Xu Sheng-Yan, Hu Xiang-Dang, Yang Zong-Liang, Liu An, He Yong-Heng, Lu Hai-Yan
Anorectal Department, Second Affiliated Hospital of Hunan University of Chinese medicine Changsha 410005, China.
Graduate School of Hunan University of Chinese Medicine Changsha 410005, China.
Zhongguo Zhong Yao Za Zhi. 2022 Jan;47(2):469-475. doi: 10.19540/j.cnki.cjcmm.20210827.401.
This study aimed to investigate the anti-inflammatory effect of astragaloside Ⅳ in mice with ulcerative colitis(UC) and its effect on the percentage of peripheral blood T helper(Th17) cells. Following the establishment of UC mouse model with 2% sodium dextran sulfate(DSS), mice in the positive control group and low-and high-dose astragaloside Ⅳ groups were treated with corresponding drugs by gavage. Disease activity index(DAI) was calculated, and serum interleukin-17(IL-17), tumor necrosis factor-α(TNF-α), and transforming growth factor-β(TGF-β) levels were assayed by ELISA. The pathological changes in colon tissue were observed by HE staining, and Th17/regulatory T cells(Treg) ratio in the peripheral blood was determined by flow cytometry. Western blot was conducted for detecting the relative protein expression levels of forkhead box protein P3(Foxp3) and retinoic acid-related orphan nuclear receptor γT(ROR-γt). The findings demonstrated that in normal mice, the colonic structure was intact. The goblet cells were not reduced and the glands were neatly arranged, with no mucosal erosion, bleeding, or positive cell infiltration. In the model group, the colonic mucosal structure was seriously damaged, manifested as disordered arrangement or missing of glands, vascular dilatation, congestion, and massive inflammatory cell infiltration. The pathological injury of colon tissue was alleviated to varying degrees in drug treatment groups. Compared with the normal group, the model group exhibited elevated percentage of Th17 cells, increased IL-17 and TNF-α content, up-regulated relative ROR-γt protein expression, lowered TGF-β, reduced percentage of Treg cells, and down-regulated relative Foxp3 protein expression. The comparison with the model group showed that DAI score, pathological score, percentage of Th17 cells, IL-17 and TNF-α content, and relative ROR-γt protein expression in the positive control group, low-dose astragaloside Ⅳ group, and high-dose astragaloside Ⅳ group were decreased, while TGF-β content, percentage of Treg cells, and relative Foxp3 protein expression were increased. The DAI score, pathological score, percentage of Th17 cells, IL-17 and TNF-α content, and relative ROR-γt protein expression in the low-dose astragaloside Ⅳ group were higher than those in the positive control group, whereas the content of TGF-β, percentage of Treg cells, and relative Foxp3 protein expression were lower. DAI score, pathological score, percentage of Th17 cells, IL-17 and TNF-α content, relative ROR-γt protein expression in the high-dose astragaloside Ⅳ group declined in contrast to those in the low-dose astragaloside Ⅳ group, while the TGF-β content, percentage of Treg cells, and relative Foxp3 protein expression rose. There was no significant difference between the positive control group and the high-dose astragaloside Ⅳ group. Astragaloside Ⅳ is able to inhibit inflammatory response and diminish the percentage of Th17 cells in mice with UC.
本研究旨在探讨黄芪甲苷Ⅳ对溃疡性结肠炎(UC)小鼠的抗炎作用及其对外周血辅助性T细胞(Th17)百分比的影响。采用2%葡聚糖硫酸钠(DSS)建立UC小鼠模型后,阳性对照组以及低、高剂量黄芪甲苷Ⅳ组小鼠通过灌胃给予相应药物。计算疾病活动指数(DAI),采用酶联免疫吸附测定法(ELISA)检测血清白细胞介素-17(IL-17)、肿瘤坏死因子-α(TNF-α)和转化生长因子-β(TGF-β)水平。通过苏木精-伊红(HE)染色观察结肠组织的病理变化,采用流式细胞术检测外周血中Th17/调节性T细胞(Treg)比例。进行蛋白质免疫印迹法检测叉头框蛋白P3(Foxp3)和维甲酸相关孤儿核受体γT(ROR-γt)的相对蛋白表达水平。结果表明,正常小鼠结肠结构完整,杯状细胞未减少,腺体排列整齐,无黏膜糜烂、出血及阳性细胞浸润。模型组结肠黏膜结构严重受损,表现为腺体排列紊乱或缺失、血管扩张、充血及大量炎性细胞浸润。药物治疗组结肠组织病理损伤均有不同程度减轻。与正常组相比,模型组Th17细胞百分比升高,IL-17和TNF-α含量增加,ROR-γt相对蛋白表达上调,TGF-β降低,Treg细胞百分比降低,Foxp3相对蛋白表达下调。与模型组比较,阳性对照组、低剂量黄芪甲苷Ⅳ组和高剂量黄芪甲苷Ⅳ组的DAI评分、病理评分、Th17细胞百分比、IL-17和TNF-α含量以及ROR-γt相对蛋白表达均降低,而TGF-β含量、Treg细胞百分比和Foxp3相对蛋白表达升高。低剂量黄芪甲苷Ⅳ组的DAI评分、病理评分、Th17细胞百分比、IL-17和TNF-α含量以及ROR-γt相对蛋白表达高于阳性对照组,而TGF-β含量、Treg细胞百分比和Foxp3相对蛋白表达低于阳性对照组。高剂量黄芪甲苷Ⅳ组的DAI评分、病理评分、Th17细胞百分比、IL-17和TNF-α含量以及ROR-γt相对蛋白表达与低剂量黄芪甲苷Ⅳ组相比降低,而TGF-β含量、Treg细胞百分比和Foxp3相对蛋白表达升高。阳性对照组与高剂量黄芪甲苷Ⅳ组之间无显著差异。黄芪甲苷Ⅳ能够抑制UC小鼠的炎症反应并降低Th17细胞百分比。