AI Chat Paper
Note: Please note that the following content is generated by AMiner AI. SciOpen does not take any responsibility related to this content.
{{lang === 'zh_CN' ? '文章概述' : 'Summary'}}
{{lang === 'en_US' ? '中' : 'Eng'}}
Chat more with AI
PDF (5.1 MB)
Collect
AI Chat Paper
Show Outline
Outline
Show full outline
Hide outline
Outline
Show full outline
Hide outline
Original Article | Open Access

Liangxue Xiaoban decoction and its disassembled prescriptions ameliorate psoriasis-like skin lesions induced by imiquimod in mice via T cell regulation

Feifei TangShuling LiuFafeng ChengQingguo WangXueqian Wang( )
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, China

Peer review under responsibility of Beijing University of Chinese Medicine.

Show Author Information

Abstract

Objective

To explore the therapeutic capacity of the Liangxue Xiaoban (LXXB) decoction and its disassembled prescriptions in the modulation of T cell subsets and recurrence-related indexes of psoriasis using a psoriasis-like mouse model.

Methods

The psoriasis model was generated by the treatment of BALB/c mice (n = 48) with imiquimod. Mice were divided into six groups: control, psoriasis model, tripterygium glycosides, LXXB decoction, Liangxue decoction, and Qingqi decoction. After the intervention period, the interleukin (IL)-17A, IL-22, and interferon-γ levels in mice were examined and hematoxylin and eosin staining was conducted to determine pathological changes in the skin tissues. T cell subset changes in the skin-draining lymph nodes were analyzed using flow cytometry, and the expression levels of the associated transcription factors and recurrence-related indexes in the skin tissues were determined using a polymerase chain reaction.

Results

LXXB decoction attenuated the levels of CD8+ T, Th17, and Th1 cells and induced an increase in the Th2 and Treg cell levels. The disassembled prescriptions promoted or inhibited specific subsets of T cells to improve the symptoms of psoriasis. Notably, the LXXB and Liangxue decoctions suppressed the expression of IL-22 at both the gene and protein levels and restored the CD103 and IL-15 expressions in the skin tissue to the normal range.

Conclusion

LXXB decoction exerted significant immunoregulatory effects on T cell subsets and improved the recurrence-related indexes. Interestingly, the Liangxue prescription appeared to have a therapeutic advantage in terms of Th17 modulation and psoriasis recurrence, while the Qingqi prescription performed better in Treg immunoregulation.

References

1
Griffiths CEM, Armstrong AW, Gudjonsson JE, Barker JNWN. Psoriasis. Lancet.2021;397(10281):1301-1315.
2

Roy AK, Roy PK, Grigorieva E. Mathematical insights on psoriasis regulation: role of Th1 and Th2 cells. Math Biosci Eng. 2018;15(3):717-738.

3

Sugaya M. The role of Th17‒related cytokines in atopic dermatitis. Int J Mol Sci. 2020;21(4):1314.

4

Divyapriya D, Priyadarssini M, Indhumathi S, Rajappa M, Chandrashekar L, Mohanraj PS. Evaluation of cytokine gene expression in psoriasis. Postepy Dermatol Alergol. 2021;38(5):858-865.

5

Sabat R, Wolk K, Loyal L, Döcke WD, Ghoreschi K. T cell pathology in skin inflammation. Semin Immunopathol. 2019;41(3):359-377.

6

Ghoreschi K, Balato A, Enerbäck C, Sabat R. Therapeutics targeting the IL-23 and IL-17 pathway in psoriasis. Lancet. 2021;397(10275):754-766.

7

Singh R, Koppu S, Perche PO, Feldman SR. The cytokine mediated molecular pathophysiology of psoriasis and its clinical implications. Int J Mol Sci. 2021;22(23), 12793.

8

Nadeem A, Al-Harbi NO, Ansari MA, et al. Psoriatic inflammation enhances allergic airway inflammation through IL-23/STAT3 signaling in a murine model. Biochem Pharmacol. 2017;124:69-82.

9

Nadeem A, Ahmad SF, Al-Harbi NO, et al. Inhibition of interleukin-2‒inducible T-cell kinase causes reduction in imiquimod‒induced psoriasiform inflammation through reduction of Th17 cells and enhancement of Treg cells in mice. Biochimie. 2020;179:146-156.

10

Jia HK, Li LJ. Relationship between TCM syndrome differentiation of psoriasis and T cell subgroup level in peripheral blood and pathogenic factors. Hainan Med J. 2019;30(5):559-561 [Chinese].

11
Li LL. Study on T Lymphocyte Subsets in Different Stages and Syndromes of Psoriasis Vulgaris [master's thesis]. Beijing, China: Beijing University of ChineseMedicine; 2011 [Chinese].
12

Chen X, Zhang KH, An JY, et al. Relationship between three TCM syndrome of psoriasis vulgaris and Th cells differentiation mediated by JAK/STAT signalling pathway. China J Tradit Chin Med Pharm. 2019;34(12):5964-5967 [Chinese].

13

Wang L, Fang YP, Zhou GX, Wu PH, Li QJ, Geng QN. Study on clinical efficacy and mechanism of Qingying Tang for treating psoriatic blood-heat syndrome based on IL-23/Th17. China J Chin Mater Med. 2019;44(1):175-180 [Chinese].

14

Wang LX. Clinical observation on 132 cases of psoriasis vulgaris treated by modified Baihu decoction combined with acitretin capsules. World J Integr Tradit West Med. 2015;10(6):825-827 [Chinese].

15
Du X. Establishment of Animal Model of Blood Heat Psoriasis and Study on theTherapeutic Mechanism of Liangxue Xiaoban Decoction [master's Thesis]. Beijing, China: Beijing University of Chinese Medicine; 2018 [Chinese].
16
Chinese Pharmacopoeia Committee. Pharmacopoeia of the People's Republic ofChina, 2020 ed. Beijing, China: China Medical Science Press; 2020 [Chinese].
17

Al-Harbi NO, Nadeem A, Ansari MA, et al. Psoriasis-like inflammation leads to renal dysfunction via upregulation of NADPH oxidases and inducible nitric oxide synthase. Int Immunopharm. 2017;46:1-8.

18

Al-Harbi NO, Nadeem A, Ahmad SF, et al. Therapeutic treatment with Ibrutinib attenuates imiquimod-induced psoriasis-like inflammation in mice through downregulation of oxidative and inflammatory mediators in neutrophils and dendritic cells. Eur J Pharmacol. 2020;877, 173088.

19

Yang X, Luo J, Li Y, et al. Effects Jianpi Xiaoai Fang on regulation of TGF-β1 expression in liver Kupffer cells by exosomes of colon cancer cells through MIF. J Beijing Univ Tradit Chin Med. 2022;45(2):184-192 [Chinese].

20

Yang DW, Jia Y, Zhang JJ. Discussion on the construction of psoriasis animal model based on blood-heat syndrome. Guiding J Tradit Chin Med Pharm. 2021;27(2):16-18, 23 [Chinese].

21

Robert C, Kupper TS. Inflammatory skin diseases, T cells, and immune surveillance. N Engl J Med. 1999;341(24):1817-1828.

22

Schlaak JF, Buslau M, Jochum W, et al. T cells involved in psoriasis vulgaris belong to the Th1 subset. J Invest Dermatol. 1994;102(2):145-149.

23

Jiang Q, Yang G, Xiao F, et al. Role of Th22 cells in the pathogenesis of autoimmune diseases. Front Immunol. 2021;12, 688066.

24

Szegedi A, Aleksza M, Gonda A, et al. Elevated rate of Thelper1 (T(H)1) lymphocytes and serum IFN-gamma levels in psoriatic patients. Immunol Lett. 2003;86(3):277-280.

25

Yousefzadeh H, Jabbari Azad F, Rastin M, Banihashemi M, Mahmoudi M. Expression of Th1 and Th2 cytokine and associated transcription factors in peripheral blood mononuclear cells and correlation with disease severity. Rep Biochem Mol Biol. 2017;6(1):102-111.

26

Hu P, Wang M, Gao H, et al. The role of helper T cells in psoriasis. Front Immunol. 2021;12, 788940.

27

Ogawa E, Sato Y, Minagawa A, Okuyama R. Pathogenesis of psoriasis and development of treatment. J Dermatol. 2018;45(3):264-272.

28

Konya V, Czarnewski P, Forkel M, et al. Vitamin D downregulates the IL-23 receptor pathway in human mucosal group 3 innate lymphoid cells. J Allergy Clin Immunol. 2018;141(1):279-292.

29

Chen L, Su M, Jin Q, et al. Discovery of N-(2-benzyl-4-oxochroman-7-yl)-2-(5-(ethylsulfonyl) pyridin-2-yl) acetamide (b12) as a potent, selective, and orally available novel retinoic acid receptor-related orphan receptor γt inverse agonist. Bioorg Chem. 2022;119, 105483.

30

Schnute ME, Wennerstål M, Alley J, et al. Discovery of 3-Cyano- N-(3-(1-isobutyrylpiperidin-4-yl)-1-methyl-4-(trifluoromethyl)-1 H-pyrrolo[2, 3- b]pyridin-5-yl)benzamide: a potent, selective, and orally bioavailable retinoic acid receptor-related orphan receptor C2 inverse agonist. J Med Chem. 2018;61(23):10415-10439.

31

Castro G, Liu X, Ngo K, et al. RORγt and RORα signature genes in human Th17 cells. PLoS One. 2017;12(8): e0181868.

32

Owczarczyk-Saczonek A, Czerwińska J, Placek W. The role of regulatory T cells and anti-inflammatory cytokines in psoriasis. Acta Dermatovenerol Alpina Pannonica Adriatica. 2018;27(1):17-23.

33

Wu WJ, Wang SH, Wu CC, et al. IL-4 and IL-13 promote proliferation of mammary epithelial cells through STAT6 and IRS-1. Int J Mol Sci. 2021;22(21), 12008.

34

Okamoto Y, Kitakaze K, Takenouchi Y, et al. Sphingosine 1-phosphate receptor type 2 positively regulates interleukin (IL)-4/IL-13-induced STAT6 phosphorylation. Cell Signal. 2021;88, 110156.

35

Guenova E, Skabytska Y, Hoetzenecker W, et al. IL-4 abrogates T(H)17 cell-mediated inflammation by selective silencing of IL-23 in antigen-presenting cells. Proc Natl Acad Sci U S A. 2015;112(7):2163-2168.

36

Hahn M, Ghoreschi K. The role of IL-4 in psoriasis. Expet Rev Clin Immunol. 2017;13(3):171-173.

37

Guenova E, Volz T, Sauer K, et al. IL-4-mediated fine tuning of IL-12p70 production by human DC. Eur J Immunol. 2008;38(11):3138-3149.

38

Hochrein H, O'Keeffe M, Luft T, et al. Interleukin (IL)-4 is a major regulatory cytokine governing bioactive IL-12 production by mouse and human dendritic cells. J Exp Med. 2000;192(6):823-833.

39

Cataldi C, Mari NL, Lozovoy MAB, et al. Proinflammatory and anti-inflammatory cytokine profiles in psoriasis: use as laboratory biomarkers and disease predictors. Inflamm Res. 2019;68(7):557-567.

40

Guryanova S, Udzhukhu V, Kubylinsky A. Pathogenetic therapy of psoriasis by muramyl peptide. Front Immunol. 2019;10:1275.

41

Bautista-Herrera LA, De la Cruz-Mosso U, Morales-Zambrano R, et al. Expression of MIF and TNFA in psoriatic arthritis: relationship with Th1/Th2/Th17 cytokine profiles and clinical variables. Clin Exp Med. 2018;18(2):229-235.

42

Shao YY, Zhou YM, Hu M, et al. The anti-allergic rhinitis effect of traditional Chinese medicine of Shenqi by regulating mast cell degranulation and Th1/Th2 cytokine balance. Molecules. 2017;22(3):504.

43

Sakaguchi S, Yamaguchi T, Nomura T, Ono M. Regulatory T cells and immune tolerance. Cell. 2008;133(5):775-787.

44

Cook L, Reid KT, Häkkinen E, et al. Induction of stable human FOXP3+ Tregs by a parasite-derived TGF-β mimic. Immunol Cell Biol. 2021;99(8):833-847.

45

Zhang L, Li Y, Yang X, et al. Characterization of Th17 and FoxP3(+) Treg cells in paediatric psoriasis patients. Scand J Immunol. 2016;83(3):174-180.

46

Liu Y, Zhang C, Li B, et al. A novel role of IL-17A in contributing to the impaired suppressive function of Tregs in psoriasis. J Dermatol Sci. 2021;101(2):84-92.

47

Zhao J, Di T, Wang Y, et al. Multi-glycoside of Tripterygium wilfordii Hook. f. ameliorates imiquimod-induced skin lesions through a STAT3-dependent mechanism involving the inhibition of Th17-mediated inflammatory responses. Int J Mol Med. 2016;38(3):747-757.

48

Gallais Sérézal I, Hoffer E, Ignatov B, et al. A skewed pool of resident T cells triggers psoriasis-associated tissue responses in never-lesional skin from patients with psoriasis. J Allergy Clin Immunol. 2019;143(4):1444-1454.

49

Waljee AK, Higgins PDR, Jensen CB, et al. Anti-tumour necrosis factor-α therapy and recurrent or new primary cancers in patients with inflammatory bowel disease, rheumatoid arthritis, or psoriasis and previous cancer in Denmark: a nationwide, population-based cohort study. Lancet Gastroenterol Hepatol. 2020;5(3):276-284.

50

Zhang HR, Qu X. Advances in experimental studies on treatment of psoriasis by traditional Chinese medicine. J Tradit Chin Med. 2002;22(1):61-66.

51

Park CO, Kupper TS. The emerging role of resident memory T cells in protective immunity and inflammatory disease. Nat Med. 2015;21(7):688-697.

52

Narayanasetty NK, Pai VV, Athanikar SB. Annular lesions in dermatology. Indian J Dermatol. 2013;58(2):157.

53

Emmanuel T, Lybaek D, Johansen C, Iversen L. Non-random plaque-site recurrence of psoriasis in patients treated with Dead Sea climatotherapy. Acta Derm Venereol. 2019;99(10):909-910.

54

Hawkes JE, Chan TC, Krueger JG. Psoriasis pathogenesis and the development of novel targeted immune therapies. J Allergy Clin Immunol. 2017;140(3):645-653.

55

Lai C, Coltart G, Shapanis A, et al. CD8+CD103+ tissue-resident memory T cells convey reduced protective immunity in cutaneous squamous cell carcinoma. J Immunother Cancer. 2021;9(1), e001807.

56

Fenix K, Wijesundara DK, Cowin AJ, Grubor-Bauk B, Kopecki Z. Immunological memory in imiquimod-induced murine model of psoriasiform dermatitis. Int J Mol Sci. 2020;21(19):7228.

57

Kurihara K, Fujiyama T, Phadungsaksawasdi P, Ito T, Tokura Y. Significance of IL-17A–producing CD8+CD103+ skin resident memory T cells in psoriasis lesion and their possible relationship to clinical course. J Dermatol Sci. 2019;95(1):21-27.

58

Tian D, Lai Y. The relapse of psoriasis: mechanisms and mysteries. JID Innov. 2022;2(3), 100116.

59

Chen Y, Yan Y, Liu H, et al. Dihydroartemisinin ameliorates psoriatic skin inflammation and its relapse by diminishing CD8+ T-cell memory in wild-type and humanized mice. Theranostics. 2020;10(23):10466-10482.

60

Tokura Y, Phadungsaksawasdi P, Kurihara K, Fujiyama T, Honda T. Pathophysiology of skin resident memory T Cells. Front Immunol. 2021;11:618897.

61

Fehniger TA. Mystery solved: IL-15. J Immunol. 2019;202(11):3125-3126.

62

Owczarczyk Saczonek A, Krajewska-Włodarczyk M, Kasprowicz-Furmańczyk M, Placek W. Immunological memory of psoriatic lesions. Int J Mol Sci. 2020;21(2):625.

63

Zhu J, Yamane H, Paul WE. Differentiation of effector CD4 T cell populations (*). Annu Rev Immunol. 2010;28:445-489.

64

Sonnenberg GF, Fouser LA, Artis D. Border patrol: regulation of immunity, inflammation and tissue homeostasis at barrier surfaces by IL-22. Nat Immunol. 2011;12(5):383-390.

Journal of Traditional Chinese Medical Sciences
Pages 409-419
Cite this article:
Tang F, Liu S, Cheng F, et al. Liangxue Xiaoban decoction and its disassembled prescriptions ameliorate psoriasis-like skin lesions induced by imiquimod in mice via T cell regulation. Journal of Traditional Chinese Medical Sciences, 2022, 9(4): 409-419. https://doi.org/10.1016/j.jtcms.2022.09.003

323

Views

11

Downloads

0

Crossref

0

Scopus

Altmetrics

Received: 29 June 2022
Revised: 12 September 2022
Accepted: 12 September 2022
Published: 15 September 2022
© 2022 Beijing University of Chinese Medicine.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Return