天然二萜类化合物冬凌草甲素通过阻断Notch信号通路促进抗炎性巨噬细胞生成来改善实验性自身免疫性神经炎。
Natural Diterpenoid Oridonin Ameliorates Experimental Autoimmune Neuritis by Promoting Anti-inflammatory Macrophages Through Blocking Notch Pathway.
作者信息
Xu Lu, Li Lei, Zhang Chen-Yang, Schluesener Hermann, Zhang Zhi-Yuan
机构信息
Department of Pathology, Nanjing Medical University, Nanjing, China.
Division of Immunopathology of the Nervous System, Institute of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
出版信息
Front Neurosci. 2019 Apr 2;13:272. doi: 10.3389/fnins.2019.00272. eCollection 2019.
The diterpenoid compound, Oridonin, extracted from the Chinese herb, , possesses multiple biological activities and properties. Oridonin exhibited efficient anti-inflammatory activity by inducing a switch in macrophage polarization to the anti-inflammatory phenotype through inhibition of the Notch pathway in our study; therefore, its potential therapeutic effects were further investigated in the animal model of human Guillain-Barré syndrome (GBS) and other polyneuropathies - experimental autoimmune neuritis (EAN). Either preventive or therapeutic treatments with Oridonin greatly attenuated disease peak severity, suppressed paraparesis, shortened disease duration, and even delayed EAN onset. Progression of neuropathic pain, demyelination, inflammatory cellular accumulations, and inflammatory cytokines in peripheral nerves were significantly attenuated. Meanwhile, accumulation of immune cells in the spinal roots and microglial activation in the lumbar spinal cord were also reduced. Interestingly, Oridonin treatment significantly increased the proportion of anti-inflammatory macrophages and made them locally dominant among all infiltrated macrophages in the peripheral nerves. The down-regulation of local Notch pathway proteins, together with our results indicated their possible involvement. Taken together, our results demonstrated that Oridonin effectively suppressed EAN by attenuating local inflammatory reaction and increasing the proportion of immune regulating macrophages in the peripheral nerves, possibly through blockage of the Notch pathway, which suggests Oridonin as a potential therapeutic candidate for human GBS and neuropathies.
从中药中提取的二萜类化合物冬凌草甲素具有多种生物学活性和特性。在我们的研究中,冬凌草甲素通过抑制Notch信号通路诱导巨噬细胞极化为抗炎表型,从而表现出高效的抗炎活性;因此,我们在人类吉兰-巴雷综合征(GBS)和其他多发性神经病——实验性自身免疫性神经炎(EAN)的动物模型中进一步研究了其潜在治疗效果。用冬凌草甲素进行预防性或治疗性治疗均可显著减轻疾病高峰期的严重程度,抑制下肢轻瘫,缩短病程,甚至延迟EAN的发病。周围神经中神经性疼痛、脱髓鞘、炎性细胞积聚和炎性细胞因子的进展均显著减轻。同时,脊神经根中免疫细胞的积聚和腰脊髓中小胶质细胞的激活也减少。有趣的是,冬凌草甲素治疗显著增加了抗炎巨噬细胞的比例,并使其在周围神经中所有浸润的巨噬细胞中占主导地位。局部Notch信号通路蛋白的下调以及我们的研究结果表明它们可能参与其中。综上所述,我们的结果表明,冬凌草甲素可能通过阻断Notch信号通路,减轻局部炎症反应,增加周围神经中免疫调节巨噬细胞的比例,从而有效抑制EAN,这表明冬凌草甲素是人类GBS和神经病的潜在治疗候选药物。