Efficacy of Qifu Lizhong enema prescription on intestinal mucosal tight junction function modulation of ulcerative colitis rat model.

Cheng Jing, Lü Shangbin, Zhang Yi, H U Shuangyuan, Wei Pengfei, Zhou Wenhua, Shi Junfeng
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Abstract

Objective: To investigate the efficacy and mechanism of Qifu Lizhong enema prescription(, QFLZ) on intervening ulcerative colitis (UC) rat model with TCM spleen and kidney insufficiency syndrome.

Methods: Seventy-two male Sprague-Dawley rats were randomly assigned to six groups: normal model, mesalazine, and QFLZ high, medium, and low dose groups, each with 12 rats. After 3 d of adaptation feeding, all groups except the normal group were induced using rhubarb decoction in combination with trinitrobenzene sulfonic acid (TNBS)/55 % ethanol to establish a UC rat model. Following successful modeling, the normal and model groups received daily saline enema, while the Chinese medicine and Western medicine groups received daily QFLZ and Mesalazine enema for 2 weeks respectively. The disease activity index score, hematoxylin and eosin staining, immunohistochemistry, and Western blotting were used to determine the expression of claudin 1, claudin 2, zonula occludens-1 protein (ZO-1), and F-actin proteins in each rat colon tissue following treatment.

Results: QFLZ significantly alleviated the structural disorganization in the form of epithelial glands in the intestinal mucosa of rats with UC and retarded the progression of the disease. The intestinal mucosal epithelial cells of UC rats showed decreased expression of claudin 1, ZO-1, F-actin ( 0.05), claudin 2 appeared elevated ( 0.05), which resulted in impaired TJ. Treatment with QFLZ resulted in elevated expression of claudin 1 ( 0.05), ZO-1 ( 0.05) and F-actin ( 0.05) and decreased expression of claudin 2 ( 0.05), which allowed for repair of the intestinal mucosal TJ, which in turn served as a treatment for UC.

Conclusions: The mechanism of repairing TJ function and repairing the intestinal mucosal barrier by QFLZ may be associated with up-regulation of claudin 1, ZO-1, and F-actin levels, and down-regulation of claudin 2 expression level.

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芪附理中灌肠方对溃疡性结肠炎模型大鼠肠黏膜紧密连接功能调节的影响。
目的:探讨芪腑理中灌肠方对溃疡性结肠炎(UC)大鼠脾肾虚证干预模型的疗效及机制。方法:雄性Sprague-Dawley大鼠72只,随机分为正常模型组、美沙嗪组、QFLZ高、中、低剂量组,每组12只。适应饲喂3 d后,除正常组外,其余各组均采用大黄煎液联合三硝基苯磺酸(TNBS)/ 55%乙醇诱导建立UC大鼠模型。造模成功后,正常组和模型组大鼠给予每日生理盐水灌肠,中药组和西药组大鼠分别给予每日QFLZ和美沙拉嗪灌肠,持续2周。采用疾病活度指数评分、苏木精和伊红染色、免疫组织化学和Western blotting检测各组大鼠结肠组织中claudin 1、claudin 2、occludens-1蛋白(ZO-1)和F-actin蛋白的表达。结果:QFLZ能明显缓解UC大鼠肠黏膜上皮腺体结构紊乱,延缓疾病进展。UC大鼠肠黏膜上皮细胞claudin 1、ZO-1、F-actin表达降低(0.05),claudin 2表达升高(0.05),导致TJ功能受损。QFLZ治疗导致claudin 1(0.05)、ZO-1(0.05)和F-actin(0.05)的表达升高,claudin 2(0.05)的表达降低,从而修复肠黏膜TJ,从而治疗UC。结论:QFLZ修复TJ功能、修复肠黏膜屏障的机制可能与上调claudin 1、ZO-1、F-actin水平,下调claudin 2表达水平有关。
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