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固本化湿方治疗DNCB诱导的特应性皮炎小鼠的作用机制

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目的 探索性研究固本化湿方治疗特应性皮炎(AD)可能的作用机制.方法 首先通过分子对接分析固本化湿方的活性化合物成分与丝聚蛋白(FLG)及芳香烃受体(AHR)之间的结合能力.随后通过1-氯-2,4-二硝基苯(2,4-dinitrochloro-benzene,DNCB)诱导刺激的AD小鼠模型进一步验证,连续造模给药28 d后观察小鼠皮损严重程度和经表皮水分丢失(TEWL),HE染色观察组织病理、瘙痒回合数、脾脏指数、耳廓厚度.Western blot和免疫组织化学染色检测皮肤屏障相关蛋白的表达以及AHR、OVOL1蛋白的表达水平;ELISA检测血清中IgE、IL-13和IL-22含量,流式细胞术检测淋巴结中Th1、Th2、Th17占CD4+T细胞的比例.多因子液相芯片法检测多因子水平.结果 分子对接结果显示,目标靶点与固本化湿方关键化合物成分之间有较强的结合能力.动物实验结果显示,与AD模型组相比,治疗后,固本化湿方降低了皮损严重程度、TEWL、瘙痒回合数和耳廓厚度(P<0.05),下调淋巴结中Th1、Th2、Th17比例,改善血清中IgE、IL-13和IL-22水平;固本化湿方治疗后,上调FLG、IVL、LOR、Occludin、AHR和OVOL1的表达水平,IL-1β、IL-4、IL-5和IL-33的表达显著下降(P<0.05).结论 固本化湿方可能通过激活AHR/OVOL1/FLG轴促进皮肤屏障功能障碍和免疫平衡紊乱,从而达到治疗或抑制特应性皮炎病情发展的作用.
Mechanisms of Guben Huashi Formula in the Treatment of DNCB-induced Atopic Dermatitis in Mice
Objective To explore the possible mechanism of Guben Huashi Formula in the treatment of atopic dermatitis(AD).Methods The binding ability between the active compound components of the Guben Huashi Formula and the filaggrin(FLG)and aromatic hydrocarbon receptor(AHR)was firstly analyzed by molecular docking,and subsequently further validated by the AD mouse models stimulated by 2,4-dinitrochlorobenzene(DNCB).After 28 days of continuous modeling and drug administration,the severity of skin lesions and transepidermal water loss(TEWL)were observed.HE staining was used to observe pathological tissues,number of itchy cycles,spleen index,and ear thickness in mice.The expression levels of skin barrier-related proteins and AHR,OVOL1 protein were detected by Western blot and immunohistochemistry.ELISA was used to detect serum levels of IgE,IL-13 and IL-22,and flow cytometry was used to detect the ratio of Th1,Th2 and Th17 to CD4+T cells subsets in lymph nodes.The Luminex method was used to detect various factor levels.Results The molecular docking results showed a strong binding ability between the target and the key compound components of Guben Huashi Formula.The results of animal experiments showed that,after treatment,the severity scores of skin lesions,TEWL,number of itching cycles and ear thickness were significantly decreased in the Guben Huashi group,as compared with the AD model group(P<0.05),reduced the ratios of Th1,Th2,and Th17 in lymph nodes,and improved the levels of IgE,IL-13 and IL-22 in serum.After treatment,Guben Huashi Formula up-regulated the expression level of FLG,IVL,LOR,Occludin,AHR,and OVOL1 and significantly down-regulated the expression of IL-1β,IL-4,IL-5 and IL-33 compared with the AD model group(P<0.05).Conclusion Guben Huashi Formula may promote skin barrier dysfunction and immune dysregulation,probably through the AHR/OVOL1/FLG axis,to achieve the effect of treating or inhibiting the progression of atopic dermatitis.

Atopic dermattisGuben Huashi FormulaSkin barrierImmune imbalanceT cell subsets

马欣、程子璇、莫秀梅、刘俊峰、陈达灿、贾金靖

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广州中医药大学第二临床医学院,广东 广州 510120

广州中医药大学第二附属医院皮肤科,广东 广州 510120

省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院),广东 广州 510120

特应性皮炎 固本化湿方 皮肤屏障 免疫平衡紊乱 T细胞亚群

2025

中国皮肤性病学杂志
西安交通大学

中国皮肤性病学杂志

北大核心
影响因子:0.66
ISSN:1001-7089
年,卷(期):2025.39(1)