穿心莲内酯通过下调细胞因子和整合素表达抑制炎症细胞浸润,从而改善腹主动脉瘤进展。
Andrographolide Ameliorates Abdominal Aortic Aneurysm Progression by Inhibiting Inflammatory Cell Infiltration through Downregulation of Cytokine and Integrin Expression.
作者信息
Ren Jun, Liu Zhenjie, Wang Qiwei, Giles Jasmine, Greenberg Jason, Sheibani Nader, Kent K Craig, Liu Bo
机构信息
Division of Vascular Surgery, Department of Surgery (J.R., Z.L., Q.W., J.Gi., J.Gr., K.C.K., B.L.) and Department of Ophthalmology and Visual Sciences (N.S.), University of Wisconsin, Madison, Wisconsin; And Department of Vascular Surgery, 2nd Affiliated Hospital School of Medicine, Zhejiang University, Zhejiang, China (Z.L.).
Division of Vascular Surgery, Department of Surgery (J.R., Z.L., Q.W., J.Gi., J.Gr., K.C.K., B.L.) and Department of Ophthalmology and Visual Sciences (N.S.), University of Wisconsin, Madison, Wisconsin; And Department of Vascular Surgery, 2nd Affiliated Hospital School of Medicine, Zhejiang University, Zhejiang, China (Z.L.)
出版信息
J Pharmacol Exp Ther. 2016 Jan;356(1):137-47. doi: 10.1124/jpet.115.227934. Epub 2015 Oct 19.
Abdominal aortic aneurysm (AAA), characterized by exuberant inflammation and tissue deterioration, is a common aortic disease associated with a high mortality rate. There is currently no established pharmacological therapy to treat this progressive disease. Andrographolide (Andro), a major bioactive component of the herbaceous plant Andrographis paniculata, has been found to exhibit potent anti-inflammatory properties by inhibiting nuclear factor κ-light-chain-enhancer of activated B cells (NF-κB) activity in several disease models. In this study, we investigated the ability of Andro to suppress inflammation associated with aneurysms, and whether it may be used to block the progression of AAA. Whereas diseased aortae continued to expand in the solvent-treated group, daily administration of Andro to mice with small aneurysms significantly attenuated aneurysm growth, as measured by the diminished expansion of aortic diameter (165.68 ± 15.85% vs. 90.62 ± 22.91%, P < 0.05). Immunohistochemistry analyses revealed that Andro decreased infiltration of monocytes/macrophages and T cells. Mechanistically, Andro inhibited arterial NF-κB activation and reduced the production of proinflammatory cytokines [CCL2, CXCL10, tumor necrosis factor α, and interferon-γ] in the treated aortae. Furthermore, Andro suppressed α4 integrin expression and attenuated the ability of monocytes/macrophages to adhere to activated endothelial cells. These results indicate that Andro suppresses progression of AAA, likely through inhibition of inflammatory cell infiltration via downregulation of NF-κB-mediated cytokine production and α4 integrin expression. Thus, Andro may offer a pharmacological therapy to slow disease progression in patients with small aneurysms.
腹主动脉瘤(AAA)以炎症旺盛和组织退化为特征,是一种常见的主动脉疾病,死亡率很高。目前尚无成熟的药物疗法来治疗这种进行性疾病。穿心莲内酯(Andro)是草本植物穿心莲的主要生物活性成分,在几种疾病模型中已发现它通过抑制活化B细胞核因子κB轻链增强子(NF-κB)活性而表现出强大的抗炎特性。在本研究中,我们研究了穿心莲内酯抑制与动脉瘤相关炎症的能力,以及它是否可用于阻止腹主动脉瘤的进展。在溶剂处理组中,患病主动脉继续扩张,而每天给患有小动脉瘤的小鼠施用穿心莲内酯可显著减轻动脉瘤生长,通过主动脉直径扩张减小来衡量(165.68±15.85%对90.62±22.91%,P<0.05)。免疫组织化学分析显示,穿心莲内酯减少了单核细胞/巨噬细胞和T细胞的浸润。从机制上讲,穿心莲内酯抑制动脉NF-κB活化,并减少治疗主动脉中促炎细胞因子[CCL2、CXCL10、肿瘤坏死因子α和干扰素γ]的产生。此外,穿心莲内酯抑制α4整合素表达,并减弱单核细胞/巨噬细胞粘附于活化内皮细胞的能力。这些结果表明,穿心莲内酯可能通过下调NF-κB介导的细胞因子产生和α4整合素表达来抑制炎症细胞浸润,从而抑制腹主动脉瘤的进展。因此,穿心莲内酯可能为减缓小动脉瘤患者的疾病进展提供一种药物疗法。