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三仙开心散对D-半乳糖致衰老大鼠睾丸功能的保护作用及机制研究
耿强,王天一,孙丽丽,李霞,陈少峰,张哲,孙远,赵丰,李重,赵玉,柳志明,廖智慧,肖靖,李昕杭,高瑞芳
天津中医药大学第一附属医院天津 300381;中医国家临床医学研究中心天津 300381;天津市医药科学研究所天津 300020
摘要:
目的:探讨三仙开心散对D-半乳糖(D-gal)致生殖衰老大鼠睾丸功能的保护作用及机制。方法:将50只SD雄性大鼠随机分为对照组、模型组及三仙开心散低、中、高剂量组,每组10只。除对照组外,其余各组腹腔注射D-gal(300 mg/kg)构建衰老模型。从造模第5周起,低、中、高剂量组分别灌胃0.8、1.6、3.2 g/kg三仙开心散,持续4周。8周后,检测各组大鼠睾丸及附睾脏器系数、精子数量与活力;HE染色观察睾丸病理;ELISA法检测睾丸氧化应激指标[超氧化物歧化酶(SOD)、谷胱甘肽过氧化酶(GSH-Px)、过氧化氢酶(CAT)、丙二醛(MDA)]及血清激素与炎症因子[睾酮(T)、卵泡刺激素(FSH)、一氧化氮(NO)、一氧化氮合酶(NOS)];Western blot检测睾丸活化型半胱天冬酶3(Cleaved Caspase-3)蛋白表达。结果:与模型组相比,三仙开心散低、中、高剂量组大鼠睾丸和附睾系数、精子数量与活力显著升高,睾丸病理损伤得到改善;SOD、GSH-Px、CAT活性及血清T水平显著上调,MDA、NO、NOS及FSH水平降低;Cleaved Caspase-3蛋白表达水平降低,差异有统计学意义(P <0.05)。中、高剂量组在改善精子活力、GSH-Px、MDA、FSH、NO及Cleaved Caspase-3等方面效果更显著(P <0.05)。结论:三仙开心散对D-gal诱导的生殖衰老大鼠睾丸功能具有保护作用,中、高剂量疗效更显著,其机制可能与减轻氧化应激、调节激素水平以及抑制细胞凋亡有关。
关键词:  三仙开心散  生殖衰老  氧化应激  细胞凋亡  睾酮
DOI:10.3969/j.issn.1007-6948.2026.04.021
投稿时间:2025-10-29
基金项目:国家自然科学基金面上项目(82474513);国家自然科学基金青年项目(82405406);中国中医药信息学会科研项目(CIA-2022-FKFH-001);天津市自然科学基金联合基金资助项目(25JCLZJC00290);河北省中医药管理局中医药类科学研究课题一般项目(T2026036)
Protective effects and mechanisms of Sanxian Kexin powder on testicular function in D-galactose induced aging rats
GENG Qiang,WANG Tian-yi,SUN Li-li
Abstract:
Objective To investigate the protective effects and mechanisms of Sanxian Kexin Powder on testicular function in rats with reproductive senescence induced by D-galactose (D-gal). Methods Fifty SD male rats were randomly divided into a control group, a model group, and low-, medium-, and high-dose Sanxian Kexin powder groups (10 rats per group). Except for the control group, D-gal (300 mg/kg) was administered via intraperitoneal injection to establish a senescence model. Starting from the fifth week of modeling, the low-, medium-, and high-dose Sanxian Kexin powder groups were orally administered 0.8, 1.6, and 3.2 g/kg of the powder, respectively, for 4 weeks. After 8 weeks, the organ coefficients of the testis and epididymis, sperm count, and motility were measured in each group. Histopathological examination of the testis was performed via HE staining. ELISA was used to detect oxidative stress indicators [superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), catalase (CAT), malondialdehyde (MDA)] and serum hormones and inflammatory factors [testosterone (T), follicle-stimulating hormone (FSH), nitric oxide (NO), nitric oxide synthase (NOS)]. Western blot was employed to measure the protein expression of cleaved caspase-3 (Cleaved Caspase-3) in the testis. Results Compared with the model group, the low-, medium-, and high-dose Sanxian Kexin powder groups showed significant increases in testis and epididymis coefficients, sperm count, and motility, along with improved testicular pathological damage. SOD, GSH-Px, and CAT activities and serum T levels were significantly upregulated, while MDA, NO, NOS, and FSH levels decreased. Cleaved Caspase-3 protein expression was reduced, with statistically significant differences (P <0.05). The medium- and high-dose groups exhibited more pronounced effects in improving sperm motility, GSH-Px, MDA, FSH, NO, and Cleaved Caspase-3 (P <0.05). Conclusion Sanxian Kexin powder has protective effects on testicular function in rats with reproductive senescence induced by D-gal, with more significant efficacy at medium and high doses. The mechanisms may involve alleviating oxidative stress, regulating hormone levels, and inhibiting apoptosis.
Key words:  Sanxian Kaixin powder  reproductive aging  oxidative stress  apoptosis  testosterone

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