[1]王杰,李琰,石威,等.基于肠道菌群的骨碎补抗绝经后骨质疏松症的机制研究[J].中国中医骨伤科杂志,2022,30(12):7-14.
 WANG Jie,LI Yan,SHI Wei,et al.Mechanism Study on Rhizoma Drynariae against Postmenopausal Osteoporosis Based on Intestinal Flora[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):7-14.
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基于肠道菌群的骨碎补抗绝经后骨质疏松症的机制研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
7-14
栏目:
实验研究
出版日期:
2022-12-15

文章信息/Info

Title:
Mechanism Study on Rhizoma Drynariae against Postmenopausal Osteoporosis Based on Intestinal Flora
文章编号:
1005-0205(2022)12-0007-08
作者:
王杰1李琰2石威1金鑫2李磊2侯燕2陈小鹏2王志洲1余昕2姜红江12△
1安徽中医药大学第一临床医学院(合肥,230031) 2山东省文登整骨医院
Author(s):
WANG Jie1LI Yan2SHI Wei1JIN Xin2LI Lei2HOU Yan2CHEN Xiaopeng2WANG Zhizhou1YU Xin2JIANG Hongjiang12△
1The First Clinical School of Medicine, Anhui University of Chinese Medicine,Hefei 230031,China; 2Shandong Wendeng Osteopathic Hospital, Weihai 264400, Shandong China.
关键词:
绝经后骨质疏松症 肠道菌群 骨碎补 信号通路 作用机制
Keywords:
postmenopausal osteoporosis intestinal flora rhizoma drynariae signaling pathway mechanism
分类号:
R-33
文献标志码:
A
摘要:
目的:探讨骨碎补防治绝经后骨质疏松症(PMOP)的作用机制及其与肠道菌群的关系。方法:将18只SPF级雌性SD大鼠随机分为模型组(VOX组)、假手术组(SHAM组)和骨碎补组(OVXDF组)。以手术方式构建绝经后骨质疏松症模型,持续灌胃12周。腹主动脉取血后处死,留取血清标本、双侧股骨、肠道粪便进行骨转化标志物检测及骨微结构分析,骨组织中Wnt/β-catenin相关蛋白的表达水平测定及肠道菌群结构和多样性分析。结果:与OVX组相比,SHAM组Tb.N、Tb.Th、Tb.Sp、NTX-I、Wnt3a、β-catenin、RUNX2、Faith-pd指数、香农指数差异有统计学意义(P<0.01),PINP、Faith-pd指数、Chao1指数差异有统计学意义(P<0.05)。与OVX组相比,OVXDF组Tb.N、Tb.Th、Tb.Sp、PINP、NTX-I、Wnt3a、β-catenin、RUNX2、香农指数差异有统计学意义(P<0.01),Chao1指数差异有统计学意义(P<0.05),Faith-pd指数差异无统计学意义(P>0.05)。结论:骨碎补可能是通过增加肠道菌群的丰度及多样性,调节肠道菌群结构并介导Wnt/β-catenin信号通路,来减少绝经后骨质疏松症模型大鼠的骨量丢失。
Abstract:
Objective:To explore the mechanism of rhizoma drynariae on the prevention and treatment of postmenopausal osteoporosis(PMOP)and its relationship with intestinal flora.Methods:18 SPF female SD rats were randomly divided into model group(OVX group), sham operation group(SHAM group)and rhizoma drynariae group(OVXDF group).The PMOP model was constructed surgically and continued to be given by gavage for 12 weeks.Blood sample was got from abdominal aorta before SD rats were sacrificed.Serum samples, bilateral femurs and intestinal feces were collected for bone transformation marker detection, bone microstructure analysis, the expression levels of Wnt/β-catenin-related proteins in bone tissue, and gut microbiota structure and diversity were analysed.Results:Compared with the OVX group, the SHAM group had significant differences in Tb.N, Tb.Th, Tb.Sp, NTX-I, Wnt3a, β-catenin, RUNX2 and Shannon index(P<0.01), and PINP, Chao1 index and Faith-pd index was statistically different(P<0.05).Compared with the OVX group, the Tb.N, Tb.Th, Tb.Sp, PINP, NTX-I, Wnt3a, β-catenin, RUNX2 and Shannon index of the OVXDF group were significantly different(P<0.01), Chao1 index was statistically different(P<0.05), Faith-pd index was not statistically different(P>0.05).Conclusion:Rhizoma drynaria may reduce bone loss in PMOP model rats by increasing the abundance and diversity of intestinal flora, regulating the structure of intestinal flora and mediating Wnt/β-catenin signaling pathway.

参考文献/References:

[1] 陈天鹏,丰杰,何才剑,等.沙棘治疗绝经后骨质疏松症研究进展[J].中国中医骨伤科杂志,2022,30(3):85-88.
[2] 国家药典委员会.中华人民共和国药典.一部[M].北京:中国医药科技出版社,2020.
[3] 唐亨方,姚啸生,戚晓楠.补肾健脾类中药改善肠道菌群治疗骨质疏松症的机制分析[J].实用中医内科杂志,2021,35(3):1-4.
[4] 肖延成,徐波,张力,等.碘乙酸钠诱导的大鼠膝骨关节炎模型肠道菌群变化及其潜在影响[J].中国中医骨伤科杂志,2020,28(4):1-5.
[5] 黄继汉,黄晓晖,陈志扬,等.药理试验中动物间和动物与人体间的等效剂量换算[J].中国临床药理学与治疗学,2004(9):1069-1072.
[6] FANG S,XIONG X,SU Y,et al.16S rRNA gene-based association study identified microbial taxa associated with porkintramuscular fat content in feces and cecum lumen[J].BMC Microbiol,2017,17(1):162-171.
[7] CALLAHAN B J,MCMURDIE P J,ROSEN M J,et al.DADA2:high-resolution sample inference from Illumina amplicon data[J].Nature Methods,2016,13(7):581-583.
[8] BALVOCIUTE M,HUSON D H.SILVA,RDP,Greengenes,NCBI and OTT-how do these taxonomies compare?[J].BMC Genomics,2017,18(2):114.
[9] CAPORASO J G,KUCZYNSKI J,BITTINGER K,et al.QIIME allows analysis of high-throughput community sequencing data[J].Nature Methods,2010,7(3):335-336.
[10] LIN X,XIONG D,PENG Y Q,et al.Epidemiology and management of osteoporosis in the People's Republic of China:current perspectives[J].Clin Interv Aging,2015,10:1017-1033.
[11] 严坚强,吴俊哲,苏培基,等.二仙汤治疗肝肾不足型绝经后骨质疏松症的临床研究[J].中国中医骨伤科杂志,2020,28(10):17-19.
[12] ZHOU Q,ZHU L,ZHANG D,et al.Oxidative stress-related biomarkers in postmenopausal osteoporosis:a systematic review and meta-analyses[J].Dis Markers,2016,2016:7067984.
[13] BONACCORSI G,PIVA I,GRECO P,et al.Oxidative stress as a possible pathogenic cofactor of post-menopausal osteoporosis:existing evidence in support of the axis oestrogen deficiency-redox imbalance-bone loss[J].Indian J Med Res,2018,147(4):341-351.
[14] 雷欣东,于慧,龙琼,等.绝经后骨质疏松症发病机制研究进展[J].中国骨质疏松杂志,2021,27(11):1681-1684.
[15] 易生辉,招文华,任辉,等.中西医治疗绝经后骨质疏松症的研究进展[J].中国实验方剂学杂志,2022,28(5):274-282.
[16] 杨同岗,王晓英,郝延科,等.骨碎补抗骨质疏松作用机理的研究进展[J].陕西中医,2017,38(5):135.
[17] 李晋玉,赵学千,孙旗,等.骨碎补总黄酮的实验及临床研究概况[J].中国骨质疏松杂志,2018,24(10):1357-1364.
[18] CANI P D.Human gut microbiome:hopes,threats and promises[J].Gut,2018,67(9):1716-1725.
[19] 梁仙志,廖旻晶,王宏波,等.肠道微生物群与部分人类疾病的研究进展[J].基因组学与应用生物学,2020,39,(12):5874-5880.
[20] 陈晨,王邦茂,冯淑芝,等.肠道菌群对骨代谢影响的研究进展[J].中国骨质疏松杂志,2018,24(12):1640-1643.
[21] CRISTINA P,BERDINE R M,GEORGE P M,et al.Dietary calcium requirements do not differ between Mexican-American boys and girls[J].The Journal of Nutrition,2014,144(8):1167-1173.
[22] D'Amelio P,Sassi F.Gut Microbiota,Immune System,and Bone[J].Calcif Tissue Int,2018,102(4):415-425.
[23] GOULET O.Potential role of the intestinal microbiota in programming health and disease[J].Nutr Rev,2015,73(1):32-40.
[24] 袁志发,张通,蔡金池,等.肠道菌群、IGF-1与骨代谢联系机制的研究进展[J].中国骨质疏松杂志,2021,27(4):599-604.
[25] 贾小玥,郑黎薇,袁泉,等.肠道菌群:绝经后骨质疏松防治新靶点[J].中国骨质疏松杂志,2017,23(3):392-401.
[26] NAGANO Y,ITOH K,HONDA K.The induction of Treg cells by gutindigenous clostridium[J].Current Opinion in Immunology,2012,24(4):392-397.
[27] FUHRMAN B J,FEIGELSON H S,FLORES R,et al.Associations of the fecal microbiome with urinary estrogens and estrogen metabolitesin postmenopausal women[J].The Journal of Clinical Endocrinology and Metabolism,2014,99(12):4632-4640.
[28] 陈晨,王邦茂,冯淑芝,等.肠道菌群对骨代谢影响的研究进展[J].中国骨质疏松杂志,2018,24(12):1640-1643.
[29] LUCAS S,OMATA Y,HOFMANN J,et al.Short-chain fatty acids regulate systemic bone mass and protect from pathological bone loss[J].Nature Communication,2018,9(1):55.
[30] 杨士彩,潘东,王爱国,等.骨折的生物医学工程评价方法研究进展[J].山西中医药大学学报,2020,21(3):230-233.
[31] WEI X,ZHANG Y L,XIANG X H,et al.Exploring the relationship of bone turnover markers and bone mineral density in community-dwelling postmenopausal women[J].Dis Markers,2021:6690095.
[32] 韩学明,孙忠良,徐建华,等.老年人血清炎症因子与骨密度变化及骨吸收相关性研究[J].中国骨质疏松杂志,2020,26(2):221-226.
[33] CAULEY J A,DANIELSON M E,GREENDALE G A,et al.Bone resorption and fracture aross the menopausal:the study of women's health across the nation[J].Menopause,2012,19(11):1200-1207.
[34] CHEN J Q,LONG F X.β-catenin promotes bone formation and suppresses bone resorption in postnatal growing mice[J].J Bone Miner Res,2013,28(5):1160-1169.
[35] 李琰,李志航,陈云刚,等.骨碎补水煎液经 Wnt/β-catenin 通路对去卵巢骨质疏松大鼠骨髓间充质干细胞成脂分化的影响[J].中华中医药学刊,2019,37(2):279-284.
[36] 史岩,马秋野,喻一东,等.骨碎补总黄酮促进骨质疏松性骨折愈合中参与 Wnt/β-catenin信号通路的初步研究[J].中医药学报,2018,46(2):49-52.

备注/Memo

备注/Memo:
基金项目:山东省中医药科技项目(Q-2022030) 山东省中医药科技发展计划项目(2019-0798) 通信作者 E-mail:boneman@163.com
更新日期/Last Update: 2022-12-10