Xiaoqinglong Decoction Protects the Lungs of AECOPD Mice through the AMPK/mTOR Signaling Pathway

Qingsong Huang1, Hongjing Yang1, Chuantao Zhang1

  • 1Department of Respimiceory Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39, Twelve Bridge Road, Jinniu District, Chengdu, Sichuan 610075, China.

Abstract

Insights

XQLD treatment protects against acute exacerbations of chronic obstructive pulmonary disease (AECOPD) by reducing lung inflammation and apoptosis. It achieves this by alleviating endoplasmic reticulum stress through the AMPK/mTOR pathway.

Area of Science:

  • Pulmonology
  • Pharmacology
  • Cellular Biology

Background:

  • Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) involve significant lung injury, inflammation, and apoptosis.
  • Understanding the molecular mechanisms underlying AECOPD is crucial for developing effective therapeutic strategies.
  • Endoplasmic reticulum stress (ERS) and the AMPK/mTOR pathway are implicated in various inflammatory lung diseases.

Purpose of the Study:

  • To investigate the therapeutic potential of XQLD in a mouse model of AECOPD.
  • To elucidate the underlying mechanisms of XQLD's protective effects, focusing on inflammation, apoptosis, ERS, and the AMPK/mTOR pathway.

Main Methods:

  • An AECOPD mouse model was established using cigarette smoke and bacterial exposure.
  • Mice were treated with XQLD, Compound C (an AMPK inhibitor), or Clarithromycin.
  • Pulmonary function, lung histopathology, inflammatory markers (IL-6, TNF-α, COX-2), apoptosis (TUNEL assay), and protein expression (Bax, Bcl-2, Caspase-3, GRP78, CHOP) were assessed.

Main Results:

  • XQLD treatment significantly improved pulmonary function, reduced lung injury, and suppressed inflammation and apoptosis in AECOPD mice.
  • XQLD markedly attenuated endoplasmic reticulum stress (ERS) and activated the AMPK/mTOR pathway in lung tissues.
  • The co-administration of Compound C diminished the protective effects of XQLD, indicating the involvement of the AMPK pathway.

Conclusions:

  • XQLD demonstrates significant protective effects against inflammation and apoptosis in AECOPD.
  • These protective effects are mediated by the attenuation of endoplasmic reticulum stress via the activation of the AMPK/mTOR pathway.
  • XQLD represents a potential therapeutic agent for managing AECOPD.

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