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纸质出版日期:2018
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吴洋, 李东云, 张巍琼, 等. 益肾养阴合剂通过CXCR4/STAT3信号通路对MRL/lpr小鼠肾脏发挥保护作用[J]. 中国实验方剂学杂志, 2018,24(9):127-133.
WU Yang, LI Dong-yun, ZHANG Wei-qiong, et al. Protective Effect of Yishen Yangyin Mixture on Lupus Nephritis in MRL/lpr Mice[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(9): 127-133.
吴洋, 李东云, 张巍琼, 等. 益肾养阴合剂通过CXCR4/STAT3信号通路对MRL/lpr小鼠肾脏发挥保护作用[J]. 中国实验方剂学杂志, 2018,24(9):127-133. DOI: 10.13422/j.cnki.syfjx.20180933.
WU Yang, LI Dong-yun, ZHANG Wei-qiong, et al. Protective Effect of Yishen Yangyin Mixture on Lupus Nephritis in MRL/lpr Mice[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(9): 127-133. DOI: 10.13422/j.cnki.syfjx.20180933.
目的:研究益肾养阴合剂对系统性红斑狼疮小鼠肾脏的保护作用并探讨其作用机制。方法:MRL/lpr疾病模式小鼠饲养发病后,益肾养阴合剂灌胃给药(17.25 g · kg-1),同时阳性药组用醋酸泼尼松灌胃给药(0.65 mg · kg-1),正常C57背景小鼠和实验MRL/lpr小鼠组灌胃同体积生理盐水,每天2次,连续给药28 d,每7 d收集尿液,检测尿蛋白变化情况;第29天取材肾脏组织,免疫荧光染色检测免疫球蛋白G(IgG)沉积情况;Raybiotech抗体芯片检测308个细胞因子变化情况,酶联免疫吸附测定(ELISA)验证部分变化因子(小鼠肾脏组织与患者血清水平);蛋白免疫印迹法(Western blot)检测Janus激酶2/信号转导和转录活化蛋白3(JAK2/STAT3)信号的磷酸化水平、基质细胞衍生因子1/趋化因子受体4(SDF1/CXCR4)信号轴、辅助性T细胞17(Th17)分泌因子白细胞介素-17(IL-17)的表达情况。结果:与MRL/lpr组比较,在中药和激素给药组,随着给药时间延长,尿蛋白含量逐渐降低,在第4周变化最为明显(P<0.05),在给药28 d后,益肾养阴合剂组与醋酸泼尼松组的肾脏IgG沉积均有减轻(P<0.05)。经Raybiotech抗体芯片筛查后发现,与C57正常小鼠,MRL/lpr疾病小鼠的肾脏SDF1,CXCR4蛋白信号表达有显著增强(P<0.01);与MRL/lpr疾病小鼠比较,益肾养阴合剂组的小鼠肾脏SDF1,CXCR4蛋白信号表达显著降低(P<0.01),经大样本量ELISA实验验证后,SDF1/CXCR4蛋白的抗体芯片结果可靠,进一步经Western blot实验检测发现,与正常C57小鼠比较,MRL/lpr小鼠肾脏组织中JAK2/STAT3信号通路被激活,其磷酸化蛋白表达增高(P<0.05),SDF1,CXCR4,IL-17蛋白表达明显升高(P<0.05);与模型小鼠比较,给予中药和激素灌胃处理28 d后JAK2,STAT3的磷酸化水平明显降低(P<0.05),SDF1,CXCR4蛋白表达下降(P<0.05),IL-17的表达也有明显的减少(P<0.05)。结论:益肾养阴合剂可降低MRL/lpr模型小鼠的尿蛋白水平,其可通过抑制JAK2/STAT3与SDF1/CXCR4信号通路的激活,降低辅助性T细胞17的活性,减少IL-17的分泌,起到肾脏保护作用。
Objective: To study the protective effect of Yishen Yangyin mixture on lupus nephritis with systemic lupus erythematosus (SLE) and its molecular mechanism. Method: MRL/lpr model mice were given Yishen Yangyin mixture (17.25 g · kg-1) by gavage after the onset of disease
while the positive control group was given prednisone by gavage (0.65 mg · kg-1). Normal C57 background mice and MRL/lpr mice (experimental control group) were administered with normal saline
2 times a day
for consecutively 28 days; urine was collected every 7 days to detect the urine protein changes. After twenty-eight day
immunofluorescence staining was used for detecting kidney deposition IgG. Raybiotech antibody arrays was used to detect the changes of 308 cytokines; enzyme linked immunosorbent assay (ELISA) was used to confirm some changed factors (mouse kidney tissue and serum level of patient); Western blot was used to detect Janus kinase2/signal transduction and transcrptional activators(JAK2/STAT3) signal
stromal cell derined facto-1/chemokine receptor4(SDF1/CXCR4) signal axis
expression of T helper 17 cells(TH17) cells secreted interleukin-17(IL-17). Result: In the Yishen Yangyin mixture group and the prodnisone group
with the extension of medication time
urine protein content decreased gradually
particularly in the fourth week (P<0.05); 28 days later after administration
compared with the MRL/lpr group (experimental control group)
the Yishen Yangyin mixture group and the prodnisone group showed decrease in kidney IgG deposition (P<0.05). According to Raybiotech antibody array screening
compared with normal C57 mice
the expression of kidney SDF1/CXCR4 signal in MRL/lpr mice was increased (P<0.01). Compared with MRL/lpr mice
the expression of SDF1/CXCR4 signal in Yishen Yangyin mixture group was significantly decreased (P<0.01). The results of SDF1/CXCR4 ELISA were consistent with the results of antibody array. Western blot assay showed that compared with normal C57 mice
the JAK2/STAT3 phosphorylation protein expression in kidney tissue of MRL/lpr mice was increased (P<0.05); meanwhile
the SDF1
CXCR4
IL-17 protein expression were significantly increased (P<0.05).When MRL/lpr mice was treated with Yishen Yangyin mixture and hormone by gavage for 28 days
compared with the MRL/lpr group
the phosphorylation level of JAK2
STAT3
the expression of SDF1
CXCR4 and the secretion of IL-17 significantly decreased (P<0.05). Conclusion: Yishen Yangyin mixture can reduce the urinary protein level of MRL/lpr mice
and can play a key role in renal protection by inhibiting activation of JAK2/STAT3 and SDF1/CXCR4 signaling pathway and decreasing the activity of T helper 17 cells and the secretion of IL-17.
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