首页|PRP联合GPs治疗小鼠银屑病样皮肤炎症

PRP联合GPs治疗小鼠银屑病样皮肤炎症

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目的 探讨富血小板血浆(platelet-rich plasma,PRP)皮下注射联合绞股蓝总皂苷(gypenosides,GPs)灌胃给药对BALB/c小鼠银屑病样皮肤炎症的治疗效果并探究其作用机制。方法 选取6~8周雌性SPF级BALB/c小鼠,随机分为5组:对照组、模型组、PRP组、GPs组和PRP+GPs组,每组5只。除对照组外,各组小鼠在背部构建咪喹莫特(imiquimod,IMQ)诱导的银屑病样皮肤炎症模型。通过不同处理后银屑病小鼠的皮损观察、皮肤厚度测量、PASI评分等评估不同治疗组银屑病样炎症的严重程度;皮肤组织HE染色、Ki67染色等判断皮损的病理学改变和角质形成细胞增殖;血细胞计数、酶联免疫吸附试验和蛋白免疫印迹实验探究循环白细胞数量、细胞因子IL-17A和TNF-α 和相关信号通路蛋白p-STAT3和p-P38的变化。结果 试验结束时模型组、PRP组、GPs组和PRP+GPs组的鳞屑评分分别为3。6±0。49,1。8±0。75,1。8±0。75,1。2±0。40;皮肤厚度(μm)变化比为0。86±0。18,0。59±0。10,0。56±0。07和0。42±0。09;PASI评分为10。6±1。02,4。0±0。63,4。0±1。10和3。2±0。75;相比于模型组,各治疗组在鳞屑数量(P<0。01),斑块厚度(P<0。01),PASI评分降低(P<0。0001)方面都表现出一定的治疗效果,PRP+GPs组效果最佳;病理学检查显示各治疗组表皮层厚度降低(P<0。01),表皮细胞增殖减少(P<0。05);各组皮肤组织IL-17A表达量分别为9。02±2。54,16。56±3。49,10。01±1。83,11。12±2。48和10。50±2。16,TNF-α表达量分别为223。36±70。34,377。36±58。47,265。42±45。14,262。94±33。29和268。94±26。80,皮肤组织IL-17A(P<0。05)和TNF-α(P<0。05)表达降低及相关信号通路蛋白p-STAT3和p-P38表达降低。结论 PRP联合GPs可通过STAT3和P38信号通路降低IL-17A和TNF-α表达,从而减轻炎症和抑制角质形成细胞过度增殖,改善BALB/c小鼠银屑病样皮肤炎症。
Platelet-rich plasma combined with gypenosides for the treatment of psoriasis-like inflammation in mice
Objective To investigate the therapeutic effect of platelet-rich plasma (PRP) subcutaneous injection com-bined with gypenosides (GPs) oral administration on BALB/c mouse psoriatic inflammation and explore its mechanism of action. Methods The 6-8 week-old female SPF BALB/c mice were randomly divided into five groups:control,model,PRP,GPs and PRP+GPs group,with 5 mice in each group. Imiquimod (IMQ) was used to induce psoriasis-like skin in-flammation on the back of mice except the control group. The onset and severity of psoriasis-like inflammation in different treatment groups were evaluated by observing skin lesions,skin thickness and measuring PASI score. HE staining and Ki67 staining were used to evaluate the pathological changes and proliferation of keratinocytes in psoriasis-like skin lesions. Blood cell count,enzyme-linked immunosorbent assay and Western blot were used to explore the changes in circulating white blood cell count,cytokines IL-17A and TNF-α,and related signaling pathway proteins p-STAT3 and p-P38. Results At the end of the experiment(on day 6),scale scores of model,PRP,GPs and PRP+GPs group were 3.6±0.49,1.8±0.75,1.8±0.75,1.2±0.40,respectively;the ratios of skin thickness(μm) were 0.86±0.18,0.59±0.10,0.56±0.07 and 0.42±0.09;PASI scores were 10.6±1.02,4.0±0.63,4.0±1.10 and 3.2±0.75. Compared with the model group,the number of scales (P<0. 01),patch thickness (P<0. 01) and PASI score decreased (P<0. 0001) showed a certain therapeutic effect,and PRP+GPs group had the best effect. Pathological examination showed that both the epidermal layer thickness (P<0.01) and epidermal cell proliferation (P<0.05) decreased in all treatment groups;IL-17A expression levels were 9.02±2.54,16.56±3.49,10.01±1.83,11.12±2.48 and 10.50±2.16,and TNF-α expression levels were 223.36±70.34,377.36±58.47,265.42±45.14,262.94±33.29 and 268.94±26.80 respectively. The expression of skin tissue IL-17A (P<0.05) and TNF-α (P<0. 05) decreased,along with the decreased expression of related signaling pathway proteins p-STAT3 and p-P38. Conclusion PRP combined with GPs can reduce the expression of IL-17A and TNF-α through the STAT3 and P38 signaling pathways,thereby alleviating inflammation and inhibiting the overproliferation of keratinocytes,thus improving psoriasis-like skin inflammation in BALB/c mice.

platelet-rich plasma(PRP)gypenosides(GPs)psoriasiscell proliferationinflammation

李丹丹、王冰、葛羽、程红、李梦雪、王志成、夏荣

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复旦大学附属华山医院输血科,上海 200040

上海交通大学附属新华医院皮肤科,上海 200092

同济大学附属东方医院南院检验科,上海 200123

富血小板血浆 绞股蓝总皂苷 银屑病 细胞增殖 炎症反应

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(12)