remaining 18 rats were fed with
high diet to establish NAFLD model （2 for modeling inspection）； after successful modeling， they were divided into model group
and Ganbao group， with 8 rats in each group. Ganbao group were given Ganbao capsules solution （1 440 mg/kg） intragastrically，
and the blank group and model group were given the constant volume of distilled water intragastrically， once a day， for consecutive
5 weeks. The contents of alanine aminotransferase （ALT）， aspartate aminotransferase （AST） and triglyceride （TG） in serum of rats
were detected by automatic analyzer； the contents of lipopolysaccharide， tumor necrosis factor-α （TNF-α）， interleukin-6 （IL-6）
and IL-1β in serum of rats were detected by enzyme-linked immunosorbent assay. The pathological morphology of liver and ileum
tissues were observed by HE staining， the expressions of Occludin and zonula occludens-1 （ZO-1） were detected by
immunohistochemistry method， and the intestinal flora were detected by 16S ribosomal RNA gene sequencing technology.
RESULTS Compared with the model group， the serum contents of ALT， AST， TG， lipopolysaccharide， TNF-α， IL-6 and IL-1β
in Ganbao group were decreased significantly （P＜0.01）， the
Δ 基金项目 福建省自然科学基金资助项目（No.2021J011296）；福 pathological changes of liver and ileum tissues were improved
建省中医重点专科建设项目中药制剂室（No. 闽卫中医函〔2019〕262
significantly， and the expressions of Occludin and ZO-1 were
号）；福州市科技计划项目（No.2020-WS-85）
increased significantly （P＜0.01）. Intestinal microbiota
＊第一作者 主管中药师，硕士。研究方向：中药制剂研发。
E-mail：FXTCM2007@126.com analysis revealed that compared with the model group， Ganbao
# 通信作者 副主任药师。研究方向：医院药学管理、中药药理。 capsules could recover the abundance and diversity of the gut
E-mail：hdf8833@126.com microbiota in rats. At the phylum level， Ganbao capsules could

中国药房 2023年第34卷第8期 China Pharmacy 2023 Vol. 34 No. 8 · 929 ·