中药独活寄生汤通过介导核因子-κB信号通路对肠道微生物群、血清代谢产物及类风湿关节炎的恢复产生有益影响。

Chinese traditional medicine DZGP beneficially affects gut microbiome, serum metabolites and recovery from rheumatoid arthritis through mediating NF-κB signaling pathway.

作者信息

Zhao Liming, Zheng Kai, Wan Xiaolin, Xiao Qiang, Yuan Lin, Wu Chuanfang, Bao Jinku

机构信息

Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610065, Sichuan, China.

Hubei Key Laboratory of Biological Resources Protection and Utilization, Hubei Minzu University, 445000, Enshi, China.

出版信息

Heliyon. 2024 Jun 26;10(13):e33706. doi: 10.1016/j.heliyon.2024.e33706. eCollection 2024 Jul 15.

Abstract

Rheumatoid arthritis (RA) is globally treated with several commercially available anti-inflammatory and analgesic drugs, which pose adverse side effects in many cases. Due to increasing population affected by autoimmune disorder of joints inflammation, it is crucial to use natural therapies, which are less toxic at metabolic level and promote gut health. In this study, we investigated the potential role of a locally developed traditional Chinese medicine (TCM), namely Duzheng tablet (DZGP) in controlling the RA. For this purpose, we introduced RA in male mice and divided them into 5 different groups. High throughput transcriptome analysis of synovial cells after DZGP treatment in arthritic mice revealed a significant alteration of gene expression. The correlation analysis of transcriptome with metabolites revealed that DZGP specifically targeted the B cells mediated immunity pathways. Treatment with DZGP inhibited the cytokines production, while reducing the production of inflammatory TNF-α, which led to the alleviation of inflammatory response in arthritic mice. Additionally, we applied integrated approach using 16S rDNA sequencing to understand the microbial population in relation to metabolites accumulation. The results showed that DZGP promoted the healthy gut microbiota by maintaining the ratio of Firmicutes and Bacteroidota and introduction of two additional phyla namely, Verrucomicrobiota and Cyanobacteria. Therefore, it is concluded that DZGP offers an advantage over commercial drug by changing the metabolic profile, gut microbiota while exhibiting lower cellular toxicity.

摘要

类风湿性关节炎(RA)在全球范围内使用多种市售的抗炎和镇痛药进行治疗,这些药物在许多情况下会产生不良副作用。由于受关节炎症自身免疫性疾病影响的人口不断增加,使用天然疗法至关重要,这些疗法在代谢水平上毒性较小,并能促进肠道健康。在本研究中,我们调查了一种本地研发的传统中药(TCM)——独正片(DZGP)在控制RA方面的潜在作用。为此,我们在雄性小鼠中诱导出RA,并将它们分为5个不同的组。对关节炎小鼠进行DZGP治疗后,对滑膜细胞进行高通量转录组分析,结果显示基因表达有显著改变。转录组与代谢物的相关性分析表明,DZGP特异性靶向B细胞介导的免疫途径。DZGP治疗抑制了细胞因子的产生,同时减少了炎性肿瘤坏死因子-α(TNF-α)的产生,从而减轻了关节炎小鼠的炎症反应。此外,我们应用基于16S rDNA测序的综合方法来了解与代谢物积累相关的微生物群落。结果表明,DZGP通过维持厚壁菌门和拟杆菌门的比例以及引入另外两个门,即疣微菌门和蓝细菌门,促进了健康的肠道微生物群。因此,可以得出结论,DZGP通过改变代谢谱、肠道微生物群,同时表现出较低的细胞毒性,比市售药物具有优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b8b/11283109/78ac9cec72eb/gr1.jpg

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