枳实降血脂药效组分生物效应评价方法研究
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摘要
1.研究目的
     研究枳实(Fructus Aurantii Immaturus)降血脂药效组分及其生物效应,并与韩国枳实(Fructus Ponciri)比较;建立枳实降血脂药效组分的生物效应评价方法,探讨枳实药效组分生物质量标准,为建立中药药效组分质量标准评价新体系奠定基础。
     2.研究方法
     采用高效液相色谱法(HPLC)测定枳实降血脂的药效组分,并进行与降血脂相关的生物效应指标分析。
     利用高脂饲料和Triton WR-1339诱导SD大鼠造高血脂模型,验证枳实降血脂生物效应。利用HPLC-药效组分生物活性测定结合法,确定枳实降血脂药效组分。选取和高血脂相关的体外生物效应指标研究枳实及其药效组分的降血脂效应,即采用氧化低密度脂蛋白(Ox-LDL)损伤人脐静脉内皮细胞株(HUVEC)模型,研究枳实及其药效组分对HUVEC细胞间黏附分子-1(ICAM-1)表达和细胞培养液中一氧化氮(NO)含量的影响;采用过氧化氢(H2O2)和叔丁基过氧化氢(t-BOOH)诱导的人肝癌细胞株(HepG2)氧化损伤模型,研究枳实及其药效组分对乳酸脱氢酶(LDH)漏出、丙二醛(MDA)含量、总抗氧化能力(T-AOC)、Cu-Zn-超氧化物歧化酶(Cu-Zn-SOD)活力、谷胱甘肽过氧化物酶(GSH-Px)活力、过氧化氢酶(CAT)活力影响;利用流式细胞技术,研究枳实及其药效组分对线粒体膜电位(MMP)的影响;利用单细胞凝胶电泳技术,研究枳实对H2O2和t-BOOH诱导的HepG2细胞脱氧核糖核酸(DNA)氧化损伤的保护作用。
     3.研究结果
     3.1枳实降血脂的药效组分
     (1)枳实的药效组分
     以药典规定的70%乙醇提取物为标准中药的研究样品,其药效组分为:柚皮苷-橙皮苷-枸橘苷-新橙皮苷-柚皮素-橙皮素(223.66:18.50:254.49:321.00:4.46:1);其中水层部分的药效组分:柚皮苷-橙皮苷-新橙皮苷-柚皮素(178.51:15.18:257.67:1);氯仿层部分的药效组分:橙皮苷-橙皮素-柚皮素(2.92:1:2.99)。
     (2)韩国枳实的药效组分
     70%乙醇提取物中的药效组分:柚皮苷-橙皮苷-枸橘苷-柚皮素-橙皮素(514.55:16.37:2454.23:20:1);其中水层的药效组分:柚皮苷-橙皮苷-枸橘苷(28.78:1:144.24);氯仿层的药效组分:柚皮素-橙皮素(19.27:1)。
     3.2体内降血脂生物效应
     3.2.1枳实
     能降低高血脂模型SD大鼠血清中的总胆固醇(TC)、甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-C)含量、天门冬氨酸转移酶(AST)活性并升高高密度脂蛋白胆固醇(HDL-C)含量。
     对高血脂模型SD大鼠血清中丙氨酸氨基转移酶(ALT)活性和血糖无影响。
     3.2.2韩国枳实
     能降低高血脂模型SD大鼠血清中的TC、TG和LDL-C含量并升高HDL-C含量。
     对高血脂模型SD大鼠血清中ALT活性,AST活性和血糖含量无影响。对于高脂饲料喂养造成的高血脂模型SD大鼠,韩国枳实对其降脂效应比枳实稍好。
     3.3枳实及其药效组分体外降血脂生物效应
     3.3.1枳实
     (1)饮片
     ①抑制Ox-LDL损伤HUVEC ICAM-1表达;②恢复Ox-LDL诱导的HUVEC培养液中NO含量至正常水平;③提高H2O2损伤的HepG2细胞活性;④可抑制t-BOOH诱导的HepG2细胞LDH的漏出;提取物氯仿层可抑制H2O2诱导的HepG2细胞LDH的漏出;⑤降低氧化损伤的HepG2细胞中的MDA含量;⑥提高氧化损伤的HepG2细胞的T-AOC;⑦提高t-BOOH诱导的HepG2细胞Cu-Zn-SOD活力;提取物氯仿层可提高H2O2诱导的HepG2细胞Cu-Zn-SOD活力;⑧提高氧化损伤的HepG2细胞GSH-Px活力;⑨提高氧化损伤的HepG2细胞CAT活力;⑩降低氧化损伤的HepG2细胞MMP;○11对氧化损伤的HepG2细胞DNA有保护作用。
     (2)药效组分
     ①抑制Ox-LDL损伤HUVEC ICAM-1表达;②降低氧化损伤的HepG2细胞中的MDA含量;③提高氧化损伤的HepG2细胞的T-AOC;④提高t-BOOH诱导的HepG2细胞Cu-Zn-SOD活力;⑤提高氧化损伤的HepG2细胞GSH-Px活力;⑥提高氧化损伤的HepG2细胞CAT活力;⑦降低氧化损伤的HepG2细胞MMP。
     3.3.2韩国枳实
     (1)饮片
     对Ox-LDL损伤HUVEC ICAM-1表达,H2O2损伤的HepG2细胞活性,氧化损伤的HepG2细胞中的MDA含量和T-AOC以及GSH-Px活力和CAT活力,t-BOOH诱导的HepG2细胞Cu-Zn-SOD活力,氧化损伤的HepG2细胞MMP的生物活性均和中国枳实饮片的相同。
     可以提高Ox-LDL诱导的HUVEC培养液中NO含量但也显著高于正常水平。提取物氯仿层可抑制H2O2和t-BOOH诱导的HepG2细胞LDH的漏出。
     (2)药效组分
     对Ox-LDL损伤HUVEC ICAM-1表达,氧化损伤的HepG2细胞中的MDA含量和T-AOC以及GSH-Px活力和CAT活力,t-BOOH诱导的HepG2细胞Cu-Zn-SOD活力,氧化损伤的HepG2细胞MMP影响均和中国枳实药效组分的相同。
     3.4枳实降血脂质量评价方法建立
     (1)生物效应指标:枳实及其药效组分对降血脂相关效应指标的生物效应比(BER)均在0.9~1.1之间并且除了韩国枳实70%乙醇提取物氯仿层药效组分对氧化损伤的HepG2细胞GSH-Px活性影响与韩国枳实70%乙醇提取物氯仿层相比有显著差异(t-test)外,枳实和其相应的药效组分对降血脂相关的效应指标t检验均无显著差异。药效组分的降血脂相关多个指标的标准生物效应作为效应标准,建立了枳实降血脂生物效应评价方法。
     (2)药效组分指标:枳实的药效组分为柚皮苷-橙皮苷-枸橘苷-新橙皮苷-柚皮素-橙皮素(223.66:18.50:254.49:321.00:4.46:1)。韩国枳实的药效组分为柚皮苷-橙皮苷-枸橘苷-柚皮素-橙皮素(514.55:16.37:2454.23:20:1)。
     4.结论
     4.1枳实及其所确定的药效组分降血脂生物效应具有等效性,二者没有显著性差异(t检验)即该药效组分可以表述枳实降血脂临床疗效的品质特征。
     4.2枳实生物效应评价方法
     (1)降血脂相关的生物活性指标
     ①抗氧化指标:H2O2和t-BOOH氧化损伤的HepG2细胞的MDA含量,T-AOC,GSH-Px活力,CAT活力和MMP的变化;t-BOOH氧化损伤的HepG2细胞Cu-Zn-SOD活力。
     ②对HUVEC ICAM-1表达的影响。
     (2)生物效应评价方法建立
     ①抗氧化指标法:枳实对H2O2和t-BOOH氧化损伤的HepG2细胞的MDA含量的BER分别为0.9879和1.0258;对H2O2和t-BOOH氧化损伤的HepG2细胞T-AOC的BER分别为1.00558和0.99777;对H2O2和t-BOOH氧化损伤的HepG2细胞GSH-Px活力的BER分别为1.026和1.044;对H2O2和t-BOOH氧化损伤的HepG2细胞CAT活力的BER分别为0.991和1.023;对H2O2和t-BOOH氧化损伤的HepG2细胞MMP降低的BER分别为0.921743和0.922297;对t-BOOH氧化损伤的HepG2细胞Cu-Zn-SOD活力的BER为1.01546。
     ②细胞间黏附分子表达法:枳实对Ox-LDL诱导的HUVEC的ICAM-1的表达抑制的BER为0.9781。
     枳实及其药效组分的降血脂相关生物活性指标的BER在0.9~1.1之间并且枳实与其药效组分的生物效应无显著差异。故可确定枳实药效组分的标准生物效应作为效应标准。
     4.3枳实降血脂药效组分
     降血脂药效组分能够做为枳实的质量评价指标之一。
     4.4枳实降血脂质量标准建议
     4.4.1抗氧化指标法和细胞间黏附分子表达法
     ①用与药效组分完全相同的生物效应测定方法检测待测枳实生物效应。
     ②计算BER并做相关数理统计检验。
     ③生物效应评价方法标准建议:
     1≥BERS≥0.9且经数理学比较与效应标准无差异,为合格药品; BERS>1且经数理学比较与效应标准无差异为优质药品; BERS<0.9或经数理学比较与效应标准有差异为不合格药品;
     4.4.2药效组分分析
     采用HPLC法。
     待测样品枳实所得药效组分比例和含量应在以柚皮苷-橙皮苷-枸橘苷-新橙皮苷-柚皮素-橙皮素(223.66:18.50:254.49:321.00:4.46:1)为基准的一个范围内。
     5.创新点
     (1)首次研究了枳实和韩国枳实降血脂(血浊证)的生物效应。
     (2)确定了枳实降血脂的药效组分
     (3)建立了枳实药效组分生物效应评价方法。
     (4)创立了生物效应比的计算公式:BERsample=Xsample/XACA。
1. Objectives
     The research is about the active components alignment (ACA) of Fructus Aurantii Immaturus reducing hyperlipoidemia, Fructus Aurantii Immaturus and its ACA’s biological effects of reducing hyperlipoidemia, meanwhile, compared with Fructus Ponciri; and also about establishing the method of biological-effect evaluation about reducing hyperlipoidemia ACA of Fructus Aurantii Immaturus and Fructus Ponciri, discussing the biologic quality standard of Fructus Aurantii Immaturus ACA for settling the foundation of new quality evaluation system on Chinese Medicine (CM) ACA.
     2. Methods
     The reducing hyperlipodemia ACA of Fructus Aurantii Immaturus and Fructus Ponciri were analyzed by analyzing the concentration according to HPLC and determination of biological effect about reducing hyperlipoidemia.
     The reducing hyperlipoidemia effect was validated by using hyperlipoidemia model of SD rat induced by high-fat food and Triton WR-1339. By combining HPLC technique and determination of biological effects on Fructus Aurantii Immaturus ACA and Fructus Ponciri ACA the reducing hyperlipoidemia ACA of Fructus Aurantii Immaturus and Fructus Ponciri were found. The in vitro indexes about hyperlipoidemia were chosen to study the effect on reducing hyperlipoidemia of Fructus Aurantii Immaturus and Fructus Ponciri and their ACAs. That is choosing HUVEC model induced by Ox-LDL to study the effect on ICAM-1 expression and NO concentration in supernate of Fructus Aurantii Immaturus and Fructus Ponciri and their ACAs. The effects of Fructus Aurantii Immaturus and Fructus Ponciri and their ACAs on activity of LDH in supernate, concentration of MDA, T-AOC, activity of Cu-Zn-SOD, activity of GSH-Px, activity of CAT in HepG2 induced by H2O2 and t-BOOH were studied. The effects of Fructus Aurantii Immaturus and Fructus Ponciri and their ACAs about MMP of HepG2 induced by H2O2 and t-BOOH were researched by flow cytometry(FCM). The protective effect of Fructus Aurantii Immaturus and Fructus Ponciri and their ACAs to DNA of HepG2 induced by H2O2 and t-BOOH was studied by using SCGE.
     3. Results
     3.1 Reducing Hyperlipoidemia ACA of Fructus Aurantii Immaturus
     (1) ACA of Fructus Aurantii Immaturus
     Extraction of 70%EtOH which was recorded in pharmacopoeia was the researchful object and its ACA (CJSE ACA) is Naringin- Hesperidin- Poncirin- Neohesperidin- Naringenin- Hesperetin(223.66:18.50:254.49:321.00:4.46:1); And the ACA of its water fraction (CJSW ACA) is Naringin- Hesperidin- Neohesperidin- Naringenin(178.51:15.18:257.67:1); The ACA of its chloroform fraction (CJSC ACA) is Hesperidin- Hesperetin- Naringenin(2.92:1:2.99).
     (2) ACA of Fructus Ponciri
     ACA of Extraction of 70%EtOH (KJSE ACA) is Naringin-Hesperidin-Poncirin- Naringenin- Hesperetin(514.55:16.37:2454.23:20:1); And the ACA of its water fraction (KJSW ACA) is Naringin- Hesperidin- Poncirin(28.78:1:144.24); The ACA of its chloroform fraction (KJSC ACA) is Naringenin- Hesperetin(19.29:1)
     3.2 Reducing Hyperlipoidemia Effect of Fructus Aurantii Immaturus in vivo
     3.2.1 Fructus Aurantii Immaturus
     The contents of TG, TC, LDL-C in serum of hyperlipoidemia model SD rat were decreased while the content of HDL-C in serum of hyperlipoidemia model SD rat was increased after being cured by Fructus Aurantii Immaturus, when the activity of AST can be reduced and the activity of ALT and the content of glucose can not be affected.
     3.2.2 Fructus Ponciri
     The contents of TG, TC, LDL-C in serum of hyperlipoidemia model SD rat were decreased while the content of HDL-C in serum of hyperlipoidemia model SD rat was increased after being cured by Fructus Ponciri, when activity of ALT, AST and the content of glucose in serum of hyperlipoidemia model SD rat can not be affected.
     The reducing hyperlipoidemia effect of Fructus Ponciri is a little better than that of Fructus Aurantii Immaturus in the hyperlipoidemia model SD rat induced by high-fat diet.
     3.3 Biological Effect about Reducing Hyperlipoidemia in vitro of Fructus Aurantii Immaturus and Its ACA
     3.3.1 Fructus Aurantii Immaturus
     (1) Decoction Pieces
     ①ICAM-1 expression of HUVEC induced by Ox-LDL was inhibited.②The content of NO in supernate medium of HUVEC induced by Ox-LDL can be regulated to normal level;③The viability of HepG2 induced by H2O2 can be elevated.④Leakage of LDH in HepG2 induced by t-BOOH can be inhibited and leakage of LDH in HepG2 induced by H2O2 can be inhibited by CJSC.⑤The content of MDA in HepG2 induced by H2O2 and t-BOOH can be decreased.⑥The T-AOC of HepG2 induced by H2O2 and t-BOOH can be elevated.⑦Activity of Cu-Zn-SOD in HepG2 induced by H2O2 can be increased by CJSC. Activity of Cu-Zn-SOD in HepG2 induced by H2O2 and t-BOOH can be increased.⑧Activity of GSH-Px in HepG2 induced by H2O2 and t-BOOH can be increased.⑨Activity of CAT in HepG2 induced by H2O2 and t-BOOH can be increased.⑩MMP of HepG2 induced by H2O2 and t-BOOH can be reduced.○11 The oxidative damage on DNA of HepG2 which was induced by H2O2 and t-BOOH can be protected
     (2)ACA
     ①ICAM-1 expression of HUVEC induced by Ox-LDL was inhibited.②The content of MDA in HepG2 induced by H2O2 and t-BOOH can be decreased.③The T-AOC of HepG2 induced by H2O2 and t-BOOH can be elevated.④Activity of Cu-Zn-SOD in HepG2 induced by t-BOOH can be increased.⑤Activity of GSH-Px in HepG2 induced by H2O2 and t-BOOH can be increased.⑥Activity of CAT in HepG2 induced by H2O2 and t-BOOH can be increased.⑦MMP of HepG2 induced by H2O2 and t-BOOH can be reduced.
     3.3.2 Fructus Ponciri
     (1) Decoction Pieces
     The biological effects about ICAM-1 expression of HUVEC induced by Ox-LDL, the viability of HepG2 induced by H2O2, the content of MDA, T-AOC, activity of GSH-Px and CAT in HepG2 induced by H2O2 and t-BOOH, activity of Cu-Zn-SOD in HepG2 induced by t-BOOH, MMP of HepG2 induced by H2O2 and t-BOOH are the same with those of Fructus Aurantii Immaturus decoction pieces.
     The content of NO in supernate medium of HUVEC induced by Ox-LDL can be increased to the level which was higher than normal level. Leakage of LDH in HepG2 induced by H2O2 and t-BOOH can be inhibited by KJSC.
     3.4 Establishment of Biological-Effect Evaluation Method about Reducing Hyperlipoidemia of Fructus Aurantii Immaturus and Fructus Ponciri
     (1) Index of biological effects: BERs of Fructus Aurantii Immaturus and its ACA, Fructus Ponciri and its ACA about the biological effect of reducing hyperlipoidemia are between 0.9 and 1.1. And only the difference between the biological effect of activity of GSH-Px from KJSC ACA and that from KJSC is significant (t-test). The differences between the biological effect from Fructus Aurantii Immaturus and its ACA, Fructus Ponciri and its ACA are not significant (t-test). The standard biological effects which are about reducing hyperlipoidemia of ACA are as a standard of effect and then the biological-effect evaluation method was established.
     (2) Index of ACA: Fructus Aurantii Immaturus: Naringin- Hesperidin- Poncirin- Neohesperidin- Naringenin- Hesperetin(223.66:18.50:254.49:321.00:4.46 : 1 ) ;Fructus Ponciri: Naringin-Hesperidin-Poncirin- Naringenin- Hesperetin(514.55:16.37:2454.23:20:1).
     4. Conclusions
     4.1 The effects of reducing hyperlipoidemia of Fructus Aurantii Immaturus and its ACA, Fructus Ponciri and its ACA are equivalent. The difference between the two is not significant according to t-test. It shows Fructus Aurantii Immaturus ACA can represent the quality characteristics about reducing hyperlipoidemia of Fructus Aurantii Immaturus.
     4.2 Biological-Effect Evaluation Method of Fructus Aurantii Immaturus
     (1) Biological effect indexes about reducing hyperlipoidemia
     ①Antioxidant Index: The contents of MDA, T-AOC, activity of GSH-Px and CAT, the change of MMP in HepG2 induced by H2O2 and t-BOOH; The activity of Cu-Zn-SOD in HepG2 induced by t-BOOH;
     ②Expression of HUVEC ICAM-1
     (2) Establishment of Biological-Effect Evaluation Method
     ①Method of Antioxidant index: BERs about content of MDA in HepG2 induced by H2O2 and t-BOOH of Fructus Aurantii Immaturus are 0.9879 and 1.0258 respectively. BERs of T-AOC in HepG2 induced by H2O2 and t-BOOH of Fructus Aurantii Immaturus are 1.00558 and 0.99777 respectively; BERs of GSH-Px in HepG2 induced by H2O2 and t-BOOH of Fructus Aurantii Immaturus are 1.026 and 1.044; BERs of CAT in HepG2 induced by H2O2 and t-BOOH of Fructus Aurantii Immaturus are 0.991 and 1.023; BERs of reducing MMP of HepG2 induced by H2O2 and t-BOOH. BER of Cu-Zn-SOD activity is 1.01546.
     ②Method of ICAM-1 Expression: BER of inhibition to ICAM-1 expression induced by Ox-LDL is 0.9781.
     The BERs of Fructus Aurantii Immaturus and its ACA are all between 0.9 and 1.1. At the same time the difference between the biological effect from Fructus Aurantii Immaturus and its ACA is not significant according to mathematical statistics calculation. So the standard biological effects of ACAs of Fructus Aurantii Immaturus can be as standards of effect.
     4.3 Reducing hyperlipoidemia ACA of Fructus Aurantii Immaturus The reducing hyperlipoidemia ACA of Fructus Aurantii Immaturus could be one of indexes for evaluating the qulity of Fructus Aurantii Immaturus.
     4.4 Suggestions of Quality Standards to the Effects about Reducing Hyperlipoidemia of Fructus Aurantii Immaturus
     4.4.1 Method of Antioxidant Index and Expression of ICAM-1
     ①The biological effects of the sample should be checked by using the same method which was used to checked the biological effect of ACA.
     ②BER should be calculated and Statistical Test should be done.
     ③Suggestions about Standard of Biological-Effect Evaluation Method Eligible Sample: 1≥BERS≥0.9 and the difference is not significant between the biological effect and standards of effect.
     High Quality Sample: BERS>1 and the difference is not significant between the biological effect and standards of effect.
     Unqualified Sample: BERS<0.9 or the difference is significant between the biological effect and standards of effect.
     4.4.2 Analysis of ACA
     HPLC is used in the analysis of ACA.
     Ratio and concentration of ACA of samples should be in the range which benchmark is Naringin- Hesperidin- Poncirin- Neohesperidin- Naringenin- Hesperetin(223.66:18.50:254.49:321.00:4.46:1)
     5. Innovations
     (1) Reducing hyperlipoidemia effect (Xue Zhuo Zheng)of Fructus Aurantii Immaturus and Fructus Ponciri were validated by modern medical experiment first.
     (2) ACAs of Fructus Aurantii Immaturus and Fructus Ponciri were determined.
     (3) Biological-effect evaluation method about reducing hyperlipoidemia of Fructus Aurantii Immaturus and Fructus Ponciri was established.
     (4) Formula of calculating BER was established: BERsample=Xsample/XACA
引文
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