Zhang Fanxuan, Wang Fang, Zhao Lisha, Wang Leqian, Li Wenjing, Huang Feihua, Wang Nani
Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
School of Pharmacy, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Front Pharmacol. 2025 Jan 24;16:1430536. doi: 10.3389/fphar.2025.1430536. eCollection 2025.
Yunvjian (YNJ) decoction, a classic traditional Chinese medicine prescription for inflammatory diseases, has demonstrated good therapeutic effects in the clinical treatment of pneumonia. The aim of this study was to clarify the effective ingredients and mechanism of action of YNJ on lipopolysaccharide (LPS)-induced acute lung injury (ALI).
The effects of YNJ were evaluated in a mouse model of LPS-induced ALI and in LPS-treated MLE-12 murine lung epithelial cells and RAW264.7 macrophages . The mechanism of action of YNJ on these model systems was studied using RNA sequencing, immunohistochemical analysis, immunoblotting, immunofluorescence, ELISA, and polymerase chain reaction assays. Ultra-high performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry was applied to identify the absorbed components of YNJ.
YNJ attenuated pulmonary damage in LPS-treated mice, as evidenced by reduced protein content in bronchoalveolar lavage fluid, decreased lung wet/dry weight ratio, and improved respiratory function. Analysis of pneumonia-related lung injury samples from patients in the Gene Expression Omnibus dataset GSE40012 indicated that NOD-like receptor protein 3 (NLRP3)-mediated pyroptosis was a primary mechanism in ALI. YNJ reduced the phosphorylation of nuclear factor-kappa B (NF-κB) and decreased the expression levels of lung NLRP3, apoptosis-associated speck-like protein containing a CARD (ASC), cleaved caspase-1, and interleukin-1β levels (IL-1β) . Administration of YNJ-containing mouse serum increased cell viability and decreased malondialdehyde and reactive oxidative species contents in LPS-stimulated MLE-12 cells. YNJ-containing serum also decreased the secretion of tumor necrosis factor-α, IL-6, and IL-1β in LPS-stimulated RAW264.7 macrophages, and promoted macrophage polarization toward an M2 phenotype. A total of 23 absorbed components were identified in YNJ-containing serum. Among those, network analysis and experiments indicated that diosgenin, timosaponin BII, and mangiferin are anti-inflammatory active substances.
YNJ attenuates LPS-induced ALI in mice by inhibiting pyroptosis of lung epithelial cells and macrophages via suppression of the NF-κB/NLRP3 pathway. Our findings provide novel insights into the therapeutic effects of YNJ on ALI.
玉女煎(YNJ)是一种用于治疗炎症性疾病的经典中药方剂,在肺炎的临床治疗中已显示出良好的治疗效果。本研究旨在阐明玉女煎对脂多糖(LPS)诱导的急性肺损伤(ALI)的有效成分及作用机制。
在LPS诱导的ALI小鼠模型以及LPS处理的MLE-12小鼠肺上皮细胞和RAW264.7巨噬细胞中评估玉女煎的作用。使用RNA测序、免疫组织化学分析、免疫印迹、免疫荧光、ELISA和聚合酶链反应测定法研究玉女煎在这些模型系统中的作用机制。应用超高效液相色谱-四极杆飞行时间质谱联用技术鉴定玉女煎的吸收成分。
玉女煎减轻了LPS处理小鼠的肺损伤,支气管肺泡灌洗液中蛋白质含量降低、肺湿/干重比下降以及呼吸功能改善均证明了这一点。对基因表达综合数据库GSE40012中患者的肺炎相关肺损伤样本分析表明,NOD样受体蛋白3(NLRP3)介导的细胞焦亡是ALI的主要机制。玉女煎降低了核因子-κB(NF-κB)的磷酸化水平,并降低了肺NLRP3、含半胱天冬酶募集结构域的凋亡相关斑点样蛋白(ASC)、裂解的半胱天冬酶-1和白细胞介素-1β(IL-1β)的表达水平。给予含玉女煎的小鼠血清可提高LPS刺激的MLE-12细胞的活力,并降低丙二醛和活性氧化物质的含量。含玉女煎的血清还降低了LPS刺激的RAW264.7巨噬细胞中肿瘤坏死因子-α、IL-6和IL-1β的分泌,并促进巨噬细胞向M2表型极化。在含玉女煎的血清中总共鉴定出23种吸收成分。其中,网络分析和实验表明,薯蓣皂苷元、知母皂苷BII和芒果苷是抗炎活性物质。
玉女煎通过抑制NF-κB/NLRP3途径抑制肺上皮细胞和巨噬细胞的细胞焦亡,从而减轻LPS诱导的小鼠ALI。我们的研究结果为玉女煎对ALI的治疗作用提供了新的见解。