Pu Shuangshuang, Yang Zhifeng, Zhang Xiaofeng, Li Ming, Han Na, Yang Xiaohan, He Jin, Yu Gongchang, Meng Xiangjing, Jia Qiang, Shao Hua
Shandong University of Traditional Chinese Medicine, 4655 University Road, Changqing District, Jinan, 250355, Shandong, China.
Hospital Affiliated to Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Lixia District, Jinan, 250014, Shandong, China.
Chin Med. 2023 Oct 12;18(1):131. doi: 10.1186/s13020-023-00823-8.
Silicosis is an important occupational disease caused by inhalation of free silica and is characterized by persistent pulmonary inflammation, subsequent fibrosis and lung dysfunction. Until now, there has been no effective treatment for the disease due to the complexity of pathogenesis. Fermented cordyceps powder (FCP) has a similar effect to natural cordyceps in tonifying the lung and kidney. It has started to be used in the adjuvant treatment of silicosis. This work aimed to verify the protective effects of FCP against silicosis, and to explore the related mechanism.
Wistar rats were randomly divided into four groups including the saline-instilled group, the silica-exposed group, the silica + FCP (300 mg/kg) group and the silica + FCP (600 mg/kg) group. Silicosis rat models were constructed by intratracheal instillation of silica (50 mg). Rats in the FCP intervention groups received the corresponding dose of FCP daily by intragastric gavage. Rats were sacrificed on days 7, 28 and 56 after treatment, then samples were collected for further analysis.
FCP intervention reduced the infiltration of inflammatory cells and the concentration of interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and transforming growth factor-β1 (TGF-β1) at days 7, 28, 56, and decreased the expression of collagen, α-smooth muscle actin (α-SMA) and fibronectin (FN) at days 28 and 56 in the lung of silicosis rats. FCP also decreased the immune response of Th1 and Th17 at days 7, 28, 56 and inhibited the enhancement of the Th2 response at day 56.
FCP intervention could alleviate silica-induced pulmonary inflammation and fibrosis, the protective effect may be achieved by reducing Th1 and Th17 immune responses and inhibiting the enhancement of the Th2 response.
矽肺是一种因吸入游离二氧化硅引起的重要职业病,其特征为持续性肺部炎症、随后的纤维化及肺功能障碍。由于发病机制复杂,目前尚无针对该疾病的有效治疗方法。发酵虫草菌粉(FCP)在补益肺肾方面具有与天然虫草相似的功效,已开始用于矽肺的辅助治疗。本研究旨在验证FCP对矽肺的保护作用,并探讨其相关机制。
将Wistar大鼠随机分为四组,包括生理盐水灌注组、二氧化硅暴露组、二氧化硅+FCP(300mg/kg)组和二氧化硅+FCP(600mg/kg)组。通过气管内滴注二氧化硅(50mg)构建矽肺大鼠模型。FCP干预组的大鼠每天通过灌胃给予相应剂量的FCP。在治疗后第7天、28天和56天处死大鼠,然后收集样本进行进一步分析。
FCP干预在第7天、28天、56天时减少了矽肺大鼠肺内炎症细胞浸润以及白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和转化生长因子-β1(TGF-β1)的浓度,并在第28天和56天时降低了肺内胶原蛋白、α-平滑肌肌动蛋白(α-SMA)和纤连蛋白(FN)的表达。FCP在第7天、28天、56天时还降低了Th1和Th17的免疫反应,并在第56天时抑制了Th2反应的增强。
FCP干预可减轻二氧化硅诱导的肺部炎症和纤维化,其保护作用可能是通过降低Th1和Th17免疫反应以及抑制Th2反应的增强来实现的。