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医药导报, 2017, 36(1): 9-12
doi: 10.3870/j.issn.1004-0781.2017.01.002
熊果酸对肝细胞胆固醇代谢的影响*
Effects of Ursolic Acid on Cholesterol Metabolism in Hepatic Cells
梁奎英1,, 初霞2,

摘要:

目的 探讨熊果酸对人肝癌细胞HepG2及小鼠肝细胞AML-12胆固醇代谢的影响及其相关机制。方法 0,10,20,40 μmol·L-1熊果酸处理HepG2及AML-12细胞24 h,应用反转录-聚合酶链反应(RT-PCR)、Western blotting检测细胞内胆固醇代谢关键基因胆固醇7A-羟化酶(CYP7A1)mRNA和蛋白表达,应用酶法检测细胞内胆固醇浓度。结果 与0 μmol·L-1熊果酸组比较,20和40 μmol·L-1熊果酸组HepG2及AML-12细胞内CYP7A1 mRNA及蛋白表达水平均显著增加(均P<0.05),相应的细胞内胆固醇浓度也随之下降(均P<0.05)。结论 一定浓度的熊果酸能够降低肝细胞内胆固醇浓度,CYP7A1可能参与了调节过程。

关键词: 熊果酸 ; 胆固醇代谢 ; 胆固醇7A-羟化酶

Abstract:

Objective To explore the effects and mechanism of ursolic acid (UA) on cholesterol metabolism in human hepatocellular carcinoma HepG2 and mouse hepatocyte AML-12. Methods HepG2 and AML-12 cells were treated with different concentrations of UA (0,10,20,40 μmol·L-1)for 24 h, then the mRNA and protein expression of cholesterol 7alpha-hydroxylase (CYP7A1) and intracellular cholesterol level was detected by RT-PCR、Western blotting and enzymatic method, respectively.Results Compared with 0 μmol·L-1 UA, 20 μmol·L-1 and 40 μmol·L-1 UA significantly increased the expressions of CYP7A1 mRNA and protein(P<0.05), and decreased intracellular cholesterol level in HepG2 and AML-12 cells (P<0.05). Conclusion A certain concentration of UA can reduce the level of cholesterol in HepG2 and AML-12 cells. CYP7A1 may be involved in the regulation process.

Key words: Ursolic acid ; Cholesterol metabolism ; Cholesterol 7alpha-hydroxylase

熊果酸是一种广泛存在于天然植物中的弱酸性五环三萜类化合物,又名乌索酸、乌苏酸,广泛分布于熊果、山楂、白花蛇舌草、乌梅、夏枯草等植物中。研究显示,熊果酸具有多种生物学效应,如抗肿瘤、抗炎、抗氧化、抗菌、抗病毒及减轻体质量等[1-5]。其显著的调节糖及脂质代谢紊乱、改善胰岛素抵抗的作用尤为引人关注[6-8]。熊果酸可显著降低肥胖和糖尿病小鼠的血浆胆固醇水平[9-10]。WANG等[11]证实熊果酸能够降低高脂血症兔的血浆胆固醇浓度。这些研究均表明熊果酸对胆固醇代谢方面具有一定调节作用,然而其相关机制研究却相对较少且不明确。笔者主要探讨熊果酸对人肝癌细胞株HepG2、小鼠正常肝细胞株AML-12胆固醇分解代谢的影响及其机制,为熊果酸在降低胆固醇、抗动脉粥样硬化、防治心血管疾病的临床应用方面提供实验基础和理论依据。

1 材料与方法
1.1 药物与试剂

熊果酸(美国Sigma公司,含量≥98.5%,批号:89797);人肝癌细胞株HepG2(批号:HB-8065)及小鼠正常肝细胞株AML-12(批号:CRL-2254)均购自美国ATCC公司;高糖达尔伯克必需基本培养液(DMEM)(批号:11965118)、DMEM/F12培养液(批号:11320082)、胎牛血清(批号:10099133)和胰酶(批号:25200056)均购自美国Gibco公司;胰岛素(批号:I3536)、转铁蛋白(批号:T4382)、亚硒酸钠(批号:S5261)、地塞米松(批号:D4902)、噻唑蓝(MTT,批号:CGD1)及二甲亚砜(DMSO,批号:D4540)均购自美国Sigma公司;细胞内总胆固醇测定试剂盒购自北京普利莱公司(批号:E1015);TRIzol试剂购自Invitrogen公司(批号:15596026);高容量cDNA反转录试剂盒(批号:4368813)及SYBR Green PCR Master Mix染料(批号:4367659)购自美国Applied Biosystems公司;兔抗人胆固醇7A-羟化酶(cholesterol 7alpha-hydroxylase, CYP7A1)(批号:sc-25536)、β-actin多克隆抗体(批号:sc-130656)及羊抗兔二抗(批号:sc-2030)均购自美国Santa Cruz公司。

1.2 仪器

酶标仪(型号SpectraMax® M2,美国Molecular Devices公司);聚合酶链反应(PCR)仪(型号T100TM Thermal Cycler,美国BIO-RAD公司);实时荧光定量PCR仪(RT-PCR,型号7500,美国Applied Biosystems公司);电泳仪(型号DYY-6C,北京六一仪器厂);电泳、转印槽(型号Mini-PROTEAN® Tetra和Mini Trans-Blotting® 电泳转印槽,美国BIO-RAD公司);凝胶成像系统(型号FluorChem E,美国ProteinSimple公司)。

1.3 方法

1.3.1 细胞培养 HepG2细胞用含有10%胎牛血清的新鲜高糖DMEM培养液,AML-12细胞用含有10%胎牛血清、5 μg·mL-1胰岛素、5 μg·mL-1转铁蛋白、5 ng·mL-1亚硒酸钠、40 ng·mL-1地塞米松的DMEM/F12培养液,均置于37 ℃、5%二氧化碳(CO2)培养箱中传代培养,取对数生长期细胞用于实验。

1.3.2 MTT法检测细胞的存活率 应用DMSO配制60 mmol·L -1熊果酸贮存液,根据先前的研究[6]及相关文献[12- 13],设定熊果酸浓度分别为10,20,40和80 μmol·L-1,对接种于96孔培养板的HepG2细胞进行干预, 0 μmol·L-1熊果酸组为对照组,每组设4个复孔。处理24 h后,加入5 g·L -1MTT溶液20 μL,继续孵育4 h。终止培养,弃去上清液,每孔加入DMSO 150 μL,震荡溶解,酶标仪570 nm波长处检测各孔吸光度(A)值。计算细胞的存活率(%)=[(实验组A值-空白组A值)/(对照组A值-空白组A值)]×100%。

1.3.3 细胞内胆固醇浓度检测 取对数生成期的HepG2、AML-12细胞接种于6孔培养板,分别加入终浓度为10,20,40 μmol·L-1的熊果酸作用24 h,将0 μmol·L-1组设立为对照组。收集细胞后,根据细胞内总胆固醇测定试剂盒流程进行操作,并以细胞的蛋白量进行校正。

1.3.4 RT-PCR检测CYP7A1 mRNA表达 应用TRIzol试剂提取细胞总RNA,然后采高容量cDNA反转录试剂盒合成cDNA。RT-PCR引物采用Primer Premier 5版软件设计,引物序列见表1。应用SYBR Green RT-PCR 技术检测CYP7A1 mRNA表达水平。以β-actin作为内参对照。整个体系在RT-PCR仪中进行扩增,然后作相对定量分析。

表1 CYP7A1和β-actin的引物序列
Tab.1 Primer sequences of CYP7A1 and β-actin
基因名称 引物序列 扩增
长度/bp
CYP7A1 (人) Sense: 5'-AGAAATCTACCCAGACCCTT-3'
Anti-sense: 5'-TTGATTTCGTGGATAGCGAA-3' 171
CYP7A1 (鼠) Sense: 5'-TTCTTTGATCTGGGGGATTG-3'
Anti-sense: 5'-GTTTGCTTTGCTTTGCTCTT-3' 176
β-actin (人) Sense: 5'-ACTATCGGCAATGAGCG-3'
Anti-sense: 5'-GAGCCAGGGCAGTAATCT-3' 220
β-actin (鼠) Sense: 5'-GACGGCCAGGTCATCACTAT-3'
Anti-sense: 5'-CGGATGTCAACGTCACACTT-3' 140

表1 CYP7A1和β-actin的引物序列

Tab.1 Primer sequences of CYP7A1 and β-actin

1.3.5 Western blotting检测CYP7A1表达 HepG2及AML-12细胞分别给予终浓度为0,10,20和40 μmol·L-1的熊果酸处理24 h,提取总蛋白,并测定蛋白浓度。10%蛋白质聚丙烯酰胺分离,应用电转移方法,将蛋白转至聚偏氟乙烯膜上,5%牛血清清蛋白封闭30 min,加入一抗,4 ℃振荡过夜。用含1%聚山梨酯的TBS(TBST)洗涤3次后,加入碱性磷酸酶标记的二抗,室温孵育1 h,TBST洗涤3次后,加入显色剂,显色后拍摄图像保存,并以β-actin作为内参对照进行分析。

1.4 统计学方法

采用SPSS18.0版统计软件对数据进行分析,计量资料以均数±标准差( x ¯ ±s)表示,用单因素方差分析。以P<0.05为差异有统计学意义。

2 结果
2.1 熊果酸对HepG2细胞存活率的影响

MTT结果显示0,10,20,40和80 μmol·L-1熊果酸处理后,HepG2细胞存活率分别为(101.51±4.51)%,(95.75±5.56)%,(93.72±3.86)%,(91.53±4.63)%和(77.48±3.88)%。与对照组的细胞存活率比较,80 μmol·L-1熊果酸显著降低HepG2细胞存活率(t=6.89,P<0.05),而10,20和40 μmol·L-1熊果酸对细胞存活率的影响不明显,差异无统计学意义(P>0.05)。表明高浓度熊果酸对HepG2细胞具有一定的毒性作用,因此选择0~40 μmol·L-1作为研究熊果酸对肝细胞内胆固醇代谢影响的浓度范围。

2.2 熊果酸对HepG2、AML-12细胞内胆固醇代谢水平的影响

不同浓度熊果酸处理HepG2、AML-12细胞24 h后,检测细胞内胆固醇水平变化。0,10,20和40 μmol·L-1熊果酸处理后,HepG2细胞内胆固醇含量分别为(0.460±0.013),(0.440±0.019),(0.390±0.017),(0.370±0.014) μmol·g-1;经过0,20和40 μmol·L-1熊果酸处理后,AML-12细胞内胆固醇含量分别为(0.340±0.019),(0.280±0.015),(0.26±0.023) μmol·g-1。与对照组比较,随着熊果酸浓度的增加,两种细胞内总胆固醇浓度均逐渐降低,20和40 μmol·L-1组尤为显著(HepG2细胞t=5.22, 6.87, P<0.05;AML-12细胞t=3.55, 4.93, P<0.05)。

2.3 熊果酸对HepG2、AML-12细胞内CYP7A1 mRNA及蛋白水平的影响

不同浓度熊果酸处理HepG2及AML-12细胞24 h后,检测细胞内CYP7A1 mRNA及蛋白表达(图1)。0,10,20和40 μmol·L-1处理后,HepG2细胞内CYP7A1 mRNA相对水平分别为1.000±0.053,1.090±0.114,1.540±0.087,1.730±0.106;0,20和40 μmol·L-1熊果酸处理后,AML-12细胞内CYP7A1 mRNA相对水平分别为1.000±0.064,1.450±0.093,1.590±0.085。与0 μmol·L-1熊果酸组比较,20和40 μmol·L-1熊果酸组CYP7A1的mRNA水平增高(HepG2细胞t=7.92, 10.51, P<0.05;AML-12细胞t=6.39, 8.50, P<0.05),蛋白水平也显著增加(HepG2细胞t=5.82, 7.06, P<0.05;AML-12细胞t=4.85, 6.58, P<0.05)。

3 讨论

研究表明,血浆胆固醇的升高是心血管疾病的重要危险因素[12-13]。因此,降低血中胆固醇水平对预防动脉粥样硬化等心血管疾病的发生和发展具有重要意义。熊果酸具有降低血浆胆固醇水平的作用[9-11],然而其相关的调节机制目前尚不明确。排除饮食因素影响,血中胆固醇的升高是由于内源性合成的增加和(或)分解代谢的减少。肝脏既是胆固醇合成的重要场所,又是胆固醇分解的主要器官,故肝脏组织或细胞亦成为探讨胆固醇代谢的重要研究对象。人肝癌细胞HepG2及小鼠正常肝细胞AML-12多用于肝脏脂质代谢方面的研究,因此本研究选用这两种细胞作为实验对象,探讨熊果酸对胆固醇分解代谢的影响及其相关机制。

图1 熊果酸对HepG2及AML-12细胞内CYP7A1蛋白表达的影响 (x¯±s,n=4)
与0 μmol·L-1熊果酸组比较,*1P<0.05

Fig.1 Effects of ursolic acid on the protein expression of CYP7A1 in HepG2 and AML-12 cells (x¯±s,n=4)
Compared with 0 μmol·L-1 ursolic acid group,*1P<0.05

熊果酸能够显著抑制多种肿瘤细胞增殖,诱导其发生凋亡[14-17]。HepG2属于肿瘤细胞,因此笔者首先应用MTT法确定了熊果酸对HepG2细胞的毒性浓度。结果显示,高浓度熊果酸(80 μmol·L-1)显著降低了HepG2细胞的存活率,而低浓度熊果酸并没有此作用,因此,笔者选择0~40 μmol·L-1浓度范围用于研究熊果酸对肝细胞内胆固醇代谢的影响。

CYP7A1是肝脏组织中促使胆固醇分解成胆汁酸的限速酶,在体内胆固醇代谢平衡的维持中起到关键作用[18-21]。本研究结果显示,在一定的浓度范围内(0~40 μmol·L-1),随着熊果酸水平增加,HepG2及AML-12细胞内CYP7A1 mRNA及蛋白表达水平逐渐上升,同时细胞内胆固醇水平也逐渐降低,说明熊果酸至少部分通过上调CYP7A1表达,加速了细胞内胆固醇的分解,进而降低了胞内的胆固醇浓度。然而,熊果酸是通过何种途径增加CYP7A1的表达,以及是否还有其他蛋白、通路等参与熊果酸对细胞内胆固醇的调节作用,这些疑问还有待于进一步的研究与探讨。

综上所述,一定浓度范围内的熊果酸能够降低肝细胞内的胆固醇浓度,可能机制是熊果酸上调CYP7A1表达,进而促进细胞内胆固醇的分解代谢。

The authors have declared that no competing interests exist.

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DOI:10.1021/jf0520342      PMID:16390206      URL    
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[6] CHU X, HE X, SHI Z, et al.Ursolic acid increases energy expenditure through enhancing free fatty acid uptake and β-oxidation via an UCP3/AMPK-dependent pathway in skeletal muscle[J]. Mol Nutr Food Res, 2015, 59(8):1491-1503.
Ursolic acid (UA) is a triterpenoid compound with multifold biological functions. Our previous studies have reported that UA protects against high‐fat diet‐induced obesity and improves insulin resistance (IR). However, the potential mechanisms are still undefined. Free fatty acid (FFA) metabolism in skeletal muscle plays a central role in obesity and IR. Therefore, in this study, we investigated the effect and the potential mechanisms of UA on skeletal muscle FFA metabolism.
DOI:10.1002/mnfr.201400670      PMID:259447153      URL    
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[7] JIA Y, KIM S, KIM J, et al.Ursolic acid improves lipid and glucose metabolism in high-fat-fed C57BL/6J mice by activating peroxisome proliferator-activated receptor alpha and hepatic autophagy[J]. Mol Nutr Food Res, 2015, 59(2):344-354.
Abstract SCOPE: This study investigated metabolic effects of ursolic acid (UA), a peroxisome proliferation-activated receptor (PPAR)-α activator, in vivo. METHODS AND RESULTS: High-fat diet (HFD)-fed C57BL/6J mice were orally administered UA (50 or 20002mg/kg body weight) for 8 wk. UA reduced liver and adipose tissue mass, adipocyte size, and plasma leptin concentrations, plasma triglyceride and low-density-lipoprotein cholesterol concentrations, while it elevated the high-density-lipoprotein cholesterol and adiponectin concentrations significantly compared with controls. UA induced the expression of PPARα and its responsive genes involved in fatty acid uptake and β-oxidation in the livers, whereas genes involved in lipogenesis, including sterol regulatory element-binding proteins-1c, were downregulated. UA administration improved glucose tolerance and insulin sensitivity significantly compared with the HFD-fed control livers. UA administration also activated hepatic autophagy as assessed by the expression of microtubule-associated protein 1A/1B-light chain 3 (LC3)-II and other key proteins in the autophagy pathway. CONCLUSION: Our findings suggest that UA ameliorates lipid and glucose metabolism in HFD-fed mice primarily by the activation of PPARα and induction of the hepatic autophagy pathway. Thus, intake of UA in the diet or in an isolated form may ameliorate lipid and glucose metabolism. 08 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
DOI:10.1002/mnfr.201400399      PMID:25418615      URL    
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[8] LI S, LIAO X, MENG F, et al.Therapeutic role of ursolic acid on ameliorating hepatic steatosis and improving metabolic disorders in high-fat diet-induced non-alcoholic fatty liver disease rats[J]. PLoS One, 2014, 9(1):e86724.
Background Non-alcoholic fatty liver disease (NAFLD) is one of the most prevalent liver diseases around the world, and is closely associated with obesity, diabetes, and insulin resistance. Ursolic acid (UA), an ubiquitous triterpenoid with multifold biological roles, is distributed in various plants. This study was conducted to investigate the therapeutic effect and potential mechanisms of UA against hepatic steatosis in a high-fat diet (HFD)-induced obese non-alcoholic fatty liver disease (NAFLD) rat model. Methodology/Principal Findings Obese NAFLD model was established in Sprague-Dawley rats by 8-week HFD feeding. Therapeutic role of UA was evaluated using 0.125%, 0.25%, 0.5% UA-supplemented diet for another 6 weeks. The results from both morphologic and histological detections indicated that UA significantly reversed HFD-induced hepatic steatosis and liver injury. Besides, hepatic peroxisome proliferator-activated receptor (PPAR)-伪 was markedly up-regulated at both mRNA and protein levels by UA. Knocking down PPAR-伪 significantly inhibited the anti-steatosis role of UA in vitro . HFD-induced adverse changes in the key genes, which participated in hepatic lipid metabolism, were also alleviated by UA treatment. Furthermore, UA significantly ameliorated HFD-induced metabolic disorders, including insulin resistance, inflammation and oxidative stress. Conclusions/Significance These results demonstrated that UA effectively ameliorated HFD-induced hepatic steatosis through a PPAR-伪 involved pathway, via improving key enzymes in the controlling of lipids metabolism. The metabolic disorders were accordingly improved with the decrease of hepatic steatosis. Thereby, UA could be a promising candidate for the treatment of NAFLD.
DOI:10.1371/journal.pone.0086724      PMID:24489777      URL    
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[9] SUNDARESAN A, HARINI R, PUGALENDI K V.Ursolic acid and rosiglitazone combination alleviates metabolic syndrome in high fat diet fed C57BL/6J mice[J]. Gen Physiol Biophys, 2012, 31(3):323-333.
The aim of this study was to examine the combined effect of ursolic acid (UA) and rosiglitazone (RSG) on metabolic syndrome in C57BL/6J mice. Upon feeding high fat diet (HFD) C57BL/6J mice developed obesity, insulin resistance, dyslipidemia and hypertension. The male mice were randomly divided into six groups, and fed normal diet, normal diet plus UA and RSG, HFD alone, HFD plus UA, HFD plus RSG, and HFD plus UA and RSG, respectively. HFD fed mice showed increase in body weight, elevated plasma glucose and insulin. Activities of gluconeogenic enzymes such as glucose 6-phosphatase, fructose 1,6-bisphosphatase increased while the activity of glycolytic enzyme, glucokinase, decreased in the liver along with glycogen content. Total cholesterol, triglyceride, low-density lipoprotein cholesterol and very low-density lipoprotein cholesterol and free fatty acid levels significantly increased in the plasma, whereas high-density lipoprotein cholesterol significantly decreased in high fat diet fed mice. In addition, both systolic and diastolic blood pressure was increased significantly. Combined treatment with UA and RSG improved the above parameters towards normality and pronounced more responses than UA or RSG lone treatment. The inclusion of UA in treatment with RSG may reduce the body weight gain, one of adverse side effect associated with the RSG-therapy.
DOI:10.4149/gpb_2012_037      PMID:23047945      Magsci     URL    
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[10] JANG S M, KIM M J, CHOI M S, et al.Inhibitory effects of ursolic acid on hepatic polyol pathway and glucose production in streptozotocin-induced diabetic mice[J]. Metabolism, 2010, 59(4):512-519.
The effects of ursolic acid on the polyol pathway and glucose homeostasis鈥搑elated metabolism were examined in the livers of streptozotocin (STZ)-induced diabetic mice fed a high-fat (37% calories from fat) diet for 4 weeks. Male mice were divided into nondiabetic, diabetic control, and diabetic鈥搖rsolic acid (0.05% wt/wt) groups. Diabetes was induced by the injection of STZ (200 mg/kg body weight, intraperitoneally). Although an ursolic acid supplement lowered the blood glucose level, it did not affect the plasma leptin and adiponectin levels. The present study shows that the blood glucose levels have a positive correlation with the hepatic sorbitol dehydrogenase activities ( r = 0.39, P < .05). Ursolic acid significantly inhibited sorbitol dehydrogenase activity as well as aldose reductase activity in the liver. The supplementation of ursolic acid significantly increased glucokinase activity, while decreasing glucose-6-phosphatase activity in the livers of STZ-induced diabetic mice. Ursolic acid significantly elevated the hepatic glycogen content compared with the diabetic control group. Supplementation with ursolic acid significantly lowered the plasma total cholesterol, free fatty acid, and triglyceride concentrations compared with the diabetic control group, whereas it normalized hepatic triglyceride concentration. A negative correlation was found between the hepatic triglyceride concentration and blood glucose levels ( r = 鈭0.50, P < .01) in regard to insulin-dependent diabetic mice. The hepatic fatty acid synthase activity was significantly lower in the ursolic acid group than in the diabetic control group, whereas hepatic fatty acid 尾 -oxidation and carnitine palmitoyltransferase activities were significantly higher. These results indicate that ursolic acid may be beneficial in preventing diabetic complications by improving the polyol pathway as well as the lipid metabolism and that it can function as a potential modulator of hepatic glucose production, which is partly mediated by up-regulating glucose utilization and glycogen storage and down-regulating glyconeogenesis in the liver.
DOI:10.1016/j.metabol.2009.07.040      PMID:19846180      Magsci     URL    
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[11] WANG Y L, WANG Z J, SHEN H L, et al.Effects of artesunate and ursolic acid on hyperlipidemia and its complications in rabbit[J]. Eur J Pharm Sci, 2013, 50(3/4):366-371.
The hypolipidemic effect of artesunate is firstly reported. Its combination with ursolic acid might have the potential to further develop for the treatment of atherosclerosis.
DOI:10.1016/j.ejps.2013.08.003      PMID:23954455      URL    
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[12] Study of the Effectiveness of Additional Reductions in Cholesterol and Homocysteine (SEARCH) Collaborative Group, ARMITAGE J, BOWMAN L, et al.Intensive lowering of LDL cholesterol with 80 mg versus 20 mg simvastatin daily in 12 064 survivors of myocardial infarction: a double-blind randomised trial[J]. Lancet, 2010, 376(9753):1658-1669.
Lowering of LDL cholesterol reduces major vascular events, but whether more intensive therapy safely produces extra benefits is uncertain. We aimed to establish efficacy and safety of more intensive statin treatment in patients at high cardiovascular risk.We undertook a double-blind randomised trial in 12,064 men and women aged 18-80 years with a history of myocardial infarction. Participants were either currently on or had clear indication for statin therapy, and had a total cholesterol concentration of at least 3·5 mmol/L if already on a statin or 4·5 mmol/L if not. Randomisation to either 80 mg or 20 mg simvastatin daily was done centrally using a minimisation algorithm. Participants were assessed at 2, 4, 8, and 12 months after randomisation and then every 6 months until final follow-up. The primary endpoint was major vascular events, defined as coronary death, myocardial infarction, stroke, or arterial revascularisation. Analysis was by intention to treat. This study is registered, number ISRCTN74348595.6031 participants were allocated 80 mg simvastatin daily, and 6033 allocated 20 mg simvastatin daily. During a mean follow-up of 6·7 (SD 1·5) years, allocation to 80 mg simvastatin produced an average 0·35 (SE 0·01) mmol/L greater reduction in LDL cholesterol compared with allocation to 20 mg. Major vascular events occurred in 1477 (24·5%) participants allocated 80 mg simvastatin versus 1553 (25·7%) of those allocated 20 mg, corresponding to a 6% proportional reduction (risk ratio 0·94, 95% CI 0·88-1·01; p=0·10). There were no apparent differences in numbers of haemorrhagic strokes (24 [0·4%] vs 25 [0·4%]) or deaths attributed to vascular (565 [9·4%] vs 572 [9·5%]) or non-vascular (399 [6·6%] vs 398 [6·6%]) causes. Compared with two (0·03%) cases of myopathy in patients taking 20 mg simvastatin daily, there were 53 (0·9%) cases in the 80 mg group.The 6% (SE 3·5%) reduction in major vascular events with a further 0·35 mmol/L reduction in LDL cholesterol in our trial is consistent with previous trials. Myopathy was increased with 80 mg simvastatin daily, but intensive lowering of LDL cholesterol can be achieved safely with other regimens.Merck; The Clinical Trial Service Unit also receives funding from the UK Medical Research Council and the British Heart Foundation.
DOI:10.1016/S0140-6736(10)60310-8      PMID:21067805      URL    
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[13] LIU H H, LI J J.Aging and dyslipidemia: a review of potential mechanisms[J]. Ageing Res Rev, 2015, 19(1):43-52.
Abstract Elderly adults constitute a rapidly growing part of the global population, thus resulting in an increase in morbidity and mortality related to cardiovascular disease (CVD), which remains the major cause of death in elderly population, including men and women. Dyslipidemia is a well-established risk factor for CVD and is estimated to account for more than half of the worldwide cases of coronary artery disease (CAD). Many studies have shown a strong correlation between serum cholesterol levels and risk of developing CAD. In this paper, we review the changes of plasma lipids that occur in men and women during aging and the potential mechanisms of age-related disorders of lipoprotein metabolism covering humans and/or animals, in which changes of the liver sinusoidal endothelium, postprandial lipemia, insulin resistance induced by free fatty acid (FFA), growth hormone (GH), androgen (only for men) and expression and activity of peroxisome proliferator-activated receptor 伪 (PPAR伪) are mainly focused. Copyright 漏 2014. Published by Elsevier B.V.
DOI:10.1016/j.arr.2014.12.001      PMID:25500366      URL    
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[14] KIM D K, BAEK J H, KANG C M, et al.Apoptotic activity of ursolic acid may correlate with the inhibition of initiation of DNA replication[J]. Int J Cancer, 2000, 87(5):629-636.
Abstract Top of page Abstract MATERIAL AND METHODS RESULTS DISCUSSION Acknowledgements REFERENCES Ursolic acid (UA), a pentacyclic triterpene acid, has been reported to exhibit anti-tumor activity. In this study, we investigated the pro-apoptotic effect of UA on HepG2 human hepatoblastoma cells. Treatment with UA decreased the viability of HepG2 cells in a concentration- and time-dependent manner. Furthermore, 30 M of UA induced DNA fragmentation and subdiploid cells and enhanced the release of cytochrome c and the activation of caspase-3. These results suggest that UA induces cell death through apoptosis, which may be mediated by cytochrome c -dependent caspase-3 activation. In addition, cell-cycle analysis revealed that UA-treated cells were arrested predominantly in the G 0 and G 1 phases with a concomitant decrease in the cell population of S phase. Moreover, expression of p21 WAF1 , a cell-cycle regulator, was increased by UA, indicating that p21 WAF1 might mediate UA-induced cell-cycle arrest. However, UA markedly inhibited SV40 DNA replication in the initiation stage in vitro and significantly reduced the DNA cleaving of topoisomerase I and the ssDNA binding activity of replication protein A. These results indicate that the inhibition of DNA replication by UA may result from blockade of the establishment of the replication fork during initiation stage, consequently contributing to UA-induced cell-cycle arrest. Taken together, we suggest that UA-induced cell-cycle arrest may be mediated by inhibition of DNA replication and the increase of p21 WAF1 expression, which induces the release of cytochrome c and the activation of caspase-3, leading to apoptosis of HepG2 cells. Int. J. Cancer 87:629鈥636, 2000. 漏 2000 Wiley-Liss, Inc.
DOI:10.1002/1097-0215(20000901)87:53.0.CO;2-P      PMID:10925354      URL    
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[15] LI J, GUO W J, YANG Q Y.Effects of ursolic acid and oleanolic acid on human colon carcinoma cell line HCT15[J]. World J Gastroenterol, 2002, 8(3):493-495.
姝 AIM:Ursolic acid(UA)and oleanolic acid(OA)aretriperpene acids having a similar chemical structure and aredistributed wildly in plants all over the world.In recentyears,it was found that they had marked anti-tumor effects.There is little literature currently available regarding theireffects on colon carcinoma calls.The present study wasdesigned to investigate their inhibitory effects on humancolon carcinoma call line HCT15.METHODS:HCT15 calls were cultured with different drugs.The treated calls were stained with hematoxylin-eosin andtheir morphologic changes observed under a lightmicroscope.The cytotoxicity of these drugs was evaluatedby tetrazolium dye assay.Cell cycle analysis was performedby flow cytometry(FCM).Data were expressed as meansSEM and Analysis of variance and Student' t-test forindividual comparisons.RESULTS:Twenty-four to 72 h after UA or OA 60 mol/Ltreatment,the numbers of dead calls and call fragmentswere increased and most calls were dead at the 72 nd hour.The cytotoxicity of UA was stronger than that of OA.Seventy-eight hours after 50 mol/L of UA or OA treatment,a number of calls were degenerated,but call fragments wererarely seen.The IC_(50)values for UA and OA were 30 and 60mol/L,respectively.Proliferation assay showed thatproliferation of UA and OA-treated calls was slightlyincreased at 24 h and significantly decreased at 48 h and 60h,whereas untreated control calls maintained anexponential growth curve.Cell cycle analysis by FCMshowed HCT15 calls treated with UA 30 and OA 60 for 36 h and72 h gradually accumulated in G_0/G_1 phase(both drugs P0.05 for 72 h),with a concomitant decrease of call populationsin S phase(both drugs P0.01 for 72 h)and no detectableapoptotic fraction.CONCLUSION:UA and OA have significant anti-tumor activity.The effect of UA is stronger than that of OA.The possiblemechanism of action is that both drugs have an inhibitoryeffect on tumor call proliferation through call-cycle arrest.
DOI:10.3748/wjg.v8.i3.493      PMID:12046077      URL    
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[16] BAEK J H, LEE Y S, KANG C M, et al.Intracellular Ca2+ release mediates ursolic acid-induced apoptosis in human leukemic HL-60 cells[J]. Int J Cancer, 1997, 73(5):725-728.
Abstract The effect of ursolic acid (UA) on tumor cell apoptosis was investigated using HL-60 human promyelocytic leukemia cells as a model cellular system. Treatment with UA resulted in a concentration-dependent decreased cell viability assessed by MTT assay. UA also induced genomic DNA fragmentation, a hallmark of apoptosis, indicating that the mechanism by which UA induced cell death was through apoptosis. The intracellular Ca2+ level was increased by treatment with UA. Intracellular Ca2+ inhibitors, such as intracellular Ca2+-release blockers (dantrolene, TMB-8 and ruthenium red) and an intracellular Ca2+ chelator (BAPTA/AM), significantly blocked the UA-induced increased intracellular Ca+ concentration. These inhibitors also blocked the effects of UA on cell viability and apoptosis. These results suggest that enhanced intracellular Ca2+ signals may be involved in UA-induced apoptosis in HL-60 cells.
DOI:10.1002/(SICI)1097-0215(19971127)73:53.0.CO;2-4      PMID:9398053      URL    
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[17] HUANG M T, HO C T, WANG Z Y, et al.Inhibition of skin tumorigenesis by rosemary and its constituents carnosol and ursolic acid[J]. Cancer Res, 1994, 54(3):701-708.
Abstract A methanol extract of the leaves of the plant Rosmarinus officinalis L. (rosemary) was evaluated for its effects on tumor initiation and promotion in mouse skin. Application of rosemary to mouse skin inhibited the covalent binding of benzo(a)pyrene [B(a)P] to epidermal DNA and inhibited tumor initiation by B(a)P and 7,12-dimethylbenz[a]anthracene (DMBA). Topical application of 20 nmol B(a)P to the backs of mice once weekly for 10 weeks, followed 1 week later by promotion with 15 nmol 12-O-tetradecanoylphorbol-13-acetate (TPA) twice weekly for 21 weeks, resulted in the formation of 7.1 tumors per mouse. In a parallel group of animals that were treated topically with 1.2 or 3.6 mg of rosemary 5 min prior to each application of B(a)P, the number of tumors per mouse was decreased by 54 or 64%, respectively. Application of rosemary to mouse skin also inhibited TPA-induced ornithine decarboxylase activity, TPA-induced inflammation, arachidonic acid-induced inflammation, TPA-induced hyperplasia, and TPA-induced tumor promotion. Mice initiated with 200 nmol DMBA and promoted with 5 nmol TPA twice weekly for 19 weeks developed an average of 17.2 skin tumors per mouse. Treatment of the DMBA-initiated mice with 0.4, 1.2, or 3.6 mg of rosemary together with 5 nmol TPA twice weekly for 19 weeks inhibited the number of TPA-induced skin tumors per mouse by 40, 68, or 99%, respectively. Topical application of carnosol or ursolic acid isolated from rosemary inhibited TPA-induced ear inflammation, ornithine decarboxylase activity, and tumor promotion. Topical application of 1, 3, or 10 mumol carnosol together with 5 nmol TPA twice weekly for 20 weeks to the backs of mice previously initiated with DMBA inhibited the number of skin tumors per mouse by 38, 63, or 78%, respectively. Topical application of 0.1, 0.3, 1, or 2 mumol ursolic acid together with 5 nmol TPA twice weekly for 20 weeks to DMBA-initiated mice inhibited the number of tumors per mouse by 45-61%.
DOI:10.1097/00002820-199402000-00009      PMID:8306331      URL    
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[18] HUBACEK J A, BOBKOVA D.Role of cholesterol 7alpha-hydroxylase (CYP7A1) in nutrigenetics and pharmacogenetics of cholesterol lowering[J]. Mol Diagn Ther, 2006, 10(2):93-100.
The relationship between dietary composition/cholesterol-lowering therapy and final plasma lipid levels is to some extent genetically determined. It is clear that these responses are under polygenic control, with multiple variants in many genes participating in the total effect (and with each gene contributing a relatively small effect). Using different experimental approaches, several candidate genes have been analyzed to date.Interesting and consistent results have been published recently regarding the A-204C promoter variant in the cholesterol 7alpha-hydroxylase (CYP7A1) gene. CYP7A1 is a rate-limiting enzyme in bile acid synthesis and therefore plays an important role in maintaining cholesterol homeostasis. CYP7A1-204CC homozygotes have the greatest decrease in total cholesterol level in response to dietary changes in different types of dietary intervention studies. In contrast, one study has reported that the effect of statins in lowering low-density lipoprotein (LDL)-cholesterol levels was slightly greater in -204AA homozygotes. The CYP7A1 A-204C variant accounts for a significant proportion of the genetic predisposition of the response of plasma cholesterol levels.
DOI:10.1007/BF03256448      PMID:16669607      URL    
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[19] GILARDI F, MITRO N, GODIO C, et al.The pharmacological exploitation of cholesterol 7alpha-hydroxylase, the key enzyme in bile acid synthesis: from binding resins to chromatin remodelling to reduce plasma cholesterol[J]. Pharmacol Ther, 2007, 116(3):449-472.
Mammals dispose of cholesterol mainly through 7alpha-hydroxylated bile acids, and the enzyme catalyzing the 7alpha-hydroxylation, cholesterol 7alpha-hydroxylase (CYP7A1), has a deep impact on cholesterol homeostasis. In this review, we present the study of regulation of CYP7A1 as a good exemplification of the extraordinary contribution of molecular biology to the advancement of our understanding of metabolic pathways that has taken place in the last 2 decades. Since the cloning of the gene from different species, experimental evidence has accumulated, indicating that the enzyme is mainly regulated at the transcriptional level and that bile acids are the most important physiological inhibitors of CYP7A1 transcription. Multiple mechanisms are involved in the control of CYP7A1 transcription and a variety of transcription factors and nuclear receptors participate in sophisticated regulatory networks. A higher order of transcriptional regulation, stemming from the so-called histone code, also applies to CYP7A1, and recent findings clearly indicate that chromatin remodelling events have profound effects on its expression. CYP7A1 also acts as a sensor of signals coming from the gut, thus representing another line of defence against the toxic effects of bile acids and a downstream target of agents acting at the intestinal level. From the pharmacological point of view, bile acid binding resins were the first primitive approach targeting the negative feed-back regulation of CYP7A1 to reduce plasma cholesterol. In recent years, new drugs have been designed based on recent discoveries of the regulatory network, thus confirming the position of CYP7A1 as a focus for innovative pharmacological intervention.
DOI:10.1016/j.pharmthera.2007.08.003      PMID:17959250      URL    
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[20] CHIANG J Y.Bile acids: regulation of synthesis[J]. J Lipid Res, 2009, 50(10):1955-1966. [本文引用:0]
[21] LI T, MATOZEL M, BOEHME S, et al.Overexpression of cholesterol 7α-hydroxylase promotes hepatic bile acid synthesis and secretion and maintains cholesterol homeostasis[J]. Hepatology, 2011, 53(3):996-1006.
UNLABELLED: We reported previously that mice overexpressing cytochrome P450 7a1 (Cyp7a1; Cyp7a1-tg mice) are protected against high fat diet-induced hypercholesterolemia, obesity, and insulin resistance. Here, we investigated the underlying mechanism of bile acid signaling in maintaining cholesterol homeostasis in Cyp7a1-tg mice. Cyp7a1-tg mice had two-fold higher Cyp7a1 activity and bile acid pool than did wild-type mice. Gallbladder bile acid composition changed from predominantly cholic acid (57%) in wild-type to chenodeoxycholic acid (54%) in Cyp7a1-tg mice. Cyp7a1-tg mice had higher biliary and fecal cholesterol and bile acid secretion rates than did wild-type mice. Surprisingly, hepatic de novo cholesterol synthesis was markedly induced in Cyp7a1-tg mice but intestine fractional cholesterol absorption in Cyp7a1-tg mice remained the same as wild-type mice despite the presence of increased intestine bile acids. Interestingly, hepatic but not intestinal expression of several cholesterol (adenosine triphosphate-binding cassette G5/G8 [ABCG5/G8], scavenger receptor class B, member 1) and bile acid (ABCB11) transporters were significantly induced in Cyp7a1-tg mice. Treatment of mouse or human hepatocytes with a farnesoid X receptor (FXR) agonist GW4064 or bile acids induced hepatic Abcg5/g8 expression. A functional FXR binding site was identified in the Abcg5 gene promoter. Study of tissue-specific Fxr knockout mice demonstrated that loss of the Fxr gene in the liver attenuated bile acid induction of hepatic Abcg5/g8 and gallbladder cholesterol content, suggesting a role of FXR in the regulation of cholesterol transport. CONCLUSION: This study revealed a new mechanism by which increased Cyp7a1 activity expands the hydrophobic bile acid pool, stimulating hepatic cholesterol synthesis and biliary cholesterol secretion without increasing intestinal cholesterol absorption. This study demonstrated that Cyp7a1 plays a critical role in maintaining cholesterol homeostasis and underscores the importance of bile acid signaling in regulating overall cholesterol homeostasis.
DOI:10.1002/hep.24107      PMID:21319191      URL    
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关键词(key words)
熊果酸
胆固醇代谢
胆固醇7A-羟化酶

Ursolic acid
Cholesterol metabolism
Cholesterol 7alpha-hydrox...

作者
梁奎英
初霞

LIANG Kuiying
CHU Xia