Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, 201203, China.
Chin J Integr Med. 2024 Mar;30(3):222-229. doi: 10.1007/s11655-023-3599-y. Epub 2023 Aug 19.
To determine the role of Tripterygium wilfordii multiglycoside (TGW) in the treatment of psoriatic dermatitis from a cellular immunological perspective.
Mouse models of psoriatic dermatitis were established by imiquimod (IMQ). Twelve male BALB/c mice were assigned to IMQ or IMQTGW groups according to a random number table. Histopathological changes in vivo were assessed by hematoxylin and eosin staining. Ratios of immune cells and cytokines in mice, as well as PAM212 cell proliferation in vitro were assessed by flow cytometry. Pro-inflammatory cytokine expression was determined using reverse transcription quantitative polymerase chain reaction.
TGW significantly ameliorated the severity of IMQ-induced psoriasis-like mouse skin lesions and restrained the activation of CD45 cells, neutrophils and T lymphocytes (all P<0.01). Moreover, TGW significantly attenuated keratinocytes (KCs) proliferation and downregulated the mRNA levels of inflammatory cytokines including interleukin (IL)-17A, IL-23, tumor necrosis factor α, and chemokine (C-X-C motif) ligand 1 (P<0.01 or P<0.05). Furthermore, it reduced the number of γ δ T17 cells in skin lesion of mice and draining lymph nodes (P<0.01).
TGW improved psoriasis-like inflammation by inhibiting KCs proliferation, as well as the associated immune cells and cytokine expression. It inhibited IL-17 secretion from γ δ T cells, which improved the immune-inflammatory microenvironment of psoriasis.
从细胞免疫学角度探讨雷公藤多苷(TGW)治疗银屑病的作用。
采用咪喹莫特(IMQ)诱导建立银屑病样小鼠模型。将 12 只雄性 BALB/c 小鼠按随机数字表法分为 IMQ 组和 IMQTGW 组,每组 6 只。通过苏木精-伊红(HE)染色评估体内组织病理学变化,采用流式细胞术检测小鼠免疫细胞及细胞因子比值和体外 PAM212 细胞增殖情况,逆转录定量聚合酶链式反应(RT-qPCR)检测促炎细胞因子的表达。
TGW 可显著改善 IMQ 诱导的银屑病样小鼠皮肤损伤严重程度,抑制 CD45 细胞、中性粒细胞和 T 淋巴细胞的活化(均 P<0.01)。此外,TGW 还可显著抑制角质形成细胞(KCs)增殖,下调白细胞介素(IL)-17A、IL-23、肿瘤坏死因子-α和趋化因子(C-X-C 基序)配体 1(均 P<0.01 或 P<0.05)的 mRNA 水平。同时,还可减少皮肤损伤和引流淋巴结中 γ δ T17 细胞的数量(均 P<0.01)。
TGW 通过抑制 KCs 增殖及其相关免疫细胞和细胞因子的表达,改善银屑病样炎症。通过抑制 γ δ T 细胞分泌 IL-17,改善银屑病的免疫炎症微环境。