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医药导报, 2017, 36(10): 1107-1111
doi: 10.3870/j.issn.1004-0781.2017.10.005
药根碱对糖尿病模型大鼠血管Akt/AMPK/eNOS信号通路的影响
Effects of Jatrorrhizine on Akt/AMPK/eNOS Signaling Pathways in Blood Vessel of Diabetes Rats
王云山1,, 张洪2, 张晓春1,

摘要:

目的 观察药根碱对糖尿病大鼠血管蛋白激酶B/一磷酸腺苷活化蛋白激酶/内皮型一氧化氮合酶(Akt/AMPK/eNOS)信号通路的影响及对糖尿病大鼠可能的保护作用机制。方法 将60只雄性Wistar大鼠随机分为正常对照组、模型对照组、药根碱小剂量组和大剂量组,除正常对照组外,其他组通过诱导胰岛素抵抗后空腹腹腔注射链脲佐菌素制作2型糖尿病模型,正常对照组和模型对照组大鼠每日灌胃5%羧甲基纤维素钠溶液,药根碱大剂量组和小剂量组每日分别给予药根碱100,50 mg·kg-1,连续8周。检测各组大鼠体质量、血糖及血清胰岛素水平,酶联免疫吸附测定(ELISA)法比较各组大鼠血清中炎症因子白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平,Western blotting法检测各组大鼠血管中eNOS蛋白及Akt/AMPK通路蛋白的表达。结果 与正常对照组比较,模型对照组大鼠体质量下降,血糖升高,血清胰岛素水平显著性升高,差异有统计学意义(P<0.01);与模型对照组比较,药根碱大剂量组体质量显著增加,血糖降低,胰岛素水平下降均差异有统计学意义(P<0.01)。正常对照组血清中IL-1β为(92.3±4.3) pg·mL-1,模型对照组为(152.4± 20.0) pg·mL-1,药根碱小剂量组和大剂量组分别为(120.96±33.0),(95.05±7.7) pg·mL-1;模型对照组血清中TNF-α为(10.50 ±0.82)pg·mL-1,正常对照组为(7.48±0.36) pg·mL-1,药根碱小剂量组和大剂量组TNF-α分别为(8.82±0.42)和(7.11±0.33) pg·mL-1;与正常对照组比较,模型对照组大鼠血管中eNOS表达量及磷酸化的Akt和AMPK含量显著减少,药根碱大剂量组较模型对照组显著提高(P<0.05或P<0.01)。结论 药根碱可能通过影响糖尿病大鼠血管中Akt/AMPK/eNOS信号通路及对抗炎症作用对糖尿病大鼠具有保护作用。

关键词: 药根碱 ; 糖尿病 ; 抗炎八月 ; 一氧化氮合酶 ; 内皮型

Abstract:

Objective To observe the influence of jatrorrhizine on the Akt/AMPK/eNOS signaling pathways and potential protective function in blood vessel of diabetes rats. Methods Male Wistar rats (n=60) were randomly divided into normal control group, model control group, low-and high dose jatrorrhizine groups. Except normal control group, the other rats were given intraperitoneal injection of STZ after induced insulin resistance, to made type Ⅱ diabetes model. CMC-Na solution (5%) was given to normal control and model control group, and the jatrorrhizine resolved in the same solution was administered to low (50 mg·kg-1) and high dose (100 mg·kg-1) jatrorrhizine groups for 8 weeks. Their body weight, blood glucose, and serum insulin levels were measured at the end of the treatment, IL-1β, TNF-α level in serum were measured by ELISA, and the eNOS, Akt/AMPK protein expression levels in the blood vessel were measured by Western blotting. Results Compared with normal control group, the weight of model control group was lossed, blood glucose was increased(P<0.01). Compared with model control group, high-dose jatrorrhizine significantly increased body weight, alleviated blood glucose and decreased serum insulin (P<0.01). Serum inflammatory factor like IL-1β was (92.3±4.3) pg·mL-1 in normal control group, (152.4±20.0) pg·mL-1 in model control group, (120.96±33.0) pg·mL-1 and (95.05±7.7) pg·mL-1 in low- and high- dose jatrorrhizine groups, respectively. TNF-α was (10.50±0.82) pg·mL-1 in model control group, (7.48±0.36) pg·mL-1 in normal control group, (8.82±0.42) and (7.11±0.33) pg·mL-1 in low- and high- dose jatrorrhizine groups, respectively. As compared with control group, eNOS and Akt/AMPK expression in blood vessel was significantly reduced (P<0.05) in model control group, and those were significantly increased in high- dose jatrorrhizine group as compared with model control group (P<0.05 or P<0.01). Conclusion Jatrorrhizine may exert protective effect on diabetes mellitus rats through regulating Akt/AMPK/eNOS signaling pathway in blood vessel.

Key words: Jatrorrhizine ; Diabetes ; Anti-inflammation ; Nitric oxide synthase ; endothelidal

药根碱(jatrorrhizine)是从防己科(Menispermaceae)植物青牛胆[Tinospora sagittata(Oli.v)] Gagnep,毛莨科(Ranunculaceae)植物黄连(Coptis chimensis Franch)等植物中分离得到的一种四氢异喹啉生物碱,其结构与小檗碱类似[1]。诸多研究表明药根碱具有良好的抗菌、抗肿瘤、降血糖血脂等作用[2-4]。近年来由于发现药根碱与小檗碱一样作为黄连治疗2型糖尿病中有效成分而成为研究热点。但报道的文献多集中在药根碱成分检测、药动学分布[5]等,对其药理学作用研究较少。笔者在本研究主要从药根碱对糖尿病动物模型的降糖、抗炎效果和对血管中内皮型一氧化氮合酶(endothelial nitric oxide synthase,eNOS)的影响来探讨其对糖尿病的作用机制。

1 材料与方法
1.1 实验动物

SPF级Wistar大鼠,雄性,体质量80~100 g,均购自北京华阜康生物科技股份有限公司,实验动物生产许可证号:SCXK(京)2014-0004,合格证号:11401300029610),控制环境温度在(22±2)℃ 、相对湿度为40%,昼夜12 h节律循环和自由饮水进食。

1.2 试药

链脲佐菌素(streptozotocin,STZ)购自美国Sigma公司(批号:S0130);白细胞介素(IL)-1β试剂盒(批号:R013)、肿瘤坏死因子-α(TNF-α)试剂盒(批号:R019)购自南京建成生物工程研究所;胰岛素放射免疫检测试剂盒购自北京北方生物试剂研究所(批号:F01);抗eNOS、蛋白激酶B(protein kinase B,Akt)、pAkt、一磷酸腺苷活化蛋白激酶(Adenosine 5’-monophosphate(AMP)-activated protein kinase,AMPK)、pAMPK抗体购自美国CST公司(批号分别为9570S,9271,9272,2531,2532);抗β-actin和二抗购自武汉谷歌生物科技有限公司(批号分别为GB13001-3,GB23303)。高糖高脂饲料(含胆固醇1.5%、胆酸钠0.25%、猪油10%、蔗糖5%以及基础饲料83.25%)购自北京科澳协力饲料有限公司,正常饲料购自武汉万千佳兴生物科技有限公司。

1.3 仪器

BT-25型电子天平(德国Sartorius公司,感量:0.01 mg);3-18K高速冷冻离心机(德国Sigma公司);DFM-96型放射免疫γ计数器(合肥众成机电技术开发有限公司);血糖试纸、安稳型血糖测试仪(深圳市三诺电子有限公司);snergy2型多功能酶标仪(美国Bio Tek公司);Powerpac基础型Western blotting电泳仪、转膜仪均购自美国Bio Rad公司;G:BOX型显影仪(英国SYNGENE公司)。

1.4 动物分组与模型建立、给药

大鼠适应性喂养1周后,按照体质量排序后随机分为4组,分别为正常对照组(10只)、模型对照组(20只)、药根碱大剂量组(15只)、药根碱小剂量组(15只)。其中正常对照组给予正常饲料,模型对照组和药根碱大、小剂量组喂养高糖高脂饲料。4周后,行糖耐量实验检测是否形成胰岛素抵抗模型。随后饥饿8 h,大鼠尾静脉注射STZ 23 mg·kg-1,3 d后大鼠尾静脉取血测随机血糖,血糖高于16.7 mmol·L-1为糖尿病模型,并于2周后重复测定,若稳定在血糖高值,则视为模型成功;若血糖低于16.7 mmol·L-1则重复注射STZ,直至成为稳定的糖尿病模型。正常对照组和模型对照组大鼠每日灌胃5%羧甲纤维素钠溶液,药根碱大剂量组和小剂量组每日分别给予药根碱100,50 mg·kg-1,用5%羧甲纤维素钠混溶后灌胃。继续原饲料喂养8周,每2周取大鼠尾静脉血检测随机血糖1次,每天注意观察大鼠摄食、饮水等情况,并每周记录大鼠体质量变化。实验结束时,正常对照组、模型对照组、药根碱大剂量组和小剂量组大鼠各剩余10,12,8,11只。

1.5 糖耐量实验

大鼠高糖高脂喂养4周后,禁食过夜,腹腔注射40%葡萄糖2 g·kg-1。分别于注射后0,15,30,60,90,120 min尾静脉取血,用血糖测试仪严格按照说明书测其血糖值。

1.6 放射免疫法测定大鼠血清中胰岛素的含量

末次给药并检测血糖24 h后,采用戊巴比妥钠麻醉大鼠,并取腹主动脉血,自然放置30 min后1 500×g离心15 min,取血清置于2~8 ℃储存,检测胰岛素储存时间应不超过7 d。按照试剂说明书方法操作,分别于试管中加入缓冲液、不同浓度的胰岛素标准品以及样品,再加入125I-Ins放射试剂和抗体,在37 ℃室温孵育2 h,最后加入抗体分离剂,离心后弃掉上清液,检测试管里沉淀物的放射性计数,并由电脑联机直接自动处理得到结果。

1.7 血清中TNF-α和IL-1β的含量测定

取“1.6”项中血清,严格按照说明书采用酶联免疫吸附测定(ELISA)方法对血清中TNF-α和IL-1β进行检测。

1.8 Western blotting法检测血管中Akt、AMPK、eNOS蛋白表达

取胸主动脉血管30 mg,剥离干净周围附着组织,加入RIPA组织裂解液300 μL,匀浆后于4 ℃ 13 000 r·min-1离心15 min。以BCA法对上清液中蛋白进行定量,加入5×上样缓冲液煮沸后晾至室温,置于-20 ℃ 冰箱保存。制备十二烷基硫酸钠-聚丙烯酰胺凝胶电泳(sodium dodecyl sulfate polyacrylamide gel electrophoresis,SDS-PAGE),上样量为每泳道20~50 μg,转膜后脱脂牛奶室温封闭1 h,加入一抗4 ℃孵育过夜,TBST洗3次后,加入辣根过氧化物酶标记的二抗室温孵育1 h,最后再用TBST洗3次,使用化学发光(enhanced chemiluminescence,ECL)显影液避光孵育约3 min后放入自动显影仪显色。以β-actin为内参对目的条带进行分析。

1.9 统计学方法

采用SPSS 16.0版统计软件进行分析,计量资料以均数±标准差( x ¯ ±s)表示,均数用单因素方差(One-Way ANOVA)进行分析,各组数据间两两进行t检验,以P<0.05为差异有统计学意义。

2 结果
2.1 大鼠糖耐量、血糖、体质量和血清胰岛素的水平变化

在注射STZ前,利用高糖高脂饲料喂养4周已成功诱导出大鼠糖耐量异常,与正常对照组比较,高脂饲料喂养的大鼠在腹腔注射葡萄糖后,血糖恢复到正常的速度明显减慢,说明已发生胰岛素抵抗,见图1。糖尿病大鼠体质量明显发生异常,与正常对照组比较,模型对照组体质量减轻明显(P<0.01);与模型对照组比较,药根碱大剂量组体质量显著增加(P<0.01),药根碱小剂量治疗组虽有一定改善,但差异无统计学意义。与正常对照组比较,模型对照组大鼠血糖显著升高,差异有统计学意义(P<0.01);与模型对照组比较,药根碱大剂量组血糖降低,差异有统计学意义(P<0.01)。放射免疫法检测血清中胰岛素的含量,标准曲线为Y=4.135 0X-1.090 7(r=0.999 9),由软件自动计算出各组样本中胰岛素的含量,与正常对照组比较,模型对照组大鼠血清胰岛素水平显著升高,差异有统计学意义(P<0.01),可能是发生胰岛素抵抗。而药根碱大剂量组部分恢复胰岛素水平(P<0.01)。见图2。

图1 高脂饲养诱导胰岛素抵抗大鼠的糖耐量变化(x¯±s)

Fig.1 Variation of glucose tolerance in high fat-induced diabetes rats with insulin resistance(x¯±s)

图2 4组大鼠血糖,体质量及血清胰岛素水平比较(x¯±s)
A.正常对照组;B.模型对照组;C.药根碱小剂量组;D.药根碱大剂量组;与正常对照组比较,*1P<0.01;与模型对照组比较,*2P<0.01,*3P<0.05

Fig.2 Comparison of blood glucose, body weight and serum insulin among four groups of rats(x¯±s)
A.normal control group;B.model control group;C.low-dose jatrorrhizine group;D.high-dose jatrorrhizine group;compared with normal control group,*1P<0.01;compared with model control group,*2P<0.01,*3P<0.05

2.2 大鼠血清中IL-1β和TNF-α水平变化

正常对照组血清中IL-1β为(92.3±4.3) pg·mL-1,模型对照组为(152.4± 20.0) pg·mL-1,IL-1β显著升高,与正常对照组比较差异有统计学意义(P<0.05)。药根碱小剂量组和大剂量组都有不同程度的下降,分别为(118.3±13.5),(95.05±7.7)pg·mL-1,药根碱大剂量组下降最明显,较模型对照组显著降低,差异有统计学意义(P<0.05)。模型对照组血清TNF-α为(10.50 ±0.82) pg·mL-1,正常对照组为(7.48±0.36) pg·mL-1,模型对照组显著升高,差异有统计学意义(P<0.01);药根碱小剂量组和大剂量组TNF-α分别为(8.82±0.42)和(7.11±0.33) pg·mL-1,其中药根碱大剂量组与模型对照组比较差异有统计学意义(P<0.01)。

2.3 糖尿病大鼠血管中eNOS信号通路的变化

Western blotting实验结果见图3。与正常对照组比较,模型对照组大鼠血管eNOS表达量及磷酸化的Akt和AMPK含量显著减少,当使用药根碱治疗时,这些蛋白的表达及磷酸化水平均显著提高。

图3 4组大鼠血管eNOS信号通路比较(x¯±s)
A.正常对照组;B.模型对照组;C.药根碱小剂量组;D.药根碱大剂量组;与正常对照组比较,*1P<0.05,*3P<0.01;与模型对照组比较,*2P<0.05,*4P<0.01

Fig.3 Comparison of vascular eNOS signaling pathway among four groups of rats(x¯±s)
A.normal control group;B.model control group;C.low-dose jatrorrhizine group;D.high-dose jatrorrhizine group;compared with normal control group,*1P<0.05,*3P<0.01;compared with model control group,*2P<0.05,*4P<0.01

3 讨论

根据国际糖尿病联盟(international diabetes federation,IDF)在2015年世界糖尿病大会上发布数据,世界范围内患有糖尿病成年人4.15亿人。中国糖尿病发生例数最多,随着糖尿病发病率的日益增长,糖尿病相关心血管疾病并发症威胁人类健康。这些并发症包括肾小球、视网膜、周围神经等微血管病变,还有大血管病变,如动脉粥样硬化、心肌缺血、卒中和末端血管病变等,从而导致失明、肾衰竭、心肌梗死,甚至截肢等严重后果[6]。糖尿病并发症多,究其原因与长期受到高血糖刺激引起血管内皮功能紊乱密切相关[7-8],血管内皮细胞在体内具有多种生物功能,如分泌、合成、代谢和免疫等,不仅与血管张力通透性和凝血相关,还可促进炎症因子,如TNF-α、IL-6、IL-1β等分泌,而在炎症反应中起重要作用,从而损伤内皮细胞,导致内皮功能紊乱。其中以一氧化氮(NO)生物利用度受损为主的内皮功能紊乱是血管疾病重要发病机制。

NO是由血管内皮细胞分泌的eNOS调控生成,具有重要的生理功能。一氧化氮合酶在生物体内已发现有3种亚型,分别是神经细胞分泌nNOS,诱导型iNOS和主要由血管内皮细胞分泌eNOS,各有不同生理功能。eNOS主要作用通过L-精氨酸、四氢生物蝶呤(tetrahydrobiopterin,BH4)生成L-瓜氨酸和NO。当eNOS活性下降时,NO合成降低,逐渐会导致血管舒张功能障碍等内皮功能紊乱现象,从而导致一系列糖尿病并发症。研究表明,无论是糖尿病早期的胰岛素抵抗还是高血糖本身,都可以引起血管内皮细胞分泌的NO减少,而这正与糖尿病并发症的发生密切相关[9]

AMPK是体内能量代谢的关键调节激酶,在控制葡萄糖转运,脂肪酸氧化和脂质合成等过程发挥重要作用[10],活化的AMPK不管在体外还是在体内都证明能激活eNOS[11-12]。Akt、AMPK蛋白水平的正常表达在维持体内糖代谢内平衡上非常重要,表达失衡通常会导致肥胖和糖尿病的发生。所以这个通路的蛋白被认为可能成为下一个治疗糖尿病的靶向分子,如二甲双胍能激活AMPK活性,也证明具有激活Akt的作用[13]。并且以这两个蛋白为靶点的药物已经实验性治疗肿瘤[13-14]

黄连主要活性成分为小檗碱和药根碱。小檗碱对糖尿病肾病、内皮损伤、脑病等并发症的缓解与治疗作用明显[15-16],并且毒副作用小。小檗碱的水溶性较差,口服吸收较少。研究表明,药根碱与小檗碱一样具有相似的药理活性,所以药根碱具有潜在的治疗血糖异常的作用。WU等[17]研究发现药根碱安全性远大于小檗碱,具有良好的调节血脂效果。

本实验结果显示,糖尿病大鼠血清IL-1β、TNF-α水平升高,血管组织Akt、AMPK、eNOS表达也明显下降,经药根碱治疗后,蛋白水平有所改善,提示药根碱可能通过Akt/AMPK/eNOS信号通路恢复血管内皮功能紊乱,使eNOS表达增加,炎症反应减轻,从而对糖尿病大鼠产生保护作用。

The authors have declared that no competing interests exist.

参考文献

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Abstract AIM: To investigate the effects of bezafibrate on the proliferation and differentiation of osteoblastic MC3T3-E1 cells, and to determine the signaling pathway underlying the effects. METHODS: MC3T3-E1 cells, a mouse osteoblastic cell line, were used. Cell viability and proliferation were examined using MTT assay and colorimetric BrdU incorporation assay, respectively. NO production was evaluated using the Griess reagent. The mRNA expression of ALP, collagen I, osteocalcin, BMP-2, and Runx-2 was measured using real-time PCR. Western blot analysis was used to detect the expression of AMPK and eNOS proteins. RESULTS: Bezafibrate increased the viability and proliferation of MC3T3-E1 cells in a dose- and time-dependent manner. Bezafibrate (100 0204mol/L) significantly enhanced osteoblastic mineralization and expression of the differentiation markers ALP, collagen I and osteocalcin. Bezafibrate (100 0204mol/L) increased phosphorylation of AMPK and eNOS, which led to an increase of NO production by 4.08-fold, and upregulating BMP-2 and Runx-2 mRNA expression. These effects could be blocked by AMPK inhibitor compound C (5 0204mol/L), or the PPAR0205 inhibitor GSK0660 (0.5 0204mol/L), but not by the PPAR02± inhibitor MK886 (10 0204mol/L). Furthermore, GSK0660, compound C, or N(G)-nitro-L-arginine methyl ester hydrochloride (L-NAME, 1 mmol/L) could reverse the stimulatory effects of bezafibrate (100 0204mol/L) on osteoblast proliferation and differentiation, whereas MK886 only inhibited bezafibrate-induced osteoblast proliferation. CONCLUSION: Bezafibrate stimulates proliferation and differentiation of MC3T3-E1 cells, mainly via a PPAR0205-dependent mechanism. The drug might be beneficial for osteoporosis by promoting bone formation.
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Endothelial dysfunction is a critical factor during the initiation of cardiovascular complications in diabetes. Berberine can ameliorate endothelial dysfunction induced by diabetes. However, the underlying mechanisms remain unclear. The aim of this study was to investigate the protective effect and mechanism of berberine on palmitate-induced endothelial dysfunction in human umbilical vein endothelial cells (HUVECs). The cell viability of HUVECs was determined by MTT assays. Nitric oxide (NO) level and production of reactive oxygen species (ROS) were determined in supernatants or in the cultured HUVECs. The mRNA level of endothelial nitric oxide synthase (eNOS) was measured by RT-PCR, and the protein levels of eNOS, p-eNOS, Akt, p-Akt, AMPK, p-AMPK, and NADPH oxidase (NOX4) were analyzed. The results demonstrated that berberine significantly elevated NO levels and reduced the production of ROS. The expressions of eNOS were significantly increased, while NOX4 protein expression was decreased in berberine-treated HUVECs. Moreover, berberine upregulated the protein expression of AMPK and p-AMPK in palmitate-treated HUVECs, but had no effect on the levels of Akt. Therefore, berberine ameliorates palmitate-induced endothelial dysfunction by upregulating eNOS expression and downregulating expression of NOX4. This regulatory effect of berberine may be related to the activation of AMPK.
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Metformin is an antidiabetic drug with anticancer properties, which mainly acts through induction of AMP-activated protein kinase (AMPK). In the present study we investigated the influence of metformin on the in vitro anticancer activity of the well-known chemotherapeutic agent cisplatin. Cell viability was determined by MTT and LDH release assay, oxidative stress and apoptosis (caspase activation, DNA fragmentation, and phosphatidylserine exposure) were assessed by flow cytometry, while activation of AMPK and Akt was analyzed by immunoblotting. Although metformin reduced the number of tumour cells when applied alone, it surprisingly antagonized the cytotoxicity of cisplatin towards U251 human glioma, C6 rat glioma, SHSY5Y human neuroblastoma, L929 mouse fibrosarcoma and HL-60 human leukemia cell lines. Only in B16 mouse melanoma cells metformin augmented the cytotoxicity of cisplatin. In U251 glioma cells metformin suppressed cisplatin-induced apoptotic cell death through inhibition of oxidative stress and caspase activation. The observed cytoprotection was apparently AMPK-independent, as metformin did not further increase cisplatin-induced AMPK activation in U251 cells and other pharmacological AMPK activators failed to block cisplatin-mediated apoptosis. On the other hand, metformin induced Akt activation in cisplatin-treated cells and Akt inhibitor 10-DEBC hydrochloride or phosphoinositide 3-kinase/Akt inhibitor LY294002 abolished metformin-mediated antioxidant and antiapoptotic effects. In conclusion, the antidiabetic drug metformin reduces cisplatin in vitro anticancer activity through AMPK-independent upregulation of Akt survival pathway. These data warrant caution when considering metformin for treatment of diabetic cancer patients receiving cisplatin or as a potential adjuvant in cisplatin-based chemotherapeutic regimens.
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The aberrant regulation of phosphatidylinositide 3-kinases (PI3-K)/Akt, AMP-activated protein kinase (AMPK) and mammalian target of rapamycin (m-TOR) signaling pathways in cancer has prompted significant interest in the suppression of these pathways to treat cancer. Caffeic acid (CA) has been reported to possess important anti-inflammatory actions. However, the molecular mechanisms by which CA derivatives including caffeic acid phenethyl ester (CAPE) and caffeic acid phenylpropyl ester (CAPPE), exert inhibitory effects on the proliferation of human colorectal cancer (CRC) cells have yet to be elucidated. CAPE and CAPPE were evaluated for their ability to modulate these signaling pathways and suppress the proliferation of CRC cells both in vitro and in vivo. Anti-cancer effects of these CA derivatives were measured by using proliferation assays, cell cycle analysis, western blotting assay, reporter gene assay and immunohistochemical (IHC) staining assays both in vitro and in vivo. This study demonstrates that CAPE and CAPPE exhibit a dose-dependent inhibition of proliferation and survival of CRC cells through the induction of G0/G1 cell cycle arrest and augmentation of apoptotic pathways. Consumption of CAPE and CAPPE significantly inhibited the growth of colorectal tumors in a mouse xenograft model. The mechanisms of action included a modulation of PI3-K/Akt, AMPK and m-TOR signaling cascades both in vitro and in vivo. In conclusion, the results demonstrate novel anti-cancer mechanisms of CA derivatives against the growth of human CRC cells. CA derivatives are potent anti-cancer agents that augment AMPK activation and promote apoptosis in human CRC cells. The structure of CA derivatives can be used for the rational design of novel inhibitors that target human CRC cells.
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The incidence of is increasing rapidly worldwide, and the of novel anti-diabetic drugs is emerging. However, most anti-diabetic drugs cannot be used in patients with hepatic dysfunction, , and , which makes pharmacological therapy of complicated. Despite continued introduction of novel agents, the search for an ideal drug that is useful as both a and to reduce -related complications remains elusive. is an extract that has shown promise as a in the management of in animal and studies. Mechanistic studies have revealed beneficial effects of on -related complications. Although there have been few clinical reports of the anti-diabetic effects of , little documentation of adverse effects in positions it as a potential candidate drug to treat . In the present review, the anti-diabetic mechanism of , its effect on -related complications, and its recent use in clinical studies is highlighted. In addition, we summarize the different treatments for in adults and children.
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关键词(key words)
药根碱
糖尿病
抗炎八月
一氧化氮合酶
内皮型

Jatrorrhizine
Diabetes
Anti-inflammation
Nitric oxide synthase
endothelidal

作者
王云山
张洪
张晓春

WANG Yunshan
ZHANG Hong
ZHANG Xiaochun