Minhang Hospital and Department of Pharmacology, School of Pharmacy, Fudan University, Shanghai, China.
Department of Emergency, Minhang Hospital, Fudan University, Shanghai, China.
Phytomedicine. 2023 Jan;109:154574. doi: 10.1016/j.phymed.2022.154574. Epub 2022 Nov 21.
Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Abnormal activation of NOD-like receptor thermal protein domain associated protein 3 (NLRP3) inflammasome plays a vital role in the pathogenesis of sepsis. Matrine is proved to show good anti-inflammatory properties, whereas its effect and the underlying molecular machinery on sepsis remains unclear.
The aim of this study is to evaluate the effect and mechanism of Matrine on sepsis.
THP-1 cells and J774A.1 cells were stimulated by lipopolysaccharide (LPS) with nigericin or adenosine triphosphate (ATP) to establish an in vitro model. Cecal ligation and puncture (CLP)-induced sepsis mouse model was used. Matrine was given by gavage.
To investigate the NLRP3 inflammasome activation, phorbol myristate acetate (PMA)-induced THP-1 cells were first primed with LPS and then stimulated by matrine, followed by treatment with nigericin or ATP. The concentration of interleukin 1β (IL-1β) and interleukin 18 (IL-18) in the cell culture supernatant was detected. The mechanism was explored by cell death assay, immunoblots and immunofluorescence in vitro. C57BL/6 mice were intragastrically administered with matrine for 5 days before CLP. The therapeutic effect of matrine was evaluated by symptoms, pathological analysis, ELISA and RT-qPCR.
Our results revealed that matrine inhibited IL-1β and IL-18 secretion, suppressed caspase-1 activation, reduced cell death, and blocked ASC speck formation upon NLRP3 inflammasome activation. Furthermore, matrine restrains NLRP3 inflammasome activation as well as pyroptosis through regulating the protein tyrosine phosphatase non-receptor type 2 (PTPN2)/JNK/SREBP2 signaling. Matrine also prominently improved the symptoms and pathological changes with reduced levels of TNF-α, IL-1β, and IL-6 in the lung tissues and serum in a dose-dependent manner.
Matrine effectively alleviates the symptoms of CLP-induced sepsis in mice, restrains NLRP3 inflammasome activation by regulating PTPN2/JNK/SREBP2 signaling pathway, and may become a promising therapeutic agent for sepsis treatment.
脓毒症是一种由宿主对感染的失调反应引起的危及生命的器官功能障碍。NOD 样受体热蛋白结构域相关蛋白 3(NLRP3)炎性小体的异常激活在脓毒症的发病机制中起着至关重要的作用。苦参碱已被证明具有良好的抗炎特性,但其对脓毒症的作用及其潜在的分子机制尚不清楚。
本研究旨在评估苦参碱对脓毒症的作用及机制。
用脂多糖(LPS)加 Nigericin 或三磷酸腺苷(ATP)刺激 THP-1 细胞和 J774A.1 细胞,建立体外模型。采用盲肠结扎穿孔(CLP)诱导脓毒症小鼠模型。苦参碱通过灌胃给药。
为了研究 NLRP3 炎性小体的激活,先用 LPS 诱导佛波醇十四酸酯(PMA)诱导的 THP-1 细胞预激活,然后用苦参碱刺激,再用 Nigericin 或 ATP 处理。检测细胞培养上清液中白细胞介素 1β(IL-1β)和白细胞介素 18(IL-18)的浓度。通过细胞死亡测定、免疫印迹和免疫荧光在体外探讨其机制。C57BL/6 小鼠在 CLP 前 5 天通过灌胃给予苦参碱。通过症状、病理分析、ELISA 和 RT-qPCR 评估苦参碱的治疗效果。
研究结果表明,苦参碱抑制了 IL-1β和 IL-18 的分泌,抑制了半胱天冬酶-1 的激活,减少了细胞死亡,并阻断了 NLRP3 炎性小体激活时 ASC 斑点的形成。此外,苦参碱通过调节蛋白酪氨酸磷酸酶非受体型 2(PTPN2)/JNK/SREBP2 信号通路来抑制 NLRP3 炎性小体的激活和细胞焦亡。苦参碱还能显著改善症状和病理变化,降低肺组织和血清中 TNF-α、IL-1β 和 IL-6 的水平,且呈剂量依赖性。
苦参碱能有效缓解 CLP 诱导的脓毒症小鼠的症状,通过调节 PTPN2/JNK/SREBP2 信号通路抑制 NLRP3 炎性小体的激活,可能成为治疗脓毒症的一种有前途的治疗药物。