Sun Yu-Bo, Ni Ying, Fan Xin-Sheng, Zhou Li-Ping, Yue Qin-Fei, Shang Er-Xin
School of Traditional Chinese Medicine & Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
School of Traditional Chinese Medicine & Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
J Ethnopharmacol. 2022 Jul 15;293:115217. doi: 10.1016/j.jep.2022.115217. Epub 2022 Mar 23.
Cigarette smoke (CS) is a common environmental irritant and a risk factor for asthma, as it induces as well as aggravates asthmatic attacks. The injured airway epithelial tight junctions (TJs) aggravate asthma. CS can aggravate asthma by activating the transient receptor potential ankyrin A1 (TRPA1) channel and enhancing TJs destruction. Houpo Mahuang decoction (HPMHD) is a classic traditional Chinese prescription for the treatment of asthma. However, its underlying action mechanism is unclear.
The present study aimed to evaluate the effect of HPMHD on the asthma phenotype and the regulation of TRPA1 and TJs in a CS-induced mouse model of aggravated asthma.
Under optimized chromatographic and mass spectrometry conditions, the ultra-high performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UPLC-QTOF-MS) technique was used to detect and analyze the major chemical components of HPMHD. C57BL/6 female mice were randomly divided into seven groups, viz, normal saline (NS) group, ovalbumin (OVA) + CS group, dexamethasone group, HPMHD high-dose group and low-dose groups, n-butanol extract group, and ethyl acetate extract group, with 10 mice in each group. OVA sensitization and challenge, and CS exposure were used to establish the aggravated asthma model. As the main indices to evaluate the protective effect of HPMHD, the eosinophils count in peripheral blood, percentages of inflammatory cells classified and the levels of interleukin (IL)-4, IL-5, IL-13 in the bronchoalveolar lavage fluid (BALF), airway responsiveness enhanced pause (Penh), and changes in lung histopathology were determined and compared among the groups. The mRNA and protein expression of TRPA1 and TJs in lung tissue was also examined.
Using UPLC-QTOF-MS, the chemical components of HPMHD, including ephedrine, pseudoephedrine, laetrile, and amygdalin amide, were identified by 51 signal peaks. Compared with those in the NS group, the eosinophil number in the peripheral blood and the eosinophils and neutrophils percentages in BALF of the OVA + CS group were remarkably increased. Following the inhalation of 50 μl of acetylcholine chloride (ACH) at doses of 25 and 50 mg/mL, the Penh increased significantly (p < 0.01). Moreover, in the OVA + CS group, hematoxylin and eosin (H&E) staining of lung tissue showed a significant number of infiltrated inflammatory cells, increased mucus secretion in the lumen, damaged bronchial mucosa, increased thickness of tracheal wall, and increased score of lung damage (p < 0.01). The IL-4/5/13 levels were also remarkably increased (p < 0.01). The protein as well as gene expression of both ZO-1 and occludin decreased markedly in the lung tissue, while the expression of TRPA1 and claudin-2 was increased (p < 0.05, p < 0.01). Next, the OVA + CS group and the treatment groups were compared. The inflammatory cells, Penh value, and levels of IL-4/5/13 were significantly reduced, and less lung injury was observed in the treatment groups. The gene and protein levels of TRPA1 and TJs were corrected (p < 0.05, p < 0.01); the effects on the HPMHD high-dose and ethyl acetate extract groups were particularly remarkable.
HPMHD reduced airway hyperresponsiveness, inflammatory cell recruitment and Th2 cytokine secretion in CS-induced aggravated asthma mice, in a manner potentially dependent on regulation of the expression of TRPA1 and TJ proteins. Both the n-butanol and ethyl acetate extracts contained the active ingredients, especially the ethyl acetate extract.
香烟烟雾(CS)是一种常见的环境刺激物,也是哮喘的一个危险因素,因为它会诱发并加重哮喘发作。受损的气道上皮紧密连接(TJ)会加重哮喘。CS可通过激活瞬时受体电位锚蛋白A1(TRPA1)通道并增强TJ破坏来加重哮喘。厚朴麻黄汤(HPMHD)是治疗哮喘的经典中药方剂。然而,其潜在作用机制尚不清楚。
本研究旨在评估HPMHD对CS诱导的哮喘加重小鼠模型中哮喘表型以及TRPA1和TJ调节的影响。
在优化的色谱和质谱条件下,采用超高效液相色谱-四极杆飞行时间质谱(UPLC-QTOF-MS)技术检测和分析HPMHD的主要化学成分。将C57BL/6雌性小鼠随机分为七组,即生理盐水(NS)组、卵清蛋白(OVA)+CS组、地塞米松组、HPMHD高剂量组和低剂量组、正丁醇提取物组和乙酸乙酯提取物组,每组10只小鼠。采用OVA致敏和激发以及CS暴露建立哮喘加重模型。作为评估HPMHD保护作用的主要指标,测定并比较各组外周血嗜酸性粒细胞计数、炎症细胞分类百分比以及支气管肺泡灌洗液(BALF)中白细胞介素(IL)-4、IL-5、IL-13水平、气道反应性增强暂停(Penh)以及肺组织病理学变化。还检测了肺组织中TRPA1和TJ的mRNA和蛋白表达。
采用UPLC-QTOF-MS,通过51个信号峰鉴定出HPMHD的化学成分,包括麻黄碱、伪麻黄碱、苦杏仁苷和苦杏仁酰胺。与NS组相比,OVA+CS组外周血嗜酸性粒细胞数量以及BALF中嗜酸性粒细胞和中性粒细胞百分比显著增加。吸入25和50mg/mL剂量的50μl氯化乙酰胆碱(ACH)后,Penh显著增加(p<0.01)。此外,在OVA+CS组中,肺组织苏木精和伊红(H&E)染色显示大量炎性细胞浸润、管腔内黏液分泌增加、支气管黏膜受损、气管壁厚度增加以及肺损伤评分增加(p<0.01)。IL-4/5/13水平也显著升高(p<0.01)。肺组织中紧密连接蛋白1(ZO-1)和闭合蛋白的蛋白及基因表达均显著降低,而TRPA1和claudin-2的表达增加(p<0.05,p<0.01)。接下来,比较OVA+CS组和治疗组。治疗组炎性细胞、Penh值以及IL-4/5/13水平显著降低,肺损伤较轻。TRPA1和TJ的基因和蛋白水平得到纠正(p<0.05,p<0.01);对HPMHD高剂量组和乙酸乙酯提取物组的影响尤为显著。
HPMHD可降低CS诱导的哮喘加重小鼠的气道高反应性、炎性细胞募集和Th2细胞因子分泌,其方式可能依赖于对TRPA1和TJ蛋白表达的调节。正丁醇提取物和乙酸乙酯提取物均含有活性成分,尤其是乙酸乙酯提取物。