Wang Yi, Chen Tao, Yang Can, Li Qiang, Ma Mengjiao, Xu Hao, Shi Qi, Wang Yongjun, Wang Youhua, Liang Qianqian
Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Spine Institute, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Pharmacol. 2022 May 4;13:871481. doi: 10.3389/fphar.2022.871481. eCollection 2022.
Huangqi Guizhi Wuwu Decoction (HGWD) is a traditional and effective Chinese medicine compound decoction for the treatment of rheumatoid arthritis (RA). However, there is few research on the treatment of rheumatoid cardiopulmonary complications. The present study was to study whether HGWD can alleviate the pathological changes caused by rheumatoid arthritis and cardiopulmonary complications. Five 3-month-old TNF-Tg mice were treated with HGWD (9.1 g/kg) once a day or the same dose of normal saline lasted for 8 weeks, and wild-type littermates of the same age were used as a negative control, and methotrexate (MTX) was intraperitoneally administered as a positive control. After the treatment, pathological staining was performed on the mouse ankle joints, heart, and lungs. It was found that HGWD reduced the inflammation of the ankle joint synovium in TNF-Tg mice, and reduced myocardial hypertrophy, inflammatory infiltration and fibrosis of heart, as well as lung inflammation and fibrosis. Immunohistochemical staining with anti-TNF- antibody showed that HGWD reduced the expression of TNF- in the heart of TNF-Tg mice. In conclusion, HGWD alleviates joint inflammation in TNF-Tg mice and reduces the pathological changes of the heart and lungs.
黄芪桂枝五物汤(HGWD)是一种用于治疗类风湿关节炎(RA)的传统且有效的中药复方汤剂。然而,关于其对类风湿性心肺并发症治疗的研究较少。本研究旨在探讨黄芪桂枝五物汤是否能减轻类风湿关节炎及心肺并发症所引起的病理变化。选用5只3月龄的TNF-Tg小鼠,每天给予黄芪桂枝五物汤(9.1 g/kg)或相同剂量的生理盐水,持续8周,同时选用同年龄的野生型同窝小鼠作为阴性对照,腹腔注射甲氨蝶呤(MTX)作为阳性对照。治疗后,对小鼠踝关节、心脏和肺进行病理染色。结果发现,黄芪桂枝五物汤可减轻TNF-Tg小鼠踝关节滑膜炎症,减轻心脏的心肌肥厚、炎症浸润和纤维化,以及肺部炎症和纤维化。用抗TNF-α抗体进行免疫组化染色显示,黄芪桂枝五物汤可降低TNF-Tg小鼠心脏中TNF-α的表达。综上所述,黄芪桂枝五物汤可减轻TNF-Tg小鼠的关节炎症,并减轻心脏和肺部的病理变化。