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Reduning injection and its effective constituent luteoloside protect against sepsis partly via inhibition of HMGB1/TLR4/NF-κB/MAPKs signaling pathways.

AbstractETHNOPHARMACOLOGICAL RELEVANCE:
Reduning injection (RDN), a popular traditional Chinese medicine, formulated by three herbs (i.e., Artemisia carvifolia Buch.-Ham. ex Roxb., Lonicera japonica Thunb., and Gardenia jasminoides J. Ellis), has been widely used to treat upper respiratory infectious diseases in China.
AIM OF THE STUDY:
To investigate the protective effect of RDN on both lipopolysaccharides (LPS)- and cecal ligation and puncture (CLP)-induced septic mice. To identify the potentially effective constituent, and to determine its protective effect and underlying mechanism in vivo and in vitro.
MATERIALS AND METHODS:
Male C57BL/6 mice were used to establish septic model by tail intravenous injection of 4 mg/kg LPS or CLP surgery. After modeling, mice were administered by tail intravenous injection of RDN in the dose of 16 or 8 mL/kg/day. The mortality, histopathology, plasma levels of inflammatory cytokines were evaluated respectively. In addition, we screened the potentially effective substances of RDN against sepsis by detecting the nitric oxide (NO) production in LPS-stimulated Raw 264.7 cells and verified the effect of luteoloside in CLP-induced septic mice subsequently. Finally, the underlying mechanisms of RDN and luteoloside were investigated in the inflammatory model in vitro.
RESULTS:
Administration of RDN significantly reduced the mortality and increased the survival rate in both LPS- and CLP-induced septic mice. Meanwhile, RDN reduced the release of inflammatory cytokines accompanied by alleviating the organs damage of lung, liver, and kidney in CLP-induced septic mice. Moreover, several components from Gardenia jasminoides J. Ellis extract (ZZ) or Lonicera japonica Thunb and Artemisia carvifolia Buch.-Ham. ex Roxb extract (JQ) as well as the constituents of luteoloside, quercetin, and caffeic acid were screened out to have obvious anti-inflammatory activity, which may be the potentially effective substances of RDN against sepsis. We further verified the protective role of luteoloside in CLP-induced septic mice. In addition, RDN and luteoloside significantly inhibited both the secretion and translocation of mobility group box (HMGB)1, and HMGB1-mediated activation of TLR4/NF-κB/MAPKs signaling pathways.
CONCLUSION:
RDN and its effective constituent luteoloside exhibited a significant protective effect against sepsis, which were potential candidate drugs for treatment of sepsis. The mechanism of antisepsis partly was related to inhibition of HMGB1/TLR4/NF-κB/MAPKs signaling pathways. The results provide an evidence base for the follow-up clinical application of RDN in treatment of sepsis.
AuthorsZheng Wang, Wen Chen, Yunying Li, Shuying Zhang, He Lou, Xiaoyan Lu, Xiaohui Fan
JournalJournal of ethnopharmacology (J Ethnopharmacol) Vol. 270 Pg. 113783 (Apr 24 2021) ISSN: 1872-7573 [Electronic] Ireland
PMID33421596 (Publication Type: Journal Article)
CopyrightCopyright © 2021 Elsevier B.V. All rights reserved.
Chemical References
  • Anti-Infective Agents, Local
  • Drugs, Chinese Herbal
  • Glucosides
  • HMGB1 Protein
  • HMGB1 protein, mouse
  • Lipopolysaccharides
  • Myd88 protein, mouse
  • Myeloid Differentiation Factor 88
  • NF-kappa B p50 Subunit
  • Protective Agents
  • Tlr4 protein, mouse
  • Toll-Like Receptor 4
  • reduning
  • Nfkb1 protein, mouse
  • Nitric Oxide
  • luteolin-7-glucoside
  • Mitogen-Activated Protein Kinases
  • Luteolin
Topics
  • Animals
  • Anti-Infective Agents, Local (administration & dosage)
  • Cecum (surgery)
  • Disease Models, Animal
  • Drugs, Chinese Herbal (administration & dosage, chemistry)
  • Glucosides (pharmacology)
  • HMGB1 Protein (metabolism)
  • Injections
  • Lipopolysaccharides (toxicity)
  • Luteolin (pharmacology)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mitogen-Activated Protein Kinases (metabolism)
  • Myeloid Differentiation Factor 88 (metabolism)
  • NF-kappa B p50 Subunit (metabolism)
  • Nitric Oxide (antagonists & inhibitors)
  • Protective Agents (administration & dosage)
  • RAW 264.7 Cells
  • Sepsis (etiology, mortality, prevention & control)
  • Signal Transduction (drug effects)
  • Toll-Like Receptor 4 (metabolism)

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