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新乌梅丸对溃疡性结肠炎患者na?ve CD4+T细胞分化的影响

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目的 研究新乌梅丸对溃疡性结肠炎(ulcerative colitis,UC)患者naïve CD4+T细胞的影响.方法 使用SPF级雄性SD大鼠30只制备新乌梅丸含药血清;构建naïve CD4+T细胞体外分化模型;CCK-8法筛选新乌梅丸含药血清干预naïve CD4+T细胞的适宜浓度;使用流式细胞术检测naïve CD4+T细胞纯度及含药血清对分化模型的影响;通过ELISA法检测细胞上清液白介素(interleukin,IL)-17A、IL-10细胞因子表达量,RT-qPCR检测葡萄糖转运蛋白1和糖酵解关键酶(HK2、PKM2、LDHA)的mRNA表达.结果 本研究提取了纯度为98.2%的naïve CD4+T细胞,并以此为基础构建了 CD4+T细胞体外分化模型.CCK-8法筛选新乌梅丸含药血清干预naïve CD4+T细胞的适宜浓度为2.5%、5%、10%.与模型组相比,经新乌梅丸干预后,naïve CD4+T细胞向Th17细胞的分化明显减少(P<0.01),而向Treg分化明显升高(P<0.05).机制方面,与模型组相比,经新乌梅丸干预后,葡萄糖转运蛋白1及糖酵解相关酶(HK2、PKM2、LDHA)的基因水平均明显下降(P<0.05).结论 新乌梅丸可能通过抑制naïve CD4+T细胞的糖酵解途径,从而调控其分化,恢复Th17/Treg免疫平衡,达到治疗UC的目的.
Effect of New Wumei Pills on differentiation of naive CD4+T cells in patients with ulcerative colitis
Objective To study the effect of New Wumei Pills(NWP)on naïve CD4+T cells in patients with ulcerative colitis(UC).Methods The medicinal serum containing NWP was prepared using SD rats,and a differentiation model of naïve CD4+T cells in vitro was established.The optimal concentration of medicinal serum containing NWP for intervening in naïve CD4+T cells was screened using the CCK-8 method.Flow cytometry was used to detect the purity of naïve CD4+T cells and the impact of the medicinal serum on the differentiation model.The expression levels of interleukin(IL)-17 and IL-10 cytokines in the cell culture supernatants were detected by ELISA,the mRNA expression of Glut1 and glycolysis-related enzymes(HK2,PKM2,LDHA)was analyzed by RT-qPCR.Results In this study,naïve CD4+T cells with a purity of 98.2%were successfully extracted,and an in vitro differentiation model of CD4+T cells was established based on these cells.The optimal concentrations of the medicinal serum containing NWP for intervening in naïve CD4+T cells,as screened by the CCK-8 method,were 2.5%,5%,and 10%.Compared with the model group,the differentiation of naïve CD4+T cells towards Th17 cells was significantly decreased,while the differentiation towards Treg cells was significantly increased after intervention with NWP.Mechanistically,compared with the model group,the gene expression levels of Glut1 and glycolysis-related enzymes significantly were decreased after intervention with the medicinal serum containing NWP.Conclusion NWP may regulate the differentiation of naïve CD4+T cells by inhibiting their glycolytic pathway,thereby restoring the Th17/Treg immune balance and achieving the purpose of treating UC.

ulcerative colitisNew Wumei Pillsnaïve CD4+T cellsglycolysismechanisms of immunity

王木源、李军祥、梁承涛、蔚伊童、袁亚利、林政道、焦瑶、李一桐、胡佳艳、张文基、毛堂友

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100078 北京中医药大学东方医院脾胃肝胆科

溃疡性结肠炎 新乌梅丸 naïve CD4+T细胞 糖酵解 免疫机制

2024

环球中医药
中华国际医学交流基金会

环球中医药

CSTPCD
影响因子:1.553
ISSN:1674-1749
年,卷(期):2024.17(12)