Xianglian Huazhuo Prescription Regulates Nrf2/NQO1/HO-1 Signaling Pathway to Affect Oxidative Stress in Treatment of Chronic Atrophic Gastritis
10.13422/j.cnki.syfjx.20251743
- VernacularTitle:香连化浊方调控Nrf2/NQO1/HO-1信号通路影响氧化应激治疗慢性萎缩性胃炎的机制
- Author:
Xiaojing LI
1
;
Jie WANG
1
;
Qiuhua LIU
1
;
Yican WANG
1
;
Yibin MA
1
;
Yanru CAI
1
;
Qian YANG
1
Author Information
1. The First Affiliated Hospital of Hebei University of Chinese Medicine, Shijiazhuang 050011, China
- Publication Type:Journal Article
- Keywords:
chronic atrophic gastritis;
Xianglian Huazhuo prescription;
oxidative stress;
nuclear factor erythroid 2-related factor 2 (Nrf2)/quinone oxidoreductase 1 (NQO1)/heme oxygenase-1 (HO-1) signaling pathway;
turbid toxin
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2026;32(21):76-85
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the mechanism by which Xianglian Huazhuo prescription alleviates chronic atrophic gastritis (CAG) through modulating the nuclear factor erythroid 2-related factor 2 (Nrf2)/quinone oxidoreductase 1 (NQO1)/heme oxygenase-1 (HO-1) pathway of oxidative stress (OS) based on animal experiments. MethodsFifty rats were modeled for CAG by gavage of 2% sodium salicylate (10 mL·kg-1), free access to 180 mg·L-1 N-methyl-N′-nitro-N-nitrosoguanidine (MNNG), and periodic diet intervention (72 h cycle: 24 h fasting + 48 h free access to food). The modeled rats were grouped by a random number method as follows: low-, medium-, and high-dose (9, 18,36 g·kg-1, respectively) Xianglian Huazhuo prescription, Moradan, and model, with 10 rats in each group. The general state of all rats was observed. Hematoxylin-eosin (HE) staining was employed to observe the pathological changes of the gastric mucosal tissue. The ultrastructure of cells was observed under transmission electron microscopy. Biochemical methods were adopted to determine the levels of malondialdehyde (MDA) and total superoxide dismutase (T-SOD) in the rat serum. The mRNA and protein levels of Kelch-like ECH-associated protein 1 (Keap1), Nrf2, NQO1, and HO-1 in the gastric mucosal tissue of rats from each group were measured by Real-time polymerase chain reaction (Real-time PCR) and Western blot, respectively. Reactive oxygen species (ROS) staining was employed to detect the fluorescence intensity of ROS in the gastric mucosal tissue of rats in each group. ResultsCompared with the normal group, the modeled rats were sluggish, had yellowing and sparse hair, short and dark tail, loose stool, and reduced food intake, and showed the gastric mucosa characterized by atrophy, thinning, congestive edema, declined gland density and disarrangement, and apparent inflammatory cell infiltration, irregular nucleus morphology, nuclear condensation, mitochondria with decreased number, declined density, and abnormal morphology, vacuolization, declined serum T-SOD level (P<0.05), elevated serum MDA level (P<0.05), downregulated mRNA and protein levels of Nrf2, NQO1, and HO-1 (P<0.05), upregulated mRNA and protein levels of Keap1 (P<0.05), and enhanced mean fluorescence intensity of ROS (P<0.05). Compared with the model group, each treatment group exhibited improved general state, alleviated histopathological changes in gastric mucosa, improved ultrastructural characteristics of cells, elevated T-SOD level and declined MDA level in the serum (P<0.05), upregulated mRNA and protein levels of Nrf2, NQO1, and HO-1, downregulated mRNA and protein levels of Keap1 (P<0.05), and attenuated mean fluorescence intensity of ROS (P<0.05). ConclusionXianglian Huazhuo prescription can improve the general status, ameliorate pathological changes of gastric mucosa, and repair the cell ultrastructure to varying degrees, demonstrating a definite therapeutic effect on CAG. It may restrain OS and safeguard the natural physiological function of gastric mucosa in CAG rats by regulating the Nrf2/NQO1/HO-1 signaling pathway.