目的 探讨果蝇双翅边缘缺刻同源基因(Notch)信号通路在慢性阻塞性肺疾病(COPD)辅助性T细胞1(Helper T cells 1，Th1)和辅助性T细胞2(Helper T cells 2，Th2)失衡中的作用及芪蛭皱肺颗粒的干预机制。方法 70只Wistar大鼠随机挑选10只作为空白对照组，其余大鼠均采用香烟烟雾(CS)联合气管滴注脂多糖(Lipopolysaccharide，LPS)法建立COPD模型，空白对照组及造模组各随机挑选3只大鼠验证造模是否成功。造模结束进行灌胃给药干预，造模组大鼠随机分为模型对照组、阳性对照组(67。5 µg·kg-1)及芪蛭皱肺颗粒高中低剂量组(3。24、1。62、0。81 g·kg-1)，分别给予生理盐水、醋酸地塞米松混悬液、芪蛭皱肺高、中、低剂量混悬液进行灌胃干预，空白对照组同模型对照组，灌胃等体积生理盐水。经28天造模及28天治疗后，采用动物肺功能测试系统检测吸气峰流速(Peak Inspiratory Flow，PIF)和呼气峰流速(Peak Expiratory Flow，PEF)，处死大鼠提取肺脏、脾脏、血清及支气管肺泡灌洗液(BALF)，苏木素-伊红(HE)染色评价肺组织病理变化，酶联免疫吸附实验法(ELISA)测定血清及BALF中肿瘤坏死因子-α(TNF-α)含量，流式细胞仪检测脾脏Th1/Th2细胞水平，免疫组织化学法(Immunohistochemistry，IHC)及蛋白免疫印迹法(Western blot)检测肺组织Notch1、Hes家族发状分裂相关增强子1(Hes1)、Hey家族发状分裂相关增强子1(Hey1)蛋白水平，实时荧光定量聚合酶链式反应(Real-time PCR，RT-PCR)检测肺组织Notch1、Hes1、Hey1基因表达水平。结果 与空白对照组比较，模型对照组大鼠肺功能显著降低(P<0。05)，肺组织出现炎性细胞浸润、支气管结构破坏等病变，血清及BALF中TNF-α含量显著升高(P<0。05)，脾Th1细胞百分比显著降低(P<0。05)，Th2细胞百分比显著升高(P<0。05)，肺组织Notch1、Hes1、Hey1蛋白及mRNA表达显著升高(P<0。05)，差异均具有统计学意义;与模型对照组比较，各给药组大鼠肺功能显著升高(P<0。05)，肺组织病理损伤均有所减轻，血清及BALF中TNF-α含量显著降低(P<0。05)，脾Th1细胞百分比显著升高(P<0。05)，Th2细胞百分比显著降低(P<0。05)，肺组织Notch1、Hes1、Hey1蛋白及mRNA表达显著降低(P<0。05)，差异均具有统计学意义。结论 芪蛭皱肺颗粒通过抑制Notch信号通路调节Th1/Th2平衡，从而改善COPD大鼠肺功能及病理损伤，影响其免疫功能。
Qizhi Zhoufei Granule Alleviate Chronic Obstructive Pulmonary Disease by Regulating Th1/Th2 Immunologic Balance Through Notch Signaling Pathway
Objective To investigate the role of homologous genes absent from the wings of drosophila melanogaster(Notch)signaling pathway in the imbalance of helper T cells 1(Th1)and helper T cells 2(Th2)and the intervention mechanism of Qizhi Zhoufei Granule in chronic obstructive pulmonary disease(COPD).Methods Ten of seventy Wistar rats were selected as the blank control group,and the other rats were established by cigarette smoking combined(CS)with tracheal infusion of lipopolysaccharide(LPS).The COPD model was established by randomly selecting 3 rats in the control group and the model group to verify the success of the model.At the end of modeling,gavage administration was performed.The rats in the model group were randomly divided into model control group,positive control group(67.5 µg·kg-1)and Qizhi Zhoufei Granule high,medium and low treatment group(3.24,1.62,0.81 g·kg-1).Each group was treated with normal saline,dexamethasone acetate suspension and Qizhi Zhoufei Granule suspension at high,medium and low doses.The rats in the blank control group were given the same volume of normal saline as the model control group.After modeling with 28 days and treatment with 28 days,peak inspiratory flow(PIF)and peak expiratory flow(PEF)were detected by the animal lung function test system.Rats were killed to extract lungs,spleen,serum and bronchoalveolar lavage fluid(BALF),hematoxylin-eosin(HE)staining was used to evaluate the pathological changes of lung tissues.The level of tumor necrosis factor-α(TNF-α)in serum and BALF was determined by enzyme-linked immunosorbent assay(ELISA).Flow cytometry was used to detect Th1/Th2 cells in spleen.Immunohistochemistry(IHC)and western blot were used to detect Notch1,Hes1 and Hey1 protein levels in lung tissues.Real-time fluorescence quantitative polymerase chain reaction(Real-Time PCR)was used to detect Notch1,Hes1 and Hey1 gene expression levels in lung tissues.Result Compared with the blank control group,the lung function of the model control group was significantly decreased(P<0.05),inflammatory cell infiltration and bronchial structure destruction occurred in the lung tissue,TNF-α content in serum and BALF increased significantly(P<0.05),the percentage of spleen Th1 cells was significantly decreased(P<0.05),and the percentage of Th2 cells was significantly increased(P<0.05),the protein and mRNA expressions of Notch1,Hes1 and Hey1 in lung tissues were significantly increased(P<0.05),the differences were statistically significant;Compared with the model control group,the lung function of rats in each administration group was significantly increased(P<0.05),the pathological injury of lung tissue was alleviated,TNF-α content in serum and BALF decreased significantly(P<0.05),the percentage of spleen Th1 cells was significantly increased(P<0.05),the percentage of Th2 cells was significantly decreased(P<0.05),the lung tissue of Notch1,Hes1,Hey1 protein and mRNA expression were significantly decreased(P<0.05),the differences were statistically significant.Conclusion Qizhi Zhoufei Granule regulate Th1/Th2 balance by inhibiting Notch signaling pathway,thereby improving pulmonary function and pathological injury,and affecting immune function in COPD rats.
Qizhi Zhoufei GranuleChronic obstructive pulmonary disease(COPD)Homologous genes absent from the wings of drosophila melanogaster(Notch)signaling pathwayHelper T cells 1(Th1)and helper T cells 2(Th2)immunologic balance
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