Abstract

BackgroundFuzi lipid-soluble alkaloids (FLA) is the main bioactive components extracted from the traditional Chinese medicine Aconiti Lateralis Radix Praeparata (“Fuzi” in Chinese), which has promising analgesic and anti-inflammatory effects. However, the effects and the underlying mechanisms of FLA on rheumatoid arthritis (RA) have not been studied. The present study aimed to explore the anti-arthritic effects of FLA and its underlying mechanisms. MethodsTo standardize the FLA, UPLC-HR-MS was used for quantitative and qualitative analysis of the representative alkaloids. Cell viability was measured by MTT. The anti-inflammatory activity of FLA was examined by analyzing the expression levels of inflammatory mediators such as TNF-α, IL-6, MMP-1, MMP-3, PGE2, and COX-2 using ELISA and RT-PCR analysis. The Annexin V-FITC/PI double staining method was used to detect the apoptosis of HFLS-RA and analyzed by flow cytometry. Western blot analysis was used to analyze the expression of NF-κB, MAPKs and mitochondrial apoptosis pathway related proteins. ResultsFLA had a significant inhibitory effect on the proliferation of HFLS-RA induced by IL-1β, which was accompanied by decreased expression levels of TNF-α, IL-6, MMP-1, MMP-3, COX-2 and PGE2. Remarkably, FLA inhibited the activation of NF-κB and MAPKs signaling pathways in IL-1β-induced HFLS-RA, as well as inducing HFLS-RA apoptosis through the mitochondrial apoptosis pathway. ConclusionsFLA inhibited the expression and synthesis of inflammatory mediators by inhibiting the activation of NF-κB and MAPKs signaling pathways in HFLS-RA, and induced apoptosis of HFLS-RA via the mitochondrial apoptosis pathway.

Highlights

  • Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease characterized by synovial inflammation and synovial tissue hyperplasia, which lead to the destruction of joint, cartilage and bone (Sparks, 2019)

  • 3.1 IL-1β stimulated the proliferation of human fibroblast-like synoviocytes-rheumatoid arthritis (HFLS-rheumatoid arthritis (RA)) and promoted the expression of Inflammatory mediators in HFLS-RA

  • IL-1β significantly induced the expression of IL-6, TNF-α, matrix metalloproteinase (MMP)-1, MMP-3 and PGE2 (Fig. 2B–F), indicating that IL-1β could induce the inflammatory response of HFLS-RA

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Summary

Introduction

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease characterized by synovial inflammation and synovial tissue hyperplasia, which lead to the destruction of joint, cartilage and bone (Sparks, 2019). FLS can produce excessive inflammatory mediators, such as TNF-α and IL-6 (Brzustewicz and Bryl, 2015), which trigger and perpetuate inflammation, and produce matrix metalloproteinases (MMPs) that contribute to cartilage and bone destruction, such as MMP-1 and MMP-3 (Murphy and Nagase, 2008). FLS is relatively resistant to apoptosis and forms hyperplastic synovial pannus tissue with macrophages, fibroblast-like mesenchymal cells and blood vessels (Bartok and Firestein, 2010). Inhibition of FLS-mediated synovial inflammation and synovial tissue hyperplasia may be a potential treatment for RA. The effects and the underlying mechanisms of FLA on rheumatoid arthritis (RA) have not been studied. The present study aimed to explore the anti-arthritic effects of FLA and its underlying mechanisms

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