首页|基于NLRP3炎症小体介导的细胞焦亡探讨痹通方对类风湿关节炎大鼠的保护作用及机制

基于NLRP3炎症小体介导的细胞焦亡探讨痹通方对类风湿关节炎大鼠的保护作用及机制

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目的 探讨痹通方通过调控NOD样受体热蛋白结构域相关蛋白3(NOD-like receptor thermal protein domain associated protein 3,NLRP3)炎症小体介导的细胞焦亡途径对类风湿关节炎大鼠的保护作用及机制。方法 将70只SD大鼠随机分为7组:痹通方低、中、高剂量组分别给予4。2、8。4、16。8 g/(kg·d)灌胃,甲氨蝶呤组按7。5 mg/(kg·d)灌胃,MCC950组30mg/(kg·d)灌胃,正常组和模型组给予蒸馏水灌胃。于造模后第29天开始灌胃给药,1次/d。在末次给药8 h后取材,HE染色法检测各组大鼠踝关节组织形态学变化;ELISA法检测肿瘤坏死因子-α(TNF-α)、白介素-18(IL-18)、白介素-1β(IL-1β)相关指标变化;RT-qPCR法检测TNF-α、IL-18、IL-1β、血清单核细胞趋化蛋白-1(MCP-1)、巨噬细胞炎性蛋白-1a(MIP-1a)相关基因水平变化,免疫组化法检测IL-1β,NLRP3蛋白水平变化,Western Blot法检测黑素瘤缺乏因子2(AIM2)、凋亡相关点样蛋白(ASC)、半胱氨酸蛋白酶前体-1(pro-Caspase-1)、Caspase-1、IL-18、IL-1β、活化的 gasdermin D(cleaved-GSDMD)、GSDMD、NLRP3。结果 与正常组比较,模型组大鼠踝关节间隙变窄,关节软骨表面不规则增厚,骨质出现轻度破坏,关节内可见炎性细胞和滑膜组织增生(P<0。01),模型组血清 TNF-α、IL-18、IL-1β 含量均明显升高(P<0。01),模型组 TNF-α、IL-18、IL-1 β、MCP-1、MIP-1a mR-NA表达均明显升高(P<0。01),免疫组化法显示模型组IL-1β、NLRP3蛋白表达水平均明显升高(P<0。01),WB法显示模型组AIM2、ASC、pro-Caspase-1、Caspase-1、IL-18、IL-1β蛋白表达水平均明显升高(P<0。01)。与模型组比较,痹通方高剂量组、甲氨蝶呤组及MCC950组上述各项检测指标均得到明显改善(P<0。05或0。01)。结论 痹通方能够改善大鼠类风湿关节炎状态,其机制可能与调控NLRP3炎症小体介导的细胞焦亡途径相关。
Protective Effect and Mechanism of Bitong Decoction(痹通方)on Rheumatoid Arthritis Rats Based on NLRP3 Inflammasome Mediated Pyroptosis
Objective To investigate the protective effect and mechanism of Bitong Decoction(痹通方)on rheumatoid arthritis rats by regulating the pyroptosis pathway mediated by NLRP3 inflammasome.Methods Seventy SD rats were randomly divided in-to 7 groups:Bitong Decoction low-dose,medium-dose and high-dose groups[4.2,8.4,16.8 g/(kg·d)by gavage],metho-trexate group[7.5 mg/(kg·d)by gavage],MCC950 group[30 mg/(kg·d)by gavage].The normal group and model group were given distilled water by gavage.On the 29th day after modeling,the drug was administered by gavage once a day.HE stai-ning was used to detect the morphological changes of ankle joints in each group at 8 h after the last administration.The changes of tumor necrosis factor-α(TNF-α),interleukin-18(IL-18)and interleukin-1β(IL-1β)related indexes were detected by ELISA.The levels of TNF-α,IL-18,IL-1β,monocyte chemotactic protein-1(MCP-1)and macrophage inflammatory protein-1a(MIP-1a)related genes were detected by RT-qPCR.The protein levels of IL-1 β and NOD like receptor heat protein domain associated protein 3(NLRP3)were detected by immunohistochemistry.Melanoma deficiency factor 2(AIM2),ap-optosis related point like protein(ASC),cysteine protease precursor 1(pro Caspase-1),Caspase-1,IL-18,IL-1 β,cleaved-GSDMD,GSDMD and NLRP3 were detected by Western Blot.Results Compared with those of the normal group,the ankle joint space of the model group was narrowed,the surface of articular cartilage was irregularly thickened,the bone was slightly de-stroyed,the inflammatory cells and synovial tissue hyperplasia were observed in the joint(P<0.01),and the serum contents of TNF-α,IL-18 and IL-1 β in the model group were significantly increased(P<0.01).The mRNA expressions of TNF-α,IL-18,IL-1 β,MCP-1 and MIP-1a in the model group were significantly increased(P<0.01).Immunohistochemistry showed that the protein expressions of IL-1β and NLRP3 in the model group were significantly increased(P<0.01).Western Blot method showed AIM2,ASC,pro-Caspase-1,Caspase-1,IL-18 and IL-1 β in the model group were significantly in-creased(P<0.01).Compared with those of the model group,the above indexes in the Bitong Decoction high-dose group,meth-otrexate group and MCC950 group were significantly improved(P<0.05 or P<0.01).Conclusion Bitong Decoction can improve the state of rheumatoid arthritis in rats,and its mechanism may be related to the regulation of NLRP3 inflammasome mediated py-roptosis pathway.

rheumatoid arthritisBitong Decoction(痹通方)pyroptosisNLRP3 inflammasome

齐庆、孙蓬远、许诺、关蕊、郑建南、赵夜雨、于静、高明利

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

类风湿关节炎 痹通方 细胞焦亡 NLRP3炎症小体

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(9)