TAN Zhang-kui,ZHOU Guang-wen,ZHANG Yan,et al.Mechanism of Bushen Huatan Prescription in Regulating Th17/Treg Balance in Ovariectomized Osteoporosis Rats[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(05):33-40.
TAN Zhang-kui,ZHOU Guang-wen,ZHANG Yan,et al.Mechanism of Bushen Huatan Prescription in Regulating Th17/Treg Balance in Ovariectomized Osteoporosis Rats[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(05):33-40. DOI: 10.13422/j.cnki.syfjx.20210102.
Mechanism of Bushen Huatan Prescription in Regulating Th17/Treg Balance in Ovariectomized Osteoporosis Rats
To study the effect of Bushen Huatan prescription on helper T cell 17 (Th17)/T regulatory cells (Treg) balance of immune T cell subsets in the prevention and treatment of postmenopausal osteoporosis.
Method
2
Sixty 6-month-old female SD rats were randomly divided into sham operation group, model group, estradiol valerate group (0.184 mg·kg
-1
) and Bushen Huatan prescription low, medium and high groups (4.7, 9.4, 18.8 g·kg
-1
) according to the random number table. All the groups except the sham operation group received ovariectomy to make postmenopausal osteoporosis model. Intragastric administration was started 1 week after operation, and the rats in model group and sham operation group received equal volume of normal saline, once a day for 12 weeks. Microcomputed tomography (Micro CT) was then used to detect bone mass and microstructure of rats, the contents of Forkhead box protein (Foxp3) and retinoic acid related nuclear orphan receptor (ROR
γ
t) in serum were detected by enzyme-linked immunosorbent assay (ELISA), the mRNA expression levels of Foxp3 and ROR
γ
t in bone tissues were detected by Real-time fluorescence quantitative polymerase chain reaction (Real-time PCR) and Western blot was used to detect the protein expression of Foxp3 and ROR
γ
t in bone tissues, the number of Th17 and Treg cells in each group was analyzed and compared by flow cytometry.
Result
2
Compared with the sham operation group, the bone mass and trabeculae of the model group decreased (
P
<
0.01), the bone microstructure was destroyed, the concentration of Foxp3 in serum decreased, the concentration of ROR
γ
t increased (
P
<
0.01), the mRNA and protein expression levels of Foxp3 in bone tissues decreased, ROR
γ
t increased, the number of Treg cells in bone tissues decreased, number of Th17 cells increased (
P
<
0.01), and Th17/Treg ratio increased (
P
<
0.01) in model group. Compared with the model group, the bone mass in each treatment group increased (
P
<
0.05,
P
<
0.01), Foxp3 concentration in serum increased, ROR
γ
t concentration decreased (
P
<
0.01), the mRNA and protein expression levels of Foxp3 in bone tissues increased significantly (
P
<
0.05,
P
<
0.01), but no statistical difference was shown in mRNA expression between low dose group and the model group. In addition, the mRNA and protein expression of ROR
γ
t decreased (
P
<
0.05,
P
<
0.01), number of Treg cells increased, number of Th17 cells decreased (
P
<
0.05,
P
<
0.01), and Th17/Treg ratio decreased in treatment groups (
P
<
0.01).
Conclusion
2
Bushen Huatan prescription can increase bone mass, improve bone microstructure, increase the number of Treg cells and decrease the number of Th17 cells in ovariectomized rats. It is concluded that Bushen Huatan prescription may play a role in preventing and treating postmenopausal osteoporosis by regulating Th17/Treg balance.
KAZUO O, HIROSHI T.Osteoimmunology[J].Cold Spring Harb Perspect Med,2019,9(1):1-28.
RUPESH K S,HAMID Y D,PRADYUMNA K M,et al.Immunoporosis:immunology of osteoporosis-role of T cells[J].Front Immunol,2018,9:657.
SHEN X,DU J,GUAN W X,et al.The balance of intestinal Foxp3+ regulatory T cells and Th17 cells and its biological significance[J].Expert Rev Clin Immunol,2014,10(3):353-362.
ZHENG Q,YANG H,LIU W,et al.Comparative efficacy of 13 immunosuppressive agents for idiopathic membranous nephropathy in adults with nephrotic syndrome:a systematic review and network Meta-analysis[J].BMJ Open,2019,9(9):1-10.
ILESANMI-OYELERE B L, SCHOLLUM L, KUHN-SHERLOCK B,et al.Inflammatory markers and bone health in postmenopausal women: a cross-sectional overview[J].Immun Ageing,2019,16:15.
LI S,LIU Q,WU D,et al.PKC-δ deficiency in B cells displays osteopenia accompanied with upregulation of RANKL expression and osteoclast-osteoblast uncoupling[J].Cell Death Dis,2020,11(9):762.
OKAMOTO K,NAKASHIMA T,SHINOHARA M,et al.Osteoimmunology: the conceptual framework unifying the immune and skeletal systems[J].Physiol Rev,2017,97(4):1295-1349.
DAR H Y,AZAM Z,ANUPAM R,et al.Osteoimmunology:the nexus between bone and immune system[J].Front Biosci (Landmark Ed),2018,23:464-492.
ONO T,HAYASHI M,SASAKI F,et al.RANKL biology: bone metabolism, the immune system, and beyond[J].Inflamm Regen,2020,40:2.
MORI G,D'AMELIO P,FACCIO R,et al.Bone-immune cell crosstalk: bone diseases[J].J Immunol Res,2015,doi:10.1155/2015/108451http://dx.doi.org/10.1155/2015/108451.
ZHANG J,FU Q,REN Z,et al.Changes of serum cytokines-related Th1/Th2/Th17 concentration in patients with postmenopausal osteoporosis[J].Gynecol Endocrinol,2015,31(3):183-190.
YOU L,CHEN L,PAN L,et al.SOST gene inhibits osteogenesis from adipose-derived mesenchymal stem cells by inducing Th17 cell differentiation[J].Cell Physiol Biochem,2018,48(3):1030-1040.
ZHAO J,CHEN J,HUANG F,et al.Human gingiva tissue-derived MSC ameliorates immune-mediated bone marrow failure of aplastic anemia via suppression of Th1 and Th17 cells and enhancement of CD4+Foxp3+ regulatory T cells differentiation[J].Am J Transl Res, 2019, 11(12):7627-7643.
CHEN X,ZHANG Z,HU Y,et al.Lactulose suppresses osteoclastogenesis and ameliorates estrogen deficiency-induced bone loss in mice[J].Aging Dis,2020,11(3):629-641.
Mechanism of Bushen Huatan Prescription in Regulation of Osteogenesis and Adipogenic Differentiation and Improvement of Postmenopausal Bone Loss in Ovariectomized Rats with Osteoporosis
Effect of Osteoking on Inflammatory Injury and NF-κB/NFATc1 Signaling Pathway in Model Mice with Postmenopausal Osteoporosis
Effect of Jingangwan on p38 MAPK,JNK,and IL-1 Content in Osteoporosis Model Rats
Traditional Chinese and Western Medicine in Treatment of Postmenopausal Osteoporosis: A Review
Related Author
XIANG Nan
ZHOU Guangwen
LI Zhangqing
TAN Zhangkui
HUANG Shiyi
XIONG Mengxin
ZHANG Lin
ZHANG Yan
Related Institution
Wuhan Hospital of Traditional Chinese & Western Medicine, Wuhan No.1 Hospital
Hubei University of Chinese Medicine
Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology
School of Health Science, Wuhan Sports University
Hubei Provincial Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Chinese Medicine