Ali Nafaa Hasan, Rehman Sana, Naqvi Maaz, Gulati Kavita, Ray Arunabha
Department of Pharmacology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard University, New Delhi, India.
Department of Pharmacology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
J Pharmacopuncture. 2023 Jun 30;26(2):158-166. doi: 10.3831/KPI.2023.26.2.158.
Airway remodeling in asthma involves chronic inflammation associated with structural changes, which result in severe airflow limitation and very few therapeutic options. Thus, the present study was designed to experimentally evaluate the ameliorative effects of (WS) root extract against Ovalbumin (OVA)-induced airway remodeling in a rat model of asthma.
Wistar rats were immunized (i.p) and challenged (aerosol) with ovalbumin (OVA), and the effects of WS extract were investigated on the development and progress of airway remodeling by assessing immunological, biochemical, and histological changes in these rats.
OVA-immunization and challenge in rats resulted in significant increases in the levels of IL-13, 8-OhdG, TGF-β, hydroxyproline, and periostin in bronchoalveolar lavage fluid (BALF) and serum/lung homogenate compared to normal control (saline only) rats, and these changes were attenuated after WS extract (200 and 400 mg/kg), as well as dexamethasone (DEX, 1 mg/kg) pretreatments. Further, WS extract attenuated histopathological changes and maintained lung integrity. In herb-drug interactions, sub-threshold doses of WS extract and DEX showed synergistic effects on all parameters studied as compared to either form of monotherapy.
These results indicated that WS exerted significant protective effects against airway remodeling in the experimental model by modulating inflammatory and fibrotic cytokines, and could have the potential for developing a therapeutic alternative/adjunct for the treatment of airway remodeling of bronchial asthma.
哮喘中的气道重塑涉及与结构变化相关的慢性炎症,这会导致严重的气流受限且治疗选择非常有限。因此,本研究旨在通过实验评估(WS)根提取物对卵清蛋白(OVA)诱导的哮喘大鼠模型气道重塑的改善作用。
用卵清蛋白(OVA)对Wistar大鼠进行免疫(腹腔注射)和激发(雾化),并通过评估这些大鼠的免疫、生化和组织学变化,研究WS提取物对气道重塑发展和进程的影响。
与正常对照(仅生理盐水)大鼠相比,OVA免疫和激发导致大鼠支气管肺泡灌洗液(BALF)以及血清/肺匀浆中白细胞介素-13、8-羟基脱氧鸟苷、转化生长因子-β、羟脯氨酸和骨膜蛋白水平显著升高,而在WS提取物(200和400mg/kg)以及地塞米松(DEX,1mg/kg)预处理后,这些变化有所减轻。此外,WS提取物减轻了组织病理学变化并维持了肺的完整性。在草药-药物相互作用中,与单一疗法的任何一种形式相比,亚阈值剂量的WS提取物和DEX对所有研究参数均显示出协同作用。
这些结果表明,WS通过调节炎症和纤维化细胞因子对实验模型中的气道重塑发挥了显著的保护作用,并且有可能开发出一种治疗支气管哮喘气道重塑的替代疗法/辅助疗法。