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大黄素可减轻实验性自身免疫性脑脊髓炎中的炎症和脱髓鞘。

Emodin attenuates inflammation and demyelination in experimental autoimmune encephalomyelitis.

作者信息

Cui Yue-Ran, Bu Zhong-Qi, Yu Hai-Yang, Yan Li-Li, Feng Juan

机构信息

Department of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

出版信息

Neural Regen Res. 2023 Jul;18(7):1535-1541. doi: 10.4103/1673-5374.358612.

Abstract

Emodin, a substance extracted from herbs such as rhubarb, has a protective effect on the central nervous system. However, the potential therapeutic effect of emodin in the context of multiple sclerosis remains unknown. In this study, a rat model of experimental autoimmune encephalomyelitis was established by immune induction to simulate multiple sclerosis, and the rats were intraperitoneally injected with emodin (20 mg/kg/d) from the day of immune induction until they were sacrificed. In this model, the nucleotide-binding domain-like receptor family pyrin domain containing 3 (NLRP3) inflammasome and the microglia exacerbated neuroinflammation, playing an important role in the development of multiple sclerosis. In addition, silent information regulator of transcription 1 (SIRT1)/peroxisome proliferator-activated receptor-alpha coactivator (PGC-1α) was found to inhibit activation of the NLRP3 inflammasome, and SIRT1 activation reduced disease severity in experimental autoimmune encephalomyelitis. Furthermore, treatment with emodin decreased body weight loss and neurobehavioral deficits, alleviated inflammatory cell infiltration and demyelination, reduced the expression of inflammatory cytokines, inhibited microglial aggregation and activation, decreased the levels of NLRP3 signaling pathway molecules, and increased the expression of SIRT1 and PGC-1α. These findings suggest that emodin improves the symptoms of experimental autoimmune encephalomyelitis, possibly through regulating the SIRT1/PGC-1α/NLRP3 signaling pathway and inhibiting microglial inflammation. These findings provide experimental evidence for treatment of multiple sclerosis with emodin, enlarging the scope of clinical application for emodin.

摘要

大黄素是从大黄等草药中提取的一种物质,对中枢神经系统具有保护作用。然而,大黄素在多发性硬化症中的潜在治疗效果尚不清楚。在本研究中,通过免疫诱导建立实验性自身免疫性脑脊髓炎大鼠模型以模拟多发性硬化症,并从免疫诱导当天起直至处死,对大鼠腹腔注射大黄素(20毫克/千克/天)。在该模型中,含pyrin结构域的核苷酸结合寡聚化结构域样受体家族3(NLRP3)炎性小体和小胶质细胞加剧了神经炎症,在多发性硬化症的发展中起重要作用。此外,发现沉默信息调节因子1(SIRT1)/过氧化物酶体增殖物激活受体α共激活因子(PGC-1α)可抑制NLRP3炎性小体的激活,SIRT1的激活降低了实验性自身免疫性脑脊髓炎的疾病严重程度。此外,大黄素治疗可减少体重减轻和神经行为缺陷,减轻炎性细胞浸润和脱髓鞘,降低炎性细胞因子的表达,抑制小胶质细胞聚集和激活,降低NLRP3信号通路分子水平,并增加SIRT1和PGC-1α的表达。这些发现表明,大黄素可能通过调节SIRT1/PGC-1α/NLRP3信号通路并抑制小胶质细胞炎症来改善实验性自身免疫性脑脊髓炎的症状。这些发现为大黄素治疗多发性硬化症提供了实验证据,扩大了大黄素的临床应用范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/843c/10075100/49b67155a592/NRR-18-1535-g002.jpg

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