XIA Pengfei, JIN Di, LIANG Jin, YU Yi, DU Jinjun, JIN Zhanyong, FANG Jun, YANG Xia, LIU Huiwu
OBJECTIVE To study whether Xiangsha Yiwei Decoction can regulate the nuclear factor-κB(NF-κB)/signal transducer and activator of transcription 3 (STAT3) pathway to improve chronic atrophic gastritis (CAG). rats by targeting the NF-κB/STAT3 pathway. METHODS Rats were stochastically assigned into control group, CAG group, Xiangsha Yiwei Decoction 1.2 g group, Xiangsha Yiwei Decoction 2.4 g group, Xiangsha Yiwei Decoction 2.4 g+ lipopolysaccharide (LPS) group, and Moluo Dan (positive drug) group. The neutral red clearance method was used to detect gastric mucosal blood flow. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum gastrin (GAS), plasma motilin (MTL) levels, and interleukin-10 (IL-10)), interleukin-1β (IL-1β), tumor necrosis factor- alpha (TNF-α), levels in gastric mucosal tissue. Hematoxylin and eosin (HE) staining was used to detect the morphology of gastric mucosa. Terminal-deoxynucleotidyl transferase mediated nick end labeling (TUNEL) staining method was used to detect apoptosis of gastric mucosal tissue cells. The reagent kits were used to detect the levels of superoxide dismutase (SOD), catalase (CAT) and malondialdehyde (MDA). Western blot was used to detect the protein expression of Bcl-2-associated X protein (Bax), B-cell lymphoma-2 (Bcl-2), cleaved cysteine-aspartic acid specific protease-3 (Cleaved caspase-3), and NF-κB/STAT3 pathways. RESULTS Compared with the control group, the gastric mucosa of rats in the CAG group showed obvious damage, the gastric mucosal blood flow (GMBF) level, GAS, MTL and IL-10 levels, SOD and CAT activities, and Bcl-2 protein expression level were lower, while the IL-1β and TNF-α levels, gastric mucosal cell apoptosis rate, MDA content, Bax, Cleaved caspase-3, p-NF-κB/NF-κB, and p-STAT3 protein expression levels were higher (P<0.05). Compared with the CAG group, the degree of gastric mucosal damage in rats in the 1.2 g and 2.4 g Xiangsha Yiwei Decoction groups and the Moluo Dan group was obviously reduced, the GMBF level, GAS, MTL and IL-10 levels, SOD and CAT activities, and Bcl-2 protein expression level were higher, while the IL-1β and TNF-α levels, gastric mucosal cell apoptosis rate, MDA content, Bax, Cleaved caspase-3, p-NF-κB/NF-κB, and p-STAT3 protein expression levels were lower (P<0.05). LPS could reduce the improvement effect of Xiangsha Yiwei Decoction on gastric injury in CAG rats (P<0.05). The levels of the above indicators in the Moluo Dan group were at the same level as those in the high-dose Xiangsha Yiwei Decoction group (P>0.05). CONCLUSION Xiangsha Yiwei Decoction can reduce inflammation, oxidative stress, and gastric mucosal cell apoptosis in CAG rats, alleviate gastric mucosal tissue damage, and may be related to the inhibition of the NF-κB/STAT3 pathway.