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Hu L, Li L, Che H, Zhao B, Xiao LI, Liu P, Yi W, Liu S. Huanglian Decoction treats Henoch-Schonlein purpura nephritis by inhibiting NF-κB/NLRP3 signaling pathway and reducing renal IgA deposition. AN ACAD BRAS CIENC 2024; 96:e20220970. [PMID: 38597498 DOI: 10.1590/0001-3765202420220970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 06/05/2023] [Indexed: 04/11/2024] Open
Abstract
Henoch-Schonlein purpura nephritis (HSPN) is a systemic vascular inflammatory disease. Huanglian Decoction (HLD) ameliorates renal injury in nephritis; however, the mechanism of action of HLD on HSPN has not been investigated. This study aimed to investigate the protective mechanism of HLD treatment in HSPN. The effects of HLD on HSPN biochemical indices, kidney injury and NF-κB/NLRP3 signaling pathway were analyzed by biochemical analysis, ELISA, HE and PAS staining, immunohistochemistry, immunofluorescence, and Western Blot. In addition, the effects of HLD on HSPN cells were analyzed. We found that HLD treatment significantly reduced renal tissue damage, decreased the levels of IL-17, IL-18, TNF-α, and IL-1β, and increased the levels of TP and ALB in HSPN mice. It also inhibited the deposition of IgA, IgG, and C3 in kidney tissues and significantly decreased the expression of IκBα, p-IκBα, NLRP3, caspase-1, and IL-1β in kidney tissues and cells. In addition, PMA treatment inhibited the above-mentioned effects of HLD. These results suggested that HLD attenuates renal injury, IgA deposition, and inflammation in HSPN mice and its mechanism of action may be related to the inhibition of the NF-κB/NLRP3 pathway.
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Affiliation(s)
- Lian Hu
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Linlin Li
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Hong Che
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Bingjie Zhao
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - L I Xiao
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Peijia Liu
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Wenjing Yi
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
| | - Songshan Liu
- Hospital of Chengdu University of Traditional Chinese Medicine, Department of Hematology, Chengdu, 39, Twelve Bridges Road, Jinniu District, Chengdu, Sichuan Province, 610032, P. R. China
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The Effect of Chinese Traditional Medicine Huaiqihuang (HQH) on the Protection of Nephropathy. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2020; 2020:2153912. [PMID: 32655761 PMCID: PMC7317614 DOI: 10.1155/2020/2153912] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 05/28/2020] [Indexed: 12/11/2022]
Abstract
Kidney disease is one of the common diseases with high morbidity and high mortality, which brings a huge burden to the society and the patient's family. The pathogenesis, treatment, and prognosis of kidney diseases are related to oxidative stress, inflammation, mitochondrial damage, and immune dysfunction. However, existing treatments always cause some damage to the kidneys. Kidney disease and immunosuppressant used together often lead to drug toxicity, patients with weakened immunity, organic rupture of the normal structure of the kidney, damage to the physiological function of the kidney, etc. Huaiqihuang is a kind of traditional Chinese medicine with a history of more than one thousand years. According to research, Robinia pseudoacacia can regulate the immune function by regulating oxidative stress, calcium inflow, and mitochondrial ATP. At the same time, it is also involved in regulating the ways of cell death, such as apoptosis, autophagy, ferroptosis, pyroptosis, and clockophagy, to reduce kidney damage, which has important clinical value. This article reviews the exact mechanism and clinical application of Huaiqihuang in different types of nephropathy. The aim is to provide new ideas for the treatment of clinical nephropathy.
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