南方医科大学学报 ›› 2026, Vol. 46 ›› Issue (4): 880-889.doi: 10.12122/j.issn.1673-4254.2026.04.16

• • 上一篇    

通腑养髓治法通过抑制PKR介导的突触损伤改善Wilson病TX小鼠认知功能

徐陈陈(), 韩永升, 程楠, 董健健()   

  1. 安徽中医药大学神经病学研究所//安徽中医药大学神经病学研究所附属医院//安徽中医药大学新安医学与中医药现代化研究所,安徽 合肥 230000
  • 收稿日期:2025-10-24 出版日期:2026-04-20 发布日期:2026-04-24
  • 通讯作者: 董健健 E-mail:senorita@ ahtcm.edu.cn;jjdong@ahtcm.edu.cn
  • 作者简介:徐陈陈,主治医师,硕士,E-mail: senorita@ ahtcm.edu.cn
  • 基金资助:
    国家自然科学基金(81904086);国家自然科学基金(81603596);国家自然科学基金(81673948);大健康研究院新安医学与中医药现代化研究所专项(2023CXMMTCM002)

Modified Gandou Decoction improves cognitive function of TX mice with Wilson's disease by inhibiting the PKR/eIF2α pathway

Chenchen XU(), Yongsheng HAN, Nan CHENG, Jianjian DONG()   

  1. Institute of Neurology, Affiliated Hospital of Institute of Neurology, Center for Xin-An Medicine and Modernization of Traditional Chinese Medicine of IHM, Anhui University of Chinese Medicine, Hefei 230000 China
  • Received:2025-10-24 Online:2026-04-20 Published:2026-04-24
  • Contact: Jianjian DONG E-mail:senorita@ ahtcm.edu.cn;jjdong@ahtcm.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81904086)

摘要:

目的 通过建立PKR沉默Wilson病模型毒牛奶(TX)小鼠,探讨通腑养髓治法(MGDD)通过PKR/eIF2α通路介导的突触损伤对TX小鼠认知功能的改善机制。 方法 将36只TX小鼠随机分为TX组、TX+MGDD组、C16组(PKR抑制剂干预组)及C16+MGDD组,9只/组。C16组与C16+MGDD组先腹腔注射PKR抑制剂C16(300 μg/kg,持续30 d),之后分别灌胃生理盐水或MGDD;TX组与TX+MGDD组则分别灌胃等体积生理盐水或MGDD,持续4周。行为学测试(巴恩斯迷宫与旷场实验)后取脑组织,进行免疫荧光、TUNEL染色、透射电镜(TEM)、RT-qPCR及Western blotting分析。 结果 行为学方面,与C16组相比,C16+MGDD组在边上路程减少(P<0.05),但在中央时间、中央路程、边上时间及目标洞口潜伏期等方面差异无统计学意义。免疫荧光显示,C16+MGDD组阳性细胞数较C16组减少,与TX+MGDD组相近;同时,MGDD治疗的TX小鼠在C16干预前后8-OHdG阳性细胞数差异无统计学意义。TEM观察显示,MGDD或C16干预均能增加突触与囊泡数量,改善突触膜结构清晰度,但MGDD联合C16未产生叠加效应。Western blotting结果显示,C16+MGDD组突触相关蛋白PSD93、PSD95、Synapsin1和Synaptophysin表达较C16组上调(P<0.05);与TX+MGDD组相比,除PSD93外,其余蛋白表达有差异(P<0.05)。在PKR/eIF2α通路方面,RT-qPCR显示C16+MGDD组Pkr、eIF2alpha等mRNA表达与C16组差异无统计学意义;Western blotting提示C16+MGDD组P-eIF2α与CHOP蛋白水平下降,而P-CREB上升,P-PKR与ATF4变化差异无统计学意义。 结论 通腑养髓治法可能通过抑制PKR/eIF2α通路活性,促进突触相关蛋白表达,改善突触结构与功能,从而缓解Wilson病TX小鼠的认知功能障碍。

关键词: Wilson病, 通腑养髓治法, PKR/eIF2α通路, 突触可塑性, 认知功能障碍

Abstract:

Objective To assess the effect of the Modified Gandou Decoction (MGDD, developed based on the TongFuYangSui strategy in traditional Chinese medicine) for improving cognitive function in a PKR-silenced Wilson's disease (WD) TX mouse model and explore the underlying mechanism. Methods Thirty-six TX mice were randomized into TX group, TX+MGDD group, C16 group, and C16+MGDD group. In C16 and C16+MGDD group, the mice received daily intraperitoneal injections of 300 μg/kg C16 (a PKR inhibitor) for 30 days, and saline injections were given in the other two groups; after WD modeling, the mice in TX+MGDD and C16+MGDD groups received MGDD gavage for 4 weeks, while the other two groups were given saline gavage. After the treatments, the mice were examined using behavioral tests, followed by immunofluorescence staining, TUNEL staining, TEM, RT-qPCR and Western blotting analysis of the brain tissue. Results In behavioral tests, the mice in C16+MGDD group showed significantly shorter time spent in the perimeter than those in C16 group without significant differences in other parameters. Immunofluorescence staining revealed obviously lowered hippocampal oxidative stress level in C16, TX+MGDD, and C16+MGDD groups compared with TX group. Both MGDD and C16 treatment alone increased the number of hippocampal synapses and vesicles and improved ultrastructural synaptic damages, but their combination exhibited no synergistic effect. The C16+MGDD group showed significantly higher expressions of PSD93, PSD95, synapsin1 and synaptophysin than C16 group, but had comparable PSD93 expression with TX+MGDD group. While the mRNA expressions in the PKR/eIF2α pathway were similar between C16+MGDD and C16 groups, the protein levels of P-eIF2α and CHOP were significantly lower and P-CREB protein level was higher in C16+MGDD group. Conclusion MGDD improves cognitive dysfunction in WD TX mice possibly by inhibiting the PKR/eIF2α pathway, promoting expressions of synaptic proteins, and improving synaptic structure and function.

Key words: Wilson's disease, TongFuYangSui, PKR/eIF2α pathway, synaptic plasticity, cognitive dysfunction