Acute lung injury (ALI) and
acute respiratory distress syndrome (ARDS) are the serious diseases that are characterized by a severe inflammatory response of
lung injuries and damage to the microvascular permeability, frequently resulting in death.
YiQiFuMai (YQFM) lyophilized injection
powder is a redeveloped preparation based on the well-known
traditional Chinese medicine formula
Sheng-Mai-San which is widely used in clinical practice in China, mainly for the treatment of microcirculatory disturbance-related diseases. However, there is little information about its role in ALI/ARDS. The aim of this study was to determine the protective effect of YQFM on
particulate matter (PM)-induced ALI. The mice were intratracheally instilled with 50 mg/kg
body weight of Standard Reference Material1648a (SRM1648a) in the PM-induced group. The mice in the YQFM group were given YQFM (three doses: 0.33, 0.67, and 1.34 g/kg) by tail vein injection 30 min after the intratracheal instillation of PM. The results showed that YQFM markedly reduced lung pathological injury and the
lung wet/dry weight ratios induced by PM. Furthermore, we also found that YQFM significantly inhibited the PM-induced
myeloperoxidase (MPO) activity in lung tissues, decreased the PM-induced inflammatory
cytokines including interleukin-1β (IL-1β) and
tumor necrosis factor-α (TNF-α), reduced
nitric oxide (NO) and total
protein in bronchoalveolar lavage fluids (BALF), and effectively attenuated PM-induced increases lymphocytes in BALF. In addition, YQFM increased
mammalian target of rapamycin (mTOR) phosphorylation and dramatically suppressed the PM-stimulated expression of
toll-like receptor 4 (TLR4), MyD88,
autophagy-related protein LC3Ⅱand
Beclin 1 as well as autophagy. In conclusion, these findings indicate that YQFM had a critical anti-inflammatory effect due to its ability to regulate both TLR4-MyD88 and mTOR-autophagy pathways, and might be a possible therapeutic agent for PM-induced ALI.