叶酸对邻苯二甲酸二(2-乙基己基)酯(DEHP)暴露导致小鼠胆汁淤积型肝损伤的保护作用  

Protective effect of folic acid against cholestatic liver injury in mice caused by bis(2-ethylhexyl)phthalate exposure

作　　者：侯梦贞 余芸 黄倩倩 张伦 陶文康 蒋月 王建青[1,2,3] HOU Mengzhen;YU Yun;HUANG Qianqian;ZHANG Lun;TAO Wenkang;JIANG Yue;WANG Jianqing(Department of Pharmacy,Anhui Medical University,Hefei 230032,China;Department of Pharmacy,The First Affiliated Hospital of Anhui Medical University,Hefei 230012,China;Anhui Public Health Clinical Center,Hefei 230012,China)

机构地区：[1]安徽医科大学药学院,合肥230032 [2]安徽医科大学第一附属医院药学部,合肥230012 [3]安徽省公共卫生临床中心,合肥230012

出　　处：《临床肝胆病杂志》2024年第10期2062-2069,共8页Journal of Clinical Hepatology

基　　金：国家自然科学基金(82073566);安徽省高校优秀青年人才支持计划资助项目(gxyq2019014);安徽省公共卫生临床中心安徽医科大学第一附属医院北区科研培育基金资助项目(2023YKJ14,2023YKJ06,2023YKJ11)。

摘　　要：目的探讨叶酸对邻苯二甲酸二(2-乙基己基)酯(DEHP)暴露诱发小鼠胆汁淤积型肝损伤的保护作用及其机制。方法将ICR小鼠随机分为对照(Control)组、叶酸高剂量(H-FA)组、DEHP组、DEHP+叶酸低剂量(DEHP+L-FA)组、DEHP+叶酸高剂量(DEHP+H-FA)组,每组6只。H-FA组、DEHP+L-FA组和DEHP+H-FA组给予相应剂量的叶酸灌胃,Control组和DEHP组灌胃等量的PBS溶液。2 h后,DEHP组、DEHP+L-FA组和DEHP+H-FA组给予含200 mg/kg DEHP的玉米油,Control组和H-FA组灌胃等量的纯玉米油,共灌胃4周。记录小鼠每天的体质量和摄食量,收集血液和肝组织。生化仪检测血清总胆汁酸(TBA)和碱性磷酸酶(ALP)水平;HE染色观察肝组织病理变化;试剂盒检测肝组织丙二醛(MDA)和超氧化物歧化酶(SOD)含量;LC-MS/MS检测小鼠血清胆汁酸谱;Western Blot法检测肝脏胆汁酸代谢相关蛋白的表达水平。计量资料多组间比较采用单因素方差分析,进一步两两比较采用LSD-t检验。结果与对照组相比,DEHP组小鼠每日摄食量明显下降,体质量从第10天开始显著降低(P值均<0.05);与DEHP组相比,DEHP+L-FA组与DEHP+H-FA组小鼠的体质量和摄食量基本不变(P值均>0.05)。与对照组相比,DEHP组小鼠肝质量指数、血清TBA及ALP均显著升高(P值均<0.05),肝组织可见汇管区扩大,胆管变形增生及少量炎性细胞浸润;与DEHP组相比,DEHP+L-FA组与DEHP+H-FA组小鼠肝质量指数均明显下降(P值均<0.01),DEHP+H-FA组的血清TBA和ALP均显著下降(P值均<0.05),叶酸干预后小鼠肝组织形态结构明显改善。与对照组相比,DEHP组小鼠肝脏SOD含量明显下降(P<0.05),肝脏MDA含量明显增加(P<0.01);与DEHP组相比,MDA和SOD含量在DEHP+H-FA组均显著回调(P值均<0.05)。与对照组相比,DEHP组小鼠血清中α-鼠胆酸(α-MCA)、β-鼠胆酸(β-MCA)、去氧胆酸(DCA)、石胆酸(LCA)、牛磺胆酸(TCA)、牛磺去氧胆酸(TDCA)、牛磺熊去氧胆酸(TUDCA)、牛磺-β-鼠胆酸(T-β-MCA)�Objective To investigate the protective effect of folic acid against cholestatic liver injury in mice induced by bis(2-ethylhexyl)phthalate(DEHP)exposure and its mechanism.Methods ICR mice were randomly divided into control group,highdose folic acid(H-FA)group,DEHP group,DEHP+low-dose folic acid(DEHP+L-FA)group,and DEHP+high-dose folic acid(DEHP+H-FA)group,with 6 mice in each group.The mice in the H-FA group,the DEHP+L-FA group,and the DEHP+H-FA group were given folic acid by gavage at the corresponding dose,and those in the control group and the DEHP group were given an equal volume of PBS solution by gavage.After 2 hours,the mice in the DEHP group,the DEHP+L-FA group,and the DEHP+HFA group were given corn oil containing 200 mg/kg DEHP,and those in the control group and the H-FA group were given an equal volume of pure corn oil,by gavage for 4 weeks.Body weight and food intake were recorded every day,and blood and liver tissue samples were collected.A biochemical analyzer was used to measure the serum levels of total bile acid(TBA)and alkaline phosphatase(ALP);HE staining was used to observe the histopathological changes of liver tissue;kits were used to measure the content of malondialdehyde(MDA)and superoxide dismutase(SOD)in the liver;LC-MS/MS was used to measure serum bile acid profiles;Western blot was used to measure the expression levels of proteins associated with hepatic bile acid metabolism.A oneway analysis of variance was used for comparison of continuous data between multiple groups,and the least significant difference t-test was used for further comparison between two groups.Results Compared with the control group,the daily food intake of the mice in the DEHP group decreased significantly,and the body weight decreased significantly from day 10(P<0.05),and compared with the DEHP group,the DEHP+L-FA group and the DEHP+H-FA group had basically unchanged body weight and daily food intake(P>0.05).Compared with the control group,the DEHP group had significant increases in liver weight index and the serum

关 键 词：邻苯二甲酸二(2-乙基己基)酯 叶酸 胆汁淤积 胆汁酸类 

分 类 号：R575[医药卫生—消化系统]