实炎方调控IL-23/IL-17 轴抑制Th17 细胞分化缓解溃疡性结肠炎作用机制研究
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R285.5

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上海市2022年度科技创新行动计划项目(22Y11922300);上海市中医药(临床类) 重点学科建设项目(shzyyzdxk-2024204);上海市第四人民医院“一科一特色”项目(SY-YKYTS-2024-2004)


Study on Mechanism of Shiyan Prescription in Alleviating Ulcerative Colitis via IL-23/ IL-17 Axis-Mediated Inhibition of Th17 Cell Differentiation
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    摘要:

    目的:探讨实炎方通过白细胞介素(IL) -23/IL-17轴抑制辅助性T细胞17(Th17) 细胞分化缓解 溃疡性结肠炎(UC) 的作用机制。方法:将48只小鼠随机分为空白组、模型组、低、中、高剂量实炎方组和 美沙拉嗪组,每组8只。除空白组外其余各组给予3%葡聚糖硫酸钠(DSS) 溶液制备UC模型,低、中、高剂量 实炎方组按15 g(/ kg · d)、30 g(/ kg · d)、60 g(/ kg · d)的剂量灌胃实炎方混悬液,每天1次;美沙拉嗪组按0.5 g/ (kg · d) 的剂量灌胃美沙拉嗪混悬液,每天1次。每天记录小鼠疾病活动指数(DAI) 评分;给药结束后测量 小鼠结肠长度,苏木素-伊红(HE) 染色观察各组小鼠肠黏膜炎症评分。转录组分析实炎方治疗后小鼠基因表 达变化,并对差异基因进行基因本体(GO) 功能和京都基因与基因组百科全书(KEGG) 通路富集分析,实时 荧光定量逆转录聚合酶链式反应(qRT-PCR) 和蛋白质免疫印迹法(WB) 实验验证相关基因和蛋白表达情 况。结果:与空白组比较,模型组DAI评分升高(P<0.05)。与模型组比较,低、中、高剂量实炎方组小鼠 DAI评分降低(P<0.05),结肠长度增长(P<0.05)。HE染色结果显示实炎方组炎症明显改善,以中剂量和高 剂量实炎方改善明显。转录组结果主要富集到Th17 细胞分化信号通路中的IL-23/IL-17 轴,qRT-PCR 和 Western blot实验也证明经过实炎方干预后,该信号通路上IL-23、IL23R、STAT3、IL17A等mRNA和p-STAT3、 RORγt、IL-23蛋白表达降低(P<0.05)。结论:实炎方可通过抑制IL-23/IL-17信号通路来降低Th17细胞的分 化,恢复调节性T细胞(Treg) /Th17细胞平衡,改善肠道免疫平衡,缓解肠道炎症。

    Abstract:

    Abstract: Objective: To investigate the mechanism by which Shiyan Prescription alleviates ulcerative colitis (UC)through the interleukin(IL)-23/IL-17 axis-mediated inhibition of T-helper 17(Th17)cell differentiation. Methods:A total of 48 mice were randomized into six groups(n=8):blank,model,low-dose Shiyan Prescription, medium-dose Shiyan Prescription, high-dose Shiyan Prescription, and Mesalazine. Except for the blank group, all mice received 3% Dextran Sulfate Sodium(DSS)to establish the UC model. The low-, medium-, and high-dose Shiyan Prescription groups were administered 15 g(/ kg · d),30 g(/ kg · d)and 60 g(/ kg · d)Shiyan Prescription suspensions by gavage once daily. The Mesalazine group received 0.5 g(/ kg · d)Mesalazine suspension by gavage once daily. Disease Activity Index (DAI) was recorded daily. Colon length and intestinal mucosa inflammation scores (hematoxylin–eosin staining)were evaluated after the end of administration. Transcriptome analysis was performed to identify differentially expressed genes,followed by Gene Ontology(GO)function and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses. The qRT-PCR and western blot(WB)were employed to verify the expression of key genes and protein. Results:Compared with the blank group,the model group exhibited increased DAI scores (P<0.05). Compared with the model group, the groups of Shiyan Prescription(low, medium, and high-dose) exhibited reduced DAI scores and increased colon length(P<0.05). Hematoxylin-eosin staining revealed markedly reduced inflammation in the Shiyan Prescription groups,with the medium- and high-dose groups showing the greatest reductions. Transcriptomic analysis revealed significant enrichment of genes associated with the IL-23/IL-17 axis in the Th17 cell differentiation pathway, and both qRT-PCR and WB confirmed that Shiyan Prescription treatment downregulated the mRNA levels of IL-23, IL23R, STAT3, IL17A, and the protein levels of p-STAT3, RORγt, and IL-23, within this axis(P<0.05). Conclusion:Shiyan Prescription can alleviate intestinal inflammation in UC by inhibiting the IL-23/IL-17 signaling pathway,thereby inhibiting Th17 cell differentiation,restoring regulatory T cell (Treg)/Th17 balance,to re-establishing intestinal immune homeostasis and alleviate intestinal inflammation.

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徐浩,周海坤,陈天,刘肃志,彭云花,王泽惠,杨巍.实炎方调控IL-23/IL-17 轴抑制Th17 细胞分化缓解溃疡性结肠炎作用机制研究[J].新中医,2025,57(21):221-228

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  • 在线发布日期: 2025-11-11
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