Study on Ningmitai Capsule to Ameliorate Pain Caused by Chronc Prostatitis
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摘要:
目的 研究宁泌泰(NMT)胶囊改善慢性前列腺炎引发疼痛的作用及潜在机制。 方法 将50只雄性C57BL/6小鼠随机分为空白组、模型组、NMT低剂量组、NMT中剂量组、NMT高剂量组, 每组10只。造模后低、中、高剂量组分别灌胃给药6、12、18 g·kg-1NMT溶液, 空白组、模型组灌胃等量的生理盐水。采用热辐射甩尾法和热板法进行行为学检测; 免疫组化法检测各组前列腺神经胶质纤维酸性蛋白(GFAP)以及肿瘤坏死因子-α(TNF-α)的含量; qPCR法检测前列腺组织中TNF-α、IL-6和IL-1β mRNA的相对表达量; ELISA法检测前列腺组织中IL-6、IL-1β、TNF-α表达水平; Western blot法检测p-ERK/ERK、p-JNK/JNK、p-p38MAPK/p38MAPK蛋白表达水平。 结果 与模型组比较, NMT低、中、高3个剂量组小鼠的热板法和甩尾法所测定痛阈值均显著提高(P < 0.01,P < 0.001), 前列腺组织中GFAP和TNF-α表达量明显降低(P < 0.05),TNF-α、IL-6和IL-1β的mRNA水平均显著降低(P < 0.05,P < 0.01,P < 0.001), p-ERK/ERK、p-JNK/JNK、p-p38MAPK/p38MAPK蛋白水平显著降低(P < 0.05,P < 0.01)。 结论 NMT胶囊可能通过抑制炎性介质的释放和星形胶质细胞的激活, 发挥对慢性前列腺炎引起小鼠疼痛的抑制作用。 Abstract:OBJECTIVE To explore the effect and potential mechanism of Ningmitai (NMT) capsule on pain caused by prostatitis. METHODS 50 male C57BL/6 mice were randomly divided into 5 groups: control group, model group, NMT low dose group, NMT middle dose group, and NMT high dose group. NMT groups were given 6, 12, 18 g·kg-1 NMT solution, respectively, by gavage after modeling. The control and model groups were intragastrically administered the same amount of normal saline. Behavioral assessment was performed using thermal radiation tail flick test and hot plate test; glial fibrillary acidic protein (GFAP) and tumor necrosis factor-α (TNF-α) contents in prostate in each group were detected by Immunohistochemistry; TNF-α, IL-6 and IL-1β mRNA levels in prostate tissue were measured by qPCR; ELISA technology was applied to determine prostate TNF-α, IL-6 and IL-1β expression; protein levels of p-ERK/ERK, p-JNK/JNK and p-P38MAPK/P38MAPK were detected by Western blot. RESULTS Compared with the model group, the pain thresholds of the hot plate and tail flick in NMT low dose, middle dose and high dose groups were significantly increased (P < 0.01, P < 0.001); GFAP and TNF-α contents were significantly decreased (P < 0.05); TNF-α, IL-6 and IL-1β mRNA levels were significantly decreased (P < 0.05, P < 0.01, P < 0.001); expression levels of p-ERK/ERK, p-JNK/JNK and p-P38MAPK/P38MAPK were significantly reduced (P < 0.05, P < 0.01). CONCLUSION NMT capsule shows a certain analgesic effect on the pain caused by chronic prostatitis in mice, which is associated with inhibiting inflammatory mediators and deactivating astrocytes. -
Key words:
- Ningmitai capsule /
- chronic prostatitis /
- pain /
- analgesic mechanism
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表 1 引物序列
Table 1. Primer sequences
基因 上游引物(5'→3') 下游引物(5'→3') GAPDH ACCACAGTCCATGCCATCAC TCCACCACCCTGTTGCTGTA IL-6 CCCTACTTCACAAGTCCGGAGAGGAGA GGTAGCATCCATCATTTCTTTGTATCTCT IL-1β CCTGTGTCTTTCCCGTGGACCTTCCAGG CATCATCCCATGAGTCACAGAGGATGGG TNF-α GGAACTGGCAGAAGAGGCACTCCCC GGCCATTTGGGAACTTCTCATCCCTTTG 表 2 各组小鼠热板实验疼痛阈值比较(x±s, s,n=10)
Table 2. The pain thresholds of hot plate experiment in each group(x±s, s, n=10)
组别 d0 d3 d6 d9 d12 空白组 19.44±1.38 19.78±1.78 18.57±2.21 17.89±1.87 19.40±1.62 模型组 13.66±1.56*** 12.24±1.50** 13.05±0.75** 13.48±1.24*** 13.54±1.59** NMT低剂量组 12.94±1.13 12.12±0.78 15.64±1.29# 15.88±1.45# 17.10±0.87## NMT中剂量组 11.68±0.73 13.12±0.82 16.60±0.14### 18.16±0.59### 19.70±0.43### NMT高剂量组 12.54±0.82 12.32±1.05 16.44±0.87## 17.28±0.77### 18.64±0.94### 注: 与空白组比较, * *P < 0.01,* * *P < 0.001;与模型组比较, #P < 0.05,##P < 0.01,###P < 0.001。 表 3 各组小鼠甩尾实验疼痛阈值比较(x±s, s,n=10)
Table 3. The pain thresholds of tail flick experiment in each group (x±s, s, n=10)
组别 d0 d3 d6 d9 d12 空白组 7.29±0.93 7.07±0.82 7.11±0.96 8.11±1.29 8.84±1.74 模型组 3.18±0.43** 4.16±1.08*** 3.44±0.71*** 3.20±1.15** 3.84±1.04** NMT低剂量组 3.88±0.86 4.60±0.58 4.32±0.57 5.52±1.10## 6.76±1.06### NMT中剂量组 3.76±0.54 4.60±0.58 5.60±0.64## 6.68±0.43### 8.78±0.27### NMT高剂量组 3.82±0.81 4.68±0.64 4.54±0.49 5.52±1.11## 8.16±0.56### 注: 与空白组比较, * *P < 0.01,* * *P < 0.001;与模型组比较, ##P < 0.01,###P < 0.001。 -
[1] 陈杰. 慢性前列腺炎治疗的研究进展[J]. 中国城乡企业卫生, 2022, 37(12): 26-28. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202104044.htmJIE C. Research progress in the treatment of chronic prostatitis[J]. Chin J Urban Rural Enterp Hyg, 2022, 37(12): 26-28. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202104044.htm [2] 钱永红, 王坤. 宁泌泰胶囊治疗慢性前列腺炎的临床疗效[J]. 临床合理用药杂志, 2020, 13(36): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY202036040.htmQIAN YH, WANG K. Clinical efficacy of ningmitai capsule in treating chronic prostatitis[J]. Chin J Clin Ration Drug Use, 2020, 13(36): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY202036040.htm [3] 张飞, 窦圣姗, 张杰. 宁泌泰胶囊的抗炎作用研究[J]. 现代药物与临床, 2015, 30(11): 1317-1319. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW201511003.htmZHANG F, DOU SS, ZHANG J. Anti-inflammatory effect of ningmitai capsules[J]. Drugs Clin, 2015, 30(11): 1317-1319. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW201511003.htm [4] 窦圣姗, 张飞, 张杰. 宁泌泰胶囊化学及药理学研究进展[J]. 中国中医药现代远程教育, 2016, 14(19): 151-152. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY201619070.htmDOU SS, ZHANG F, ZHANG J. Chemical and pharmacological research progress of ningmitai capsule[J]. Chin Med Mod Distance Educ China, 2016, 14(19): 151-152. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY201619070.htm [5] GAO Y, JI R. Targeting astrocyte signaling for chronic pain[J]. Neurotherapeutics, 2010, 7(4): 482-493. doi: 10.1016/j.nurt.2010.05.016 [6] TIAN J, SONG T, WANG H, et al. Thalidomide alleviates bone cancer pain by down-regulating expressions of NF-κB and GFAP in spinal astrocytes in a mouse model[J]. Int J Neurosci, 2019, 129(9): 896-903. doi: 10.1080/00207454.2019.1586687 [7] 陈晶, 王建忠, 梁朝朝. 慢性前列腺炎相关免疫指标的变化及意义[J]. 安徽医学, 2018, 39(2): 241-244. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201802033.htmCHEN J, WANG JZ, LIANG CC. Changes and significance of immune indexes related to chronic prostatitis[J]. Anhui Med J, 2018, 39(2): 241-244. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201802033.htm [8] 杜宏宏, 刘凯. 生物电刺激联合前列安栓治疗对慢性前列腺炎患者IL-1β、IL-6及TNF-α水平的影响[J]. 检验医学与临床, 2021, 18(14): 2034-2037. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL202114013.htmDU HH, LIU K. Effect of bioelectric stimulation combined with Qianlieanshuan on the levels of IL-1β, IL-6 and TNF-α in patients with chronic prostatitis[J]. Lab Med Clin, 2021, 18(14): 2034-2037. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL202114013.htm [9] 李诗琪, 杨翠珠, 刘鸿庆, 等. 石菖蒲挥发油对炎症痛大鼠基底外侧杏仁核中胶质纤维酸性蛋白和即刻早期基因表达的影响[J]. 解剖学报. 2021, 52(2): 189-195. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB202102006.htmLI SQ, YANG CZ, LIU HQ, et al. Effect of volatile oil of acorus calamus on glial fibrillary acidic protein and immediate early gene expression in the basolateral amygdala of rats with inflammatory pain[J]. Acta Anatomica Sinica, 2021, 52 (2): 189-195. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB202102006.htm [10] 任茜, 何成松. P38 MAPK信号通路通过调控炎症因子参与类风湿关节炎的发病机制[J]. 现代医药卫生, 2015, 31(24): 3744-3747. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201524025.htmREN Q, HE CS. P38 MAPK signaling pathway participates in the pathogenesis of rheumatoid arthritis by regulating inflammatory factors[J]. J Mod Med Health, 2015, 31(24): 3744-3747. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201524025.htm