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1.川北医学院肛肠疾病研究所,南充 637000
2.川北医学院中西医结合临床医学院,南充 637000
3.川北医学院附属医院中西医结合肛肠科,南充 637000
4.成都中医药大学附属医院肛肠科,成都 610075
陈思敏,Email:chensiminlover@163.com,研究方向:胃肠疾病的中西医防治研究。
唐学贵,Email:Txg668nc@sohu.com。
收稿:2024-05-22,
修回:2024-11-14,
纸质出版:2026-01-28
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陈思敏,唐诗宇,关丽娜等.基于miRNA-mRNA表达谱分析增液汤对功能性便秘大鼠结肠组织功能的调节作用[J].重庆医科大学学报,2026,51(01):100-108.
Chen Simin,Tang Shiyu,Guan Lina,et al.Regulatory effect of Zengye Decoction on colonic tissue function in rats with functional constipation: a study based on microRNA-messenger ribonucleic acid expression profile[J].Journal of Chongqing Medical University,2026,51(01):100-108.
陈思敏,唐诗宇,关丽娜等.基于miRNA-mRNA表达谱分析增液汤对功能性便秘大鼠结肠组织功能的调节作用[J].重庆医科大学学报,2026,51(01):100-108. DOI: 10.13406/j.cnki.cyxb.003828.
Chen Simin,Tang Shiyu,Guan Lina,et al.Regulatory effect of Zengye Decoction on colonic tissue function in rats with functional constipation: a study based on microRNA-messenger ribonucleic acid expression profile[J].Journal of Chongqing Medical University,2026,51(01):100-108. DOI: 10.13406/j.cnki.cyxb.003828.
目的
2
探讨增液汤对功能性便秘大鼠结肠组织微小核糖核酸MicroRNA(miRNA)-信使核糖核酸(messenger ribonucleic acid,mRNA)表达的影响。
方法
2
将18只SPF级SD大鼠随机分为对照组、模型组和治疗组。模型组和治疗组均给予复方地芬诺酸混悬液治疗便秘。治疗组造模后给予增液汤治疗7 d,记录大鼠粪便情况和收集大鼠结肠组织。苏木素-伊红(hematoxylin-eosin,HE)染色观察大鼠结肠病变,结肠组织进行转录组测序,实时荧光定量逆转录聚合酶链反(real time quantitative reverse transcription PCR,RT-qPCR)验证测序结果。
结果
2
与对照组比较,模型组大鼠首粒黑便排出时长明显延长(
F
=341.909,
P
<
0.001),粪便颗粒数明显减少(
F
=116.800、86.502,
P
<
0.001),粪便含水量明显降低(
F
=234.897、388.500,
P
<
0.001);小肠推进率明显降低(
F
=5 249.009,
P
<
0.001);大鼠结肠组织病变明显。与模型组比较,
治疗组大鼠首粒黑便排出时长明显缩短(
F
=341.909,
P
<
0.001),14 d粪便颗粒数明显增加(
F
=116.800、86.502,
P
<
0.01),粪便含水量明显增加(
F
=234.897、388.500,
P
<
0.001);小肠推进率明显上升(
F
=5 249.009,
P
<
0.001),结肠组织未见明显病变。增液汤导致结肠miRNA-mRNA网络表达谱的改变。转录组测序共筛选出541个差异表达的mRNA(241个下调和300个上调),17个差异表达的miRNA(12个下调和5个上调)(
P
<
0.05)。基因本体(gene ontology,GO)功能分析发现差异表达的mRNA-miRNA主要富集在细胞内。京都基因与基因组百科全书(Kyoto Encyclopedia of Genes and Genomes,KEGG)富集通路分析发现差异表达的mRNA主要富集于cGMP-PKG信号通路和cAMP信号通路。
结论
2
增液汤治疗减少了大鼠排便时间,增加了大鼠排便颗粒数,增加了大鼠粪便含水量,增加了大鼠肠道蠕动,改变了大鼠结肠miRNA-mRNA表达谱,改善大鼠便秘症状。
Objective
2
To investigate the effect of Zengye Decoction on the expression of microRNA(miRNA)-messenger ribonucleic acid(mRNA) in colon tissue of rats with functional constipation.
Methods
2
A total of 18 specific pathogen-free Sprague-Dawley rats were randomly divided into control group,model group,and treatment group. The rats in the model group and the treatment group were given compound diphenoxylate suspension for constipation treatment,and those in the treatment group were treated with Zengye Decoction for 7 days after modeling. The condition of feces was recorded,and colon tissue samples were collected. HE staining was used to observe the colonic lesions of rats,transcriptome sequencing was performed for colonic tissue,and RT-qPCR was used to verify the results of sequencing.
Results
2
Compared with the control group,the model group had a significantly longer time for first black stool excretion(
F
=341.909,
P
<
0.001) and significant reductions in the number of fecal particles(
F
=116.800,86.502,
P
<
0.001),fecal water content(
F
=234.897,388.500,
P
<
0.001),and small intestine propu
lsion rate(
F
=5249.009,
P
<
0.001),with marked pathological changes of colon tissue. Compared with the model group,the treatment group had a significant reduction in the time for first black stool excretion(
F
=341.909,
P
<
0.001) and significant increases in the number of fecal particles on day 14(
F
=116.800,86.502,
P
<
0.01),fecal water content(
F
=234.897,388.500,
P
<
0.001),and small intestine propulsion rate(
F
=5249.009,
P
<
0.001),with no marked pathological changes of colon tissue. Zengye Decoction induced the change in the miRNA-mRNA network expression profile in colon tissue. Transcriptome sequencing identified 541 differentially expressed mRNAs(241 downregulated mRNAs and 300 upregulated mRNAs) and 17 differentially expressed miRNAs(12 downregulated miRNAs and 5 upregulated miRNAs)(
P
<
0.05). The GO functional analysis showed that the differentially expressed mRNAs-miRNAs were mainly enriched in cells,and the KEGG pathway enrichment analysis showed that the differentially expressed mRNAs were mainly enriched in the cGMP-PKG signaling pathway and the cAMP signaling pathway.
Conclusion
2
Zengyou Decoction can reduce the defecation time of rats,increase the number of fecal particles and fecal water content,improve the intestinal motility of rats,and change the miRNA-mRNA network expression in the colon,thereby improving constipation in rats.
Fuchs KH , Schulz T , Broderick R , et al . Transanal hybrid colon resection:techniques and outcomes for benign colorectal diseases [J ] . Surg Endosc , 2020 , 34 ( 8 ): 3487 - 3495 .
Ann Y . Transanal irrigation:is it the magic intervention for bowel management in individuals with bowel dysfunction? [J ] . Br J Nurs , 2020 , 29 ( 7 ): 393 - 398 .
Dimidi E , Christodoulides S , Fragkos KC , et al . The effect of probiotics on functional constipation in adults:a systematic review and meta-analysis of randomized controlled trials [J ] . Am J Clin Nutr , 2014 , 100 ( 4 ): 1075 - 1084 .
胡露楠 , 刘启鸿 , 柯 晓 , 等 . 基于16S测序技术分析功能性便秘患者不同结肠传输动力肠道菌群的差异性研究 [J ] . 中国中西医结合消化杂志 , 2024 , 32 ( 10 ): 910 - 915,921 .
Hu LN , Liu QH , Ke X , et al . Analysis of different colonic transport dynamics in patients with functional constipation based on 16S sequencing technology differential study of intestinal flora in patients with functional constipation [J ] . Chin J Integr Tradit West Med Dig , 2024 , 32 ( 10 ): 910 - 915,921 .
Kim SE , Choi SC , Park KS , et al . Change of fecal flora and effectiveness of the short-term VSL#3 probiotic treatment in patients with functional constipation [J ] . J Neurogastroenterol Motil , 2015 , 21 ( 1 ): 111 - 120 .
Parthasarathy G , Chen J , Chen XF , et al . Relationship between microbiota of the colonic mucosa vs feces and symptoms,colonic transit,and methane production in female patients with chronic constipation [J ] . Gastroenterology , 2016 , 150 ( 2 ): 367 - 379 .
毛帼粟 , 石腾腾 , 林雪娇 , 等 . 李鲜教授运用温下法治疗便秘临证经验 [J ] . 中国民族民间医药 , 2018 , 27 ( 16 ): 69 - 70 .
Mao GS , Shi TT , Lin XJ , et al . Professor Li Xian’s clinical experience in treating constipation by warming down [J ] . Chin J Ethnomed Ethnopharmacy , 2018 , 27 ( 16 ): 69 - 70 .
胡 昕 . 王文友从湿论治“便秘” 经验浅析 [J ] . 中国实用医药 , 2018 , 13 ( 34 ): 187 - 189 .
Hu X . Analysis of Wang wenyou’s experience in treating constipation from dampness [J ] . China Pract Med , 2018 , 13 ( 34 ): 187 - 189 .
刘鸣昊 , 段卫娜 , 张振凌 . 增液汤临床研究进展 [J ] . 中医学报 , 2016 , 31 ( 10 ): 1525 - 1528 .
Liu MH , Duan WN , Zhang ZL . Research progress in clinical application of zengyetang [J ] . Acta Chin Med , 2016 , 31 ( 10 ): 1525 - 1528 .
毕继发 . 增液汤加减方治疗慢传输型便秘(气阴两虚型)的临床观察 [D ] . 沈阳 : 辽宁中医药大学 , 2020 .
Bi JF . Clinical observation on the treatment of slow transit constipation (deficiency of both qi and yin) with Zengye Decoction [D ] . Shenyang : Liaoning University of Traditional Chinese Medicine , 2020 .
Stavast CJ , Erkeland SJ . The non-canonical aspects of microRNAs:many roads to gene regulation [J ] . Cells , 2019 , 8 ( 11 ): 1465 .
Saliminejad K , Khorram Khorshid HR , Soleymani Fard S , et al . An overview of microRNAs:Biology,functions,therapeutics,and analysis methods [J ] . J Cell Physiol , 2019 , 234 ( 5 ): 5451 - 5465 .
Zhao SP , Chen Q , Kang XW , et al . Aberrantly expressed genes and miRNAs in slow transit constipation based on RNA-seq analysis [J ] . Biomed Res Int , 2018 , 2018 : 2617432 .
苏红利 , 王 丽 , 周华 , 等 . 健脾益肾增液汤联合常规治疗对高龄慢性功能性便秘患者的临床疗效 [J ] . 中成药 , 2023 , 45 ( 6 ): 1849 - 1853 .
Su HL , Wang L , Zhou H , et al . Clinical effects of Jianpi Yishen Zengye Decoction combined with conventional treatment on patients with elderly chronic functional constipation [J ] . Chin Tradit Pat Med , 2023 , 45 ( 6 ): 1849 - 1853 .
曹冬兴 , 王震华 , 张 晔 , 等 . 腹腔镜直肠前固定术治疗合并重度盆底结构异常出口梗阻型便秘的远期疗效 [J ] . 中华消化外科杂志 , 2022 , 21 ( 6 ): 796 - 801 .
Cao DX , Wang ZH , Zhang Y , et al . Long-term outcomes of laparoscopic ventral rectopexy for obstructive defecation with overt pelvic structural abnormalities [J ] . Chin J Dig Surg , 2022 , 21 ( 6 ): 796 - 801 .
杨 婷 , 皮 茂 . 芪术增液汤治疗气阴两虚型慢传输型便秘35例临床观察 [J ] . 湖南中医杂志 , 2022 , 38 ( 9 ): 9 - 11,16 .
Yang T , Pi M . Clinical effect of Qizhu Zengye Decoction in treatment of slow transit constipation with deficiency of both qi and Yin:an analysis of 35 cases [J ] . Hunan J Tradit Chin Med , 2022 , 38 ( 9 ): 9 - 11,16 .
于 凡 , 熊洪艳 , 梁 玲 , 等 . 增液汤对实验动物排便及离体肠管的影响研究 [J ] . 中医药导报 , 2017 , 23 ( 22 ): 39 - 41 .
Yu F , Xiong HY , Liang L , et al . Effect of Zengye Decoction on defecation and isolated intestine in experimental animal [J ] . Guid J Tradit Chin Med Pharm , 2017 , 23 ( 22 ): 39 - 41 .
吕子初 . 探讨蛋白质组学研究方法在针灸治病机理上的应用 [D ] . 广州 : 广州中医药大学 , 2010 .
Lv ZC . To explore the application of protein’s omics research method in the mechanism of acupuncture and moxibustion [D ] . Guangzhou : Guangzhou University of Chinese Medicine , 2010 .
Yao JP , Yan XY , Chen LP , et al . Efficacy and microRNA-gut microbiota regulatory mechanisms of acupuncture for severe chronic constipation:study protocol for a randomized controlled trial [J ] . Front Med , 2022 , 9 : 906403 .
Yu CR , Zang L , Feng B , et al . Co-expression network analysis identified specific miRNAs and genes in association with slow-transit constipation [J ] . Mol Med Rep , 2020 , 22 ( 6 ): 4696 - 4706 .
Mazzone A , Strege PR , Gibbons SJ , et al . microRNA overexpression in slow transit constipation leads to reduced Nav1.5 current and altered smooth muscle contractility [J ] . Gut , 2020 , 69 ( 5 ): 868 - 876 .
Liu WC , Zhang QL , Li S , et al . The relationship between colonic macrophages and microRNA-128 in the pathogenesis of slow transit constipation [J ] . Dig Dis Sci , 2015 , 60 ( 8 ): 2304 - 2315 .
Kapeller J , Houghton LA , Mönnikes H , et al . First evidence for an association of a functional variant in the microRNA-510 target site of the serotonin receptor-type 3E gene with diarrhea predominant irritable bowel syndrome [J ] . Hum Mol Genet , 2008 , 17 ( 19 ): 2967 - 2977 .
Vickers KC , Rye KA , Tabet F . MicroRNAs in the onset and development of cardiovascular disease [J ] . Clin Sci , 2014 , 126 ( 3 ): 183 - 194 .
Zhu H , Xiao X , Shi Y , et al . Inhibition of miRNA-29a regulates intestinal barrier function in diarrhea-predominant irritable bowel syndrome by upregulating ZO-1 and CLDN1 [J ] . Exp Ther Med , 2020 , 20 ( 6 ): 155 .
Croce CM , Calin GA . miRNAs,cancer,and stem cell division [J ] . Cell , 2005 , 122 ( 1 ): 6 - 7 .
Hong YT , Ren XH , Liu WC , et al . miR-128 participates in the pathogenesis of chronic constipation by regulating the p38α/M-CSF inflammatory signaling pathway [J ] . Am J Physiol Gastrointest Liver Physiol , 2021 , 321 ( 4 ): 436 - 447 .
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