王萍, 陈盛, 黄小桃, 肖小梅, 湛青平, 秦爱萍, 余细勇. 青蒿琥酯对小鼠巨细胞病毒性肺炎的治疗作用J. 药学学报, 2020,55(11): 2651-2656. doi: 10.16438/j.0513-4870.2020-0421
引用本文: 王萍, 陈盛, 黄小桃, 肖小梅, 湛青平, 秦爱萍, 余细勇. 青蒿琥酯对小鼠巨细胞病毒性肺炎的治疗作用J. 药学学报, 2020,55(11): 2651-2656. doi: 10.16438/j.0513-4870.2020-0421
WANG Ping, CHEN Sheng, HUANG Xiao-tao, XIAO Xiao-mei, ZHAN Qing-ping, QIN Ai-ping, YU Xi-yong. Therapeutic effects of artesunate on cytomegalovirus pneumonia in miceJ. Acta Pharmaceutica Sinica, 2020,55(11): 2651-2656. doi: 10.16438/j.0513-4870.2020-0421
Citation: WANG Ping, CHEN Sheng, HUANG Xiao-tao, XIAO Xiao-mei, ZHAN Qing-ping, QIN Ai-ping, YU Xi-yong. Therapeutic effects of artesunate on cytomegalovirus pneumonia in miceJ. Acta Pharmaceutica Sinica, 2020,55(11): 2651-2656. doi: 10.16438/j.0513-4870.2020-0421

青蒿琥酯对小鼠巨细胞病毒性肺炎的治疗作用

Therapeutic effects of artesunate on cytomegalovirus pneumonia in mice

  • 摘要: 为了探索青蒿琥酯对小鼠巨细胞病毒性肺炎的治疗作用及其机制,应用滴鼻法建立携带绿色荧光蛋白的小鼠巨细胞病毒(murine cytomegalovirus-green fluorescent protein,MCMV-GFP)感染的巨细胞病毒性肺炎模型。动物福利和实验过程均遵循广州医科大学动物伦理委员会的规定。将BALB/c-nu小鼠随机分为5组:空白对照组、巨细胞病毒肺炎模型组、青蒿琥酯60、120和240 mg·kg-1组。观察小鼠生存期和肺组织病理变化,并进一步进行分子机制研究。分别采用苏木精-伊红(hematoxylin-eosin,HE)染色法检测肺组织的病理变化;荧光定量PCR(polymerase chain reaction)方法检测肺组织中MCMV主要即刻早期基因1(major immediate early 1,Mie1)mRNA的表达;免疫荧光法检测MCMV-GFP的表达;ELISA法(enzyme-linked immunosorbent assay)检测肺上清炎症因子白细胞介素6(interleukin 6,IL-6)、IL-10和肿瘤坏死因子α(tumor necrosis factor α,TNF-α)的含量;Western blot法检测感染后肺组织NF-κB(nuclear factor-κB)通路的变化;绘制小鼠体重变化和生存曲线图。结果显示,MCMV感染模型组小鼠肺组织出现大量炎症细胞浸润,肺组织结构破坏。青蒿琥酯(120 mg·kg-1)治疗后的小鼠肺部炎症减轻,肺泡结构明显好转。与MCMV感染模型组相比,青蒿琥酯(120和240 mg·kg-1)剂量组治疗后,小鼠肺部病毒复制水平降低,青蒿琥酯(120 mg·kg-1)剂量组可显著降低促炎因子IL-6和TNF-α水平并增加抗炎因子IL-10的水平;磷酸化NF-κB蛋白表达明显下降,治疗组小鼠体重增加,生存期延长。上述结果表明,青蒿琥酯具有抑制MCMV感染小鼠肺炎的作用,通过抑制NF-κB炎症信号通路的激活,减轻肺组织炎症因子IL-6和TNF-α的释放,并增加抗炎因子IL-10的表达,从而实现减轻肺部组织炎症的作用。

     

    Abstract: To investigate the therapeutic effect of artesunate on mouse cytomegalovirus pneumonia, the BALB/c-nu mice were infected with murine cytomegalovirus-green fluorescent protein (MCMV-GFP) by nose dropping method. The experimental protocol was approved by the Medical Laboratory Animal Ethics Committee of Guangzhou Medical University. The BALB/c-nu mice were randomly divided into five groups:control group, MCMV pneumonia group, and artesunate (60, 120, and 240 mg·kg-1) groups. The survival rate, weights, and virus loads in lungs among the groups were observed. The degree of histopathologic changes in lungs was assessed directly by hematoxylin-eosin (HE) assay. MCMV-GFP expression was assessed by immunofluorescence. In addition, reverse transcription polymerase chain reaction (RT-PCR) analysis was performed to investigate the content of major immediate early 1 (Mie1) mRNA, and enzyme-linked immunosorbent assay (ELISA) was used to detect the changes of inflammatory factors, interleukin 10 (IL-10), IL-6, and tumor necrosis factor-α (TNF-α). Western blot analysis was used to detect the expression of the changes of nuclear factor-kappa B (NF-κB) signaling pathways in total proteins. Compared with MCMV group, artesunate (120 mg·kg-1) significantly increased body weights of MCMV-infected nude mice over 30 days, and decreased the viral titer in lung homogenate, lung inflammation, and histological severity. Moreover, the administration of artesunate (120 mg·kg-1) could downregulate the expression of phospho-NF-κB (p-NF-κB) p65 in the lungs of mice. The present study suggested that artesunate can protect the immunocompromised mice from MCMV-induced interstitial pneumonia via downregulating NF-κB signaling pathway, thus attenuating inflammation in the lungs.

     

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