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莪术二酮对创伤后应激障碍大鼠下丘脑-垂体-肾上腺轴和炎症的影响
任换男,任党利,王嘉欢,刁云锋,孙福月
中国人民武装警察部队特色医学中心 中心儿科天津 300162;中国人民武装警察部队特色医学中心 神经疾病中心实验室天津 300162;中国人民武装警察部队特色医学中心 药剂科天津 300162;中国人民武装警察部队特色医学中心 神经创伤及修复研究所天津 300162;中国人民武装警察部队特色医学中心 综合重症医学科天津 300162
摘要:
目的:探讨莪术二酮对创伤性应激障碍综合征(PTSD)的治疗作用及其机制。方法:体外采用脂多糖构建小胶质细胞炎症模型,给予莪术二酮处理后,分别检测上清中炎症因子表达水平以及细胞炎症信号通路中p65和p38的磷酸化水平。采用单次延长应激(SPS)构建大鼠PTSD模型(模型组),分别给予莪术二酮低剂量(1 mg/kg)、中剂量(20 mg/kg)和高剂量(60 mg/kg)腹腔注射。通过条件恐惧实验、旷场实验等行为学检测莪术二酮对各组大鼠焦虑和抑郁样行为的作用。检测各组大鼠血清下丘脑-垂体-肾上腺轴(HPA)相关激素皮质酮(Cort)、促肾上腺皮质激素释放激素(CRH)、促肾上腺皮质激素(ACTH),以及炎症因子肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β和IL-6的含量,同时检测大脑皮质中5-羟色胺(5-HT)、5-羟基吲哚乙酸(5-HIAA)和去甲肾上腺素(NE)、肾上腺素(AD)的含量。结果:体外细胞实验结果显示:莪术二酮处理后,TNF-α、IL-1β、IL-6的表达明显降低,莪术二酮处理组p65和p38磷酸化水平显著降低。体内实验证实:注射莪术二酮可显著缩短大鼠在条件恐惧箱中的凝滞时间;与模型组比较,旷场实验莪术二酮组中央区域的活动时间显著延长。血清Cort、CRH、ACTH及炎症因子TNF-α、IL-1β、IL-6比模型组显著降低。莪术二酮组脑组织中的单胺类神经递质5-HT、5-HIAA含量显著降低。结论:莪术二酮能有效缓解PTSD大鼠的焦虑与抑郁样行为,其治疗机制可能与纠正HPA功能紊乱、抑制全身性及神经炎症反应,并调节脑内单胺类神经递质水平密切相关。
关键词:  莪术二酮  神经炎症  创伤后应激障碍  下丘脑-垂体-肾上腺轴  单胺类神经递质
DOI:10.3969/j.issn.1007-6948.2026.04.022
投稿时间:2025-10-18
基金项目:
Effect of curdione on the HPA axis and inflammation in post-traumatic stress disorder rats
REN Huan-nan,REN Dang-li,WANG Jia-huan
Abstract:
Objective To explore the effect of curdione on post-traumatic stress disorder (PTSD) and its underlying mechanism. Methods An inflammatory model of microglia was constructed in vitro using lipopolysaccharide (LPS). After treatment with curdione, the expression levels of inflammatory factors in the cell supernatant and the activation levels of p65 and p38 in cellular inflammatory signaling pathways were detected, respectively. For in vivo experiments, a single prolonged stress (SPS) model was constructed to establish a rat PTSD model. Rats were given intraperitoneal injection of low-, medium-, and high-dose curdione, respectively. The effects of curdione on anxiety-and depression-like behaviors in PTSD rats were determined by conditioned fear test and open field test. The serum levels of corticosterone (Cort), corticotropin-releasing hormone (CRH), adrenocorticotrophic hormone (ACTH), TNF-α, IL-1β, and IL-6 were measured. Meanwhile, the changes in 5-hydroxytryptamine (5-HT), 5-hydroxyindoleacetic acid (5-HIAA), norepinephrine (NE), and adrenaline (AD) in the cerebral cortex were examined. Results In vitro results showed that the expression of TNF-α, IL-1β, and IL-6 were significantly decreased in the curdione-treated groups, and the phosphorylation levels of p65 and p38 were also significantly reduced. In vivo behavioral tests confirmed that curdione administration significantly reduced the freezing time of rats in the conditioned fear box. Compared with the PTSD model group, the curdione-treated groups showed significantly increased central zone residence time in the open field test. Serum levels of Cort, CRH, ACTH, and various inflammatory factors related to the hypothalamic-pituitary-adrenal (HPA) axis were correspondingly restored in curdione-treated groups compared with the PTSD group. The contents of monoamine neurotransmitters 5-HT and 5-HIAA in the cerebral cortex were significantly reversed in curdione-treated groups. Conclusion Curdione can effectively alleviate anxiety-and depression-like behaviors in PTSD rats. Its therapeutic mechanism may be closely related to correcting HPA axis dysfunction, inhibiting systemic and neuroinflammatory responses, and regulating the balance of central monoamine neurotransmitters. This study provides experimental evidence for curdione as a potential therapeutic agent for PTSD.
Key words:  Curdione  neuroinflammation  posttraumatic stress disorder  hypothalamic-pituitary-adrenal axis and monoamine neurotransmitter

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