目的 研究雷公藤甲素影响睾丸支持细胞的人白细胞分化抗原36（CD36）蛋白表达及脂质代谢的作用与分子机制。方法 体外培养小鼠睾丸支持细胞系TM4细胞，CCK-8法检测雷公藤甲素（40、80、160、320、640 nmol·L^-1）作用24 h细胞存活率；流式细胞术测定雷公藤甲素（80、160、320 nmol·L^-1）作用24 h细胞凋亡率；氟硼二吡咯化合物（BODIPY）染色和油红O染色检测雷公藤甲素（80、160、320 nmol·L^-1）作用24 h细胞内脂滴聚积情况；试剂盒法检测雷公藤甲素（80、160、320 nmol·L^-1）作用24 h细胞内三酰甘油（TG）水平；TM4细胞经0.1 mmol·L^-1三磷酸腺苷（ATP）预处理3 h后，再与160 nmol·L^-1雷公藤甲素共处理24 h，用CCK-8法检测TM4细胞的存活率；Western blotting法检测雷公藤甲素（40、80、160、320 nmol·L^-1）作用24 h、或160 nmol·L^-1雷公藤甲素作用6、12、24、36、48 h后TM4细胞中CD36蛋白表达量；Western blotting法检测雷公藤甲素（40、80、160、320 nmol·L^-1）作用24 h蛋白激酶1（PKD1）及其磷酸化蛋白、组蛋白去乙酰化酶7（HDAC7）和叉头框蛋白O1（FOXO1）的蛋白表达水平。结果 与对照组比较，雷公藤甲素80、160、320、640 nmol·L^-1浓度组TM4细胞存活率显著下降（P<0.05、0.01），半数抑制浓度（IC₅₀）为214.1 nmol·L^-1； 80、160、320 nmol·L^-1雷公藤甲素的细胞凋亡率分别为11.89%、23.17%、32.12%，与对照组比较差异显著（P<0.05、0.01）。BODIPY染色结果显示，与对照组比较，雷公藤甲素组细胞内的红色荧光强度显著下降（P<0.01），油红O染色也显示，雷公藤甲素160 nmol·L^-1组细胞内脂滴数量明显低于对照组；与对照组比较，雷公藤甲素组TM4细胞内TG水平显著下降（P<0.01）。与雷公藤甲素组比较，使用ATP协同给药显著减轻了雷公藤甲素对TM4细胞存活率的抑制（P<0.01）。与对照组比较，80、160、320 nmol·L^-1的雷公藤甲素作用24 h后，TM4细胞的CD36蛋白表达量显著上升（P<0.01），160 nmol·L^-1雷公藤甲素作用于TM4细胞6、12、24、36、48 h，CD36的表达水平随时间的延长先升高后降低，在24 h达到峰值（P<0.05）。与对照组比较，雷公藤甲素组TM4细胞中PKD1及其丝氨酸744-748位点磷酸化水平、HDAC7和FOXO1的蛋白表达均受到显著抑制（P<0.05、0.01）。结论 雷公藤甲素对睾丸支持细胞具有明显的损伤作用，损伤机制与其诱导的脂质代谢紊乱和ATP缺乏相关。CD36在损伤过程中表达量先升高后降低，其初期代偿性上升可能是一种细胞的应激性保护机制，PKD1/HDAC7/FOXO1信号通路的抑制介导了CD36表达的调控。

Objective To investigate the effect and molecular mechanism of triptolide on cluster of differentiation 36 (CD36) protein expression and lipid metabolism of testicular Sertoli cells. Methods Mouse testis Sertoli cell line TM4 cells were cultured in vitro.The survival rate of TM4 cells treated with triptolide (40, 80, 160, 320, 640 nmol·L^-1) for 24 h was determined by CCK-8 method. The apoptosis rate of triptolide treated with 80, 160, 320 nmol·L^-1 for 24 h was determined by flow cytometry. The accumulation of intracellular lipid droplets was detected by BODIPYstaining and oil-red O staining after treated with triptolide (80, 160, 320 nmol·L^-1) for 24 h. The level of triacylglycerol (TG) in cells treated with triptolide (80, 160, 320 nmol·L^-1) for 24 h was detected by kit method. TM4 cells were pretreated with 0.1 mmol·L^-1 adenosine triphosphate (ATP) for 3 h, and then treated with 160 nmol·L^-1 triptolide for 24 h. The survival rate of TM4 cells was determined by CCK-8 method. Western blotting was used to detect the expression of CD36 protein in TM4 cells treated with triptolide (40, 80, 160, 320 nmol·L^-1) for 24 h or 160 nmol·L^-1 for 6, 12, 24, 36, 48 h. Western blotting was used to detect the protein expression levels of protein kinase 1 (PKD1) and its phosphorylated protein, histone deacetylase 7 (HDAC7) and forkhead box protein O1 (FOXO1) treated by triptolide (40, 80, 160, 320 nmol·L^-1) for 24 h. Results Compared with control group, TM4 cell survival rate was significantly decreased in triptolide 80, 160, 320 and 640 nmol·L^-1 groups (P<0.05, 0.01), and IC₅₀ was 214.1 nmol·L^-1. The apoptosis rates of triptolide at 80, 160 and 320 nmol·L^-1 were 11.89%, 23.17% and 32.12%, respectively, significantly different compared with control group (P<0.05, 0.01). BODIPY staining showed that the intracellular red fluorescence intensity in triptolide group was significantly decreased compared with control group (P<0.01). Oil red O staining also showed that the number of intracellular lipid droplets in triptolide 160 nmol·L^-1 group was significantly lower than control group. Compared with control group, TG level in TM4 cells in triptolide group was significantly decreased (P<0.01). Compared with triptolide group, ATP synergistic administration significantly reduced the inhibitory effect of triptolide on TM4 cell survival rate (P<0.01). Compared with control group, the expression of CD36 protein in TM4 cells increased significantly after treated with triptolide at 80,160 and 320 nmol·L^-1 for 24 h (P<0.01). The expression of CD36 protein in TM4 cells treated with triptolide at 160 nmol·L^-1 for 6, 12, 24, 36 and 48 h. The expression level of CD36 first increased and then decreased with time, and reached the peak at 24 h (P<0.05). Compared with control group, the levels of PKD1 and Ser 744-748 phosphorylation PKD1, protein expressions of HDAC7 and FOXO1 were significantly inhibited in TM4 cells in triptolide group (P<0.05, 0.01). Conclusion Triptolide had obvious damage to testicular Sertoli cells. The mechanism of damage was related to the disturbance of lipid metabolism and ATP deficiency. The expression level of CD36 first increased and then decreased during injury, and the initial compensatory increase may be a stress protective mechanism of cells. Inhibition of PKD1/HDAC7/FOXO1 signaling pathway mediates the regulation of CD36 expression.

R285.5

国家自然科学基金资助项目（81773992）