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苦参碱与他克莫司通过 ROS/ERK/NF-κB 通路抑制 DCs 成熟从而减轻小鼠心脏移植急性排斥反应。

Combination of matrine and tacrolimus alleviates acute rejection in murine heart transplantation by inhibiting DCs maturation through ROS/ERK/NF-κB pathway.

机构信息

Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, Wuhan 430060, Hubei, China; Cardiovascular Surgery Laboratory, Renmin Hospital of Wuhan University, 9# Zhangzhidong Road, Wuhan 430000, Hubei Province, China.

Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, Wuhan 430060, Hubei, China.

出版信息

Int Immunopharmacol. 2021 Dec;101(Pt B):108218. doi: 10.1016/j.intimp.2021.108218. Epub 2021 Oct 19.

Abstract

Matrine, an alkaloid derived from traditional Chinese herbs, has been confirmed to regulate immunity and exert anti-inflammatory effects. Matrine injection has been widely used in clinic therapy for anti-tumor and anti-inflammatory diseases. Heart transplantation(HT) is the only solution for the end-stage heart failure, but it is restricted by the cardiac allograft rejection. One of the important pathophysiological processes of post-transplantation rejection is inflammatory cell infiltration. Matrine has been shown to exert a positive protective effect against oxidative stress injury and inflammation, which likely benefits allograft survival. However, it remains unclear whether matrine inhibits alloimmunity or allograft rejection. In this study, we established the heart transplantation model in mouse and extracted bone marrow-derived dendritic cells (BMDCs) to explore the function and mechanism of matrine in heart transplantation. Moreover, combination treatment with matrine and tacrolimus(FK506) had a synergistic effect in preventing acute rejection of heart transplants. Here we found that matrine can prolong the survival of post-transplant and inhibit inflammatory cell infiltration in transplanted hearts of mice. At the same time, matrine increased Treg ratio and decreased CD4+/CD8 + ratio in mice. More importantly, matrine inhibited DCs maturation in mice and reduced oxidative damage and apoptosis in allograft hearts. Furthermore, matrine also downregulated NF-κB pathway and upregulated ERK1/2 signaling pathway. Overall, our study reveals a novel immunosuppressive agent that has the potential to reduce the side effects of existing immunosuppressive agents when used in combination with them.

摘要

苦参碱是一种从传统中药中提取的生物碱,已被证实可调节免疫并发挥抗炎作用。苦参碱注射液已广泛应用于抗肿瘤和抗炎疾病的临床治疗。心脏移植(HT)是治疗终末期心力衰竭的唯一方法,但受到心脏同种异体移植排斥的限制。移植后排斥反应的一个重要病理生理过程是炎症细胞浸润。苦参碱已被证明对氧化应激损伤和炎症具有积极的保护作用,这可能有利于移植物的存活。然而,苦参碱是否抑制同种免疫或移植物排斥仍不清楚。在这项研究中,我们建立了小鼠心脏移植模型,并提取骨髓来源的树突状细胞(BMDCs),以探讨苦参碱在心脏移植中的作用和机制。此外,苦参碱与他克莫司(FK506)联合治疗在预防心脏移植急性排斥反应方面具有协同作用。我们发现苦参碱可以延长移植后小鼠的存活时间,并抑制移植心脏中炎症细胞的浸润。同时,苦参碱增加了小鼠中的 Treg 比例并降低了 CD4+/CD8+比例。更重要的是,苦参碱抑制了小鼠树突状细胞的成熟,并减少了同种异体心脏的氧化损伤和细胞凋亡。此外,苦参碱还下调了 NF-κB 通路并上调了 ERK1/2 信号通路。总的来说,我们的研究揭示了一种新的免疫抑制剂,当与现有的免疫抑制剂联合使用时,有可能降低其副作用。

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