School of Pharmacy, Second Military Medical University, Shanghai 200433, China.
J Ethnopharmacol. 2013 Dec 12;150(3):1137-44. doi: 10.1016/j.jep.2013.10.038. Epub 2013 Nov 7.
ETHNOPHARMACOLOGICAL RELEVANCE: Huang-Lian-Jie-Du-Tang is a famous Traditional Chinese medicine consisting of Rhizoma coptidis (Coptis chinensis Franch, Ranunculaceae), Radix scutellariae (Scutellaria baicalensis Georgi, Labiatae), Cortex phellodendri (Phellodendron amurense Rupr. Rutaceae) and Fructus gardeniae (Gardenia jasminoide Ellis, Rubiaceae) in a weight ratio of 3:2:2:3.This formula was described by Wang Tao (in the Chinese Tang Dynasty) in his treatise "Wai Tai Mi Yao". It has been used to treat inflammation, hypertension, gastrointestinal disorders, and liver and cerebrovascular diseases in the clinical practice of Traditional Chinese medicine, especially in treating inflammation for nearly two thousand years. However, the essential compounds in it have not been identified, and the mechanisms remain to be addressed. To investigate the protective effects of HLJDT and its component group (HLJDT-CG) on collagen-induced arthritis in rats. MATERIALS AND METHODS: CIA was established in male Wistar rats with subcutaneous injection of type II bovine collagen at the base of the tail of animals. CIA rats were treated daily with oral administration of HLJDT aqueous extracts (270 mg/kg) or HLJDT-CG (40 mg/kg) once per day from day 6 to day 28. Rats in normal and vehicle control groups were given an equal volume of vehicle (0.9% saline) and 0.025 mg/kg Dexamethasone was given to the Standard group at the same time. The protective effect of them were assessed by measuring arthritis index, swelling, the cytokines such as TNF-α, IFN-γ and IL-17 in serum, type II collagen antibodies, splenocyte proliferation and so on. RESULTS: The results demonstrated that treatment of CIA rat with either HLJDT aqueous extracts or HLJDT-CG not only ameliorated the symptoms of arthritis, prevented joint damage but also reduced the serum levels of TNF-α, IFN-γ and IL-17 in CIA rats. Anti-CII antibodies showed the similar trend except that of IgG1. Furthermore, HLJDT aqueous extracts and HLJDT-CG administration also suppressed CII-induced proliferative response of splenocytes. More importantly, HLJDT-CG exhibited similar pharmacological activities as HLJDT aqueous extracts in all aforementioned experiments. CONCLUSIONS: HLJDT aqueous extracts and HLJDT-CG could effectively ameliorate CII-induced arthritis and significantly suppress the immune response against CII with similar pharmacological efficacy. These findings suggest that HLJDT has therapeutic potential in RA treatment and HLJDT-CG can represent the effective-composite of HLJDT.
民族药理学相关性:黄连解毒汤是一种著名的中药,由黄连(黄连,毛茛科)、黄芩(黄芩,唇形科)、黄柏(黄皮树,芸香科)和栀子(栀子,茜草科)按 3:2:2:3 的重量比组成。该配方由王涛(中国唐代)在他的著作《外台秘要》中描述,用于治疗炎症、高血压、胃肠道疾病和肝脑血管疾病,尤其是在治疗炎症方面已有近两千年的历史。然而,其中的有效成分尚未确定,其机制仍有待解决。本研究旨在探讨黄连解毒汤及其成分群(HLJDT-CG)对胶原诱导性关节炎大鼠的保护作用。
材料和方法:通过在动物尾根部皮下注射 II 型牛胶原建立 CIA 大鼠模型。从第 6 天到第 28 天,CIA 大鼠每天给予口服黄连解毒汤水提取物(270mg/kg)或 HLJDT-CG(40mg/kg)一次。正常和 vehicle 对照组给予等体积的 vehicle(0.9%生理盐水),同时给予标准组 0.025mg/kg 地塞米松。通过测量关节炎指数、肿胀、血清中 TNF-α、IFN-γ 和 IL-17 等细胞因子、II 型胶原抗体、脾细胞增殖等指标来评估它们的保护作用。
结果:结果表明,黄连解毒汤水提取物或 HLJDT-CG 治疗 CIA 大鼠不仅改善了关节炎症状,防止了关节损伤,而且降低了 CIA 大鼠血清中 TNF-α、IFN-γ 和 IL-17 的水平。抗 CII 抗体也表现出类似的趋势,除 IgG1 外。此外,黄连解毒汤水提取物和 HLJDT-CG 给药还抑制了 CII 诱导的脾细胞增殖反应。更重要的是,HLJDT-CG 在所有上述实验中表现出与黄连解毒汤水提取物相似的药理活性。
结论:黄连解毒汤水提取物和 HLJDT-CG 能有效改善 CII 诱导的关节炎,显著抑制针对 CII 的免疫反应,具有相似的药理作用。这些发现表明,黄连解毒汤具有治疗 RA 的潜力,HLJDT-CG 可以代表黄连解毒汤的有效成分组合。
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