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补阳还五汤苷类成分通过 JAK/STAT 信号通路抑制动脉粥样硬化炎症。

Glycosides from Buyang Huanwu Decoction inhibit atherosclerotic inflammation via JAK/STAT signaling pathway.

机构信息

College of Integrated Chinese and Western Medicine, Key Laboratory of Hunan Provincial for Integrated Traditional Chinese and Western Medicine on Prevention and Treatment of Cardio-Cerebral Diseases, Hunan University of Chinese Medicine, Hunan 410208, China.

Yueyang Traditional Chinese Medicine Hospital, Hunan University of Chinese Medicine, Hunan 414021, China.

出版信息

Phytomedicine. 2022 Oct;105:154385. doi: 10.1016/j.phymed.2022.154385. Epub 2022 Aug 8.

Abstract

BACKGROUND

Buyang Huanwu Decoction (BYHWD) has been used to treat or prevent cardiovascular disease. The prescription and its glycosides have the effects of protecting blood vessels, and resisting atherosclerosis. However, their protective mechanism of anti-atherosclerosis remains unclear.

PURPOSE

This study aims to explore whether glycosides are the main effective components of BYHWD in anti-atherosclerotic inflammation and whether their mechanism is related to the classical JAK/STAT inflammatory signaling pathway.

METHODS

UPLC-MSMS method was used to determine the main components of BYHWD and its glycosides. Network pharmacological analysis and molecular docking were used to predict the potential therapeutic targets of glycosides. Atherosclerosis model was prepared by feeding HFD in ApoE mice. The effects of glycosides on atherosclerosis were detected by blood lipids measurement, Masson staining, immunohistochemistry, immunofluorescence, western-blot and droplet digital PCR. RAW264.7 cells were used to establish foam cells model. The mechanism of glycosides anti-atherosclerotic inflammation was detected by measuring intracellular lipids, Oil Red O staining, ELISA, western-blot and droplet digital PCR.

RESULTS

  1. Glycosides were absorbed into the blood through oral administrations and existed in the blood in the form of glycosides structures. 2. Glycosides attenuated hyperlipidemia, alleviated atherosclerotic lesions and inhibited inflammatory reaction. They could regulate blood lipids by decreasing TC, TG, LDL-c, increasing HDL-c level in ApoE mice, alleviating intimal area and thickness, and inhibiting atherosclerotic plaque formation, which were similar to BYHWD. 3. Glycosides anti-atherosclerotic inflammation was related to JAK/STAT signaling pathway by network pharmacology analysis. Interactions between glycosides (astragaloside IV, paeoniflorin and amygdalin) and JAK/STAT pathway-related proteins by molecular docking. 4. Glycosides alleviated atherosclerotic inflammation by decreasing the release of pro-inflammatory factors and adhesions molecules, inhibiting the activation of JAK/STAT pathway in vivo. 5. Glycosides reduced the number of foam cells and intracellular lipid content. It also prevented the inflammation of macrophages by decreasing the levels of pro-inflammatory factors, reducing the phosphorylation of JAK2, STAT1 and STAT3 in vitro.

CONCLUSION

This study demonstrated that glycosides were the main active components of BYHWD, and they could inhibit atherosclerosis by alleviating atherosclerotic inflammation. the mechanism is inhibiting the activation of JAK/STAT signaling pathway.

摘要

背景

补阳还五汤(BYHWD)已被用于治疗或预防心血管疾病。该方剂及其糖苷具有保护血管和抗动脉粥样硬化的作用。然而,其抗动脉粥样硬化的保护机制尚不清楚。

目的

本研究旨在探讨糖苷是否为 BYHWD 抗动脉粥样硬化炎症的主要有效成分,以及其机制是否与经典的 JAK/STAT 炎症信号通路有关。

方法

采用 UPLC-MSMS 法测定 BYHWD 及其糖苷的主要成分。通过网络药理学分析和分子对接预测糖苷的潜在治疗靶点。通过高脂饮食喂养 ApoE 小鼠制备动脉粥样硬化模型。通过血脂测定、Masson 染色、免疫组织化学、免疫荧光、Western blot 和液滴数字 PCR 检测糖苷对动脉粥样硬化的影响。用 RAW264.7 细胞建立泡沫细胞模型。通过测量细胞内脂质、油红 O 染色、ELISA、Western blot 和液滴数字 PCR 检测糖苷抗动脉粥样硬化炎症的机制。

结果

  1. 糖苷通过口服吸收进入血液,并以糖苷结构的形式存在于血液中。2. 糖苷可降低 ApoE 小鼠的 TC、TG、LDL-c,升高 HDL-c 水平,减轻主动脉弓内膜面积和厚度,抑制动脉粥样硬化斑块形成,从而减轻高脂血症,缓解动脉粥样硬化病变,抑制炎症反应,与 BYHWD 相似。3. 通过网络药理学分析,糖苷(黄芪甲苷、芍药苷和苦杏仁苷)与 JAK/STAT 通路相关蛋白的相互作用通过分子对接进行。4. 糖苷通过降低促炎因子和黏附分子的释放,抑制体内 JAK/STAT 通路的激活,减轻动脉粥样硬化炎症。5. 糖苷减少泡沫细胞数量和细胞内脂质含量。它还通过降低促炎因子水平,减少 JAK2、STAT1 和 STAT3 的磷酸化,防止巨噬细胞炎症,从而在体外抑制巨噬细胞炎症。

结论

本研究表明,糖苷是 BYHWD 的主要活性成分,可通过减轻动脉粥样硬化炎症来抑制动脉粥样硬化。其机制是抑制 JAK/STAT 信号通路的激活。

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