Abstract

Background Andrographis paniculata (Burm. f.) Nees (APN), a principal constituent of a famous traditional Chinese medicine Fukeqianjin tablet which is used for the treatment of pelvic inflammatory disease (PID), has been reported to have anti-inflammatory effect in vitro. However, whether it has pharmacological effect on PID in vivo is unclear. Therefore, the aim of this study is to test the anti-inflammatory effect of APN and illuminate a potential mechanism.MethodsThirty-six female specific pathogen-free SD rats were randomly divided into control group, PID group, APN1 group, APN2 group, APN3 group and prednisone group. Pathogen-induced PID rats were constructed. The APN1, APN2 and APN3 group rats were orally administrated with APN extract at different levels. The prednisone group rats were administrated with prednisone. Eight days after the first infection, the histological examination of upper genital tract was carried out, and enzyme-linked immunosorbent assay (ELISA) was carried out using homogenate of the uterus and fallopian tube. Furthermore, immunohistochemical evaluations of NF-κB p65 and IκB-α in uterus was conducted.ResultsAPN obviously suppressed the infiltrations of neutrophils and lymphocytes, and it could significantly reduce the excessive production of cytokines and chemokines including IL-1β, IL-6, CXCL-1, MCP-1 and RANTES in a dose-dependent manner. Furthermore, APN could block the pathogen-induced activation of NF-κB pathway.ConclusionAPN showed potent anti-inflammatory effect on pathogen-induced PID in rats, with a potential mechanism of inhibiting the NF-κB signal pathway.

Highlights

  • Andrographis paniculata (Burm. f.) Nees (APN), a principal constituent of a famous traditional Chinese medicine Fukeqianjin tablet which is used for the treatment of pelvic inflammatory disease (PID), has been reported to have anti-inflammatory effect in vitro

  • APN could suppress the infiltration of inflammatory cells in the upper genital tract of PID rats

  • APN reduced the excessive production of cytokines and chemokines To observe the inflammatory response and investigate the reason of inflammatory cells infiltration in the uterus and fallopian tube, the IL-1β, IL-6, CXCL-1, MCP-1, and RANTES in tissue homogenate were determined by using enzyme-linked immunosorbent assay (ELISA) kits

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Summary

Introduction

Andrographis paniculata (Burm. f.) Nees (APN), a principal constituent of a famous traditional Chinese medicine Fukeqianjin tablet which is used for the treatment of pelvic inflammatory disease (PID), has been reported to have anti-inflammatory effect in vitro. F.) Nees (APN), a principal constituent of a famous traditional Chinese medicine Fukeqianjin tablet which is used for the treatment of pelvic inflammatory disease (PID), has been reported to have anti-inflammatory effect in vitro. Whether it has pharmacological effect on PID in vivo is unclear. Pelvic inflammatory disease (PID) is a common gynecological disease that usually causes ectopic pregnancy, tubal factor infertility and chronic pelvic pain, which has been deemed as a great threat for life quality of woman It includes endometritis, salpingitis, peritonitis, etc., whose. APN is the principal constituent in a famous traditional Chinese medicine Fukeqianjin tablet which is used to treat PID. We test the anti-inflammatory effect of APN on PID rats, and illustrate a potential mechanism of this activity

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