南方医科大学学报 ›› 2026, Vol. 46 ›› Issue (8): 1823-1834.doi: 10.12122/j.issn.1673-4254.2026.08.10
• • 上一篇
钟瑶1,2(
), 蔡晓诗1,2, 李欣媛1,2, 王素英1,2, 吴忧1,2, 陈朝玺3, 王悦1,2, 沈冰榕1,2, 龚琳1,2, 沈建英1,2, 闵莉1,2, 梁文娜1,2(
)
收稿日期:2026-01-07
出版日期:2026-08-20
发布日期:2026-08-01
通讯作者:
梁文娜
E-mail:1603553346@qq.com;18960868801@163.com
作者简介:钟 瑶,在读硕士研究生,E-mail: 1603553346@qq.com
基金资助:
Yao ZHONG1,2(
), Xiaoshi CAI1,2, Xinyuan LI1,2, Suying WANG1,2, You WU1,2, Zhaoxi CHEN3, Yue WANG1,2, Bingrong SHEN1,2, Lin GONG1,2, Jianying SHEN1,2, Li MIN1,2, Wenna LIANG1,2(
)
Received:2026-01-07
Online:2026-08-20
Published:2026-08-01
Contact:
Wenna LIANG
E-mail:1603553346@qq.com;18960868801@163.com
Supported by:摘要:
目的 探讨柴胡疏肝散调节C3/C3aR介导M1型小胶质细胞极化改善绝经综合征(MPS)肝郁证的作用机制。 方法 将56只SPF级雌性C57BL/6小鼠按照体质量分层随机分为假手术组(n=13)和去势手术组(n=43)。手术过程中假手术组小鼠死亡1只,去势手术组小鼠死亡4只、3只造模未成功,故予以剔除。去势手术组小鼠摘除双侧卵巢建立绝经期模型后,再分为绝经组、绝经肝郁组和柴胡疏肝散组,12只/组。其中,绝经肝郁组和柴胡疏肝散组均采用双侧卵巢去势联合慢性温和不可预知应激(CUMS)法建立MPS肝郁证模型。柴胡疏肝散组给予6.47 g/kg柴胡疏肝散混悬液灌胃28 d,其余各组小鼠灌胃等剂量生理盐水。通过阴道脱落细胞涂片和行为学评价模型;ELISA法检测血清性激素、神经递质,血清和海马炎症因子水平;HE染色法观察海马组织形态;高尔基染色法观察海马神经元树突棘形态;免疫荧光法检测海马CA1区小胶质细胞相关标志物、突触可塑性相关蛋白;Western blotting检测海马补体C3(C3)/补体C3a受体(C3aR)通路相关蛋白。 结果 与假手术组比较,去势小鼠动情周期紊乱,绝经肝郁组小鼠表现出抑郁样行为(P<0.01);血清性激素和神经递质水平异常(P<0.01),血清和海马炎症因子含量增加(P<0.01);海马CA1区神经元细胞数量减少、排列紊乱且核固缩,树突棘数量减少;海马CA1区小胶质细胞相关标志物表达增加(P<0.01)、突触可塑性相关蛋白荧光表达降低(P<0.01);C3/C3aR通路相关蛋白表达增加(P<0.05,P<0.01)。与绝经肝郁组比较,柴胡疏肝散干预后可改善MPS肝郁小鼠的抑郁样行为(P<0.05,P<0.01);血清性激素和神经递质水平逆转(P<0.05,P<0.01),血清和海马炎症因子含量降低(P<0.01);海马CA1区神经元细胞数量增加、排列有序,树突棘数量增加、形态改善;海马CA1区小胶质细胞相关标志物表达逆转,突触可塑性相关蛋白荧光强度增强(P<0.01);海马C3/C3aR通路相关蛋白表达下调(P<0.05,P<0.01)。 结论 柴胡疏肝散可以改善MPS肝郁模型小鼠海马突触可塑性,其作用机制与抑制C3/C3aR信号通路介导小胶质细胞M1极化有关。
钟瑶, 蔡晓诗, 李欣媛, 王素英, 吴忧, 陈朝玺, 王悦, 沈冰榕, 龚琳, 沈建英, 闵莉, 梁文娜. 柴胡疏肝散抑制C3/C3aR介导小胶质细胞M1极化改善绝经综合征肝郁证模型小鼠的海马突触可塑性[J]. 南方医科大学学报, 2026, 46(8): 1823-1834.
Yao ZHONG, Xiaoshi CAI, Xinyuan LI, Suying WANG, You WU, Zhaoxi CHEN, Yue WANG, Bingrong SHEN, Lin GONG, Jianying SHEN, Li MIN, Wenna LIANG. Chaihu Shugan San inhibits C3/C3aR-mediated microglial M1 polarization to improve hippocampal synaptic plasticity in mice with menopausal syndrome with liver qi stagnation[J]. Journal of Southern Medical University, 2026, 46(8): 1823-1834.
图1 小鼠阴道脱落细胞巴氏染色结果
Fig.1 Papanicolaou staining results of mouse vaginal exfoliated cells (Original magnification: ×100). A: Proestrus. B: Estrus. C: Late estrus. D-H: Interestrous. Blue arrows indicate nucleated cells, green arrows indicate keratinized cells, and red arrows indicate leukocytes.
| Group | E2 (pg/mL) | FSH (ng/mL) | LH (mU/mL) |
|---|---|---|---|
| Sham | 10.57±1.31 | 7.62±0.97 | 18.97±0.76 |
| MPS | 5.77±0.74** | 9.38±0.26** | 24.58±0.72** |
| MPS+CUMS | 4.89±0.71** | 11.20±0.92** | 33.13±1.48** |
| CSS | 6.98±1.31## | 9.68±0.89# | 22.88±1.42## |
表1 各组小鼠血清E2、FSH、LH含量比较
Tab.1 Comparison of serum E2, FSH and LH levels in the mice among the 4 groups (Mean±SD)
| Group | E2 (pg/mL) | FSH (ng/mL) | LH (mU/mL) |
|---|---|---|---|
| Sham | 10.57±1.31 | 7.62±0.97 | 18.97±0.76 |
| MPS | 5.77±0.74** | 9.38±0.26** | 24.58±0.72** |
| MPS+CUMS | 4.89±0.71** | 11.20±0.92** | 33.13±1.48** |
| CSS | 6.98±1.31## | 9.68±0.89# | 22.88±1.42## |
| Group | Weight (g) | OFT | SPT Sucrose solution preference rate (%) | FST Immobile time (s) | TST Immobile time (s) | |
|---|---|---|---|---|---|---|
| Total distance (m) | Time in the center (s) | |||||
| Sham | 18.88±0.87 | 14.26±2.61 | 32.21±11.78 | 62.21±8.58 | 33.00±7.07 | 139.09±5.05 |
| MPS | 18.52±0.57 | 14.05±2.76 | 32.67±13.02 | 62.37±6.70 | 32.43±8.06 | 138.83±8.97 |
| MPS+CUMS | 19.52±0.98 | 12.80±2.29 | 32.67±10.91 | 61.70±2.58 | 33.69±4.16 | 139.56±11.17 |
| CSS | 18.86±0.95 | 12.90±1.54 | 32.41±14.05 | 65.82±4.58 | 31.44±7.46 | 136.19±5.83 |
表2 各组小鼠基线及行为学测试比较
Tab.2 Comparison of baseline general condition and behavioral test results of the mice among the 4 groups (Mean±SD)
| Group | Weight (g) | OFT | SPT Sucrose solution preference rate (%) | FST Immobile time (s) | TST Immobile time (s) | |
|---|---|---|---|---|---|---|
| Total distance (m) | Time in the center (s) | |||||
| Sham | 18.88±0.87 | 14.26±2.61 | 32.21±11.78 | 62.21±8.58 | 33.00±7.07 | 139.09±5.05 |
| MPS | 18.52±0.57 | 14.05±2.76 | 32.67±13.02 | 62.37±6.70 | 32.43±8.06 | 138.83±8.97 |
| MPS+CUMS | 19.52±0.98 | 12.80±2.29 | 32.67±10.91 | 61.70±2.58 | 33.69±4.16 | 139.56±11.17 |
| CSS | 18.86±0.95 | 12.90±1.54 | 32.41±14.05 | 65.82±4.58 | 31.44±7.46 | 136.19±5.83 |
| Group | Weight (g) | OFT | SPT Sucrose solution preference rate (%) | FST Immobilization time(s) | TST Immobilization time(s) | |
|---|---|---|---|---|---|---|
| Total distance (m) | Time in the center(s) | |||||
| Sham | 24.27±1.03 | 12.22±0.55 | 30.05±7.77 | 74.34±14.33 | 27.38±4.31 | 117.29±10.06 |
| MPS | 25.20±1.21 | 10.44±1.17* | 26.25±9.67 | 52.80±12.72** | 45.72±8.14** | 149.60±10.98** |
| MPS+CUMS | 22.48±0.84** | 7.71±1.16** | 12.44±6.55** | 49.91±5.78** | 88.91±10.65** | 188.66±12.86** |
| CSS | 23.13±0.70 | 14.20±2.18## | 25.76±9.19# | 72.18±7.36## | 39.95±7.74## | 150.36±14.17## |
表3 各组小鼠造模、干预后行为学测试比较
Tab.3 Comparison of behavioral tests after modeling and intervention among the 4 groups (Mean±SD)
| Group | Weight (g) | OFT | SPT Sucrose solution preference rate (%) | FST Immobilization time(s) | TST Immobilization time(s) | |
|---|---|---|---|---|---|---|
| Total distance (m) | Time in the center(s) | |||||
| Sham | 24.27±1.03 | 12.22±0.55 | 30.05±7.77 | 74.34±14.33 | 27.38±4.31 | 117.29±10.06 |
| MPS | 25.20±1.21 | 10.44±1.17* | 26.25±9.67 | 52.80±12.72** | 45.72±8.14** | 149.60±10.98** |
| MPS+CUMS | 22.48±0.84** | 7.71±1.16** | 12.44±6.55** | 49.91±5.78** | 88.91±10.65** | 188.66±12.86** |
| CSS | 23.13±0.70 | 14.20±2.18## | 25.76±9.19# | 72.18±7.36## | 39.95±7.74## | 150.36±14.17## |
| Group | Glu (μmol/L) | GABA (ng/mL) |
|---|---|---|
| Sham | 22.07±1.20 | 9.92±0.48 |
| MPS | 25.21±1.48** | 9.26±0.37* |
| MPS+CUMS | 29.53±1.83** | 7.08±0.35** |
| CSS | 25.47±1.45## | 9.89±0.55## |
表4 各组小鼠血清Glu、GABA含量
Tab.4 Serum levels of Glu and GABA in each group (Mean±SD)
| Group | Glu (μmol/L) | GABA (ng/mL) |
|---|---|---|
| Sham | 22.07±1.20 | 9.92±0.48 |
| MPS | 25.21±1.48** | 9.26±0.37* |
| MPS+CUMS | 29.53±1.83** | 7.08±0.35** |
| CSS | 25.47±1.45## | 9.89±0.55## |
| Group | Serum | Hippocampal | ||
|---|---|---|---|---|
| IL-1β (pg/mL) | TNF-α (pg/mL) | IL-1β (pg/mg.pro) | TNF-α (pg/mg.pro) | |
| Sham | 1.02±0.53 | 0.33±0.20 | 12.45±0.78 | 87.04±3.23 |
| MPS | 2.96±0.45** | 1.87±0.65** | 22.76±1.21** | 105.10±1.25** |
| MPS+CUMS | 8.29±1.58** | 5.00±0.74** | 26.85±1.47** | 194.16±9.43** |
| CSS | 3.59±1.09## | 3.16±0.67## | 18.41±1.92## | 116.13±4.58## |
表5 各组小鼠血清与海马IL-1β、TNF-α含量
Tab.5 Serum and hippocampal levels of IL-1β and TNF-α in each group (Mean±SD)
| Group | Serum | Hippocampal | ||
|---|---|---|---|---|
| IL-1β (pg/mL) | TNF-α (pg/mL) | IL-1β (pg/mg.pro) | TNF-α (pg/mg.pro) | |
| Sham | 1.02±0.53 | 0.33±0.20 | 12.45±0.78 | 87.04±3.23 |
| MPS | 2.96±0.45** | 1.87±0.65** | 22.76±1.21** | 105.10±1.25** |
| MPS+CUMS | 8.29±1.58** | 5.00±0.74** | 26.85±1.47** | 194.16±9.43** |
| CSS | 3.59±1.09## | 3.16±0.67## | 18.41±1.92## | 116.13±4.58## |
图2 各组小鼠海马CA1区HE染色结果
Fig.2 HE staining of the hippocampal CA1 region in each group (Original magnification: ×200). The red arrows in the figure indicate necrotic cells with karyopyknosis. MPS: Menopausal syndrome; CUMS: Chronic unpredictable mild stress; CSS: Chaihu Shugan San.
图4 柴胡疏肝散对MPS肝郁证小鼠海马CA1区小胶质细胞活化相关蛋白Iba1、Iba1/iNOS、Iba1/Arg1表达的影响
Fig.4 Effect of Chaihu Shugan San on expressions of microglial activation related proteins Iba1, Iba1/iNOS, and Iba1/Arg1 in the hippocampal CA1 region of the mice. A, B: Immunofluorescence staining of Iba1 expression (×200) and Iba1+ cell counts in the hippocampal CA1 region. C, D: Immunofluorescence staining of Iba1/iNOS expression (×200) and Iba1+/iNOS+ cell counts in the hippocampal CA1 region. E, F: Immunofluorescence staining of Iba1/Arg1 expression (×200) and Iba1+/Arg1+ cell counts in the hippocampal CA1 region. Data are presented as Mean±SD (n=3). Statistical analysis was performed using one-way ANOVA followed by Tukey's post hoc test. Iba1: Ionized calcium-binding adapter molecule 1; iNOS: Inducible nitric oxide synthase; Arg1: Arginase 1. **P<0.01 vs Sham group, ##P<0.01 vs MPS+CUMS group.
图5 柴胡疏肝散对MPS肝郁证小鼠海马区突触相关蛋白PSD95、SYT-1表达的影响
Fig.5 Effect of Chaihu Shugan San on expressions of synapse related proteins PSD95 and SYT-1 in the hippocampal CA1 region of the mice. A, B: Immunofluorescence staining of PSD95 expression (×200) and relative fluorescence intensity in the CA1 region. C, D: Immunofluorescence staining of SYT-1 expression (×200) and relative fluorescence intensity in the CA1 region. Data are presented as Mean±SD (n=3). Statistical analysis was performed using one-way ANOVA followed by Tukey's post hoc test. PSD95: Postsynaptic density protein 95; SYT-1: Synaptotagmin 1. **P<0.01 vs Sham group, ##P<0.01 vs MPS+CUMS group.
图6 柴胡疏肝散对MPS肝郁证小鼠海马经典补体通路相关蛋白C3、C3aR、pSTAT3/STAT3表达的影响
Fig.6 Effect of Chaihu Shugan San on expression of classical complement pathway-related proteins C3, C3aR and pSTAT3/STAT3 in the hippocampus of the mice. A: Protein bands of C3, C3aR, p-STAT3 and STAT3 detected by Western blotting. B-D: Quantitative analysis of C3, C3aR, p-STAT3, and STAT3 protein expression levels. Data are presented as Mean±SD (n=3). Statistical analysis was performed using one-way ANOVA followed by Tukey's post hoc test. C3: Component 3; C3aR: Complement C3a receptor; pSTAT3: Phosphorylated signal transducer and activator of transcription 3; STAT3: Signal transducer and activator of transcription 3; GAPDH: Glyceraldehyde-3-phosphate dehydrogenase. *P<0.05, **P<0.01 vs Sham group; #P<0.05, ##P<0.01 vs MPS+CUMS group.
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