Zhejiang Da Xue Xue Bao Yi Xue Ban. 2022 Feb 25;51(1):53-61. doi: 10.3724/zdxbyxb-2021-0203.
To investigate the therapeutic effect and mechanism of Qingfei oral liquid in idiopathic pulmonary fibrosis. Seventy-two male SD rats were divided into control group, model group, pirofenidone group and Qingfei group with 18 animals in each group. The idiopathic pulmonary fibrosis was induced in last three groups by intratracheal injection of bleomycin; pirofenidone group was given oral administration of pirofenidone b.i.d for 21 d, and Qingfei group was given Qingfei oral liquid 3.6 mL/kg q.d for Lung tissues were obtained for HE staining, Masson staining and transforming growth factor (TGF)-β immunohistochemical staining. Superoxide dismutase (SOD), malondialdehyde (MDA) and glutathione (GSH) were detected in tissue homogenates. The BATMAN-TCM database was used to retrieve the chemical components and their corresponding targets of Qingfei oral solution by network pharmacology method, and then the component-target-disease network diagram was constructed. Finally, the pathway enrichment analysis was carried out to explore the molecular mechanism of Qingfei oral liquid against idiopathic fibrosis. Histopathology results showed that Qingfei oral liquid had a similar relieving effect on pulmonary fibrosis as the positive drug pirfenidone; TGF-β secretion had a significant reduction in lung tissues of Qingfei group; and Qingfei oral liquid had better regulatory effect on SOD, MDA and GSH than pirfenidone. The results of component-target-disease network and pathway enrichment analysis showed that the related molecular pathways were concentrated in inflammation, extracellular matrix and cytokines. Qingfei oral liquid has a good therapeutic effect on idiopathic pulmonary fibrosis in rats via regulation of inflammation, extracellular matrix and cytokines.
探讨清肺口服液治疗特发性肺纤维化的疗效及机制。
72 只雄性 SD 大鼠随机分为对照组、模型组、吡非尼酮组和清肺口服液组,每组 18 只。后三组经气管内注射博来霉素诱导特发性肺纤维化;吡非尼酮组给予吡非尼酮灌胃,bid,21 d;清肺口服液组给予清肺口服液 3.6 mL/kg,qd,连续给药 21 d。取肺组织行 HE 染色、Masson 染色和转化生长因子(TGF)-β免疫组化染色,检测组织匀浆中超氧化物歧化酶(SOD)、丙二醛(MDA)和谷胱甘肽(GSH)的含量。采用网络药理学方法从 BATMAN-TCM 数据库中检索清肺口服液的化学成分及其相应靶点,构建成分-靶点-疾病网络图,最后进行通路富集分析,探讨清肺口服液治疗特发性纤维化的分子机制。
组织病理学结果显示,清肺口服液对肺纤维化的缓解作用与阳性药物吡非尼酮相似;清肺口服液组肺组织中 TGF-β分泌明显减少;与吡非尼酮相比,清肺口服液对 SOD、MDA 和 GSH 的调节作用更好。成分-靶点-疾病网络和通路富集分析结果表明,相关分子通路主要集中在炎症、细胞外基质和细胞因子。
清肺口服液通过调节炎症、细胞外基质和细胞因子对大鼠特发性肺纤维化具有良好的治疗作用。