首页|清瘟解热方对湿热证型病毒性肺炎大鼠肺损伤及CCL3/CCR5信号通路的作用

清瘟解热方对湿热证型病毒性肺炎大鼠肺损伤及CCL3/CCR5信号通路的作用

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目的 探讨清瘟解热方(以下简称QWJR)对湿热证型病毒性肺炎大鼠肺损伤及CCL3/CCR5信号通路的作用.方法 将48只大鼠随机分为正常组、湿热模型组、阳性药物组(甲泼尼龙)、清瘟解热低剂量组(QWJR-L)、清瘟解热中剂量组(QWJR-M)、清瘟解热高剂量组(QWJR-H),每组8只,雌雄各半,正常组自然环境饲养,其余各组湿热外因+内因饲养14 d.14 d后,除正常组气管注射50μL PBS外,其余组均运用Poly(I:C)气管注射,建立湿热证型病毒性肺炎大鼠模型.造模2 h后,正常组和湿热模型组灌胃生理盐水,其余各组给予相应药物干预,连续给药3 d.收集样本后检测相关指标.(1)湿热证评价指标:大鼠症状、证候积分、体质量、血清总胆固醇(cholesterol,CHOL)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)含量、血常规;(2)肺泡毛细血管屏障变化、肺损伤情况:肺组织的干湿比、支气管肺泡灌洗液(bron-choalveolar lavage fluid,BALF)总细胞计数、BALF总蛋白浓度、HE染色观察大鼠肺组织病理变化;(3)趋化因子CCL3(CC chemokine Ligand 3,CCL3)/CC趋化因子受体-5(CC chemokine receptor 5,CCR5)通路及下游因子:qPCR法检测肺组织中CCL3、CCR5、磷脂酶C(phospholipase C,PLC)、蛋白激酶 C(proteinkinase C,PKC)mRNA 表达水平和 Western-Blot 法检测 CCL3、CCR5、PLC、PKC 蛋白表达水平.结果 QWJR干预后大鼠大便黏滞或溏泄伴臭秽,肛门红肿污秽情况有所减轻,大鼠湿热证候积分降低,血脂CHOL、LDL-C水平降低(P<0.05);血常规中WBC及NE水平较模型组降低(P<0.05);QWJR-M组和QWJR-H组肺组织W/D值、BULF中总蛋白含量、总细胞数均降低,且以高剂量组治疗效果最显著(P<0.01),并有效改善大鼠肺组织病理损伤;与模型组相比,阳性药物组、QWJR-H 组大鼠 CCR5、PLC、PKC 蛋白表达水平降低(P<0.05,P<0.01),CCL3、CCR5、PLC、PKC mRNA 表达量降低(P<0.05,P<0.01).结论 QWJR可减轻湿热大鼠湿热症状,改善湿热证型病毒性肺炎大鼠肺部损伤情况,该作用可能是通过抑制CCL3/CCR5信号通路实现的.
Effects of Qingwen Jiere Formula on lung injury and CCL3/CCR5 signaling pathway in rats with viral pneumonia of damp-heat pattern
Objective To investigate the effects of Qingwen Jiere Formula(QWJR)on lung injury and CC chemokine Ligand 3(CCL3)/CC chemokine receptor 5(CCR5)signaling pathway in rats with viral pneumonia of damp-heat pattern.Methods Forty-eight rats were randomized into normal group,model group,positive drug group(methylprednisolone),as well as low-,medium-,and high-dose QWJR groups(i.e.QWJR-L,QWJR-M,and QWJR-H groups),with eight rats in each group,half male and half female.The normal group was raised in a natural environment,while the other groups were subjected to both exogenous and endogenous damp-heat conditions for 14 days.After 14 days,except for the normal group which received a tracheal injection of PBS 50 µL,all other groups were administered with Poly(I:C)via tracheal injection to establish a rat model of viral pneumonia with damp-heat pattern.Two hours after model establishment,the normal and model groups were gavaged with saline,while the other groups received corresponding drug interventions for 3 consecutive days.Samples were collected for the following measurements:(1)Evaluation indicators of damp-heat pattern:rat symptoms,pattern scores,body mass,serum levels of chol-esterol(CHOL),low-density lipoprotein cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C),and blood routine test;(2)Changes in alveolar-capillary barrier and lung injury:measurement of the lung wet-to-dry weight ratio(W/D),as well as the total cell count and total protein concentration in the bronchoalveolar lavage fluid(BALF),and observation of pathological changes in the lung tissue using HE staining;(3)CCL3/CCR5 pathway and downstream factors:determination of CCL3,CCR5,PLC,and PKC protein and mRNA expression levels using qPCR and Western blot,respectively.Results After QWJR intervention,symptoms such as sticky or loose stools with a foul odor,and redness,swelling,and soiling around the anus were alleviated in the rats;the pattern scores for damp-heat were reduced,along with lower levels of serum CHOL and LDL-C(P<0.05);the levels of WBC and NE in the blood routine test were also lower than those of the model group(P<0.05).In the QWJR-M and QWJR-H groups,the lung W/D value and the total protein content and total cell count in BALF decreased,with the QWJR-H group showing the most significant therapeutic effect(P<0.01).Additionally,the pathological damage to the rat lung tissue was effectively reduced.Compared with the model group,the protein expression levels of CCR5,PLC,and PKC were lower in the positive drug and QWJR-H groups(P<0.05,P<0.01),and the mRNA expression levels of CCL3,CCR5,PLC,and PKC were also reduced(P<0.05,P<0.0l).Conclusion Qingwen Jiere Formula can alleviate the symptoms of damp-heat and reduce lung injury in rats with viral pneumonia of the damp-heat pattern.The effects may be achieved through the inhibition of the CCL3/CCR5 signaling pathway.

viral pneumoniaQingwen Jiere Formulalung injurydamp-heat patternanimal model of damp-heat pat-ternCCL3/CCR5 signaling pathway

张琳曼、李钦、张庭瑞、温伟波

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云南中医药大学,云南 昆明 650021

云南省中西医结合慢病防治重点实验室,云南 昆明 650021

病毒性肺炎 清瘟解热方 肺损伤 湿热证 湿热证动物模型 CCL3/CCR5信号通路

2024

湖南中医药大学学报
湖南中医药大学

湖南中医药大学学报

CSTPCD
影响因子:1.098
ISSN:1674-070X
年,卷(期):2024.44(11)