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麻杏石甘汤通过自然杀伤细胞促进Th1反应以对抗哮喘Th2炎症。

Majie Cataplasm Promotes Th1 Response to Fight against Asthmatic Th2 Inflammation through NKs.

作者信息

Ji Wenting, Shi Hanfen, Feng Tianyi, Zhang Shuang, Liu Haixia, Xu Wenxiu, Wang Xueqian, Wang Qingguo

机构信息

Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China.

Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Evid Based Complement Alternat Med. 2022 May 12;2022:6745420. doi: 10.1155/2022/6745420. eCollection 2022.

Abstract

BACKGROUND

Immune cells are tightly bound up with the pathogenesis of asthma. Besides T cells, B cells, macrophages, and mast cells, the mechanism of innate lymphoid cells (ILCs) in asthma is gradually explicit. As a kind of traditional Chinese medicine, Majie cataplasm realizes its potential in the clinical setting as an adjuvant for asthma. In our previous experiments, Majie cataplasm inhibits the increasing Th1 and Th2 in allergic asthma inflammation and reshapes a balance between Th1 and Th2. As ILCs are the reflection of Th cells in lung tissues, we will figure out whether Majie cataplasm could have similar effects on ILCs or not.

METHODS

A total of 40 female C57/BL6 mice were randomly divided into the control group ( = 10), the asthma model group ( = 10), the dexamethasone group ( = 10), and the Majie cataplasm group ( = 10). Except for the control group, mice were sensitized with ovalbumin (OVA) and excited to establish mice models of asthma. Lung tissue and splenic tissue were collected at 24 h after the last challenge with OVA, and the cell suspension of the lungs and spleen was prepared. The number of ILC1s, ILC2s, ILC3s, and NKs cells in the lungs and Tregs and B10s in the spleen were detected by flow cytometry (FCM). This was followed by simultaneous quantitative detection of 40 inflammatory cytokines and chemokines in the lung by a protein microarray.

RESULTS

The dexamethasone and Majie cataplasm could restore the number of ILC1s, ILC2s, and ILC3s in lung tissue. Compared with the control group, these cells remained unchanged in the asthma model group, while ILC1s ( < 0.001, < 0.01), ILC2s ( < 0.001, < 0.01), and ILC3s ( < 0.01, < 0.05) were restored after the intervention of dexamethasone and Majie cataplasm. The number of NKs was low among the control group, the asthma model group, and the dexamethasone group, while the number of NKs rocketed in the Majie cataplasm group ( < 0.0001). For splenic Tregs and B10s, Majie cataplasm could curb the increasing numbers of them in the asthma model group ( < 0.0001, < 0.01), while only Tregs were suppressed by the dexamethasone ( < 0.0001). For the inflammatory cytokines in the lung, the contents of TNF-, TNFR2, CXCL-9, CCL-12, CCL-9, CCL-2, and CCL-5 in the asthma model group were higher than those in the control group, while the contents of GM-CSF and IL-1 were decreased. Comparing the asthma model group to the dexamethasone group, the levels of G-CSF, CCL-9, CCL-5, and TNFR2 in the former group were higher. The levels of TNF-, TNFR2, and CCL-9 in the asthma model group increase, while the levels of IFN-, IL-1, ICAM-1, and IL-4 increased in the Majie cataplasm group, especially IFN- and IL-1.

CONCLUSION

Both the dexamethasone and Majie cataplasm could control the asthmatic inflammation by reducing the inflammatory factors, inhibiting the adaptive inflammation reaction in the latter stage of inflammation and furtherly reversing the inhibition of ILC2s, ILC2s, and ILC3s. In addition, Majie cataplasm can promote the quantity of NKs and the content of IL-1 and IFN-, induce IFN- NKs to shut down the Th2 response, and tend to elicit the Th1 response.

摘要

背景

免疫细胞与哮喘的发病机制密切相关。除了T细胞、B细胞、巨噬细胞和肥大细胞外,固有淋巴细胞(ILCs)在哮喘中的作用机制也逐渐明确。麻芥巴布剂作为一种中药,在哮喘临床治疗中作为辅助药物发挥了其潜力。在我们之前的实验中,麻芥巴布剂抑制过敏性哮喘炎症中Th1和Th2细胞的增加,并重塑Th1和Th2之间的平衡。由于ILCs是肺组织中Th细胞的反映,我们将研究麻芥巴布剂是否对ILCs有类似的作用。

方法

将40只雌性C57/BL6小鼠随机分为对照组(n = 10)、哮喘模型组(n = 10)、地塞米松组(n = 10)和麻芥巴布剂组(n = 10)。除对照组外,小鼠用卵清蛋白(OVA)致敏并激发以建立哮喘小鼠模型。在最后一次用OVA激发后24小时收集肺组织和脾组织,并制备肺和脾的细胞悬液。通过流式细胞术(FCM)检测肺中ILC1、ILC2、ILC3和NK细胞的数量以及脾中Tregs和B10s的数量。随后通过蛋白质芯片同时定量检测肺中40种炎性细胞因子和趋化因子。

结果

地塞米松和麻芥巴布剂可恢复肺组织中ILC1、ILC2和ILC3的数量。与对照组相比,哮喘模型组这些细胞数量未变,而地塞米松和麻芥巴布剂干预后,ILC1(P < 0.001,P < 0.01)、ILC2(P < 0.001,P < 0.01)和ILC3(P < 0.01,P < 0.05)数量得以恢复。对照组、哮喘模型组和地塞米松组中NK细胞数量较少,而麻芥巴布剂组中NK细胞数量激增(P < 0.0001)。对于脾Tregs和B10s,麻芥巴布剂可抑制哮喘模型组中其数量的增加(P < 0.0001,P < 0.01),而地塞米松仅抑制Tregs(P < 0.0001)。对于肺中的炎性细胞因子,哮喘模型组中TNF-α、TNFR2、CXCL-9、CCL-12、CCL-9、CCL-2和CCL-5的含量高于对照组,而GM-CSF和IL-1的含量降低。将哮喘模型组与地塞米松组比较,前者组中G-CSF、CCL-9、CCL-5和TNFR2的水平更高。哮喘模型组中TNF-α、TNFR2和CCL-9水平升高,而麻芥巴布剂组中IFN-γ、IL-1、ICAM-1和IL-4水平升高,尤其是IFN-γ和IL-1。

结论

地塞米松和麻芥巴布剂均可通过减少炎性因子、抑制炎症后期的适应性炎症反应以及进一步逆转对ILC2、ILC2和ILC3的抑制来控制哮喘炎症。此外,麻芥巴布剂可促进NK细胞数量以及IL-1和IFN-γ的含量,诱导IFN-γ激活的NK细胞关闭Th2反应,并倾向于引发Th1反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b14/9119792/d65fccf161ca/ECAM2022-6745420.001.jpg

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