鹿鞭龟甲配伍滋阴补肾调节能量代谢通路的作用机制研究
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国家自然科学基金面上项目(82173995);内蒙古自治区卫生健康委医疗卫生科技计划项目(202202141)


Mechanism of Yin-nourishing and Kidney-tonifying Effects of the Combination of Penis et Testis Cervi and Testudinis Carapax et Plastrum in Regulating Energy Metabolism Pathway
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    摘要:

    目的:探讨鹿鞭龟甲配伍调节腺苷酸活化蛋白激酶(AMPK)/过氧化物酶体增殖活化受体γ共激活因子-1α(PGC1α)信号通路缓解肾阴虚小鼠体力疲劳的作用机制。方法:将雄性昆明小鼠灌胃醋酸地塞米松制备肾阴虚模型,分为空白组、模型组、阳性药左归丸组、鹿龟低剂量组、鹿龟高剂量组、鹿鞭组和龟甲组7组。比较各组小鼠体质量变化和负重力竭游泳时间,测定血清中乳酸(BLA)、乳酸脱氢酶(LDH)、肌酐(Cr)、肌酸激酶(CK)、环磷酸腺苷(cAMP)、环磷酸鸟苷(cGMP)含量,检测骨骼肌肌糖原含量、肌肉组织中钠钾(ATP)酶(Na+-K+-ATP酶)、钙镁ATP酶(Ca2+-Mg2+-ATP酶)活性,蛋白质印迹法(WB)检测磷酸化腺苷酸活化蛋白激酶(p-AMPK)、AMPK、PGC1α的蛋白表达。结果:与模型组比较,各给药组体质量均明显升高,阴虚症状有所改善。各给药组力竭游泳时间增加,BLA、CK、Cr含量降低,LDH、cGMP、肌糖原含量升高,cAMP/cGMP比值下降,肌肉Na+-K+-ATP酶、Ca2+-Mg2+-ATP酶活性降低。骨骼肌组织p-AMPK/AMPK与PGC1α蛋白表达降低。结论:鹿鞭与龟甲配伍能够提高糖原储存,促进代谢废物的清除,可通过骨骼肌AMPK/PGC1α通路调节葡萄糖的转运消耗和骨骼肌抗氧化能力,有利于缓解阴虚引起的能量代谢旺盛,从而提高运动耐力,促进疲劳恢复。

    Abstract:

    To investigate the mechanism by which the combination of Penis et Testis Cervi and Testudinis Carapax et Plastrum alleviates physical fatigue in kidney yin-deficient mice through the adenosine 5'-monophosphate(AMP)-activated protein kinase(AMPK)/peroxisome proliferator-activated receptor-γ coactivator 1α(PGC1α) signaling pathway.Methods:Male Kunming mice were administered dexamethasone acetate via gavage to establish a kidney yin deficiency model and were divided into seven groups:control,model,positive control(Zuogui Pills),low-dose drug pair,high-dose drug pair,Penis et Testis Cervi alone,and Testudinis Carapax et Plastrum alone.Body weight changes and exhaustive weight-loaded swimming time were recorded.Serum levels of blood lactic acid(BLA),lactate dehydrogenase(LDH),creatinine(Cr),creatine kinase(CK),cyclic adenosine monophosphate(cAMP),and cyclic guanosine monophosphate(cGMP) were measured.Additionally,skeletal muscle glycogen content,Na+-K+-ATPase and Ca2+-Mg2+-ATPase activities were assessed.Western blot analysis was used to detect phosphorylated AMPK(p-AMPK),total AMPK,and PGC1α protein expression in skeletal muscle tissue.Results:Compared with the model group,all treatment groups showed increased body weight and improved yin deficiency symptoms.The exhaustive swimming time was prolonged,while BLA,CK,and Cr levels decreased.LDH,cGMP,and muscle glycogen levels increased,whereas the cAMP/cGMP ratio decreased.Na+-K+-ATPase and Ca2+-Mg2+-ATPase activities were reduced.Western blot analysis showed a decrease in p-AMPK/AMPK and PGC1α protein expression in skeletal muscle.Conclusion:The combination of Penis et Testis Cervi and Testudinis Carapax et Plastrum enhances glycogen storage and metabolic waste clearance.It may regulate glucose transport and oxidative capacity in skeletal muscle through the AMPK/PGC1α signaling pathway,helping to mitigate the excessive energy metabolism associated with yin deficiency,thereby improving exercise endurance and promoting fatigue recovery.

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姜砚馨,王梓旭,罗美,田劭丹,田昕,史圣华.鹿鞭龟甲配伍滋阴补肾调节能量代谢通路的作用机制研究[J].世界中医药,2025,(05).

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  • 收稿日期:2024-02-28
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  • 在线发布日期: 2025-06-04
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