基于TLR4/MyD88/NF- κB 通路与肠道菌群探究仲叶止泻合剂对脾虚泄泻小鼠的作用机制

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[关键词]腹泻;仲叶止泻合剂;脾虚泄泻;绿原酸;TLR4/MyD88/NF- κB 通路;肠道菌群 [中图分类号]R285.5 [文献标志码]A [文章编号]doi:10.3969/j.issn.1674-070X.2025.11.004

Exploring the mechanism of action of Zhongye Zhixie Mixture on mice with spleen-deficiency diarrhea based on the TLR4/MyD88/NF- σκκκκ pathway and gut microbiota

ZHU Yuanyuan', PAN Long², HAN Man3*, SONG Yanpingl* 1.Shanxi UniversityofhineseMedicine,Xianyanghaanxi72O46,China;2.haanxi YibaiyuaniomedicalTechnologyCo Ltd.,Xi'an,haanxi7oo6lChina;3.haanxiAcademyofTraditionalChineseMedicine,Xi'an7oo3China

[Abstract] Objective To investigate the efects and mechanism of Zhongye Zhixie Mixture (ZYZXM)on mice with spleendeficiencydiarhabasdontheToll-likereceptor4/myeloiddiffrentiationprimaryresponseprotein8/uclearfactorkappaB (TLR4/MyD88/NF-KB)pathwayand gutmicrobiotaMethodsGavage administrationofrhubarbdecoction wasperformedtoestablish a spleen-eficiencydiarhea model SixtymaleKMmice wererandomlydividedintosix groups,includingablank group,a model group,a positive druggroup,andhigh-,medium-,andlow-dosegroupsof ZYZXM,with10miceineach group.Aftersuccessful modelestablishment,eachdrugadministration groupreceivedcoresponding medicationvia gavagefor7days.Thebodyweight, diarrheaconditionandsplenindexofthemicewerecomparedbeforeandaftertreatmentHematoxylin-eosin(HE)stainingwas usedtoobserve the morphologicalchanges inthecolontissuesof miceincach group.16SrDNA high-throughputsequencing was employed tocheckalterations inthegutmicrobiotastructureofmiceineachgroup.Enzyme-linkedimmunosorbentassy(ELISA) was utilized to measure the levels of interleukin-6 (IL-6) and tumor necrosis factor- α (TNF- ∇⋅αα ) in the serum of mice in each group. Westernblotanalysiswasperformed toexaminetheproteinexpressonlevelsofTLR4andMyD88 inthecolontissesof micein eachgroup.Immunofluorescence wasusedtocheckthenuclear translocationof nuclearfactor-kappaB(NF-kB)p-p65proteinin thecolontisues of mice ineach group.Results Compared withtheblank group,themice inthemodel groupexhibiteddecreases in body weight and spleen index ( P κκκ1 号 p-p65 in colon tissues ( Pe 0.05). In comparison with the model group,the mice in the positive drug group and diffrent-dose groups of ZYZXM showed increases in body weight and spleen index ( P-

[Keywords]diarhea;Zhongye Zhixie mixture; spleen-deficiencydiarrhea;chlorogenicacid; TLR4/MyD88/NF-kB;gut microbiota

腹泻是消化系统多发病症,中医学将其归为“泄泻"范畴,其主要临床表现包括粪便稀薄或水样便及排便频次增多,轻症常伴呕吐,重症可致脱水甚至昏迷休克,严重影响身体健康,已被列入国家卫生健康委员会重点防治的疾病之一。(剩余15894字)

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