Zhang Jinbo, Zhang Lei, Chen Yanxia, Wang Xinlu, Hou Aihua, Dai Lingling
Preventive Medicine Center, Yantai Hospital of Traditional Chinese Medicine, Yantai 264001, Shandong, China (Zhang JB); Department of Cardiology, Yantai Hospital of Traditional Chinese Medicine, Yantai 264001, Shandong, China (Zhang L); Department of Rehabilitation, Yantai Hospital of Traditional Chinese Medicine, Yantai 264001, Shandong, China (Chen YX); Department of Oncology, Yantai Hospital of Traditional Chinese Medicine, Yantai 264001, Shandong, China (Hou AH, Dai LL); Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong, China (Wang XL). Corresponding author: Zhang Jinbo, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 May;29(5):465-468. doi: 10.3760/cma.j.issn.2095-4352.2017.05.015.
To study the effects of Qingzao Runfei Huazhuo Xingxue decoction (QRHXD) on inflammatory reaction and histopathology in mice with PM2.5-induced pulmonary injury, and to approach the possible mechanism of prevention and treatment of traditional Chinese medicine on lung injury induced by haze.
Fifty healthy male C57BL/6 mice were randomly divided into five groups (n = 10): namely control, PM2.5, PM2.5 + low-, moderate-, and high-dose groups. The PM2.5 suspensions at a dosage of 40 mg/kg was respectively given to mice by the nasal instillation for reproduction of mouse model of lung injury induced by PM2.5, and the mice in control group were given the same volume of normal saline. The mice in PM2.5 + low-, moderate-, and high-dose QRHXD groups were given 15, 25, 50 mL×kg×d QRHXD by oral perfusion daily for consecutive 21 days at the next day of model reproduction (the QRHXD included: Pear 75 g, Bulbus Fritillariae Cirrhosae 10 g, Radix Stemonae 8 g, Rhizoma Pinelliae 8 g, Radix Platycodi 6 g, Aster 10 g, Almond 5 g, Lily 6 g, Rhodiola 4 g, Lotus 3 g, Fructrs Liquidambaris 6 g, Radix Paeoniae Rubra 5 g, Semen Cassiae 6 g). The mice in control and PM2.5 groups were given equivalent volume of normal saline respectively. After treatment for 21 days, the mice were sacrificed, and the left lung was harvested for bronchoalveolar lavage, and the bronchoalveolar lavage fluid (BALF) was collected for determination of levels of acid phosphatase (ACP), alkaline phosphatase (AKP), lactic dehydrogenase (LDH), and albumin (ALB). The right lung was harvested for histopathology observation under light microscope using hematoxylin and eosine (HE) staining.
After intranasal instillation of PM2.5 suspension, the levels of ACP, AKP, LDH, and ALB in PM2.5 group were significantly higher than those in control group [ACP (U/L): 3.9±0.4 vs. 1.7±0.3, AKP (U/L): 9.0±1.5 vs. 4.8±0.3, LDH (U/L): 416.7±44.4 vs. 112.5±20.3, ALB (mg/L): 198.7±32.4 vs. 65.8±21.3, all P < 0.05]. Under light microscope, the PM2.5 particles were collected, the alveolar septa were thickened, and the inflammatory cells in the alveolar cavity and pulmonary interstitium were found. On the contrary, after administration of QRHXD, a significant reduction of biochemical indexes was found, which showed a dose-dependent manner. The parameters of PM2.5 + high-dose QRHXD group were significantly lower than those in PM2.5 group [ACP (U/L): 2.1±0.8 vs. 3.9±0.4, AKP (U/L): 5.3±1.4 vs. 9.0±1.5, LDH (U/L): 146.6±29.8 vs. 416.7±44.4, ALB (mg/L): 88.5±26.7 vs. 198.7±32.4, all P < 0.05]. At the same time, the pathological changes in lung tissue were better with the increase of the dose.
QRHXD can reduce the pulmonary inflammatory response and tissue damage caused by PM2.5, with the increase concentration of Chinese medicine, and the effect is more obvious. This may be related to the immune response of the human body to regulate inflammatory mediators, which provide basis for the treatment of pulmonary injury induced by PM2.5.
研究清燥润肺化痰行血方(QRHXD)对PM2.5致小鼠肺损伤炎症反应及组织病理学的影响,探讨中药防治雾霾致肺损伤的可能机制。
将50只健康雄性C57BL/6小鼠随机分为5组(n = 10):即对照组、PM2.5组、PM2.5+低剂量组、PM2.5+中剂量组、PM2.5+高剂量组。采用滴鼻法分别给予小鼠40 mg/kg剂量的PM2.5混悬液复制PM2.5致小鼠肺损伤模型,对照组给予等体积生理盐水。造模次日起,PM2.5+低剂量组、PM2.5+中剂量组、PM2.5+高剂量组小鼠每日分别灌胃给予15、25、50 mL×kg×d的QRHXD,连续21天(QRHXD组成:梨75 g、川贝母10 g、百部8 g、半夏8 g、桔梗6 g、紫菀10 g、杏仁5 g、百合6 g、红景天4 g、莲子3 g、路路通6 g、赤芍5 g、决明子6 g)。对照组和PM2.5组小鼠分别给予等体积生理盐水。治疗21天后,处死小鼠,取左肺进行支气管肺泡灌洗,收集支气管肺泡灌洗液(BALF)测定酸性磷酸酶(ACP)、碱性磷酸酶(AKP)、乳酸脱氢酶(LDH)及白蛋白(ALB)水平。取右肺用苏木精-伊红(HE)染色,在光学显微镜下进行组织病理学观察。
滴鼻给予PM2.5混悬液后,PM2.5组小鼠BALF中ACP、AKP、LDH及ALB水平均显著高于对照组[ACP(U/L):3.9±0.4比1.7±0.3,AKP(U/L):9.0±1.5比4.8±0.3,LDH(U/L):416.7±44.4比112.5±20.3,ALB(mg/L):198.7±32.4比65.8±21.3,均P<0.05]。光学显微镜下可见PM2.5颗粒沉着,肺泡间隔增厚,肺泡腔及肺间质有炎性细胞浸润。相反,给予QRHXD后,生化指标显著降低,呈剂量依赖性。PM2.5+高剂量组各项指标显著低于PM2.5组[ACP(U/L):2.1±0.8比3.9±0.4,AKP(U/L):5.3±1.4比9.0±1.5,LDH(U/L):146.6±29.8比416.7±44.4,ALB(mg/L):88.5±26.7比198.7±32.4,均P<0.05]。同时,肺组织病理改变随剂量增加而改善。
QRHXD可减轻PM2.5所致的肺部炎症反应及组织损伤,且随着中药浓度增加,效果更明显。这可能与调节人体免疫反应及炎症介质有关,为PM2.5致肺损伤的治疗提供了依据。