调补肺肾三法通过抑制ERK1/2信号通路改善COPD大鼠气道黏液高分泌
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1.河南中医药大学;2.河南中医药大学第一附属医院中药药理呼吸实验室河南省呼吸病防治中医药重点实验室;3.河南中医药大学第一附属医院呼吸科

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国家自然科学基金(82074413, 82374416),国家重点研发计划项目(2018YFC1704801),省级科技研发计划联合(222301420081)


Three Tiao-Bu Fei-Shen therapies can improve airway mucus hypersecretion in COPD rats by inhibiting ERK1/2 signaling pathway
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1.Henan University of Chinese Medicine;2.Chinese Medicine Pharmacology (Respiratory) Laboratory, the First Affiliated Hospital of Henan University of Chinese Medicine Henan Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Respiratory Diseases;3.Respiratory Department of the First Affiliated Hospital of Henan University of Chinese Medicine

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National Natural Science Foundation of China (82074413, 82374416) and the National key Research and Development Project (2018YFC1704801), as well as Science and Technology R&D Program Joint Fund Project of Henan Province (222301420081).

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    摘要:

    目的 探究调补肺肾三法对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期大鼠气道黏液高分泌的影响及作用机制。方法 90只大鼠随机分为对照组、模型组、补肺健脾组、补肺益肾组、益气滋肾组、PD98059组、补肺健脾联合PD98059组、补肺益肾联合PD98059组和益气滋肾联合PD98059组。第1 ~ 8周采用香烟烟雾暴露联合细菌反复感染的方法建立COPD大鼠模型,9 ~ 16周Control组和COPD组给予生理盐水2 mL/只,中药治疗组给予对应的调补肺肾三方灌胃,第16周PD98059组与联合组给予PD98059腹腔注射7天。16周结束后取材,检测大鼠肺功能、肺组织形态、肺组织水含量、BALF中炎性细胞计数和血清炎性因子水平。AB-PAS染色和免疫组化法分别检测杯状细胞比例和Muc5AC、Muc5B表达。PCR检测ERK1、ERK2、ENaC、CFTR、AQP5 mRNA表达。Western Blot测定肺组织中ERK1/2、P-ERK1/2蛋白表达。结果 与Control组比较,COPD组大鼠TV、MV、FVC、FEV0.1及FEV0.1/FVC均显著下降(P<0.01);肺病理显示肺泡紊乱,肺泡壁大量断裂,气管壁严重皱缩增厚,周围有大量炎性细胞浸润;肺组织水含量明显升高(P<0.01);BALF中巨噬细胞比例显著降低(P<0.01),中性粒细胞和淋巴细胞比例显著升高(P<0.01);血清炎性因子TNF-α、IL-1β水平显著增高(P<0.01);气道上皮杯状细胞比例和Muc5AC、Muc5B表达水平均显著升高(P<0.01);肺组织ERK1、ERK2、ENaC mRNA表达量均明显升高(P<0.01),CFTR和AQP5 mRNA的表达均明显降低(P<0.01);肺组织P-ERK/ERK表达明显升高(P<0.01);与COPD组比较,各治疗组能不同程度改善上述指标变化(P<0.05),以调补肺肾三方联合PD98059组较对应单一治疗组效果更为显著(P<0.05)。结论 调补肺肾三法通过抑制ERK1/2信号通路改善COPD大鼠气道黏液高分泌。

    Abstract:

    Objective To investigate the three Tiao-Bu Fei-Shen therapies in improving airway mucus hypersecretion in stable chronic obstructive pulmonary disease (COPD) rats. Methods 90 rats were randomly divided into nine groups: control group, COPD group, Bu-Fei Jian-Pi (BJF) group, Bu-Fei Yi-Shen (BYF) group, Yi-Qi Zi-Shen (YZF) group, ERK1/2 inhibitor (PD98059) group, BJF + PD98059 group, BYF + PD98059 group and YZF + PD98059 group. The rat model of COPD was established by exposing them to cigarette smoke and repeated bacterial infection from the first to the eighth week. From the ninth to the sixteenth week, the Control group and the COPD group were given normal saline 2 ml, the TCM treatment group was given three Tiao-Bu Fei-Shen formulas by gavage, and the inhibitor group and the combination group were given PD98059 by intraperitoneal injection for 7 days. Lung function tests were conducted at the end of 16 weeks along with assessments on lung tissue morphology, lung water content,inflammatory cell count in bronchoalveolar lavage fluid (BALF), and level of inflammatory factors in serum. AB-PAS staining was used to determine goblet cell proportion while immunohistochemistry was employed to measure Muc5AC and Muc5B expression levels. PCR analysis was performed to detect ERK1/2 mRNA expression as well as ENaC, CFTR, AQP5 mRNA expressions. Western Blot analysis measured protein expression levels of ERK1/2and P-ERK1/2 in lung tissue. Results Compared with the Control Group, TV, MV, FVC, FEV0.1, FEV0.1/FVC significantly decreased (P<0.01) in COPD Group.Lung pathology revealed alveolar disorder, massive fracture of alveolar wall, and severe shrinkage/thickening of airway wall accompanied by extensive infiltration of inflammatory cells. Water content in lung tissue increased significantly (P<0.01). The proportion of macrophages in BALF was significantly reduced (P<0.01), whereas the proportions of neutrophils and lymphocytes were significantly increased (P<0.01). The level of TNF-α and IL-1β in serum were significantly increased (P<0.01). The percentage of goblet cells and expression levels of Muc5AC and Muc5B in airway epithelial cells exhibited a significant increase (P<0.01). Expression levels of ERK1, ERK2, and ENaC mRNA in lung tissue were significantly elevated (P<0.01), while expression levels of CFTR and AQP5 mRNA were significantly decreased (P<0.01). Compared to the COPD group, the treatment groups demonstrated improvements in the aforementioned indicators (P<0.05), with the three Tiao-Bu Fei-Shen formulas combined PD98059 group showing superior efficacy compared to single treatment groups (P<0.05). Conclusions Three Tiao-Bu Fei-Shen therapies can ameliorate airway mucus hypersecretion in COPD rats by inhibiting the ERK1/2 signaling pathway.

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  • 收稿日期:2023-12-04
  • 最后修改日期:2024-03-12
  • 录用日期:2024-03-13
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