Journal of Traditional Chinese Medicine >
Protective effect of thyroid and restores of ovarian function of Buzhong Yiqi granule (补中益气颗粒) on experimental autoimmune thyroiditis in female rats
Received date: 2023-10-07
Accepted date: 2024-01-22
Online published: 2024-03-05
Supported by
National Natural Science Foundation of China: Action Mechanism of Buzhong Yiqi Decoction in Treating Hashimoto's Thyroiditis based on transforming growth factor β/Smad Signaling Pathway and the Balance between Treg and Th17 Cells(81973855)
OBJECTIVE: To observe the effects of Buzhong Yiqi granule (补中益气颗粒) on thyroid function and ovarian function in rats with experimental autoimmune thyroiditis (EAT).
METHODS: EAT model was replicate by using the method of mixing and injecting porcine thyroglobulin with Freund's adjuvant and high iodine. Rats were randomly divided into normal control (NC) group, EAT model (EAT) group, selenium yeast (PC) group, low dose Buzhong Yiqi (BZYQ-L) group, medium dose Buzhong Yiqi (BZYQ-M) group and high dose Buzhong Yiqi (BZYQ-H) group. After two months of drug intervention according to dosage, enzyme-linked immunosorbent assay (ELISA) was used to measure the levels of free triiodothyronine (FT3), free thyroxine (FT4), thyroid-stimulating hormone (TSH), anti-thyroid peroxidase antibody (TPOAb), thyroglobulin antibody (TGAb) in peripheral blood of rats. The pathological changes of rat thyroid tissues were observed under light microscope with HE staining; ELISA was used to determine estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), anti-müllerian hormone (AMH), and the pathological changes of rat ovarian tissues were observed under light microscope with hematoxylin and eosin staining.
RESULTS: Compared with the NC group, BZYQ granule improved the thyroid and ovarian tissue morphology, and the levels of TPOAb, TGAb and TSH in the model group rats significantly increased (P < 0.05), the thyroid tissue was severely destroyed, the levels of E2, FSH, LH, T, AMH significantly increased (P < 0.05), and the ovary exhibited polycystic changes; Compared with the model group, TSH level in the BZYQ-L group rats decreased (P < 0.05), FSH, T, AMH levels decreased (P < 0.05), in the BZYQ-M group TPOAb, TSH levels decreased (P < 0.05), FSH, LH, T, AMH levels significantly decreased (P < 0.05), BZYQ-H group TPOAb, TGAb, TSH levels significantly decreased (P < 0.05), FSH, LH, T, AMH levels significantly decreased (P < 0.05), with the greatest improvement and significantly better than selenium yeast group (P < 0.05).
CONCLUSIONS: BZYQ granule could regulate the thyroid function of EAT rats, reduce thyroid antibody titers, then act on the ovarian function, regulate hormone disorders, and alleviate the pathological damage of rat's ovarian tissues. The effect of high dose Buzhong Yiqi granule is the best.
Yuezhu WANG , Yuyang ZHANG , Jiajun QIAO , Yuyuan LU , Zhongyuan XIA . Protective effect of thyroid and restores of ovarian function of Buzhong Yiqi granule (补中益气颗粒) on experimental autoimmune thyroiditis in female rats[J]. Journal of Traditional Chinese Medicine, 2024 , 44(2) : 315 -323 . DOI: 10.19852/j.cnki.jtcm.20240203.008
| 1. | Ralli M, Angeletti D, Fiore M, et al. Hashimoto's thyroiditis: an update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation. Autoimmun Rev 2020; 19: 102649. |
| 2. | Antonelli A, Ferrari SM, Corrado A, Di Domenicantonio A, Fallahi P. Autoimmune thyroid disorders. Autoimmun Rev 2015; 14: 174-80. |
| 3. | Ragusa F, Fallahi P, Elia G, et al. Hashimotos' thyroiditis: Epidemiology, pathogenesis, clinic and therapy. Best Pract Res Clin Endocrinol Metab 2019; 33: 101367. |
| 4. | Selmi C, Leung PS, Sherr DH, et al. Mechanisms of environmental influence on human autoimmunity: a National Institute of Environmental Health Sciences Expert Panel Workshop. J Autoimmun 2012; 39: 272-84. |
| 5. | Ngo ST, Steyn FJ, McCombe PA. Gender differences in autoimmune disease. Front Neuroendocrinol 2014; 35: 347-69. |
| 6. | Krassas GE, Poppe K, Glinoer D. Thyroid function and human reproductive health. Endocr Rev 2010; 31: 702-55. |
| 7. | Dosiou C. Thyroid and fertility: recent advances. Thyroid 2020; 30: 479-86. |
| 8. | Cellini M, Santaguida MG, Stramazzo I, et al. Recurrent pregnancy loss in women with Hashimoto's Thyroiditis with concurrent non-endocrine autoimmune disorders. Thyroid 2020; 30: 457-62. |
| 9. | Klubo-Gwiezdzinska J, Wartofsky L. Hashimoto thyroiditis: an evidence-based guide to etiology, diagnosis and treatment. Pol Arch Intern Med 2022; 132: 16222. |
| 10. | Ott J, Aust S, Kurz C, et al. Elevated antithyroid peroxidase antibodies indicating Hashimoto's thyroiditis are associated with the treatment response in infertile women with polycystic ovary syndrome. Fertil Steril 2010; 94: 2895-7. |
| 11. | Adamska A, ?ebkowska A, Krentowska A, et al. Ovarian reserve and serum concentration of thyroid peroxidase antibodies in euthyroid women with different polycystic ovary syndrome phenotypes. Front Endocrinol (Lausanne) 2020; 11: 440. |
| 12. | Seungdamrong A, Steiner AZ, Gracia CR, et al. Preconceptional antithyroid peroxidase antibodies, but not thyroid-stimulating hormone, are associated with decreased live birth rates in infertile women. Fertil Steril 2017; 108: 843-50. |
| 13. | Sun N, Lin S, Fan Y, Li X, Wu L. Relationship between menstrual disorder and thyroid function -the analysis of 1495 clinical case series. Zhong Guo Fu You Jian Kang Yan Jiu 2011; 22: 459-62. |
| 14. | Saei Ghare Naz M, Rostami Dovom M, Ramezani Tehrani F. The menstrual disturbances in endocrine disorders: a narrative review. Int J Endocrinol Metab 2020; 18: e106694. |
| 15. | Chen Y, Shergis JL, Wu L, et al. A systematic review and Meta-analysis of the herbal formula Buzhong Yiqi Tang for stable chronic obstructive pulmonary disease. Complement Ther Med 2016; 29: 94-108. |
| 16. | Li G, Ding J, Zhang Y, Wang X. The clinical application and pharmacological mechanism of Bu-Zhong-Yi-Qi decoction for treating cancer-related fatigue: an overview. Biomed Pharmacother 2022; 156: 113969. |
| 17. | Yang SH, Yu CL. Antiinflammatory effects of Bu-zhong-yi-qi-tang in patients with perennial allergic rhinitis. J Ethnopharmacol 2008; 115: 104-9. |
| 18. | Kim J, Kim H, Kim KH. Effects of Bu-Zhong-Yi-Qi-Tang for the treatment of functional dyspepsia: a feasibility study protocol. Integr Med Res 2017; 6: 317-24. |
| 19. | Park E, Choi CW, Kim SJ, et al. Hochu-ekki-to Treatment improves reproductive and immune modulation in the stress-induced rat model of polycystic ovarian syndrome. Molecules 2017; 22: 978. |
| 20. | Hu L, Chen J, Duan H, et al. A screening strategy for bioactive components of Bu-Zhong-Yi-Qi-Tang regulating spleen-Qi deficiency based on "endobiotics-targets-xenobiotics" association network. J Ethnopharmacol 2023; 314: 116605. |
| 21. | Huan W. Clinical experience of Mi Liehan on application of Buzhong Yiqi Tang. Zhong Guo Zhong Yi Yao Xin Xi Za Zhi 2011; 18: 88-9. |
| 22. | Xia N, Chen G, Liu M, et al. Anti-inflammatory effects of luteolin on experimental autoimmune thyroiditis in mice. Exp Ther Med 2016; 12: 4049-54. |
| 23. | Jin M, Zhou Z, Zhang L, Chen Y, Liu L, Shen H. Effects of excessive iodine on the BDNF-TrkB signaling pathway and related genes in offspring of EAT rats. Biol Trace Elem Res 2023; 201: 776-85. |
| 24. | Cui SL, Yu J, Liu SJ. Iodine intake Increases IP-10 expression in the serum and thyroids of rats with experimental autoimmune thyroiditis. Int J Endocrinol 2014; 2014: 581069. |
| 25. | Ng HP, Banga JP, Kung AW. Development of a murine model of autoimmune thyroiditis induced with homologous mouse thyroid peroxidase. Endocrinology 2004; 145: 809-16. |
| 26. | Zhang C, Zhang Q, Qin L, Yan Z, Wu L, Liu T. Dioscin ameliorates experimental autoimmune thyroiditis via the mTOR and TLR4/NF-κB signaling. Drug Des Devel Ther 2023; 17: 2273-85. |
| 27. | Hutfless S, Matos P, Talor MV, Caturegli P, Rose NR. Significance of prediagnostic thyroid antibodies in women with autoimmune thyroid disease. J Clin Endocrinol Metab 2011; 96: E1466-71. |
| 28. | Weetman AP. An update on the pathogenesis of Hashimoto's thyroiditis. J Endocrinol Invest 2021; 44: 883-90. |
| 29. | Wichman J, Winther KH, Bonnema SJ, Hegedüs L. Selenium supplementation significantly reduces thyroid autoantibody levels in patients with chronic autoimmune thyroiditis: a systematic review and Meta-analysis. Thyroid 2016; 26: 1681-92. |
| 30. | Wu Q, Wang Y, Chen P, et al. Increased incidence of Hashimoto Thyroiditis in selenium deficiency: a prospective 6-year cohort study. J Clin Endocrinol Metab 2022; 107: e3603-11. |
| 31. | Wang LF, Sun RX, Li CF, Wang XH. The effects of selenium supplementation on antibody titres in patients with Hashimoto's thyroiditis. Endokrynol Pol 2021; 72: 666-7. |
| 32. | Hou LP, Ceng JL, Gu W, et al. Effects of selenium yeast combined with vitamin D on thyroid related hormones and antibodies in experimental autoimmune thyroiditis rats. Tianjin Yi Yao 2021; 49: 136-40. |
| 33. | Wang W, Zhang BT, Jiang QL, et al. Leptin receptor antagonist attenuates experimental autoimmune thyroiditis in mice by regulating Treg/Th 17 cell differentiation. Front Endocrinol (Lausanne) 2022; 13: 1042511. |
| 34. | Hasegawa Y, Kitahara Y, Osuka S, Tsukui Y, Kobayashi M, Iwase A. Effect of hypothyroidism and thyroid autoimmunity on the ovarian reserve: a systematic review and Meta-analysis. Reprod Med Biol 2022; 21: e12427. |
| 35. | Meng L, Rijntjes E, Swarts HJ, Keijer J, Teerds KJ. Prolonged hypothyroidism severely reduces ovarian follicular reserve in adult rats. J Ovarian Res 2017; 10: 19. |
| 36. | Broer SL, Broekmans FJ, Laven JS, Fauser BC. Anti-Müllerian hormone: ovarian reserve testing and its potential clinical implications. Hum Reprod Update 2014; 20: 688-701. |
| 37. | Dewailly D, Barbotin AL, Dumont A, Catteau-Jonard S, Robin G. Role of Anti-Müllerian hormone in the pathogenesis of polycystic ovary syndrome. Front Endocrinol (Lausanne) 2020; 11: 641. |
| 38. | Pellatt L, Rice S, Dilaver N, et al. Anti-Müllerian hormone reduces follicle sensitivity to follicle-stimulating hormone in human granulosa cells. Fertil Steril 2011; 96: 1246-51.e1. |
| 39. | Franks S. Androgen production and action in the ovary. Curr Opin Endocr Metab Res 2021; 18: 48-53. |
| 40. | Zou XL, Liu ZY, Wang ZM, et al. Network pharmacology and molecular docking based the mechanism of Buzhog Yiqi decoction for the treatment of Hashimoto Thyroiditis. Shi Yong Zhong Yi Nei Ke Za Zhi 2023; 37: 52-6. |
| 41. | Liu XY, Peng J, Xia ZY. Eight methods of Fuzheng Xiaoying for treating Hashimoto's thyroiditis. Zhong Guo Lin Chuang Bao Jian Za Zhi 2020; 23: 717-20. |
| 42. | Zhou Y, Guan QQ, Han J. Efficacy of modified Buzhong Yiqi decoction in treatment of subclinical hypothyroidism. Anhui Zhong Yi Yao Da Xue Xue Bao 2017; 36: 30-3. |
| 43. | Wu MD, Du GL. Clinical study of Buzhong Yiqi decoction in the treatment of Hashimoto thyroiditis. Zhong Cheng Yao Za Zhi 2020; 42: 3359-61. |
| 44. | We LY, Xu HK, Shi GB, et al. Short-term and long-term effects of Buzhong Yiqi decoction on the level of autoantibody in Hashimoto thyroiditis. Shizhen Guo Yao Yan Jiu Za Zhi 2023; 34: 1424-26. |
/
| 〈 |
|
〉 |