College of Pharmacy, Research Institute of Pharmaceutical Sciences, Kyungpook National University, Daegu 41566, Korea.
Int J Mol Sci. 2022 Oct 28;23(21):13130. doi: 10.3390/ijms232113130.
injection (XBJI) (comprising of five herbs) is a widely used traditional Chinese medicine for sepsis treatment. However, the bioactive components of XBJI and the mechanisms responsible for its sepsis-mitigating action have not been experimentally determined. One of the main bioactive compounds in XBJI-benzoylpaeoniflorin (BPF)-inhibits the expressions of key mediators of inflammation such as nuclear factor kappa B (NF-κB), cyclooxygenase-1 (COX-1), and COX-2. However, its effects on sepsis have not been determined yet. Therefore, here, we investigated the immunomodulatory effect of BPF on severely inflamed endothelial cells, THP-1 macrophages, peritoneal macrophages, and mice. Human umbilical vein endothelial cells (HUVECs) and THP-1-macrophages were activated using lipopolysaccharide (LPS) after pretreatment with BPF. Subsequently, changes in the expression profiles of pro-inflammatory molecules including inducible nitric oxide synthase (iNOS), tumor necrosis factor (TNF)-α, and interleukin (IL)-6 were determined using quantitative real-time polymerase chain reaction (qPCR) and Western blot analysis. Furthermore, we monitored the phosphorylation of NF-kB and mitogen-activated protein kinases (MAPKs) to determine their activation levels. Using the LPS-induced mouse model of sepsis, we studied the effects of BPF on inflammatory cytokine production, pulmonary histopathology, and survival rates. Finally, we evaluated whether BPF protects against cecal ligation and puncture (CLP)-induced sepsis, as it closely mimics human sepsis. BPF pretreatment inhibited LPS-induced increase in mRNA and protein levels of iNOS, TNF-α, and IL-6 in HUVECs and THP-1-macrophages. It also suppressed LPS-mediated phosphorylation of p65, p38, JNK, and ERK. Mice with LPS-induced-sepsis who were treated with BPF had lower serum levels of IL-6, TNF-α, IL-1β, CXCL1, and CXCL2 than the control mice treated with BPF. Histopathology revealed that BPF treatment alleviated LPS-induced lung damage. In addition, in mice given a lethal dose of LPS, BPF treatment showed a dose-dependent improvement in survival rates. BPF treatment dose-dependently inhibited the LPS-induced IL-6, TNF-α, and CXCL1 production in peritoneal macrophages. BPF treatment also dose-dependently improved the survival rates in mice with CLP-induced sepsis. These results show that BPF alleviates LPS-stimulated septic conditions and protects mice from CLP-induced sepsis. Our research marks BPF as a potential drug in the treatment of sepsis and various inflammatory diseases.
注射剂(XBJI)(由五种草药组成)是一种广泛用于治疗败血症的传统中药。然而,XBJI 的生物活性成分以及其减轻败血症作用的机制尚未通过实验确定。XBJI 中的一种主要生物活性化合物——苯甲酰芍药苷(BPF)——可抑制核因子 kappa B(NF-κB)、环氧化酶-1(COX-1)和 COX-2 等炎症关键介质的表达。然而,其对败血症的影响尚未确定。因此,在这里,我们研究了 BPF 对严重炎症内皮细胞、THP-1 巨噬细胞、腹腔巨噬细胞和小鼠的免疫调节作用。用脂多糖(LPS)预处理后,用人脐静脉内皮细胞(HUVEC)和 THP-1-巨噬细胞激活。随后,通过定量实时聚合酶链反应(qPCR)和 Western blot 分析测定包括诱导型一氧化氮合酶(iNOS)、肿瘤坏死因子(TNF)-α 和白细胞介素(IL)-6 在内的促炎分子的表达谱。此外,我们监测 NF-κB 和丝裂原活化蛋白激酶(MAPKs)的磷酸化水平,以确定其激活水平。使用 LPS 诱导的败血症小鼠模型,我们研究了 BPF 对炎症细胞因子产生、肺组织病理学和存活率的影响。最后,我们评估了 BPF 是否可以预防与盲肠结扎和穿刺(CLP)诱导的败血症相似的败血症,因为它可以模拟人类败血症。BPF 预处理抑制了 LPS 诱导的 HUVEC 和 THP-1-巨噬细胞中 iNOS、TNF-α 和 IL-6 的 mRNA 和蛋白水平的增加。它还抑制了 LPS 介导的 p65、p38、JNK 和 ERK 的磷酸化。用 LPS 诱导败血症的小鼠用 BPF 治疗后,血清中 IL-6、TNF-α、IL-1β、CXCL1 和 CXCL2 的水平低于用 BPF 治疗的对照组小鼠。组织病理学显示,BPF 治疗减轻了 LPS 诱导的肺损伤。此外,在给予致死剂量 LPS 的小鼠中,BPF 治疗显示出剂量依赖性地提高存活率。BPF 处理剂量依赖性地抑制了 LPS 诱导的腹腔巨噬细胞中 IL-6、TNF-α 和 CXCL1 的产生。BPF 处理还剂量依赖性地改善了 CLP 诱导的败血症小鼠的存活率。这些结果表明,BPF 可减轻 LPS 刺激的败血症状态,并保护小鼠免受 CLP 诱导的败血症。我们的研究标志着 BPF 成为治疗败血症和各种炎症性疾病的潜在药物。