Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2025, Vol. 17 ›› Issue (5): 402-409.doi: 10.20274/j.cnki.issn.1674-3865.2025.05.008
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Zhi ZHOU1, Mengqing WANG2(
), Yinhe LUO3, Bing YAO2, Jinglei LIU3, Guohong WANG1, Xueyi LI1, Xiao MA3
Received:2025-03-29
Revised:2025-06-10
Published:2025-10-25
Online:2025-10-25
Contact:
Mengqing WANG
E-mail:wmqwmq2009@sina.com
Supported by:CLC Number:
Zhi ZHOU, Mengqing WANG, Yinhe LUO, Bing YAO, Jinglei LIU, Guohong WANG, Xueyi LI, Xiao MA. Investigating the therapeutic role of Wuhu decoction for airway inflammation in mice with asthma caused by RSV-induced exosomes[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(5): 402-409.
Table 3
Comparison of changes in inflammatory cytokine concentrations in BALF of mice( x ± s,ng/L)"
| 组别 | n | IFN-γ | IL-12 | IL-4 | IL-6 |
|---|---|---|---|---|---|
| 空白组 | 10 | 502.41±13.74 | 7.61±0.24 | 116.50±7.23 | 84.19±8.14 |
| 模型组 | 10 | 276.65±19.93a | 4.17±0.27a | 225.58±11.75a | 258.74±18.98a |
| 利巴韦林干预组 | 10 | 391.42±15.21b | 5.28±0.33b | 168.34±5.50b | 153.49±7.32b |
| 五虎汤低剂量干预组 | 10 | 381.98±15.56b | 4.90±0.21b | 174.93±5.27b | 145.70±6.18b |
| 五虎汤中剂量干预组 | 10 | 403.22±16.77b | 5.29±0.28b | 163.46±6.68b | 141.02±5.35b |
| 五虎汤高剂量干预组 | 10 | 391.77±18.43b | 5.20±0.36b | 169.78±9.83b | 146.47±11.44b |
| F值 | 185.267 | 155.822 | 192.752 | 286.677 | |
| P值 | <0.01 | <0.01 | <0.01 | <0.01 |
| [1] | Li H, Tian Y, Xie L, et al. Mesenchymal stem cells in allergic diseases: current status[J]. Allergol Int, 2020, 69(1): 35-45. |
| [2] | Kumar A, Grayson MH. The role of viruses in the development and exacerbation of atopic disease[J]. Ann Allergy Asthma Immunol, 2009, 103(3): 181-186. |
| [3] | 王开梅, 林志雄, 胡祥英, 等. 呼吸道病毒感染对支气管哮喘患儿Th1/Th2细胞因子平衡的影响[J]. 中国医药导报, 2019, 16(5): 76-79. |
| [4] | 黄洋, 杨磊, 龙珍. 儿童哮喘发病的相关因素分析[J]. 中国妇幼保健, 2015, 30(4): 554-556. |
| [5] | Gao F, Chiu SM, Motan DL, et al. Mesenchymal stem cells and immunomodulation: current status and future prospects[J]. Cell Death Dis, 2016, 7(1): e2062. |
| [6] | 张罗丹, 薛晓明, 关炜, 等. 基于“肺肠同治” 理论探讨肛滴平喘汤对慢性阻塞性肺病大鼠肺功能及白细胞介素-4、白细胞介素-12的影响[J]. 实用中医内科杂志, 2022, 36(11): 47-50. |
| [7] | Richter M, Vader P, Fuhrmann G. Approaches to surface engineering of extracellular vesicles[J]. Adv Drug Deliv Rev, 2021, 173: 416-426. |
| [8] | Rezakhani L, Kelishadrokhi AF, Soleimanizadeh A, et al. Mesenchymal stem cell (MSC)-derived exosomes as a cell-free therapy for patients Infected with COVID-19: real opportunities and range of promises[J]. Chem Phys Lipids, 2021, 234: 105009. |
| [9] | Zhao T, Sun F, Liu J, et al. Emerging role of mesenchymal stem cell-derived exosomes in regenerative medicine[J]. Curr Stem Cell Res Ther, 2019, 14(6): 482-494. |
| [10] | 李建国. 骨髓间充质干细胞外泌体miR-1470调控哮喘调节性T细胞功能的机制研究[Z].广州:中山大学孙逸仙纪念医院,2020. |
| [11] | 林颖, 胡锦章, 颛孙永勋, 等. 骨髓间充质干细胞外泌体调节哮喘小鼠Foxp3+ Treg/Th17的平衡[J]. 中国组织工程研究, 2018, 22(17): 2637-2643. |
| [12] | 姚冰, 王孟清, 罗银河. 外泌体在病毒诱导哮喘中的作用及中医药干预机制研究进展[J]. 中华中医药学刊, 2023, 41(11): 175-181. |
| [13] | Hussain SA, Mejias A, Ramilo O, et al. Post-viral atopic airway disease: pathogenesis and potential avenues for intervention[J]. Expert Rev Clin Immunol, 2019, 15(1): 49-58. |
| [14] | Feng S, Zeng D, Zheng J, et al. microRNAs: mediators and therapeutic targets to airway hyper reactivity after respiratory syncytial virus infection[J]. Front Microbiol, 2018, 9: 2177. |
| [15] | Bartel S, Schulz N, Alessandrini F, et al. Pulmonary microRNA profiles identify involvement of Creb1 and Sec14l3 in bronchial epithelial changes in allergic asthma[J]. Sci Rep, 2017, 7: 46026. |
| [16] | 林苏杰, 王芳, 郝月琴, 等. 《支气管哮喘防治指南(2020年版)》解读[J]. 中国临床医生杂志, 2022, 50(12): 1406-1408. |
| [17] | 于琳琳, 王婧, 叶智祺, 等. 五虎汤加味治疗儿童哮喘急性发作期痰热阻肺证的临床随机对照观察[J]. 中国实验方剂学杂志, 2022, 28(5): 95-101. |
| [18] | 帅云飞, 李鑫, 王孟清, 等. 五虎汤对病毒诱发幼年哮喘大鼠炎性细胞因子表达影响[J]. 中国药理学通报, 2017, 33(1): 145-146. |
| [19] | 帅云飞, 李鑫, 王孟清, 等. 五虎汤对病毒诱发幼年哮喘大鼠脾组织T-bet、GATA-3、RORγt、Foxp3 mRNA表达的影响[J]. 中医药导报, 2016, 22(19): 18-22. |
| [20] | 黄华琼, 王娇莉, 叶飒, 等. 不同致敏和激发时间对哮喘模型的影响[J]. 中国病理生理杂志, 2008, 24(11): 2285-2288. |
| [21] | 丁伊, 王孟清, 罗银河, 等. 五虎汤抑制STAT3通路并调节哮喘小鼠Th2/Th17免疫平衡[J]. 中国病理生理杂志, 2021, 37(5): 857-863. |
| [22] | 刘靖雷, 王孟清, 罗银河, 等. 五虎汤对呼吸道合胞病毒感染细胞外泌体致哮喘小鼠自噬及IL-8、IL-23、muc5ac表达的影响[J]. 中国中医药信息杂志, 2024, 31(7): 69-76. |
| [23] | Lu Y, Xing QQ, Xu JY, et al. Astragalus polysaccharide modulates ER stress response in an OVA-LPS induced murine model of severe asthma[J]. Int J Biol Macromol, 2016, 93(Pt A): 995-1006. |
| [24] | Andreano E, Paciello I, Bardelli M, et al. The respiratory syncytial virus (RSV) prefusion F-protein functional antibody repertoire in adult healthy donors[J]. EMBO Mol Med, 2021, 13(6): e14035. |
| [25] | 吴春艳. RSV急性呼吸道感染的临床表征分析及CLBP在其中的诊断价值研究[D]. 遵义: 遵义医科大学, 2022. |
| [26] | Fedele G, Schiavoni I, Nenna R, et al. Analysis of the immune response in infants hospitalized with viral bronchiolitis shows different Th1/Th2 profiles associated with respiratory syncytial virus and human rhinovirus[J]. Pediatr Allergy Immunol, 2018, 29(5): 555-557. |
| [27] | 牛肖飞. RSV感染IL-4和IL-13诱导的BEAS-2B中ILC2s相关因子的表达及固本防哮饮的调控作用[D]. 南京: 南京中医药大学, 2022. |
| [28] | 魏水清, 程慧雯, 郝月琴, 等. TREM-1抑制剂对肥胖哮喘小鼠气道炎症的影响[J]. 青岛大学学报(医学版), 2022, 58(5): 739-743. |
| [29] | 云靖婷, 胡晓阳, 李志军, 等. 基于气道炎症及Th1/Th2免疫通路探究抗支糖浆对雾化烟草提取物环境哮喘模型小鼠的影响[J]. 中医药学报, 2022, 50(10): 26-32. |
| [30] | 杨艳, 薛征. Th1/Th2平衡在CARAS中的免疫学机制及诊疗新靶点[J]. 医学研究杂志, 2020, 49(10): 12-15. |
| [31] | Koulis A, Robinson DS. The anti-inflammatory effects of interleukin-10 in allergic disease[J]. Clin Exp Allergy, 2000, 30(6): 747-750. |
| [32] | 徐凌云, 夏敏, 李亚琴, 等. 支气管哮喘患儿血清中的IL-10、IL-12、IFN-γ、Eotaxin水平检测及其临床意义[J]. 贵州医药, 2019, 43(11): 1711-1713. |
| [33] | Haspeslagh E, van Helden MJ, Deswarte K, et al. Role of NKp46+ natural killer cells in house dust mite-driven asthma[J]. EMBO Mol Med, 2018, 10(4): e8657. |
| [34] | Stelmach I, Grzelewski T, Stelmach W, et al. The effect of nedocromil sodium on levels of IL-4 and IgE in serum of children with bronchial asthma[J]. Pol Merkur Lekarski, 2002,12(69):214-217. |
| [35] | Rincon M, Irvin CG. Role of IL-6 in asthma and other inflammatory pulmonary diseases[J]. Int J Biol Sci, 2012, 8(9): 1281-1290. |
| [36] | Jevnikar Z, Östling J, Ax E, et al. Epithelial IL-6 trans-signaling defines a new asthma phenotype with increased airway inflammation[J]. J Allergy Clin Immunol, 2019, 143(2): 577-590. |
| [37] | 王坤, 朱慧志, 杨磊, 等. 抑制Notch1/Jagged1通路可促进大鼠骨髓间充质干细胞“归巢” 并改善哮喘[J]. 南方医科大学学报, 2021, 41(10): 1464-1472. |
| [38] | 吕洋超. 半夏泻心汤对过表达IL-12基因BMSCs靶向治疗胃癌的增效作用研究[D]. 兰州: 甘肃中医药大学, 2019. |
| [39] | 吴绍宏, 甘建和, 秦爱兰, 等. 不同因素体外诱导大鼠骨髓间充质干细胞表面趋化因子受体-4的表达[J]. 苏州大学学报(医学版), 2010, 30(5): 918-921. |
| [40] | 李露, 杜燕, 杜林娜, 等. 骨髓间充质干细胞来源外泌体对缺血/再灌注损伤大鼠的肾脏保护作用及其机制[J]. 山东医药, 2022, 62(33): 41-46. |
| [41] | 李想. 巨噬细胞分泌的外泌体miR-21-5p靶向Smad7促进哮喘气道上皮间质转分化的机制研究[D]. 沈阳: 中国医科大学, 2021. |
| [42] | 许长娣, 周瑶, 张佳敏, 等. 抵抗素、miRNA-26b在婴幼儿毛细支气管炎中的表达[J]. 安徽医科大学学报, 2017, 52(5): 752-755. |
| [43] | 唐琦琦, 修光辉, 孙洁, 等. 骨髓间充质干细胞来源外泌体在疾病中的应用研究进展[J]. 中国现代医药杂志, 2020, 22(7): 88-92. |
| [44] | 李嘉琪. 骨髓间充质干细胞来源外泌体诱导肺泡巨噬细胞极化改善烟雾吸入性损伤肺部炎症[D]. 南昌: 南昌大学, 2021. |
| [45] | Fan L, Dong J, He X, et al. Bone marrow mesenchymal stem cells-derived exosomes reduce apoptosis and inflammatory response during spinal cord injury by inhibiting the TLR4/MyD88/NF-κB signaling pathway[J]. Hum Exp Toxicol, 2021, 40(10): 1612-1623. |
| [46] | Chahar HS, Corsello T, Kudlicki AS, et al. Respiratory syncytial virus infection changes cargo composition of exosome released from airway epithelial cells[J]. Sci Rep, 2018, 8(1): 387. |
| [47] | 刘凌志, 董必英, 郭栋伟. 呼吸道合胞病毒感染与支气管哮喘发病的关系研究[J]. 当代医学, 2019, 25(29): 191-194. |
| [48] | 陈岩岩, 张娜, 陈烨, 等. RSV感染毛细支气管炎患儿外周血单核细胞miR-21和FOXP3的表达关系及意义[J]. 河北医药, 2020, 42(9): 1306-1310. |
| [49] | Liu Z, Fan P, Chen M, et al. miRNAs and leukotrienes in respiratory syncytial virus infection[J]. Front Pediatr, 2021, 9: 602195. |
| [50] | 王坤, 朱慧志, 杨磊, 等. miR-139下调Notch1/Hes1通路促进骨髓间充质干细胞归巢于哮喘大鼠肺组织抑制Th2细胞炎症反应[J]. 细胞与分子免疫学杂志, 2021, 37(2): 97-104. |
| [51] | 赵霞, 秦艳虹, 王有鹏, 等. 儿童哮喘中医诊疗指南(修订)[J]. 南京中医药大学学报, 2022, 38(6): 476-482. |
| [52] | 张淑英, 李银红, 蒋英亮. 五虎汤离子导入治疗肺炎喘嗽痰热闭肺证患儿的临床观察[J]. 中国中医急症, 2015, 24(10): 1800-1802. |
| [53] | 董秀兰. 加味五虎汤治疗痰热闭肺型小儿支原体肺炎临床及细胞免疫研究[D]. 广州: 广州中医药大学, 2014. |
| [54] | 邓路丹, 李彦, 赵成顺, 等. 阿奇霉素序贯治疗联合五虎汤治疗小儿支原体肺炎的临床疗效观察[J]. 世界中西医结合杂志, 2021, 16(1): 7-11. |
| [55] | 李华, 王孟清. 五虎汤加减对痰热闭肺证支原体肺炎患儿炎性因子及免疫功能的影响[J]. 世界中西医结合杂志, 2020, 15(10): 1923-1925, 1930. |
| [56] | 帅云飞, 荀春铮, 李鑫, 等. 五虎汤对病毒诱发幼年哮喘大鼠肺组织初始CD4+T细胞转录因子表达的影响[J]. 湖南中医杂志, 2018, 34(1): 148-150. |
| [57] | 江智豪, 胡燕, 王孟清, 等. 五虎汤通过干预炎症记忆对咳嗽变异性哮喘小鼠的治疗作用[J]. 湖南中医药大学学报, 2021, 41(4): 512-517. |
| [58] | 丁伊, 王孟清, 罗银河, 等. 五虎汤抑制STAT3蛋白调控树突细胞自噬治疗RSV诱发哮喘小鼠[J]. 中国实验方剂学杂志, 2021, 27(9): 9-18. |
| [59] | 张鑫, 王孟清, 罗银河, 等. 五虎汤对RSV诱导的哮喘小鼠模型树突细胞自噬和炎性因子IL-17A和IL-17F水平的影响[J]. 中草药, 2021, 52(3): 718-726. |
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