Page 38 - 《中国药房》2023年2期
P. 38
认为是哮喘炎症的关键因素 。 NIMWEGEN M,et al. Pulmonary innate lymphoid cells
[7]
本研究采用经典的哮喘小鼠模型建立方法,选取 are major producers of IL-5 and IL-13 in murine models
BALB/c 雌性小鼠,多次腹腔注射 OVA 致敏,雾化吸入 of allergic asthma[J]. Eur J Immunol,2012,42(5):1106-
OVA 后激发,建立哮喘模型。病理组织切片 HE 染色显 1116.
示,模型组小鼠肺组织气管周围炎症显著增加,气道黏 [ 8 ] WALKER J A,MCKENZIE A N. Development and func‐
液及炎症细胞浸润增多,气管平滑肌和气道基底膜增 tion of group 2 innate lymphoid cells[J]. Curr Opin Immu‐
厚,提示哮喘模型建立成功 [12,21] 。本研究结果显示,与正 nol,2013,25(2):148-155.
常组比较,模型组小鼠BALF中的IL-25、IL-33、IL-5、IL- [ 9 ] KATO A. Group 2 innate lymphoid cells in airway diseases
[J]. Chest,2019,156(1):141-149.
9、IL-13、TSLP 含量和肺组织中的 ILC2s 数量均显著升 [10] FONSECA W,RASKY A J,PTASCHINSKI C,et al.
高;经五宝胶囊干预后,上述细胞因子和ILC2s数量均不 Group 2 innate lymphoid cells(ILC2)are regulated by
同程度降低,说明五宝胶囊可能通过调节 ILC2s 上下游 stem cell factor during chronic asthmatic disease[J]. Mu‐
细胞因子来缓解哮喘模型小鼠的炎症反应。 cosal Immunol,2019,12(2):445-456.
IgE是由B细胞响应细胞介导的免疫反应的过敏原 [11] 林艳芳,茶旭,魏启龄,等. 康朗仑应用雅叫哈顿散的经
激活而产生的。过敏原特异性IgE与免疫效应细胞上表 验[J]. 云南中医杂志,1994,15(2):31-32.
达的 FcεRI 受体具有高亲和力,二者结合会导致效应细 [12] 傅榕冰,魏义杰,虎春艳,等. 五宝胶囊对哮喘小鼠肺泡
胞立即激活,最终导致细胞脱颗粒及促炎介质的释 灌洗液中 Th1/Th2、Th17/Treg 失衡及趋化因子的影响
[22]
放 。本研究表明,五宝胶囊可以降低哮喘模型小鼠血 [J]. 中国比较医学杂志,2020,30(3):1-7.
清中OVA-IgE和IgE的含量,减少炎症因子的释放,改善 [13] HAMMAD H,LAMBRECHT B N. The basic immuno-
logy of asthma[J].Cell,2021,184(9):2521-2522.
杯状细胞增生,减少杯状细胞分泌的 MUC5AC,从而改
善气道炎症,进而缓解哮喘。 [14] BARLOW J L,BELLOSI A,HARDMAN C S,et al. In‐
nate IL-13-producing nuocytes arise during allergic lung
综上所述,五宝胶囊可通过调节 ILC2s 上下游细胞
inflammation and contribute to airways hyperreactivity[J].
因子改善哮喘模型小鼠的气道炎症反应和病理变化,减
J Allergy Clin Immunol,2012,129(1):191-198.e4.
少哮喘模型小鼠黏蛋白分泌和炎症细胞对肺组织的浸 [15] FORT M M,CHEUNG J,YEN D,et al. IL-25 induces IL-
润,减轻哮喘模型小鼠的呼吸道损伤。 4,IL-5,and IL-13 and Th2-associated pathologies in vivo
参考文献 [J]. Immunity,2001,15(6):985-995.
[ 1 ] CAZZOLA M,ROGLIANI P,ORA J,et al. Asthma and [16] XU M,DONG C. IL-25 in allergic inflammation[J]. Im‐
comorbidities:recent advances[J]. Pol Arch Intern Med, munol Rev,2017,278(1):185-191.
2022,132(4):16250. [17] MAGAT J M,THOMAS J L,DUMOUCHEL J P,et al.
[ 2 ] NIESPODZIANA K,BOROCHOVA K,PAZDEROVA P, Endogenous IL-33 and its autoamplification of IL-33/ST2
et al. Toward personalization of asthma treatment accor- pathway play an important role in asthma[J]. J Immunol,
ding to trigger factors[J]. J Allergy Clin Immunol,2020, 2020,204(6):1592-1597.
145(6):1529-1534. [18] BARLOW J L,PEEL S,FOX J,et al. IL-33 is more po‐
[ 3 ] HUANG K W,YANG T,XU J Y,et al. Prevalence,risk tent than IL-25 in provoking IL-13-producing nuocytes
factors,and management of asthma in China:a national (type 2 innate lymphoid cells)and airway contraction[J]. J
cross-sectional study[J]. Lancet,2019,394(10196): Allergy Clin Immunol,2013,132(4):933-941.
407-418. [19] PARNES J R,MOLFINO N A,COLICE G,et al. Targe-
[ 4 ] YASUDA Y,NAGANO T,KOBAYASHI K,et al. Group ting TSLP in asthma[J]. J Asthma Allergy,2022,15:
2 innate lymphoid cells and the house dust mite-induced 749-765.
asthma mouse model[J]. Cells,2020,9(5):1178. [20] GAUVREAU G M,SEHMI R,AMBROSE C S,et al.
[ 5 ] MURARO A,LEMANSKE R F Jr,HELLINGS P W,et Thymic stromal lymphopoietin:its role and potential as a
al. Precision medicine in patients with allergic diseases: therapeutic target in asthma[J]. Expert Opin Ther Targets,
airway diseases and atopic dermatitis:PRACTALL docu‐ 2020,24(8):777-792.
ment of the European Academy of Allergy and Clinical [21] 魏义杰. 傣药五宝胶囊对哮喘小鼠气道炎症和黏液高分
Immunology and the American Academy of Allergy, 泌的影响[D]. 昆明:云南中医药大学,2019.
Asthma & Immunology[J]. J Allergy Clin Immunol,2016, [22] GASSER P,TARCHEVSKAYA S S,GUNTERN P,et al.
137(5):1347-1358. The mechanistic and functional profile of the therapeutic
[ 6 ] YU Q N,GUO Y B,LI X,et al. ILC2 frequency and acti- anti-IgE antibody ligelizumab differs from omalizumab
vity are inhibited by glucocorticoid treatment via STAT [J]. Nat Commun,2020,11(1):165.
pathway in patients with asthma[J]. Allergy,2018,73(9): (收稿日期:2022-09-28 修回日期:2022-12-28)
1860-1870. (编辑:邹丽娟)
[ 7 ] KLEIN WOLTERINK R G J,KLEINJAN A,VAN
· 160 · China Pharmacy 2023 Vol. 34 No. 2 中国药房 2023年第34卷第2期