Abstract

Background: This study aimed to investigate the protective effect of Xuanfei Pingchuan Capsules (XFPC) on autophagy and p38 phosphorylation in human bronchial epithelial (HBE) cells induced by cigarette smoke extract (CSE). Methods: HBE cells were divided into five groups: blank, CSE, low XFPC dose (XFPC-L), medium XFPC dose (XFPC-M), and high XFPC dose (XFPC-H). HBE cells were induced by CSE to establish a cell model for chronic obstructive pulmonary disease, and different doses of XFPC medicated serum were used to treat the cells. The Cell Counting Kit-8 was used to detect cell viability. Flow cytometry was used to detect cell apoptosis. Fluorescence microscopy and the expression level of microtubule-associated protein light chain 3 (LC3)-II in immunohistochemical method were used to observe autophagy in cells. Western blot was used to detect the protein expression level of p38, phospho-p38 (p-p38), LC3-I, LC3-II and Beclin 1. Real-time polymerase chain reaction was used to detect the expression of LC3-I, LC3-II and Beclin 1 on mRNA level. Results: Compared with the blank group, the cell viability of the CSE group was significantly decreased, and apoptosis and the level of autophagy in cells were significantly increased. The mRNA and protein expression of LC3-I, LC3-II, Beclin 1 and the protein level of p-p38 were significantly increased in the CSE-HBE cells. Compared to the CSE group, the different doses of XFPC medicated serum increased cell viability, decreased cell apoptosis, and inhibited mRNA and protein expression of LC3-I, LC3-II, Beclin 1 and protein level of p-p38. These results were especially observed in the group XFPC-H. After adding a p38 agonist, the therapeutic effect of XFPC on cell viability and autophagy was suppressed. Conclusion: XFPC significantly increased cell viability in a CSE-induced HBE cell model for chronic obstructive pulmonary disease through inhibiting the level of autophagy mediated by phosphorylation of p38.

Highlights

  • Chronic obstructive pulmonary disease (COPD) is a major clinical inflammatory lung disease caused by smoking and alveolar abnormalities

  • We found that cigarette smoke extract (CSE) exposure significantly inhibited cell viability, and Xuanfei Pingchuan Capsules (XFPC) could increase the cell viability of CSE-human bronchial epithelial (HBE) in a dose-dependent manner (Figure 1A)

  • CSE exposure significantly promoted HBE cell apoptosis to 40% compared with the blank group (Figures 1B–D)

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Summary

Introduction

Chronic obstructive pulmonary disease (COPD) is a major clinical inflammatory lung disease caused by smoking and alveolar abnormalities. COPD has high prevalence, mortality, and disability rates and a heavy burden of disease (Singh et al, 2019). The standard treatment for COPD is inhaling glucocorticoids and bronchodilators; these drugs can cause adverse reactions, such as aggravating infection and inducing osteoporosis and cataracts (Agusti Alvar et al, 2018). Adverse events such as these have a heavy economic burden for patients. This study aimed to investigate the protective effect of Xuanfei Pingchuan Capsules (XFPC) on autophagy and p38 phosphorylation in human bronchial epithelial (HBE) cells induced by cigarette smoke extract (CSE)

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