Department of Clinical Laboratory, Shanghai Xuhui Central Hospital, China.
Am J Med Sci. 2012 Sep;344(3):206-10. doi: 10.1097/MAJ.0b013e31823e2867.
In this study, the authors explored the therapeutic effect of glycyrrhizin (GL) on Coxsackievirus B3 (CVB3)-induced myocarditis and its possible mechanisms involved. The results of this study showed that GL exhibited a profound amelioration of CVB3-induced myocarditis, as evidenced by improved weight loss profile, less increased serological levels of cardiac enzymes, less myocardial inflammation and increased survival rate. Further study showed that this effect was not due to the viral clearance but ascribed to weakened proinflammatory responses, as evidenced by significantly reduced expression of proinflammatory cytokines, including tumor necrosis factor-α, interleukin-1β and interleukin-6. Moreover, the authors demonstrated that GL administration inhibited CVB3-induced nuclear factor-κB activity efficiently by blocking the degradation of nuclear factor -κB inhibitor IκBκ. These data suggest that GL can effectively attenuate the severity of CVB3-induced myocarditis and may present as a new therapeutic approach for the treatment of viral myocarditis.
在这项研究中,作者探讨了甘草酸(GL)对柯萨奇病毒 B3(CVB3)诱导的心肌炎的治疗作用及其可能的作用机制。研究结果表明,GL 对 CVB3 诱导的心肌炎具有显著的改善作用,表现为体重减轻情况改善,血清中心脏酶水平升高减少,心肌炎症减轻,存活率提高。进一步的研究表明,这种作用不是由于病毒清除,而是由于炎症反应减弱,这表现在促炎细胞因子(包括肿瘤坏死因子-α、白细胞介素-1β 和白细胞介素-6)的表达明显减少。此外,作者还证明 GL 通过抑制核因子-κB 抑制剂 IκBκ 的降解,有效抑制 CVB3 诱导的核因子-κB 活性。这些数据表明,GL 能有效减轻 CVB3 诱导的心肌炎的严重程度,可能为病毒性心肌炎的治疗提供一种新的治疗方法。