目的观察清肠化湿方对实验性大鼠结肠炎结肠组织肿瘤坏死因子-α(TNF—α),紧密连接跨膜蛋白claudin-1表达水平的影响,以探讨其治疗溃疡性结肠炎(UC)的可能机制。方法使用TNBS/无水乙醇造模成功后,分为空白组、模型组、清肠化湿方组12.8g/(kg·d)、美沙拉嗪组(0.67g/(kg·d)。一次性遍给药,连续10d后,处死大鼠,留取结肠组织;ELISA法检测结肠组织TNF—α水平,免疫组化法观察结肠上皮claudin-1蛋白的表达情况,实时荧光定量PCR法检测claudin-1 mRNA相对表达水平。结果清肠化湿方可以降低大鼠结肠炎模型结肠组织TNF—α水平[模型组,清肠化湿组分别为(99.40±32.37),(55.07±12.80)pg/mL],(P〈0.01),提高claudin-1mRNA相对表达水平[模型组,清肠化湿组分别为(2.18±0.78),(3.94±0.91)](P〈0.01),减轻对claudin-1蛋白的损伤(P〈0.05),清肠化湿方组与美沙拉嗪组疗效无明显差异。结论清肠化湿方降低结肠组织TNF—α水平,保护紧密连接蛋白claudin-1,是其治疗UC的机制之一。
OBJECTIVE To observe possible mechanism of the Qingehang Huashi Fang's therapeutic effect on Ulcerative Colitis(UC), through ohserving the expression level of tumor necrosis faetor-α(TNF-α) and claudin-1 of mucosal tissue in the experimental colitis rats. METHODS Rats successfully modeled with TNBS/anhydrous alcohol were divided into blank, model, Qichang Huashi Fang(12.8 g crude drug/kg/d) and Mesalazine group(0.67 g/kg/d). Single administration for 10 days successively, all groups of rats were executed to collect colon tissues cut out for related inspections. Using ELISA method to measure the TNF-α concentration of the colon tissues. The expression of claudin-1 protein in colonic epithelium was checked up with immunohistochemical method and relative expression of claudin-1 mRNA with real-time PCR method: RESULTS The TNF-α (pg/mL) concentration of model group and Qichang Huashi Fang group are respectively 99.40±32.37 and 55.07±12.80(P〈 0.01) ; And claudin-1 gene relative expression levels are respectively 2.18± 0.78 and 3.94 ±0.91 (P〈0.01) ; Qichang Huashi decoction can decrease TNF-αconcentration and increase claudin-1 mRNA relative expression significantly(P〈0.01), thus reducing claudin-1 protein damage(P〈0.05). The curative effect between Qichang Huashi Fang and Mesalazine group has no significant difference. CONCLUSION Qichang Huashi Fang can decrease TNF-α concentration and protect tight junction protein claudin-1. That is the one of the mechanisms of Qichang Huashi Fang to treat UC.