南方医科大学学报 ›› 2026, Vol. 46 ›› Issue (9): 2078-2090.doi: 10.12122/j.issn.1673-4254.2026.09.08
• • 上一篇
沈婉婷1(
), 陈一哲1(
), 付欣予1, 袁家涛1, 周均1, 黄丽2(
), 吴宁2(
)
收稿日期:2026-01-09
出版日期:2026-09-20
发布日期:2026-09-30
通讯作者:
黄丽,吴宁
E-mail:1527214678@qq.com;2322045095@qq.com;12155501@qq.com;1638210715@qq.com
作者简介:沈婉婷,在读本科生,E-mail: 1527214678@qq.com基金资助:
Wanting SHEN1(
), Yizhe CHEN1(
), Xinyu FU1, Jiatao YUAN1, Jun ZHOU1, Li HUANG2(
), Ning WU2(
)
Received:2026-01-09
Online:2026-09-20
Published:2026-09-30
Contact:
Li HUANG, Ning WU
E-mail:1527214678@qq.com;2322045095@qq.com;12155501@qq.com;1638210715@qq.com
Supported by:摘要:
目的 探究贵州苗医验方“四大血”(SX)对胶原诱导型关节炎(CIA)大鼠滑膜组织糖酵解和巨噬细胞极化的作用机制。 方法 将32只SD大鼠随机均分为空白组、模型组、雷公藤多苷片阳性对照组(GTW 40 mg/kg)、SX组(SX 40 g/kg),8只/组。除空白组外,其余组别均构建CIA大鼠模型。造模成功后,灌胃给药21 d,其中空白组与模型组灌胃生理盐水。检测大鼠足肿度、关节炎指数(AI),HE染色观察滑膜组织病理变化,免疫荧光染色检测滑膜组织诱导型一氧化氮合酶(iNOS)、甘露糖受体(CD206)表达,ELISA法检测血清肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平,分光光度法检测滑膜组织乳酸含量,Western blotting与实时荧光定量PCR法检测缺氧诱导因子-1α(HIF-1α)、丙酮酸脱氢酶激酶同工酶1(PDK1)、己糖激酶2(HK2)的蛋白及mRNA表达。采用UHPLC-MS鉴定SX入血成分并预测靶点,通过差异分析和WGCNA鉴定类风湿关节炎(RA)相关基因,经Venn交集分析锁定候选靶点,再通过多种机器学习算法筛选关键枢纽基因。利用AlphaFold3预测HIF-1α与PDK1的互作结构,对关键基因进行虚拟敲除,使用分子对接探究靶点与入血成分的互作关系。 结果 动物实验中,与模型组相比,SX能显著减轻CIA大鼠关节肿胀度和AI评分(P<0.01);改善滑膜增生与炎性细胞浸润;降低血清 TNF-α、IL-1β、IL-6 含量(P<0.05);下调iNOS表达、上调CD206 表达,抑制巨噬细胞M1型极化;同时显著下调滑膜组织中HIF-1α、PDK1、HK2的蛋白及mRNA表达水平(P<0.01);鉴定出29种SX入血活性成分、756个潜在靶点及908个RA核心相关基因,经交集分析获得38个候选靶点,机器学习筛选出9个关键基因。AlphaFold3 预测显示HIF-1α与PDK1存在强互作关系,虚拟敲除分析表明,敲除HIF1A和PDK1可显著扰动巨噬细胞中TNF、NF-κB等炎症信号通路,分子对接显示互作较强。 结论 本研究通过全方动物实验和入血成分预测分析验证了苗药“四大血”可通过抑制HIF-1α/PDK1信号通路,纠正糖酵解重编程,进而促进巨噬细胞M2型极化,有效缓解CIA大鼠关节炎症。
沈婉婷, 陈一哲, 付欣予, 袁家涛, 周均, 黄丽, 吴宁. 苗药“四大血”通过抑制HIF-1α/PDK1介导的糖酵解重编程调控巨噬细胞极化并缓解胶原诱导型关节炎大鼠滑膜炎症[J]. 南方医科大学学报, 2026, 46(9): 2078-2090.
Wanting SHEN, Yizhe CHEN, Xinyu FU, Jiatao YUAN, Jun ZHOU, Li HUANG, Ning WU. Miao medicine Sidaxue regulates macrophage polarization and alleviates synovial inflammation in collagen-induced arthritis rats by inhibiting HIF-1α/PDK1-mediated glycolytic reprogramming[J]. Journal of Southern Medical University, 2026, 46(9): 2078-2090.
| Primer | Sequences (5' to 3') | |
|---|---|---|
| HK2 | Forward Reverse | GCTGCTGCTGAAGAAGATGG |
| CCAGAGGGAGTCGATGTTGA | ||
| HIF-1α | Forward Reverse | GCTGATTTGTGAGCCTTCTATG |
| TCATCTGTAAGTGGGTCTCGT | ||
| PDK1 | Forward Reverse | ATGGCGTCCGTGGAGAAGTA |
| TCAGTCTTGGCGTAGTCGTT | ||
| GAPDH | Forward Reverse | GAAGCTGGTCATCAACGGGA |
| GGCGGAGATGATGACCCTTT | ||
表1 HK2、HIF-1α、PDK1、GAPDH的引物序列
Tab.1 Primer sequences for RT-qPCR of HK2, HIF-1α, PDK1 and GAPDH
| Primer | Sequences (5' to 3') | |
|---|---|---|
| HK2 | Forward Reverse | GCTGCTGCTGAAGAAGATGG |
| CCAGAGGGAGTCGATGTTGA | ||
| HIF-1α | Forward Reverse | GCTGATTTGTGAGCCTTCTATG |
| TCATCTGTAAGTGGGTCTCGT | ||
| PDK1 | Forward Reverse | ATGGCGTCCGTGGAGAAGTA |
| TCAGTCTTGGCGTAGTCGTT | ||
| GAPDH | Forward Reverse | GAAGCTGGTCATCAACGGGA |
| GGCGGAGATGATGACCCTTT | ||
图1 各组大鼠滑膜组织HE染色及免疫荧光染色检测
Fig.1 HE and immunofluorescence staining of the synovial tissues of the rats from each group. A-D: HE staining of the synovial tissues in normal control, CIA model, GTW, SX groups, respectively (Original magnification:×100). E, F: Immunofluorescence staining of M1 macrophages (iNOS, red) and M2 macrophages (CD206, red) (Scale bar=10 μm). G, H: Quantitative analysis of fluorescence intensity ratio of iNOS+ or CD206+ to CD68+ (Mean±SD, n=3). *P<0.05, ***P<0.001 vs normal group; #P<0.05, ##P<0.01, ###P<0.001 vs model group.
| Group | TNF-α | IL-1β | IL-6 | |
|---|---|---|---|---|
| Normal | 30.81±4.56 | 12.14±1.85 | 32.79±4.26 | |
| Model | 62.86±5.68** | 54.52±4.51** | 79.78±5.35** | |
| GTW | 39.82±5.88# | 32.36±3.97# | 42.65±6.31# | |
| SX | 32.62±6.43## | 30.89±2.36## | 33.52±4.54## |
表4 SX对CIA大鼠炎症因子TNF-α、IL-1β、IL-6的影响
Tab.4 Effect of SX on serum levels of TNF-α, IL-1β, and IL-6 in CIA rats (n=8, Mean±SD)
| Group | TNF-α | IL-1β | IL-6 | |
|---|---|---|---|---|
| Normal | 30.81±4.56 | 12.14±1.85 | 32.79±4.26 | |
| Model | 62.86±5.68** | 54.52±4.51** | 79.78±5.35** | |
| GTW | 39.82±5.88# | 32.36±3.97# | 42.65±6.31# | |
| SX | 32.62±6.43## | 30.89±2.36## | 33.52±4.54## |
图2 SX对CIA大鼠模型滑膜组织糖酵解的影响
Fig.2 Effects of SX on glycolysis in the synovial tissues of CIA rats. *P<0.05, **P<0.01,***P<0.001 vs the normal group; #P<0.05, ##P<0.01, ###P<0.001 vs the model group.
图3 正离子模式(A、C、E)和负离子模式(B、D、F)下的空白血清、四大血含药血清样品和四大血提取物的总离子流色谱图
Fig.3 Total ion current chromatograms of blank serum, SX-medicated rat serum, and SX extract in positive ion mode (A, C, E) and negative ion mode (B, D, F).
| Serial number | t (min) | Component | Lon species | Measured value (m/z) | Score |
|---|---|---|---|---|---|
| 1 | 3.32 | Fumaritine | [M+H]+ | 356.15 | 0.99 |
| 2 | 3.46 | Heriguard | [M+H C7H12O6]+ | 163.04 | 0.99 |
| 3 | 3.55 | Procyanidin B2 | [M+H]+ | 579.15 | 0.99 |
| 4 | 3.63 | Magnoflorine | [M]+ | 342.17 | 0.93 |
| 5 | 4.26 | 3-O-Feruloylquinic acid | [M+H]+ | 369.12 | 0.99 |
| 6 | 4.31 | Glu-Thr | [M+H]+ | 249.11 | 0.93 |
| 7 | 5.16 | N-Malonyltryptophan | [M+H]+ | 291.10 | 0.83 |
| 8 | 5.43 | 7-hydroxy-4-(methoxymethyl)coumarin | [M+H]+ | 207.06 | 0.89 |
| 9 | 5.51 | Brutieridin | [M+H C18H28O13]+ | 303.09 | 0.92 |
| 10 | 5.90 | 4-Hydroxy-7-methyl-2-[2-[3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl] oxypropan-2-yl]-2,3-dihydrofuro[3,2-g]chromen-5-one | [M+H]+ | 439.16 | 0.97 |
| 11 | 7.15 | Toddalolactone | [M+H]+ | 309.13 | 1.00 |
| 12 | 7.89 | Visamminol | [M+H]+ | 277.11 | 0.96 |
| 13 | 8.48 | Skimmianine | [M+H]+ | 260.09 | 0.95 |
| 14 | 9.34 | Isopimpinellin | [M+H]+ | 247.06 | 1.00 |
| 15 | 10.01 | Pimpinellin | [M+H]+ | 247.06 | 1.00 |
| 16 | 12.12 | Phellopterin | [M+H]+ | 301.11 | 0.98 |
| 17 | 2.84 | Neochlorogenic acid | [M-H]- | 353.09 | 0.97 |
| 18 | 3.36 | Wikstrol A | [M-H C6H6O3]- | 417.10 | 0.73 |
| 19 | 3.95 | Catechin | [M-H]- | 289.07 | 1.00 |
| 20 | 4.09 | 2-beta-D-Glucopyranosyloxy-4-methoxy-cis-cinnamic acid | [M-H-H2O]- | 337.09 | 0.98 |
| 21 | 4.37 | (-)-Lyoniresinol 9'-O-glucoside | [M-H]- | 581.22 | 0.95 |
| 22 | 4.79 | N-Acetyl-L-phenylalanine | [M-H]- | 206.08 | 0.98 |
| 23 | 5.15 | Asn-Asn | [M-H]- | 245.09 | 0.73 |
| 24 | 5.51 | Hesperidin | [M-H]- | 609.18 | 1.00 |
| 25 | 6.32 | Azelaic acid | [M-H]- | 187.10 | 1.00 |
| 26 | 6.60 | Salicylic acid | [M-H]- | 137.02 | 1.00 |
| 27 | 8.35 | 1-O-[(2beta,3beta,5xi,9xi,18xi)-2,23-Dihydroxy-28,29-dioxo-3- (beta-D-xylopyranosyloxy)olean-12-en-28-yl]-beta-D-glucopyranose | [M-H]- | 825.43 | 0.99 |
| 28 | 10.76 | Mocimycin | [M-H]- | 795.42 | 0.97 |
| 29 | 11.22 | Medicagenic acid 3-O-beta-D-glucoside | [M-H]- | 663.37 | 0.97 |
表5 四大血入血成分解析结果
Tab.5 Results of the analysis of blood-borne components of Sidaxue
| Serial number | t (min) | Component | Lon species | Measured value (m/z) | Score |
|---|---|---|---|---|---|
| 1 | 3.32 | Fumaritine | [M+H]+ | 356.15 | 0.99 |
| 2 | 3.46 | Heriguard | [M+H C7H12O6]+ | 163.04 | 0.99 |
| 3 | 3.55 | Procyanidin B2 | [M+H]+ | 579.15 | 0.99 |
| 4 | 3.63 | Magnoflorine | [M]+ | 342.17 | 0.93 |
| 5 | 4.26 | 3-O-Feruloylquinic acid | [M+H]+ | 369.12 | 0.99 |
| 6 | 4.31 | Glu-Thr | [M+H]+ | 249.11 | 0.93 |
| 7 | 5.16 | N-Malonyltryptophan | [M+H]+ | 291.10 | 0.83 |
| 8 | 5.43 | 7-hydroxy-4-(methoxymethyl)coumarin | [M+H]+ | 207.06 | 0.89 |
| 9 | 5.51 | Brutieridin | [M+H C18H28O13]+ | 303.09 | 0.92 |
| 10 | 5.90 | 4-Hydroxy-7-methyl-2-[2-[3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl] oxypropan-2-yl]-2,3-dihydrofuro[3,2-g]chromen-5-one | [M+H]+ | 439.16 | 0.97 |
| 11 | 7.15 | Toddalolactone | [M+H]+ | 309.13 | 1.00 |
| 12 | 7.89 | Visamminol | [M+H]+ | 277.11 | 0.96 |
| 13 | 8.48 | Skimmianine | [M+H]+ | 260.09 | 0.95 |
| 14 | 9.34 | Isopimpinellin | [M+H]+ | 247.06 | 1.00 |
| 15 | 10.01 | Pimpinellin | [M+H]+ | 247.06 | 1.00 |
| 16 | 12.12 | Phellopterin | [M+H]+ | 301.11 | 0.98 |
| 17 | 2.84 | Neochlorogenic acid | [M-H]- | 353.09 | 0.97 |
| 18 | 3.36 | Wikstrol A | [M-H C6H6O3]- | 417.10 | 0.73 |
| 19 | 3.95 | Catechin | [M-H]- | 289.07 | 1.00 |
| 20 | 4.09 | 2-beta-D-Glucopyranosyloxy-4-methoxy-cis-cinnamic acid | [M-H-H2O]- | 337.09 | 0.98 |
| 21 | 4.37 | (-)-Lyoniresinol 9'-O-glucoside | [M-H]- | 581.22 | 0.95 |
| 22 | 4.79 | N-Acetyl-L-phenylalanine | [M-H]- | 206.08 | 0.98 |
| 23 | 5.15 | Asn-Asn | [M-H]- | 245.09 | 0.73 |
| 24 | 5.51 | Hesperidin | [M-H]- | 609.18 | 1.00 |
| 25 | 6.32 | Azelaic acid | [M-H]- | 187.10 | 1.00 |
| 26 | 6.60 | Salicylic acid | [M-H]- | 137.02 | 1.00 |
| 27 | 8.35 | 1-O-[(2beta,3beta,5xi,9xi,18xi)-2,23-Dihydroxy-28,29-dioxo-3- (beta-D-xylopyranosyloxy)olean-12-en-28-yl]-beta-D-glucopyranose | [M-H]- | 825.43 | 0.99 |
| 28 | 10.76 | Mocimycin | [M-H]- | 795.42 | 0.97 |
| 29 | 11.22 | Medicagenic acid 3-O-beta-D-glucoside | [M-H]- | 663.37 | 0.97 |
图4 类风湿关节炎相关靶点基因的确定
Fig.4 Determination of rheumatoid arthritis (RA)-related target genes. A: Principal component analysis (PCA) of samples before batch effect correction. B: PCA after batch effect correction. C: Volcano plot of differentially expressed genes (DEGs) in RA synovium. D: Heatmap of the DEGs. E: Module-Trait Correlation Heatmap by weighted gene co-expression network analysis (WGCNA). F: Intersection analysis of the DEGs and WGCNA key module genes. G: Intersection analysis of the targerts of the blood-entering components of SX, RA core genes,glycolysis, and macrophage polarization targets.
图5 类风湿关节炎核心基因鉴定
Fig.5 Identification of the core genes associated with RA. A: Performance evaluation of 127 predictive models constructed using 12 classic machine learning algorithms. B: ROC curve of the optimal RF+Stepglm [forward] model. C: Single-gene ROC curve analysis of the 9 core genes.
图6 蛋白互作及虚拟敲除结果图
Fig.6 Results of protein-protein interaction and virtual knockout. A: AlphaFold3 predicts the interaction structure between HIF‑1α and PDK1 proteins. B: Single-cell clustering annotation of human synovial tissue. C: Enrichment analysis of the downstream perturbed genes after virtual knockout of HIF1A. D: Enrichment analysis of downstream perturbed genes after virtual knockout of PDK1.
| Blood-entering component | Vina score for HIF1A(kcal/mol) |
|---|---|
| (-)-Lyoniresinol 9'-O-glucoside | -7.70 |
| 2-beta-D-Glucopyranosyloxy-4-methoxy-cis-cinnamic acid | -6.70 |
| 1-O-[(2beta,3beta,5xi,9xi,18xi)-2,23-Dihydroxy-28,29-dioxo-3-(beta-D-xylopyranosyloxy)olean-12-en-28-yl]-beta-D-glucopyranose | -9.00 |
| 3-O-Feruloylquinic acid | -7.70 |
| 2-(4-Hydroxy-7-methyl-5-oxo-2,3-dihydro-5H-furo[3,2-g]chromen-2-yl)propan-2-yl hexopyranoside | -8.70 |
| Wikstrol A | -8.60 |
| 7-hydroxy-4-(methoxymethyl)coumarin | -6.00 |
| Asn-Asn | -6.30 |
| Azelaic acid | -5.30 |
| Brutieridin | -8.70 |
| Catechin | -7.50 |
| Fumaritine | -7.80 |
| Glu-Thr | -5.80 |
| Heriguard | -7.80 |
| Hesperidin | -9.30 |
| Isopimpinellin | -6.60 |
| Magnoflorine | -8.10 |
| Medicagenic acid 3-O-beta-D-glucoside | -10.10 |
| Mocimycin | -8.90 |
| N-Acetyl-L-phenylalanine | -6.40 |
| Neochlorogenic acid | -7.70 |
| N-Malonyltryptophan | -7.30 |
| Phellopterin | -7.30 |
| Pimpinellin | -6.70 |
| Procyanidin B2 | -8.50 |
| Salicylic acid | -6.30 |
| Skimmianine | -6.60 |
| Toddalolactone | -6.70 |
| Visamminol | -7.30 |
表6 分子对接结果
Tab.6 Results of molecular docking
| Blood-entering component | Vina score for HIF1A(kcal/mol) |
|---|---|
| (-)-Lyoniresinol 9'-O-glucoside | -7.70 |
| 2-beta-D-Glucopyranosyloxy-4-methoxy-cis-cinnamic acid | -6.70 |
| 1-O-[(2beta,3beta,5xi,9xi,18xi)-2,23-Dihydroxy-28,29-dioxo-3-(beta-D-xylopyranosyloxy)olean-12-en-28-yl]-beta-D-glucopyranose | -9.00 |
| 3-O-Feruloylquinic acid | -7.70 |
| 2-(4-Hydroxy-7-methyl-5-oxo-2,3-dihydro-5H-furo[3,2-g]chromen-2-yl)propan-2-yl hexopyranoside | -8.70 |
| Wikstrol A | -8.60 |
| 7-hydroxy-4-(methoxymethyl)coumarin | -6.00 |
| Asn-Asn | -6.30 |
| Azelaic acid | -5.30 |
| Brutieridin | -8.70 |
| Catechin | -7.50 |
| Fumaritine | -7.80 |
| Glu-Thr | -5.80 |
| Heriguard | -7.80 |
| Hesperidin | -9.30 |
| Isopimpinellin | -6.60 |
| Magnoflorine | -8.10 |
| Medicagenic acid 3-O-beta-D-glucoside | -10.10 |
| Mocimycin | -8.90 |
| N-Acetyl-L-phenylalanine | -6.40 |
| Neochlorogenic acid | -7.70 |
| N-Malonyltryptophan | -7.30 |
| Phellopterin | -7.30 |
| Pimpinellin | -6.70 |
| Procyanidin B2 | -8.50 |
| Salicylic acid | -6.30 |
| Skimmianine | -6.60 |
| Toddalolactone | -6.70 |
| Visamminol | -7.30 |
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