Department of Integrated Chinese Traditional with Western Medicine, Peking University Health Science Center, Beijing 100191, China.
Phytomedicine. 2012 Jul 15;19(10):882-9. doi: 10.1016/j.phymed.2012.04.010. Epub 2012 Jun 4.
Rheumatoid arthritis is characterized by the imbalance of T cells, which leads to increased pro-inflammatory and reduced anti-inflammatory cytokines. Modulating the balance among T cells is crucial for the treatment of RA. Kirenol is a major diterpenoid components of Herba Siegesbeckiae, which has been applied for arthritic therapy for centuries. Since prior research showed Kirenol exhibited anti-inflammatory effect in rats, in this study we have evaluated the effect and mechanism of bioactive Kirenol in a rat model of collagen-induced arthritis (CIA) on modulation of T cells. After immunization with bovine type II collagen (CII), Wistar rats were orally administered saline (CIA group), 2 mg/kg Kirenol or 2 mg/kg prednisolone daily for 30 days. The severity of arthritis was clinically and histologically assessed. The numbers of CD4⁺CD25⁺Foxp3⁺ T regulatory cells (Tregs) and IFNγ⁺CD4⁺ and IL4⁺CD4⁺ T cells were determined by flow cytometry, the mRNA expression level of Foxp3 was quantified by RT-PCR, cytokine levels were measured by ELISA and CII-induced cell proliferation was quantified in vitro. Kirenol significantly delayed the occurrence and reduced the disease severity of CIA. Histological analysis confirmed Kirenol suppressed joint inflammation and inhibited cartilage and bone destruction, compared to the CIA group. Kirenol also upregulated the mRNA expression of Foxp3, increased the numbers of CD4⁺CD25⁺Foxp3⁺ and IL4⁺CD4⁺ T cells, and reduced the number of IFNγ⁺CD4⁺ T cells. Kirenol reduced the levels of TNF-α, IL-17A and IL-6 in synovial fluid and TNF-α, IL-17A and IFN-γ in serum, and increased the serum levels of IL-4, IL-10 and TGF-β1. In addition, Kirenol inhibited the ability of CII to induce splenocyte, PBMC and lymph node cell proliferation in vitro, compared to cells from CIA rats. In conclusion, these results suggest that Kirenol may be a potential immunosuppressant for the treatment for rheumatoid arthritis.
类风湿关节炎的特征是 T 细胞失衡,导致促炎细胞因子增加和抗炎细胞因子减少。调节 T 细胞平衡对于 RA 的治疗至关重要。京尼平是苍耳子的主要二萜成分,几个世纪以来一直用于关节炎治疗。由于先前的研究表明京尼平在大鼠中具有抗炎作用,因此在这项研究中,我们评估了生物活性京尼平在牛 II 型胶原(CII)诱导的关节炎(CIA)大鼠模型中对 T 细胞调节的作用和机制。用牛 II 型胶原(CII)免疫后,Wistar 大鼠每日口服生理盐水(CIA 组)、2mg/kg 京尼平或 2mg/kg 泼尼松龙,共 30 天。临床和组织学评估关节炎的严重程度。通过流式细胞术测定 CD4+CD25+Foxp3+T 调节细胞(Tregs)和 IFNγ+CD4+和 IL4+CD4+T 细胞的数量,通过 RT-PCR 定量 Foxp3 的 mRNA 表达水平,通过 ELISA 测量细胞因子水平,并在体外定量 CII 诱导的细胞增殖。京尼平显著延迟 CIA 的发生并降低其严重程度。与 CIA 组相比,组织学分析证实京尼平抑制关节炎症,抑制软骨和骨破坏。京尼平还上调 Foxp3 的 mRNA 表达,增加 CD4+CD25+Foxp3+和 IL4+CD4+T 细胞的数量,并减少 IFNγ+CD4+T 细胞的数量。京尼平降低滑液中 TNF-α、IL-17A 和 IL-6 的水平以及血清中 TNF-α、IL-17A 和 IFN-γ的水平,并增加血清中 IL-4、IL-10 和 TGF-β1 的水平。此外,与 CIA 大鼠的细胞相比,京尼平抑制 CII 体外诱导脾细胞、PBMC 和淋巴结细胞增殖的能力。总之,这些结果表明京尼平可能是治疗类风湿关节炎的潜在免疫抑制剂。
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