医学分子生物学杂志 ›› 2026, Vol. 23 ›› Issue (2): 127-133.doi: 10.3870/j.issn.1672-8009.2026.02.003

• 论著 • 上一篇    下一篇

七叶皂苷钠改善溃疡性结肠炎大鼠肠黏膜屏障损伤机制研究

张彤1, 司梦圆1, 林莹1, 王丹1, 孙吉瑞2   

  1. 保定市第一中心医院1普外科,2病理科 河北省保定市,071000
  • 收稿日期:2025-07-29 出版日期:2026-03-31 发布日期:2026-04-03
  • 通讯作者: 张彤(E-mail:zt199305190606@163.com)
  • 基金资助:
    河北省2023年度医学科学研究课题计划项目(No.20232032)

Mechanism of Sodium Aescinate in Ameliorating Intestinal Mucosal Barrier Dysfunction in Ulcerative Colitis Rats

ZHANG Tong1, SI Mengyuan1, LIN Ying1, WANG Dan1, SUN Jirui2   

  1. 1Department of General Surgery,2Department of Pathology,Baoding First Central Hospital,Baoding,Hebei,071000,China
  • Received:2025-07-29 Online:2026-03-31 Published:2026-04-03
  • Contact: ZHANG Tong(E-mail:zt199305190606@163.com)
  • Supported by:
    Hebei Province Medical Science Research Projectin 2023(No.20232032)

摘要: 目的 探讨七叶皂苷钠对葡聚糖硫酸钠(dextran sulfate sodium,DSS)诱导的溃疡性结肠炎(ulcerative colitis,UC)模型大鼠肠黏膜屏障损伤的影响及机制分析。方法 选取65只SD大鼠,分为假手术组,模型组,七叶皂苷钠低、中、高剂量组(2.5、5、10 mg/kg)及阳性对照组(美沙拉嗪,360 mg/kg),每组各10只,使用DSS制备UC大鼠模型。记录药物干预完成后大鼠疾病活动指数(DAI)评分,检测血清D-乳酸(D-LA)、二胺氧化酶(DAO)、肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)、白介素-6(IL-6)水平;比较各组大鼠结肠溃疡面积、结肠长度,结肠重量及结肠组织中髓过氧化物酶(MPO)、闭锁蛋白(Occludin)、闭锁小带蛋白(ZO-1)、核转录因子相关因子-2(Nrf-2)、抗氧化反应元件(ARE)、血红素加氧酶-1(HO-1)蛋白表达水平,HE染色进行病理评分。结果 与模型组相比,七叶皂苷钠中、高剂量干预显著降低UC大鼠DAI评分、病理评分,减轻结肠溃疡、降低结肠重量并增加结肠长度(P<0.05);七叶皂苷钠中、高剂量干预显著降低UC大鼠血清D-LA、DAO、TNF-α、IL-1β、IL-6水平及结肠MPO含量,上调结肠组织中OccludinZO-1以及p-Nrf2/Nrf2、ARE、HO-1的蛋白表达(P<0.05)。结论 七叶皂苷钠对于改善DSS诱导的UC模型大鼠的肠黏膜屏障损伤具有积极意义,其机制可能与调节炎症和Nrf-2/ARE/HO-1信号通路有关。

关键词: 七叶皂苷钠, 溃疡性结肠炎, 肠黏膜屏障, Nrf-2/ARE/HO-1信号通路

Abstract: Objective To explore the effect of sodium aescinate on intestinal mucosal barrier in rats with ulcerative colitis(UC).Methods A total of 65 SD rats were divided into 6 groups:sham operation group,model group,low-dose,medium-dose and high-dose sodium aescinate groups(2.5,5,10 mg/kg),and positive control group(mesalazine,360 mg/kg),10 rats in each group.UC rat models were induced by DSS.Disease activity index(DAI)scores were recorded after drug intervention.The levels of serum D-lactic acid(D-LA),diamine oxidase(DAO),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)and IL-6 were detected.The ulcer area,length and weight of colon,expression levels of myeloperoxidase(MPO),Occludin,zonula occludens-1(ZO-1),nuclear factor-erythroid 2-related factor 2(Nrf-2),antioxidant response element(ARE)and heme oxygenase-1(HO-1)proteins in colon tissues were compared among different groups.HE staining was performed and pathological scores were recorded.Results Medium-dose and high-dose sodium aescinate significantly reduced DAI score and pathological score,alleviated colonic ulcers,reduced colon weight and increased colon length(P<0.05).The levels of serum D-LA,DAO,TNF-α,IL-1β,IL-6,and colonic MPO were significantly reduced,and the expression of Occludin,ZO-1,p-Nrf2/Nrf2,ARE and HO-1 proteins in colonic tissues was upregulated in the medium- and high-dose sodium aescinate groups(P<0.05).Conclusion Sodium aescinate can ameliorate intestinal mucosal barrier dysfunction in DSS-induced UC rats,and the mechanisms may be related to the inflammation and Nrf-2/ARE/HO-1 signaling pathway.

Key words: sodium aescinate, ulcerative colitis, intestinal mucosal barrier, Nrf-2/ARE/HO-1 signaling pathway

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