Abstract

Objective To observe the effects of simvastatin on smoking induced COPD in the lung tissues of rats with IL-17, IL-21 and retinoid-related orphan nuclear receptor gamma t(ROR γ t) expression, to explore the value of simvastatin in the treatment of COPD and its mechanism. Methods Male SD rats were randomly divided into three groups: control group (n=10), smoking group (n=11) and treatment group (n=10). The pathological changes of lung tissue were observed in each group.The distribution of IL-17, IL-21 and RORγt protein in lung tissue of rats were detected by immunohistochemical method.The mRNA expression of IL-17, IL-21 and RORγt in rat lung tissue was measured by real-time RT-PCR. Results In the bronchial epithelium and alveolar septa, the expression of IL-17, IL-21 and RORγt positive cells were higher in smoking group [(90.00±14.02) cells/mm2, (61.18±9.16) cells/mm2, (77.27±7.95) cells/mm2]and treatment group [(72.80±10.79) cells/mm2, (49.40±3.34) cells/mm2, (65.40±5.23) cells/mm2]compared with control group[(5.20±4.49) cells/mm2, (8.20±3.16) cells/mm2, (6.80±5.85) cells/mm2](P<0.01), and the expression of smoking group was higher than the treatment group (P<0.05). The mRNA expression of IL-17, IL-21 and RORγt in lung tissue of smoking group (7.49±2.93, 12.22±4.98, 4.04±0.21) and treatment group (2.39±0.62, 3.78±0.35, 1.76±0.25) were higher than those in control group (1.00±0.00, 1.00±0.00, 1.00±0.00) (P<0.01), and the expression level in smoking group was higher than that in control group (P<0.05). There was a positive correlation between the number of IL-17 positive cells in the alveolar septum and the mean linear intercept (r=0.729, P<0.01), which was negatively correlated with the mean alveolar number (r=-0.889, P<0.01). Conclusions IL-17, IL-21 and RORγt plays a role in the process of COPD formation in rats, simvastatin reduced expression of inflammatory cells and inflammatory factors IL-17, IL-21 and RORγt, this effect is one of the mechanisms of simvastatin to reduce inflammatory reaction and the change of lung pathology in lung tissue of COPD rats. Key words: Chronic obstructive pulmonary disease; Interleukin-17; Interleukin-21; Retinoid-related orphan nuclear receptor gamma t; Simvastatin

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