LEI Ming-jun, BAI Fan, ZHANG Qing-yun, et al. Total Glucosides of Paeony Regulate Immune Imbalance Mediated by Dermal Mesenchymal Stem Cells in Psoriasis Mice. [J]. Chinese Journal of Integrative Medicine 29(6):517-525(2023)
DOI:
LEI Ming-jun, BAI Fan, ZHANG Qing-yun, et al. Total Glucosides of Paeony Regulate Immune Imbalance Mediated by Dermal Mesenchymal Stem Cells in Psoriasis Mice. [J]. Chinese Journal of Integrative Medicine 29(6):517-525(2023) DOI: 10.1007/s11655-023-3737-y.
Total Glucosides of Paeony Regulate Immune Imbalance Mediated by Dermal Mesenchymal Stem Cells in Psoriasis Mice
摘要
Abstract
Objective:
2
To investigate the therapeutic effects of total glucosides of paeony (TGP) on psoriasis based on the immunomodulatory effect of dermal mesenchymal stem cells (DMSCs).
Methods:
2
A total of 30 male BALB/c mice were divided into 6 groups (
n
=5 in each) by a random number table method
including control
psoriasis model (model
5% imiquimod cream 42 mg/d)
low-
medium- and high-dose TGP (50
100
and 200 mg/kg
L
M-
and H-TGP
respectively)
and positive control group (2.5 mg/kg acitretin). After 14 days of continuous administration
the skin's histopathological changes
apoptosis
secretion of inflammatory cytokines
and proportion of regulatory T cells (Treg) and T helper cell 17 (Th17) were evaluated using hematoxylin-eosin (HE) staining
TdT-mediated dUTP nick end labeling staining
enzyme-linked immunosorbent assay
and flow cytometry
respectively. DMSCs were further isolated from the skin tissues of normal and psoriatic mice
and the cell morphology
phenotype
and cycle were observed. Furthermore
TGP was used to treat psoriatic DMSCs to analyze the effects on the DMSCs immune regulation.
Results:
2
TGP alleviated skin pathological injury
reduced epidermis layer thickness
inhibited apoptosis
and regulated the secretion of inflammatory cytokines and the proportion of Treg and Th17 in the skin tissues of psoriatic mice (
P
<
0.05 or
P
<
0.01). There was no significant difference in cell morphology and phenotype between control and psoriatic DMSCs (
P
>
0.05)
however
more psoriatic DMSCs remained in G
0
/G
1
phase compared with the normal DMSCs (
P
<
0.01). TGP treatment of psoriatic DMSCs significantly increased cell viability
decreased apoptosis
relieved inflammatory response
and inhibited the expression of toll-like receptor 4 and P65 (
P
<
0.05 or
P
<
0.01).
Conclusion:
2
TGP may exert a good therapeutic effect on psoriasis by regulating the immune imbalance of DMSCs.
关键词
Keywords
total glucosides of paeonypsoriasisdermal mesenchymal stem cellsinflammatory responseimmune imbalance
references
Griffiths CEM, Armstrong AW, Gudjonsson JE, Barker J. Psoriasis. Lancet 2021; 397:1301-1315.
Rendon A, Schäkel K. Psoriasis pathogenesis and treatment. Int J Mol Sci 2019; 20.
Zhu B, Jing M, Yu Q, Ge X, Yuan F, Shi L. Treatments in psoriasis: from standard pharmacotherapy to nanotechnology therapy. Postepy Dermatol Alergol 2022; 39:460-471.
Lanna C, Mancini M, Gaziano R, Cannizzaro MV, Galluzzo M, Talamonti M, et al. Skin immunity and its dysregulation in psoriasis. Cell Cycle 2019; 18:2581-2589.
Wang J, Chen Z, Sun M, Xu H, Gao Y, Liu J, et al. Characterization and therapeutic applications of mesenchymal stem cells for regenerative medicine. Tissue Cell 2020; 64:101330.
Song N, Scholtemeijer M, Shah K. Mesenchymal stem cell immunomodulation: mechanisms and therapeutic potential. Trends Pharmacol Sci 2020; 41:653-664.
Haydont V, Neiveyans V, Perez P, Busson É, Lataillade J, Asselineau D, et al. Fibroblasts from the human skin dermo-hypodermal junction are distinct from dermal papillary and reticular fibroblasts and from mesenchymal stem cells and exhibit a specific molecular profile related to extracellular matrix organization and modeling. Cells 2020; 9:368.
Niu X, Li J, Zhao X, Wang Q, Wang G, Hou R, et al. Dermal mesenchymal stem cells: a resource of migration-associated function in psoriasis? Stem Cell Res Ther 2019; 10:54.
Zhao X, Jiao J, Li X, Hou R, Li J, Niu X, et al. Immunomodulatory effect of psoriasis-derived dermal mesenchymal stem cells on TH1/TH17 cells. Eur J Dermatol 2021; 31:318-325.
Yin XP, Zhang XT, Zhu RJ, Song P. Effect of astragaloside Ⅳ on the immunoregulatory function of adipose-derived mesenchymal stem cells from patients with psoriasis vulgaris. J Tradit Chin Med 2022; 42:513-519.
Zhang L, Wei W. Anti-inflammatory and immunoregulatory effects of paeoniflorin and total glucosides of paeony. Pharmacol Ther 2020; 207:107452.
Zheng Q, Jiang W, Sun X, Ma T, Xu W, Shen F, et al. Total glucosides of paeony for the treatment of psoriasis: a systematic review and meta-analysis of randomized controlled trials. Phytomedicine 2019; 62:152940.
Zhao Z, Han Y, Zhang Z, Li W, Ji X, Liu X, et al. Total glucosides of paeony improves the immunomodulatory capacity of MSCs partially via the miR-124/STAT3 pathway in oral lichen planus. Biomed Pharmacother 2018; 105:151-158.
Guo J, Liu Y, Guo X, Meng Y, Qi C, Zhao J, et al. Depressive-like behaviors in mice with imiquimod-induced psoriasis. Int Immunopharmacol 2020; 89:107057.
Bożek A, Reich A. The reliability of three psoriasis assessment tools: psoriasis area and severity index, body surface area and physician global assessment. Adv Clin Exp Med 2017; 26:851-856.
Kamiya K, Kishimoto M, Sugai J, Komine M, Ohtsuki M. Risk factors for the development of psoriasis. Int J Mol Sci 2019; 20:4347.
Paganelli A, Tarentini E, Benassi L, Kaleci S, Magnoni C. Mesenchymal stem cells for the treatment of psoriasis: a comprehensive review. Clin Exp Dermatol 2020; 45:824-830.
Jiang H, Li J, Wang L, Wang S, Nie X, Chen Y, et al. Total glucosides of paeony: a review of its phytochemistry, role in autoimmune diseases, and mechanisms of action. J Ethnopharmacol 2020; 258:112913.
Xue X, Liu G, Wei Y, Fu B, Li F, Wu D, et al. Multi-element characteristics of Chinese medical Baishao (Paeoniae Radix Alba) and their decoctions. Biol Trace Elem Res 2021; 199:2375-2386.
Li H, Cao XY, Dang WZ, Jiang B, Zou J, Shen XY. Total glucosides of paeony protects against collagen-induced mouse arthritis via inhibiting follicular helper T cell differentiation. Phytomedicine 2019; 65:153091.
Li B, Liu G, Liu R, He S, Li X, Huang L, et al. Total glucosides of paeony (TGP) alleviates Sjogren's syndrome through inhibiting inflammatory responses in mice. Phytomedicine 2020; 71:153203.
Liu B, Meng X, Ma Y, Li H, Liu Y, Shi N, et al. Clinical safety of total glucosides of paeony adjuvant therapy for rheumatoid arthritis treatment: a systematic review and meta-analysis. BMC Complement Med Ther 2021; 21:102.
Li B, He S, Liu R, Huang L, Liu G, Wang R, et al. Total glucosides of paeony attenuates animal psoriasis induced inflammatory response through inhibiting STAT1 and STAT3 phosphorylation. J Ethnopharmacol 2019; 243:112121.
Chen T, Fu LX, Zhang LW, Yin B, Zhou PM, Cao N, et al. Paeoniflorin suppresses inflammatory response in imiquimod-induced psoriasis-like mice and peripheral blood mononuclear cells (PBMCs) from psoriasis patients. Can J Physiol Pharmacol 2016; 94:888-894.
Wang YN, Zhang Y, Wang Y, Zhu DX, Xu LQ, Fang H, et al. The beneficial effect of total glucosides of paeony on psoriatic arthritis links to circulating Tregs and Th1 cell function. Phytother Res 2014; 28:372-381.
Nussbaum L, Chen YL, Ogg GS. Role of regulatory T cells in psoriasis pathogenesis and treatment. Br J Dermatol 2021; 184:14-24.
Yasuda K, Takeuchi Y, Hirota K. The pathogenicity of Th17 cells in autoimmune diseases. Sem Immunopathol 2019; 41:283-297.
Göschl L, Scheinecker C, Bonelli M. Treg cells in autoimmunity: from identification to Treg-based therapies. Sem Immunopathol 2019; 41:301-314.
Priyadarssini M, Divya Priya D, Indhumathi S, Rajappa M, Chandrashekar L, Thappa DM. Immunophenotyping of T cells in the peripheral circulation in psoriasis. Br J Biomed Sci 2016; 73:174-179.
Yang R, Gao H, Chen L, Fang N, Chen H, Song G, et al. Effect of peripheral blood-derived mesenchymal stem cells on macrophage polarization and Th17/Treg balance in vitro. Regen Ther 2020; 14:275-283.
Shi Y, Wang Y, Li Q, Liu K, Hou J, Shao C, et al. Immunoregulatory mechanisms of mesenchymal stem and stromal cells in inflammatory diseases. Nat Rev Nephrol 2018; 14:493-507.
Wang Q, Chang W, Yang X, Cheng Y, Zhao X, Zhou L, et al. Levels of miR-31 and its target genes in dermal mesenchymal cells of patients with psoriasis. Int J Dermatol 2019; 58:198-204.
Zhang Y, Yan J, Li Z, Zheng J, Sun Q. Exosomes derived from human umbilical cord mesenchymal stem cells alleviate psoriasis-like skin inflammation. J Interferon Cytokine Res 2022; 42:8-18.
Peng A, Lu F, Xing J, Dou Y, Yao Y, Li J, et al. Psoriatic dermal-derived mesenchymal stem cells induced C3 expression in keratinocytes. Clin Cosmet Inv Dermatol 2022; 15:1489-1497.
Caligiuri G. Mechanotransduction, immunoregulation, and metabolic functions of CD31 in cardiovascular pathophysiology. Cardiovasc Res 2019; 115:1425-1434.
Inflammatory and Immunomodulatory Effects of Tripterygium wilfordii Multiglycoside in Mouse Models of Psoriasis Keratinocytes
Fangji Fuling Decoction Alleviates Sepsis by Blocking MAPK14/FOXO3A Signaling Pathway
Indian Traditional Treatments for Psoriasis: A Critical Appraisal of Available Evidence Supporting Efficacy
Effects of Qingre Huoxue Jiedu Formula on Nerve Growth Factor-Induced Psoriasis
Benefits and Safety of Tripterygium Glycosides and Total Glucosides of Paeony for Rheumatoid Arthritis: An Overview of Systematic Reviews
Related Author
No data
Related Institution
Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine
Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine
Department of Integrated Traditional Chinese and Western Medicine, Shanghai Skin Disease Hospital, Tongji University School of Medicine
Department of Critical Care Medicine, Changzhou Hospital of Traditional of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine
Department of Critical Care Medicine, Jiangsu Province Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine