研究生: |
徐志翔 Hsu,Chih-Hsiang |
---|---|
論文名稱: |
傳統中醫藥緩解錳中毒的治療潛力 Therapeutic Potential of Traditional Chinese Medicine in Manganism |
指導教授: |
吳忠信
Wu, Chung-Hsin |
學位類別: |
博士 Doctor |
系所名稱: |
生命科學系 Department of Life Science |
論文出版年: | 2016 |
畢業學年度: | 104 |
語文別: | 英文 |
論文頁數: | 84 |
中文關鍵詞: | 錳中毒 、類巴金森症候群 、陰莖組織 、多巴胺 、大腦神經生長因子 、一氧化氮合成酶 、活性氧化物質 、氧化壓力 、發炎作用 、細胞凋亡 、草藥配方 |
英文關鍵詞: | Parkinsonism,, penile cavernous tissue, brain-derived, neurotrophic factor, herbal formula |
DOI URL: | https://doi.org/10.6345/NTNU202204402 |
論文種類: | 學術論文 |
相關次數: | 點閱:145 下載:18 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本論文的主要研究目的為探討傳統中醫藥是否具有緩解錳中毒的治療潛力。過去文獻指出錳礦工人會因為吸入大量的錳而引起神經系統中毒以及勃起障礙的症狀,人體如果攝取過量的錳也會造成嚴重的神經系統疾病、行動障礙、心智和情緒的異常,嚴重的錳中毒甚至誘發類巴金森症候群。然而,臨床上利用西方藥物治療人體錳中毒的效果卻相當有限,如果選擇傳統中醫篩選緩解錳中毒的中草藥,則為錳中毒患者帶來替代治療的希望。為此,本研究選擇具有緩解發炎與氧化壓力的中藥配方B401,利用口服餵食錳毒處理的實驗雄鼠,探討中藥配方B401是否具備緩解錳中毒的治療潛力。本實驗選用的中藥配方B401,首先利用高效液相層析儀分析中藥各個配方的有效成分,再利用MTT分析檢視中藥配方B401的半抑制濃度;確定中藥配方B401的有效成分與半抑制濃度後,本實驗選用50隻ICR雄鼠,分為正常飲食(Sham)、錳毒處理(Mn)、餵食中藥配方B401 (B401)、以及餵食中藥配方B401加錳毒處理(B401+Mn)四組。實驗處理過程中,利用滾輪運動實驗檢視四組小鼠的運動與平衡能力,最後四組小鼠分別給予麻醉藥物處理後,採集小鼠血液,利用化學發光分析法檢視並且比較血液中活性氧化物質,同時利用多功能電化學偵測儀檢視並且比較陰莖組織一氧化氮的含量;隨後利用心臟灌流方式犧牲,採集四組小鼠的腦部與陰莖組織,再利用免疫組織化學染色以及西方轉漬方法檢視腦部與陰莖組織的相關蛋白質表現。實驗結果顯示ICR雄鼠給予錳毒處理後,會顯著增加血液中活性氧化物質(ROS)表現以及降低陰莖組織中一氧化氮(NO)的含量;從免疫組織化學染色以及西方轉漬方法的結果發現,ICR雄鼠給予錳毒處理後,會顯著降低腦部組織中多巴胺、多巴胺接受器、以及大腦神經生長因子(BDNF)的表現,以及降低陰莖組織中神經型一氧化氮合酶(nNOS)、内皮型一氧化氮合酶(eNOS)的表現;此外,ICR雄鼠給予錳毒處理後,對於腦部與陰莖組織均會增加氧化壓力、發炎反應以及細胞凋亡作用的標記蛋白表現。當ICR雄鼠預先餵食中藥配方B401,再給予錳毒處理,相較於單獨錳毒處理的ICR雄鼠,血液中ROS表現會顯著降低,陰莖組織中NO的含量則是改善增加;從免疫組織化學染色以及西方轉漬方法的結果發現,預先餵食中藥配方B401會使錳毒處理的ICR雄鼠腦部組織中多巴胺、多巴胺接受器、以及BDNF的表現會顯著回升;陰莖組織中nNOS、eNOS的表現也會顯著回升;此外,預先餵食中藥配方B401會使錳毒處理的ICR雄鼠腦部組織與陰莖組織的氧化壓力、發炎反應以及細胞凋亡作用的標記蛋白表現顯著下降。由以上實驗結果發現,ICR雄鼠口服中草藥配方B401可以透過促進腦部組織中多巴胺以及BDNF的表現,以及緩解腦部的氧化壓力、發炎作用與細胞凋亡反應來緩解錳毒引發的神經系統毒性;此外,ICR雄鼠口服中草藥配方B401可以透過增加陰莖組織中NO、nNOS、eNOS的表現,以及緩解陰莖組織的氧化壓力、發炎作用與細胞凋亡反應來緩解錳毒引發的陰莖毒性。因此,本論文結果認為中草藥配方B401應該具有緩解錳毒引起之神經毒性或是生殖毒性的醫療潛力。
The main purpose of my PhD dissertation is to explore whether the traditional Chinese medicine may have therapeutic potential on alleviation. From clinical case reports, welders often have problem with neurological symptoms and erectile dysfunction when they occupationally exposed to excess manganese (Mn) dust. These welders may cause brain, motor and reproductive defects that were known as manganism or Mn-induced parkinsonism. However, the clinical use of the western medicine in manganism alleviation is quite limited. It is possible that alternative therapy of traditional Chinese medicine may be useful in manganism alleviation. In this study, we investigated whether oral treatment of herbal formula B401 has therapeutic potential to alleviate manganism. We used high-performance liquid chromatography to analysis the active ingredients of the herbal formula B401. The half maximal inhibitory concentration (IC50) of the herbal formula B401 was evaluated by MTT assay. Total 50 male ICR mice were divided into four groups: normal diet (sham group), manganism treatment only (Mn group), herbal formula B401 treatment only (B401 group), as well as pretreatment of herbal formula B401 plus manganism treatment B401 (B401+Mn group). Motor coordination of these mice was compared in accelerating mode of rotarod test. Then reactive oxygen species (ROS) of the blood were examined to compare oxidative stress in these mice by using chemiluminescence. The nitric oxide (NO) of the penile cavernous tissue was also examined in these mice by using electrochemical detection instrument. Then these mice were sacrificed by using anesthesia and heart perfusion. We collected brain tissue and penile cavernous tissue from four groups of mice. By using immunohistochemistry staining and western blotting techniques, we examined different protein expressions from brain tissue and penile cavernous tissue in four groups of mice. Our results showed that those mice with Mn treatment showed brain and motor defects in comparison with those mice with sham treatment. As observed from immunohistochemical and western blotting, those mice with Mn treatment reduced dopaminergic and brain-derived neurotrophic factor (BDNF) expressions, while enhanced oxidative stress, inflammation and apoptosis related protein markers in their brain tissue. In addition, those mice with Mn treatment showed significantly decreased NO, neuronal nitric oxide synthase (nNOS) and endothelial nitric oxide synthase (eNOS) levels, while enhanced oxidative stress, inflammation and apoptosis related protein markers in their penile cavernous tissue, In comparison with those mice with Mn treatment only, those Mn treated mice with B401 pretreatment significantly improved their motor coordination, and enhanced dopaminergic and BDNF expressions, but alleviated oxidative stress, inflammation and apoptosis related protein markers in their brain tissue. Furthermore, these mice significantly enhanced NO, nNOS and eNOS levels, but alleviated oxidative stress, inflammation and apoptosis related protein markers in their penile cavernous tissue. Our findings provide evidences that oral B401 treatment may alleviate symptoms of Mn-induced neurotoxicity via enhancing dopaminergic and BDNF expressions, but suppressing oxidative stress, inflammation and apoptosis in their brain tissue. Also, oral B401 treatment may alleviate symptoms of Mn-induced reproductive toxicity via enhancing NO, nNOS and eNOS levels, but suppressing oxidative stress, inflammation and apoptosis in their penile cavernous tissue. Thus we suggest that the herbal formula B401 may have therapeutic potential for ameliorating Mn-induced neurotoxicity and reproductive toxicity
Agarwal A, Nandipati KC, Sharma RK, et al. Role of oxidative stress in the pathophysiological mechanism of erectile dysfunction. J Androl. 2006; 27(3): 335-347.
Andersson KE, Wagner G. Physiology of penile erection. Physiol Rev. 1995; 75(1): 191-236.
Bakircioglu ME, Sievert KD, Nunes L, et al. Decreased trabecular smooth muscle and caveolin-1 expression in the penile tissue of aged rats. J Urol. 2001; 166(2): 734-738.
Berk BC, Abe JI, Min W, et al. Endothelial atheroprotective and anti-inflammatory mechanisms. Ann N Y Acad Sci. 2001; 947: 93-109.
Bernheimer H, Birkmayer W, Hornykiewicz O, et al. Brain dopamine and the syndromes of Parkinson and Huntington. J Neurol Sci. 1973; 20: 415-455.
Boulares AH, Yakovlev AG, Ivanova V, et al. Role of poly(ADP-ribose) polymerase (PARP) cleavage in apoptosis. Caspase 3-resistant PARP mutant increases rates of apoptosis in transfected cells. J Biol Chem. 1999; 274(33): 22932-22940.
Brouillet EPL, Shinobu U, McGarvey F, et al. Managnese injection into the rat striatum produces excitotoxic lesions by impairing energy metabolism. Exp Neurol. 1993; 120: 89-94.
Burnett AL, Lowenstein CJ, Bredt DS, et al. Nitric oxide: a physiologic mediator of penile erection. Science. 1992; 257(5068): 401-403.
Burnett AL. Nitric oxide in the penis: physiology and pathology. J Urol. 1997; 157(1): 320-324.
Calne DB, Chu NS, Hung CC, et al. Manganism and idiopathic parkinsonism: similarities and differences. Neurology. 1999; 44: 1583-1586.
Cersosimo MG, Koller WC. The diagnosis of manganeseinduced parkinsonism. NeuroToxicology. 2006; 27: 340-346.
Chandra SV, Ara R, Nagar N, et al. Sterility in experimental manganese toxicity. Acta Biol Med Ger. 1973; 30(6): 857-862.
Chen XC, Zhu YG, Zhu LA, et al. Ginsenoside Rg1 attenuates dopamine-induced apoptosis in PC12 cells by suppressing oxidative stress. Eur J Pharmacol. 2003; 473(1): 1-7.
Chong ZZ, Li F, Maiese K. Oxidative stress in the brain: novel cellular targets that govern survival during neurodegenerative disease. Prog Neurobiol. 2005; 75(3): 207-246.
Cordova FM, Aguiar AS Jr, Peres TV, et al. In vivo manganese exposure modulates erk, akt and darpp-32 in the striatum of developing rats, and impairs their motor function. PLoS ONE. 2012; 7(3): e33057.
Cordova FM, Aguiar AS Jr, Peres TV, et al. Manganese-exposed developing rats display motor deficits and striatal oxidative stress that are reversed by Trolox. Arch Toxicol. 2013; 87(7): 1231-1244.
Couper, J. On the effects of black oxide of manganese when inhaled into the lungs. Br Ann Med Pharmacol. 1837; 1: 41-42.
Crossgrove J, Zheng W. Manganese toxicity upon overexposure. NMR Biomed. 2004; 17(8): 544-553.
Cummings JL, Henchcliffe C, Schaier S, et al. The role of dopaminergic imaging in patients with symptoms of dopaminergic system neurodegeneration. Brain. 2011; 134: 3146-3166.
Emara AM, El-Ghawabi SH, Madkour OI, et al. Chronic manganese poisoning in the dry battery industry. Br J Ind Med. 1971; 28(1): 78-82.
Eriksson H, Magiste K, Olantin LO, et al. Effects of manganese oxide on monkeys as revealed by a combined neurochemical, histological and neurophysiological evaluation. Arch Toxicol. 1987; 61: 46-52.
Giugliano F, Esposito K, Di-Palo C, et al. Erectile dysfunction associates with endothelial dysfunction and raised proinflammatory cytokine levels in obese men. J Endocrinol Invest. 2004; 27(7): 665-669.
Hauser RA, Zesiewicz TA, Rosemurgy AS, Martinez C, Olanow CW. Manganese intoxication and chronic liver failure. Ann Neurol. 1994; 36: 871-875.
Howells DW, Porritt MJ, Wong JY, et al. Reduced BDNF mRNA expression in the Parkinson's disease substantia nigra. Exp Neurol. 2000; 166(1): 127-135.
Huang CC, Chu NS, Lu CS, et al. Chronic manganese intoxication. Arch Neurol. 1989; 46: 1104-1106.
Hurt KJ, Musicki B, Palese MA, et al. Akt-dependent phosphorylation of endothelial nitric-oxide synthase mediates penile erection. Proc Natl Acad Sci U S A. 2002; 99(6): 4061-2066.
Ignarro LJ, Bush PA, Buga GM, et al. Nitric oxide and cyclic GMP formation upon electricalfield stimulation cause relaxation of corpus cavernosum smooth muscle. Biochem Biophys Res Commun. 1990; 170(2): 843-850.
Jeremy JY, Angelini GD, Khan M, et al. Platelets, oxidant stress and erectile dysfunction: an hypothesis. Cardiovasc Res. 2000; 46(1): 50-54.
Ji P, Wei Y, Xue W, et al. Characterization and antioxidative activities of polysaccharide in Chinese angelica and its processed products. Int J Biol Macromol. 2014; 67: 195-200.
Jiang C, Wang Z, Ganther H, et al. Caspases as key executors of methyl selenium-induced apoptosis (anoikis) of DU-145 prostate cancer cells. Cancer Res. 2001; 61(7): 3062-3070.
Jiang R, Chen JH, Jin J, et al. Ultrastructural comparison of penile cavernous tissue between hypertensive and normotensive rats. Int J Impot Res. 2005; 17(5): 417-423.
Ju HY, Chen SC, Wu KJ, et al. Antioxidant phenolic profile from ethyl acetate fraction of Fructus Ligustri Lucidi with protection against hydrogen peroxide-induced oxidative damage in SH-SY5Y cells. Food Chem Toxicol. 2012; 50(3-4): 492-502.
Jürgensmeier JM, Xie Z, Deveraux Q, et al. Bax directly induces release of cytochrome c from isolated mitochondria. Proc Natl Acad Sci U S A. 1998; 95(9): 4997-5002.
Kawakami T, Urakami S, Hirata H, et al. Superoxide dismutase analog (Tempol: 4-hydroxy-2, 2, 6, 6-tetramethylpiperidine 1-oxyl) treatment restores erectile function in diabetes-induced impotence. Int J Impot Res. 2009; 21(6): 348-355.
Kawamura R, Ikuta H, Fukuzumi S, et al. Intoxication by manganese in well water. Kitasato Arch. Exp Med. 1941; 18: 145-169.
Keen CL, Ensunsa JL, Clegg MS. Manganese metabolism in animals and humans including the toxicity of manganese. Metal Ions Biol. 2000; 37: 89-121.
Kim N, Azadzoi KM, Goldstein I, et al. A nitric oxidelike factor mediates nonadrenergic-noncholinergic neurogenic relax- ation of penile corpus cavernosum smooth muscle. J Clin Invest. 1991; 88(1): 112-118.
Kimura M, Rabbani ZN, Zodda AR, et al. Role of oxidative stress in a rat model of radiation-induced erectile dysfunction. J Sex Med. 2012; 9(6): 1535-1549.
Krieger D, Krieger S, Jansen O, Gass P, Theilmann L, Lichtnecker H. Manganese and chronic hepatic encephalopathy. Lancet. 1995; 346: 270-274.
Lam HW, Lin HC, Lao SC, et al. The angiogenic effects of Angelica sinensis extract on HUVEC in vitro and zebrafish in vivo. J Cell Biochem. 2008; 103(1): 195-211.
Lauwerys R, Roels H, Genet P, et al. Fertility of male workers exposed to mercury vapor or to manganese dust: A questionnaire study. Am J Ind Med. 1985; 7(2): 171-176.
Lazrishvili IL, Shukakidze AA, Chkhartishvili NN, et al. Morphological changes and manganese content in the brains of rat pups subjected to subchronic poisoning with manganese chloride. Neurosci Behav Physiol. 2009; 39(1): 7-12.
Lee JS, Choi HS, Kang SW, et al. Therapeutic effect of Korean red ginseng on inflammatory cytokines in rats with focal cerebral ischemia/reperfusion injury. Am J Chin Med. 2011; 39(1): 83-94.
Leung KW, Cheng YK, Mak NK, et al. Signaling pathway of ginsenoside-Rg1 leading to nitric oxide production in endothelial cells. FEBS Lett. 2006; 580(13): 3211-3216.
Lin CS, Ho HC, Chen KC, et al. Intracavernosal injection of vascular endothelial growth factor induces nitric oxide synthase isoforms. BJU Int. 2002; 89(9): 955-960.
Lin WM, Zhang YM, Moldzio R, et al. Ginsenoside Rd attenuates neuroinflammation of dopaminergic cells in culture. J Neural Transm Suppl. 2007; (72): 105-112.
Machado-Vieira R, Pivovarova NB, Stanika RI, et al. The Bcl-2 gene polymorphism rs956572AA increases inositol 1,4,5-trisphosphate receptor-mediated endoplasmic reticulum calcium release in subjects with bipolar disorder. Biol Psychiatry. 2011; 69(4): 344-352.
Majid DS, Omoro SA, Chin SY, et al. Intrarenal nitric oxide activity and pressure natriuresis in anesthetized dogs. Hypertension. 1998; 32(2): 266-272.
Mansoorali KP, Prakash T, Kotresha D, et al. Cerebroprotective effect of Eclipta alba against global model of cerebral ischemia induced oxidative stress in rats. Phytomedicine. 2012; 19(12): 1108-1116.
Massaro EJ. Neurotoxicology of manganese. Handbook of Neurotoxicology, volume 1. Berlin, Germany: Springer Science & Business Media., 2001:195-209.
Maynard LS, Cotzias GC. The partitian of manganese among organs, and intracellular organelles of the rat. J Biochem Chem. 1955; 214: 489-495.
Mena I, Court J, Fuenzalida S, et al. Modification of chronic manganese poisoning. N Engl J Med. 1970; 282: 5-10.
Mena I, Marin O, Fuenzalida S, et al. Chronic manganese poisoning. Clinical picture and manganese turnover. Neurology. 1967; 17(2): 128-136.
Meng L, Qu L, Tang J, et al. A combination of Chinese herbs, Astragalus membranaceus var. mongholicus and Angelica sinensis, enhanced nitric oxide production in obstructed rat kidney. Vascul Pharmacol. 2007; 47(2-3): 174-183.
Mergler D, Huel G, Bowler R, et al. Nervous system dysfunction among workers with long-term exposure to manganese. Environ Res. 1994; 64: 151-180.
Milatovic D, Zaja-Milatovic S, Gupta RC, et al. Oxidative damage and neurodegeneration in Mn-induced neurotoxicity. Toxicol Appl Pharmacol. 2009; 240(2): 219-225.
Moncada S. Nitric oxide in the vasculature: physiology and pathophysiology. Ann N Y Acad Sci. 1997; 811: 60-69.
Musicki B, Kramer MF, Becker RE, et al. Age-related changes in phosphorylation of endothelial nitric oxide synthase in the rat penis. J Sex Med. 2005; 2(3): 347-357.
Olanow CW. Manganese-induced parkinsonism and Parkinson’s disease. Ann N Y Acad Sci. 2004; 1012: 209-223.
Pal PK, Samii A, Calne DB. Manganese neurotoxicity: a review of clinical features, imaging and pathology. Neurotoxicity. 1999; 20: 227-238.
Pennathur S, Jackson-Lewis V, Przedborski S, et al. Mass spectrometric quantification of 3-nitrotyrosine, ortho-tyrosine, and o,o'-dityrosine in brain tissue of 1-methyl-4-phenyl-1,2,3, 6-tetrahydropyridine-treated mice, a model of oxidative stress in Parkinson's disease. J Biol Chem. 1999; 274(49): 34621-34628.
Podlasek CA, Zelner DJ, Bervig TR, et al. Characterization and localization of nitric oxide synthase isoforms in the BB/WOR diabetic rat. J Urol. 2001; 166(2): 746-755.
Rajasekaran M, Kasyan A, Jain A, et al. Altered growth factor expression in the aging penis: the Brown-Norway rat model. J Androl. 2002; 23(3): 393-399.
Rajfer J, Aronson WJ, Bush PA, et al. Nitric oxide as a mediator of relaxation of the corpus cavernosum in response to nonadrenergic, noncholinergic neurotransmission. N Engl J Med. 1992; 326(2): 90-94.
Reed JC. Bcl-2 and the regulation of programmed cell death. J Cell Biol. 1994; 124(1-2): 1-6.
Rodier J. Manganese poisoning in Moroccan miners. Br J Ind Med. 1995; 12(1): 21-35.
Roth JA. Are there common biochemical and molecular mechanisms controlling manganism and parkinsonism. Neuromolecular Med. 2009; 11(4): 281-296.
Saenz TI, Goldstein I. Diabetic penile neuropathy. Urol Clin North Am. 1998; 15(1): 17-22.
Seth PK, Nagar N, Husain R, et al. 1973. Effects of manganese on rabbit testes. Environ Physiol Biochem. 1973; 3: 263-267.
Sullivan ME, Thompson CS, Dashwood MR, et al. Nitric oxide and penile erection: is erectile dysfunction another manifestation of vascular disease? Cardiovasc Res. 1999; 43(3): 658-665.
Tamm C, Sabri F, Ceccatelli S. Mitochondrial-mediated apoptosis in neural stem cells exposed to manganese. Toxicol Sci. 2008; 101(2): 310–320.
Tatton WG, Chalmers-Redman R, Brown D, et al. Apoptosis in Parkinson's disease: signals for neuronal degradation. Ann Neurol. 2003; 53 Suppl 3: S61-70.
Toblli JE, Stella I, Inerra F, et al. Morphological changes in cavernous tissue in spontaneously hypertensive rats. Am J Hypertens. 2000; 13(6): 686-692.
Wang SE, Lin CL, Hsu CH, et al. Oral treatment with the herbal formula B401 protects against aging-dependent neurodegeneration by attenuating oxidative stress and apoptosis in the brain of R6/2 mice. Clin Interv Aging. 2015a; 10: 1825-1837.
Wang SE, Lin CL, Hsu CH, et al. Treatment of a herbal formula B401 enhances neuroprotection and angiogenesis in the R6/2 mouse model of Huntington’s disease. Drug Des Devel Ther. 2015b; 9: 887-900.
Yamada M, Ohno S, Okayasu I, et al. Chronic manganese poisoning: a neuropathological study with determination of manganese distribution in the brain. Acta Neuropathol. 1986; 70: 273-278.
Yamanaka M, Shirai M, Shiina H, et al. Diabetes induced erectile dysfunction and apoptosis in penile crura are recovered by insulin treatment in rats. J Urol. 2003; 170(1): 291-297.
Yin Z, Aschner JL, dos Santos AP, et al. Mitochondrial dependent manganese neurotoxicity in rat primary astrocyte cultures. Brain Res.2008; 1203: 1-11.
Yu S, Li S, Yang H, et al. A novel liquid chromatography/tandem mass spectrometry based depletion method for measuring red blood cell partitioning of pharmaceutical compounds in drug discovery. Rapid Commun Mass Spectrom. 2005; 19(2): 250-254.
Yu SC, Li XY. et al. Effect of ginsenoside on IL-1 beta and IL-6mRNA expression in hippocampal neurons in chronic inflammation model of aged rats. Acta Pharmacol Sin. 2000; (10): 915-918.
Yu SW, Andrabi SA, Wang H, et al. Apoptosis-inducing factor mediates poly(ADP-ribose) polymer-induced cell death. Proc Natl Acad Sci U S A. 2006; 103(48): 18314-18319.
Zhang F, Xu Z, Gao J, et al. In vitro effect of manganese chloride exposure on energy metabolism and oxidative damage of mitochondria isolated from rat brain. Environ Toxicol Pharmacol. 2008a; 26(2): 232-236.
Zhang X, Zhang A, Jiang B, et al. Further pharmacological evidence of the neuroprotective effect of catalpol from Rehmannia glutinosa. Phytomedicine. 2008b; 15(6-7): 484-490.