首页|清肺排毒汤、化湿败毒方和宣肺败毒方体外抗补体活化作用的比较研究

清肺排毒汤、化湿败毒方和宣肺败毒方体外抗补体活化作用的比较研究

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目的:平行比较新冠肺炎"抗疫三方"(清肺排毒汤、化湿败毒方和宣肺败毒方)对抗新冠肺炎(COVID-19)重要病机补体活化的作用。方法:基于酶联免疫吸附测定(ELISA)原理,采用免疫球蛋白M(IgM)、酵母多糖和甘露聚糖作为包被物分别启动经典途径、替代途径和凝集素途径,通过测定补体活化终端产物攻膜复合物(C5b-9)水平以评价补体活化程度。不仅如此,通过包被新冠病毒刺突蛋白(S蛋白)与核衣壳蛋白(N蛋白)还可考察"三方"对抗这两种蛋白引起补体活化的作用。结果:"三方"均能剂量依赖地对抗经典途径、替代途径和凝集素途径引起的C5b-9生成,也均对S蛋白与N蛋白引起的C5b-9生成具有抑制作用,其中宣肺败毒方的作用最强。结论:"三方"均可在体外对抗三条补体途径的激活并抑制新冠S蛋白与N蛋白引起的补体活化,此作用可能是三方发挥治疗COVID-19作用的药效学基础之一。
Comparison of the in vitro Effects of Qingfei Paidu Decoction(清肺排毒汤),Huashi Baidu Decoction(化湿败毒方)and Xuanfei Baidu Decoction(宣肺败毒方)against Complement Activation
Objective:To compare the effects of three decoctions for COVID-19,Qingfei Paidu Decoction(清肺排毒汤,QF),Huashi Baidu Decoc-tion(化湿败毒方,HS),Xuanfei Baidu Decoction(宣肺败毒方,XF)against the complement activation(the important pathogenesis of COVID-19),by using the parallel experimental models.Methods:Based on the principle of ELISA,the IgM,zymosan and mannan were se-lected as coating substances to activate the classical,alternative and lectin complement pathway,respectively.Complement activation was eval-uated by measuring the level of terminal complement complex C5b-9.Meanwhile,coated SARS-CoV-2 spike protein(S protein)and SARS-CoV-2 nucleocapsid(N protein)was employed to investigate the effects of three decoctions against complement activation mediated by these two proteins.Results:Three decoctions for COVID-19 could concentration-dependently inhibit the production of C5b-9 in three complement activation pathways,and they all inhibited the C5b-9 production triggered by S and N proteins.Among them,XF exhibited the strongest abili-ty.Conclusion:Three decoctions for COVID-19 can suppress the complement activation mediated by all three pathways,as well as S and N proteins in vitro,suggesting that the ability of three decoctions against complement activation may be one of the pharmacodynamic bases for their clinical use in the treatment of COVID-19.

Qingfei Paidu Decoction(清肺排毒汤)Huashi Baidu Decoction(化湿败毒方)Xuanfei Baidu Decoction(宣肺败毒方)Complement activationCOVID-19C5b-9S proteinN protein

李西蒙、藏晨晨、郭怡琳、蔡敏、闫晶晶、李文静、刘壮壮、高源、齐云

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中国医学科学院北京协和医学院药用植物研究所,北京 100193

清肺排毒汤 化湿败毒方 宣肺败毒方 补体活化 新冠肺炎 补体活化终端产物攻膜复合物 刺突蛋白 核衣壳蛋白

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(7)