Xu Shu-Juan, Guo Hao, Jin Long, Liu Zi-Xin, Xin Gao-Jie, You Yue, Hao Wei, Fu Jian-Hua, Liu Jian-Xun
Beijing Key Laboratory of Pharmacology of Traditional Chinese Medicine, Institute of Basic Medicine, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences Beijing 100091, China National Clinical Research Center of Cardiovascular Disease of Traditional Chinese Medicine Beijing 100091, China.
Zhongguo Zhong Yao Za Zhi. 2022 Sep;47(17):4707-4714. doi: 10.19540/j.cnki.cjcmm.20220119.701.
This study aims to explore the effect of Jinzhen Oral Liquid(JOL) on cough after infection in rats and the mechanism. To be specific, a total of 60 male SD rats were classified into 6 groups: normal group(equivalent volume of distilled water, ig), model group(equivalent volume of distilled water, ig), Dextromethorphan Hydrobromide Oral Solution group(3.67 mL·kg(-1), ig), high-, medium-, and low-dose JOL groups(11.34, 5.67, and 2.84 mL·kg(-1), respectively, ig). Lipopolysaccharide(LPS, nasal drip), smoking, and capsaicin(nebulization) were employed to induce cough after infection in rats except the normal group. Administration began on the 19 th day and lasted 7 days. Capsaicin(nebulization) was used to stimulate cough 1 h after the last administration and the cough frequency and cough incubation period in rats were recorded. The pathological morphology of lung tissue was observed based on hematoxylin-eosin(HE) staining. Immunohistochemistry(IHC) was used to detect the specific expression of transient receptor potential vanilloid 1(Trpv1), nerve growth factor(NGF), tropomyosin receptor kinase A(TrkA), and phosphorylated-p38 mitogen-activated protein kinase(p-p38 MAPK) in lung tissue, Western blot the protein expression of Trpv1, NGF, TrkA, and p-p38 MAPK in lung tissue, and real-time fluorescent quantitative polymerase chain reaction(real-time PCR) the mRNA expression of Trpv1, NGF, and TrkA. The results showed that model group demonstrated significantly high cough frequency, obvious proliferation and inflammatory cell infiltration in lung tissue, significantly enhanced positive protein expression of Trpv1, NGF, TrkA, and p-p38 MAPK in lung tissue and significant increase in the mRNA expression of Trpv1, NGF, and TrkA compared with the normal group. Compared with the model group, JOL can significantly reduce the cough frequency, alleviate the pathological changes of lung tissue, and decrease the protein expression of Trpv1, NGF, TrkA, and p-p38 MAPK in lung tissue, and high-dose and medium-dose JOL can significantly lower the mRNA expression of Trpv1, NGF, and TrkA. This study revealed that JOL can effectively inhibit Trpv1 pathway-related proteins and improve cough after infection. The mechanism is that it reduces the expression of NGF, TrkA, and p-p38 MAPK in lung tissue, thereby decreasing the expression of Trpv1 and cough sensitivity.
本研究旨在探讨金振口服液(JOL)对大鼠感染后咳嗽的影响及其作用机制。具体而言,将60只雄性SD大鼠分为6组:正常组(等体积蒸馏水,灌胃)、模型组(等体积蒸馏水,灌胃)、氢溴酸右美沙芬口服溶液组(3.67 mL·kg⁻¹,灌胃)、金振口服液高、中、低剂量组(分别为11.34、5.67和2.84 mL·kg⁻¹,灌胃)。除正常组外,采用脂多糖(LPS,滴鼻)、烟熏和辣椒素(雾化)诱导大鼠感染后咳嗽。给药于第19天开始,持续7天。末次给药后1 h用辣椒素(雾化)刺激咳嗽,记录大鼠咳嗽频率和咳嗽潜伏期。基于苏木精-伊红(HE)染色观察肺组织的病理形态。采用免疫组织化学(IHC)检测肺组织中瞬时受体电位香草酸亚型1(Trpv1)、神经生长因子(NGF)、原肌球蛋白受体激酶A(TrkA)和磷酸化p38丝裂原活化蛋白激酶(p-p38 MAPK)的特异性表达,采用蛋白质印迹法检测肺组织中Trpv1、NGF、TrkA和p-p38 MAPK的蛋白表达,采用实时荧光定量聚合酶链反应(实时PCR)检测Trpv1、NGF和TrkA的mRNA表达。结果显示,与正常组相比,模型组咳嗽频率显著升高,肺组织明显增生和炎性细胞浸润,肺组织中Trpv1、NGF、TrkA和p-p38 MAPK的阳性蛋白表达显著增强,Trpv1、NGF和TrkA的mRNA表达显著增加。与模型组相比,金振口服液可显著降低咳嗽频率,减轻肺组织病理变化,降低肺组织中Trpv1、NGF、TrkA和p-p38 MAPK的蛋白表达,高剂量和中剂量金振口服液可显著降低Trpv1、NGF和TrkA的mRNA表达。本研究表明,金振口服液可有效抑制Trpv1通路相关蛋白,改善感染后咳嗽。其机制是降低肺组织中NGF、TrkA和p-p38 MAPK的表达,从而降低Trpv1的表达和咳嗽敏感性。