Department of Neurology, Peking University People's Hospital, Beijing 100044, China.
Department of Neurology, The First Hospital of Tsinghua University, Beijing 100016, China.
Chin Med J (Engl). 2017 Oct 5;130(19):2296-2301. doi: 10.4103/0366-6999.215335.
BACKGROUND: As a traditional Chinese medicine, Cordyceps sinensis (CS) possesses a variety of immunoregulatory properties. This study aimed to explore the therapeutic potential of CS in a mice model of multiple sclerosis (MS)-experimental autoimmune encephalomyelitis (EAE). METHODS: Female C57BL/6 mice were immunized with myelin oligodendrocyte glycoprotein35-55to induce EAE, followed by an instant intragastric feeding with a low dosage of CS (low-CS group, n = 5), high dosage of CS (high-CS group, n = 5), or the same volume of normal saline (control group, n = 5). All the mice were observed for clinical assessment. Over the 30 days of CS treatment, flow cytometry was used to detect the frequency of helper T-cell (Th) subsets, Th1 and Th17, and CD4+ CD25+ regulatory T cells in the spleen and lymph nodes. Meanwhile, pathological changes in brain were determined using both hematoxylin-eosin and luxol fast blue staining. Data were analyzed using the one-way analysis of variance (ANOVA). RESULTS: Over the 15 and 30 days of CS treatment, the clinical assessment for EAE demonstrated that both high-CS group (2.51 ± 0.31 and 2.26 ± 0.39 scores, respectively) and low-CS group (2.99 ± 0.40 and 2.69 ± 0.46, respectively) had lower disease severity scores than those of control group (3.57 ± 0.53 and 3.29 ± 0.53, all P < 0.01, respectively). Meanwhile, after 15 and 30 days, the high-CS group (19.18 ± 1.34 g and 20.41 ± 1.56 g, respectively) and low-CS group (18.07 ± 1.18 g and 19.48 ± 1.69 g, respectively) had a lower body weight, as compared with control group (16.85 ± 1.15 g and 18.22 ± 1.63 g, all P < 0.01, respectively). At 30 days post-CS treatment, there was a lower Th1 frequency in the lymph nodes (2.85 ± 1.54% and 2.77 ± 1.07% vs. 5.35 ± 1.34%, respectively; P < 0.05) and spleens (3.96 ± 1.09% and 3.09 ± 0.84% vs. 5.07 ± 1.50%, respectively; P < 0.05) and less inflammatory infiltration and demyelination in the brain of CS-treated mice than that of control group. CONCLUSIONS: Our preliminary study demonstrated that CS efficiently alleviated EAE severity and EAE-related pathology damage and decreased the number of Th1s in the periphery, indicating its effectiveness in the treatment of murine EAE. Thus, our findings strongly support the therapeutic potential of this agent as a new traditional Chinese medicine approach in MS treatment.
背景:作为一种传统中药,冬虫夏草具有多种免疫调节特性。本研究旨在探讨冬虫夏草在多发性硬化症(MS)-实验性自身免疫性脑脊髓炎(EAE)小鼠模型中的治疗潜力。
方法:雌性 C57BL/6 小鼠用髓鞘少突胶质细胞糖蛋白 35-55 免疫诱导 EAE,随后立即给予低剂量冬虫夏草(低剂量 CS 组,n=5)、高剂量冬虫夏草(高剂量 CS 组,n=5)或等体积生理盐水(对照组,n=5)进行胃内灌胃。所有小鼠均进行临床评估。在 30 天的 CS 治疗期间,使用流式细胞术检测脾和淋巴结中辅助性 T 细胞(Th)亚群、Th1 和 Th17 以及 CD4+CD25+调节性 T 细胞的频率。同时,使用苏木精-伊红和卢索快速蓝染色法确定脑的病理变化。使用单因素方差分析(ANOVA)进行数据分析。
结果:在 CS 治疗的 15 天和 30 天,EAE 的临床评估表明,高剂量 CS 组(2.51±0.31 和 2.26±0.39 评分)和低剂量 CS 组(2.99±0.40 和 2.69±0.46,分别)的疾病严重程度评分均低于对照组(3.57±0.53 和 3.29±0.53,均 P<0.01,分别)。同时,在第 15 天和第 30 天,高剂量 CS 组(19.18±1.34 g 和 20.41±1.56 g,分别)和低剂量 CS 组(18.07±1.18 g 和 19.48±1.69 g,分别)的体重均低于对照组(16.85±1.15 g 和 18.22±1.63 g,均 P<0.01,分别)。在 CS 治疗 30 天后,淋巴结(2.85±1.54%和 2.77±1.07%比 5.35±1.34%,分别;P<0.05)和脾脏(3.96±1.09%和 3.09±0.84%比 5.07±1.50%,分别;P<0.05)中 Th1 频率较低,且 CS 治疗组的脑内炎症浸润和脱髓鞘程度低于对照组。
结论:我们的初步研究表明,冬虫夏草能有效减轻 EAE 的严重程度和 EAE 相关的病理损伤,并减少外周血 Th1 细胞的数量,提示其在治疗 EAE 方面具有疗效。因此,我们的研究结果强烈支持将该药物作为治疗 MS 的一种新的中药方法的治疗潜力。
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