Department of Rheumatology and Immunology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Drum Tower Hospital, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Haematology, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, China.
Clin Exp Rheumatol. 2023 Dec;41(12):2502-2510. doi: 10.55563/clinexprheumatol/7kbuok. Epub 2023 Dec 13.
The mechanisms by which total glucosides of paeony (TGP) mitigates Sjögren's syndrome (SS) remains elusive. In the present study, we aim to explore the relationship between the therapeutic effects of TGP in the treatment of SS and NLRP3 inflammasome activation in submandibular gland (SG) cells.
Female non-obese diabetic (NOD) mice were selected as the model of SS. The mice were divided into PBS and TGP treatment group. For treatment, TGP (400mg·kg-1) was administered intragastrically every day for 4 weeks. The SS-like symptoms and pathological changes of the SG of mice were compared between the PBS and TGP group. The activation of NLRP3 inflammasome in SG was detected by RT-qPCR, immunohistochemistry and western blot. The SG cells stimulated by lipopolysaccharide (LPS) and adenosine triphosphate (ATP) for activation of NLRP3 inflammasome were treated with or without TGP. Then, NLRP3 inflammasome activation was assessed. The IL-1β and IL-18 in homogenate of SG, serum and supernatant were detected by ELISA.
Compared with balb/c mice, NOD mice showed SS-like symptoms and lymphocyte infiltration in SG, and the expression of NLRP3 inflammasome in SG was significantly increased. The SS-like symptoms were alleviated, and lymphocyte infiltration in SG was reduced, and the level of NLRP3 inflammasome in SG mice was decreased after TGP treatment. TGP also significantly inhibit the activation of NLRP3 inflammasome of SG cells in vitro.
Collectively, our results indicated that TGP alleviates SS through inhibition of the activation of NLRP3 inflammasome of SG. These findings clarified the mechanism underlying the therapeutic effects of TGP on SS, and provided new evidence for the further application of TGP in the treatment of SS.
白芍总苷(TGP)减轻干燥综合征(SS)的机制仍不清楚。本研究旨在探讨 TGP 治疗 SS 疗效与下颌下腺(SG)细胞中 NLRP3 炎性体激活之间的关系。
选择雌性非肥胖型糖尿病(NOD)小鼠作为 SS 模型。将小鼠分为 PBS 和 TGP 治疗组。治疗时,TGP(400mg·kg-1)每天灌胃,共 4 周。比较 PBS 和 TGP 组小鼠 SS 样症状和 SG 病理变化。通过 RT-qPCR、免疫组织化学和 Western blot 检测 SG 中 NLRP3 炎性体的激活。用脂多糖(LPS)和三磷酸腺苷(ATP)刺激 SG 细胞激活 NLRP3 炎性体,并用或不用 TGP 处理。然后评估 NLRP3 炎性体的激活。通过 ELISA 检测 SG 匀浆、血清和上清液中 IL-1β和 IL-18 的含量。
与 balb/c 小鼠相比,NOD 小鼠出现 SS 样症状和 SG 淋巴细胞浸润,SG 中 NLRP3 炎性体表达明显增加。TGP 治疗后 SS 样症状缓解,SG 淋巴细胞浸润减少,SG 小鼠 NLRP3 炎性体水平降低。TGP 还显著抑制体外 SG 细胞 NLRP3 炎性体的激活。
综上所述,我们的研究结果表明,TGP 通过抑制 SG 中 NLRP3 炎性体的激活来减轻 SS。这些发现阐明了 TGP 治疗 SS 的作用机制,为 TGP 在 SS 治疗中的进一步应用提供了新的证据。