Yuan Jian-Mei, Lu Dan-Ni, Wang Jia-Jun, Xu Zhuo, Li Yong, Ren Mi-Hong, Li Jin-Xiu, Gong Dao-Yin, Wang Jian
School of Pharmacy, Chengdu University of Traditional Chinese Medicine Chengdu 611137, China Key Laboratory of Systematic Research of Distinctive Chinese Medicine Resources in Southwest China,Chengdu University of Traditional Chinese Medicine Chengdu 611137, China.
Affiliated Hospital of Chengdu University of Traditional Chinese Medicine Chengdu 610075, China.
Zhongguo Zhong Yao Za Zhi. 2023 May;48(9):2500-2511. doi: 10.19540/j.cnki.cjcmm.20230117.704.
This study aimed to elucidate the effect and underlying mechanism of Bovis Calculus in the treatment of ulcerative colitis(UC) through network pharmacological prediction and animal experimental verification. Databases such as BATMAN-TCM were used to mine the potential targets of Bovis Calculus against UC, and the pathway enrichment analysis was conducted. Seventy healthy C57BL/6J mice were randomly divided into a blank group, a model group, a solvent model(2% polysorbate 80) group, a salazosulfapyridine(SASP, 0.40 g·kg(-1)) group, and high-, medium-, and low-dose Bovis Calculus Sativus(BCS, 0.20, 0.10, and 0.05 g·kg(-1)) groups according to the body weight. The UC model was established in mice by drinking 3% dextran sulfate sodium(DSS) solution for 7 days. The mice in the groups with drug intervention received corresponding drugs for 3 days before modeling by gavage, and continued to take drugs for 7 days while modeling(continuous administration for 10 days). During the experiment, the body weight of mice was observed, and the disease activity index(DAI) score was recorded. After 7 days of modeling, the colon length was mea-sured, and the pathological changes in colon tissues were observed by hematoxylin-eosin(HE) staining. The levels of tumor necrosis factor-α(TNF-α), interleukin-1β(IL-1β), interleukin-6(IL-6), and interleukin-17(IL-17) in colon tissues of mice were detected by enzyme-linked immunosorbent assay(ELISA). The mRNA expression of IL-17, IL-17RA, Act1, TRAF2, TRAF5, TNF-α, IL-6, IL-1β, CXCL1, CXCL2, and CXCL10 was evaluated by real-time polymerase chain reaction(RT-PCR). The protein expression of IL-17, IL-17RA, Act1, p-p38 MAPK, and p-ERK1/2 was investigated by Western blot. The results of network pharmacological prediction showed that Bovis Calculus might play a therapeutic role through the IL-17 signaling pathway and the TNF signaling pathway. As revealed by the results of animal experiments, on the 10th day of drug administration, compared with the solvent model group, all the BCS groups showed significantly increased body weight, decreased DAI score, increased colon length, improved pathological damage of colon mucosa, and significantly inhibited expression of TNF-α,IL-6,IL-1β, and IL-17 in colon tissues. The high-dose BCS(0.20 g·kg~(-1)) could significantly reduce the mRNA expression levels of IL-17, Act1, TRAF2, TRAF5, TNF-α, IL-6, IL-1β, CXCL1, and CXCL2 in colon tissues of UC model mice, tend to down-regulate mRNA expression levels of IL-17RA and CXCL10, significantly inhibit the protein expression of IL-17RA,Act1,and p-ERK1/2, and tend to decrease the protein expression of IL-17 and p-p38 MAPK. This study, for the first time from the whole-organ-tissue-molecular level, reveals that BCS may reduce the expression of pro-inflammatory cytokines and chemokines by inhibiting the IL-17/IL-17RA/Act1 signaling pathway, thereby improving the inflammatory injury of colon tissues in DSS-induced UC mice and exerting the effect of clearing heat and removing toxins.
本研究旨在通过网络药理学预测和动物实验验证,阐明牛黄在溃疡性结肠炎(UC)治疗中的作用及潜在机制。利用BATMAN-TCM等数据库挖掘牛黄抗UC的潜在靶点,并进行通路富集分析。将70只健康C57BL/6J小鼠按体重随机分为空白组、模型组、溶剂模型(2%聚山梨酯80)组、柳氮磺胺吡啶(SASP,0.40 g·kg⁻¹)组以及高、中、低剂量牛黄(BCS,0.20、0.10和0.05 g·kg⁻¹)组。通过给小鼠饮用3%葡聚糖硫酸钠(DSS)溶液7天建立UC模型。药物干预组小鼠在造模前3天通过灌胃给予相应药物,并在造模期间(连续给药10天)继续给药7天。实验期间,观察小鼠体重,记录疾病活动指数(DAI)评分。造模7天后,测量结肠长度,通过苏木精-伊红(HE)染色观察结肠组织的病理变化。采用酶联免疫吸附测定(ELISA)法检测小鼠结肠组织中肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和白细胞介素-17(IL-17)的水平。通过实时聚合酶链反应(RT-PCR)评估IL-17、IL-17RA、Act1、TRAF2、TRAF5、TNF-α、IL-6、IL-1β、CXCL1、CXCL2和CXCL10的mRNA表达。采用蛋白质印迹法检测IL-17、IL-17RA、Act1、磷酸化-p38丝裂原活化蛋白激酶(p-p38 MAPK)和磷酸化-细胞外信号调节激酶1/2(p-ERK1/2)的蛋白表达。网络药理学预测结果表明,牛黄可能通过IL-17信号通路和TNF信号通路发挥治疗作用。动物实验结果显示,给药第10天,与溶剂模型组相比,各BCS组小鼠体重显著增加,DAI评分降低,结肠长度增加,结肠黏膜病理损伤改善,结肠组织中TNF-α、IL-6、IL-1β和IL-17的表达显著受到抑制。高剂量BCS(0.20 g·kg⁻¹)可显著降低UC模型小鼠结肠组织中IL-17、Act1、TRAF2、TRAF5、TNF-α、IL-6、IL-1β、CXCL1和CXCL2的mRNA表达水平,倾向于下调IL-17RA和CXCL10的mRNA表达水平,显著抑制IL-17RA、Act1和p-ERK1/2的蛋白表达,并倾向于降低IL-17和p-p38 MAPK的蛋白表达。本研究首次从全器官-组织-分子水平揭示,BCS可能通过抑制IL-17/IL-17RA/Act1信号通路降低促炎细胞因子和趋化因子的表达,从而改善DSS诱导的UC小鼠结肠组织的炎症损伤,发挥清热解毒的作用。