首页|木瓜总三萜和吲哚美辛联用对弗氏完全佐剂诱导大鼠类风湿性关节炎的治疗作用研究

木瓜总三萜和吲哚美辛联用对弗氏完全佐剂诱导大鼠类风湿性关节炎的治疗作用研究

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目的:观察木瓜总三萜和吲哚美辛联用对佐剂性关节炎大鼠的治疗作用,并探寻其可能作用机制。方法:将大鼠随机分为正常对照组、模型对照组、吲哚美辛5 mg/kg组、木瓜总三萜100 mg/kg组、木瓜总三萜100 mg/kg+吲哚美辛5 mg/kg联用组。除正常对照组外,各组大鼠右后脚底皮下注射弗氏完全佐剂(CFA)。14 d后,灌胃给予相应药物,1次/d,连续28 d,计算足肿胀度及关节炎指数评分。末次给药次日,取血和踝关节滑膜组织,检测血清中活性氧(ROS)、乳酸脱氢酶(LDH)和内源性抗氧化酶活性,踝关节中炎症因子含量、滑膜组织和溶酶体中组织蛋白酶B和D、β-半乳糖苷酶和β-葡萄糖醛酸酶活性及形态学分析;实时定量PCR和Western blot法检测踝关节组织中Toll样受体4/核因子κB/NOD样受体家族3(TLR4/NF-κB/NLRP3)通路相关的mRNA和蛋白表达。结果:与正常对照组比较,模型对照组大鼠足肿胀度、关节炎指数评分显著增加(P<0。01),软骨破坏和炎性浸润出现,血清中ROS、丙二醛(MDA)、髓过氧化物酶(MPO)、LDH和踝关节组织中环氧酶(COX-1)、COX-2、前列腺素E2(PGE2)、白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、IL-6、IL-18及踝关节组织蛋白酶B、D、β-半乳糖苷酶、β-葡萄糖醛酸酶和溶酶体细胞器胞质中β-葡萄糖醛酸酶、组织蛋白酶D含量显著升高(P<0。01),血清中超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GSH-Px)和踝关节组织中IL-4、IL-10含量及细胞器溶酶体中组织蛋白酶D、β-葡萄糖醛酸酶活力或含量显著降低(P<0。01),踝关节组织中Tlr4、髓样分化因子(Myd88)、Nlrp3、凋亡相关的斑点样蛋白(Asc)、半胱氨酸天冬氨酸蛋白酶-1(Caspase1)、Cox1、Cox2、Pge2 mRNA及磷酸化IκB激酶-α(p-IKBα)、磷酸化KB抑制蛋白激酶β(p-IKKβ)、硫氧还蛋白互作蛋白(TXNIP)、细胞有丝分裂相关酶(NEK7)、NLRP3、ASC、Pro-caspase-1、Caspase-1、消皮素(GSDMD)、GSDMD 的 N 端结构域(GSDMD-N)、Pro-IL-1 β、Pro-IL-18、胞核中NF-κB p65蛋白表达显著上调和p-IκBα/IκBα、p-IKKβ/IKKβ比值显著增加(P<0。01),胞浆中NF-κB p65蛋白表达显著下调(P<0。01);与模型对照组比较,木瓜总三萜100 mg/kg和吲哚美辛5 mg/kg联用组大鼠足肿胀度、关节炎指数评分显著降低(P<0。01),软骨破坏和炎性浸润减少,踝关节组织中COX-1活力和mRNA表达显著上调(P<0。01),血清中ROS、LDH、氧化应激指标、踝关节组织中细胞因子、踝关节组织及溶酶体细胞器和胞质中溶酶体酶活力以及TLR4/NF-κB、NLRP3炎症小体信号通路相关的mRNA和蛋白表达被显著逆转(P<0。01)。结论:木瓜总三萜100 mg/kg和吲哚美辛5 mg/kg联用对模型大鼠有显著的治疗作用,其作用机制可能与抑制CFA诱导AA模型大鼠氧化应激和TLR4/NF-KB/NLRP3信号通路激活,减轻炎症反应及纠正溶酶体功能障碍有关。
Therapeutic Effect of Total Triterpenoids of Chaenomeles speciosa Combined with Indomethacin on Rheumatoid Arthritis Induced by Freund's Complete Adjuvant in Rats
Objective:To observe the therapeutic effect of total triterpenoids of Chaenomeles speciosa(C.speciose)combined with indomethacin on adjuvant arthritis(AA)rats,and explore its possible mechanism.Methods;Rats were randomly divided into normal control group,model control group,indomethacin(5 mg/kg)group,total triterpenoids of C.speciose(100 mg/kg)group and combination group(total triterpe-noids of C.speciosa 100 mg/kg and indomethacin 5 mg/kg).Except for the normal control group,rats in each group were subcutaneously in-jected with Freund's complete adjuvant(CFA)on the right hind foot.After 14 days,corresponding medicine was administered by gavage once a day for 28 consecutive days,and foot swelling and arthritis index scores were calculated.The next day after the last administration,blood and synovial tissue of ankle joint were collected,and reactive oxygen species(ROS),lactate dehydrogenase(LDH)and endogenous antioxi-dant enzymes in serum,inflammatory factors in synovial tissues,the activities of cathepsins B and D,β-glucuronidase,β-galactosidase in syno-vial tissues and lysosome,and the histological changes of synovial tissues were determined and analyzed.Real-time PCR and Western blot were employed to detect the mRNA and protein expressions of related genes to TLR4/NF-κB/NLRP3 signaling pathway.Results:Compared with the normal control group,the model control group presented increased foot swelling and arthritis index scores(P<0.01),cartilage de-struction and inflammatory infiltration,and up-regulated ROS,lipid peroxidation(MDA),myeloperoxidase(MPO),LDH in serum,elevated cyclooxygenases-2(COX-1),COX-2,prostaglandin E2(PGE2),IL-1β,TNF-α,IL-6,IL-18,cathepsins B and D,β-galactosidase,β-glucuroni-dase in synovial tissues,and enhanced activities of β-galactosidase and cathepsin D in the cytoplasm of lysosomal organelles(P<0.01).Ad-ditionally,the model control group had a decrease in superoxide dismutase(SOD),catalase(CAT),and glutathione peroxidase(GSH-Px)in serum,IL-4 and IL-10 in ankle joint tissue and the activities of β-glucuronidase and cathepsin D in lysosomal organelles(P<0.01).There was an up-regulation of mRNA in Tlr4,Myd88,Nlrp3,Asc,Caspase 1,Cox 1,Cox2,Pge2 and protain in p-IκBα,p-IKKβ,TXNIP,NEK7,NL-RP3,ASC,Pro-caspase-1,Caspase-1,GSDMD,GSDMD-N,Pro-IL-1β,and ProIL-18,nuclear NF-KBp65,p-IKBα/IKBα and p-IKKβ/IKKβ in synovial tissues(P<0.01),while a down-regulation in cytosol NF-KBp65 in synovial tissues(P<0.01).Compared with the model control group,the combination group had decreased foot swelling and arthritis index score(P<0.01),reduced cartilage destruction and inflammatory infiltration,and increased COX-1 activity and mRNA expression(P<0.01).The ROS,LDH,oxidative stress indicators in serum,cytokines in synovial tissues,the activity of lysosomal enzymes in synovial tissues,organelles and cytoplasm of lysosomal,the mRNA and protein expres-sions of related genes to TLR4/NF-κB and NLRP3 signaling pathways in synovial tissues were reversed(P<0.01).Conclusion:The combi-nation of total triterpenoids of C.speciosa(100 mg/kg)and indomethacin(5 mg/kg)has significant effect on CFA-induced AA rats,and its mechanism may be related to inhibiting CFA-induced oxidative stress and the activation of TLR4/NF-κB/NLRP3 signaling pathway,allevia-ting inflammatory reaction and correcting lysosome dysfunction.

Total triterpenoids from Chaenomeles speciosaIndomethacinAdjuvant arthritisInflammatory reactionLysosome functionTLR4/NF-κB/NLRP3 signaling pathway

贺君宇、覃诗颖、郑婧琪、罗识、熊致远、余清泉

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三峡大学基础医学院,宜昌 443002

南通大学医学院,南通 226001

三峡大学生物与制药学院,宜昌 443002

木瓜总三萜 吲哚美辛 佐剂性关节炎 炎症反应 溶酶体功能 Toll样受体4/核因子κB/NOD样受体家族3信号通路

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(8)