
浏览全部资源
扫码关注微信
1.河南省中医院/河南中医药大学第二附属医院皮肤科,郑州 450011
2.昆明市中医医院皮肤科,昆明 650500
方重阳,Email:xxcc89899@163.com,研究方向:中医药防治皮肤病的基础与临床研究。
张步鑫,Email:hnszyyzbx@163.com。
收稿:2026-04-23,
修回:2026-06-09,
录用:2026-07-16,
纸质出版:2026-10-28
移动端阅览
方重阳,张步鑫,陆毓,等.栀子苷通过调控IL-23/Th17轴改善咪喹莫特诱导的小鼠银屑病样皮炎[J].重庆医科大学学报,2026,51(10):1472-1478.
Fang Zhongyang,Zhang Buxin,Lu Yu,et al.Geniposide alleviates imiquimod-induced psoriasis-like dermatitis in mice by regulating the interleukin-23/T helper 17 cells axis[J].Journal of Chongqing Medical University,2026,51(10):1472-1478.
方重阳,张步鑫,陆毓,等.栀子苷通过调控IL-23/Th17轴改善咪喹莫特诱导的小鼠银屑病样皮炎[J].重庆医科大学学报,2026,51(10):1472-1478. DOI: 10.13406/j.cnki.cyxb.004171.
Fang Zhongyang,Zhang Buxin,Lu Yu,et al.Geniposide alleviates imiquimod-induced psoriasis-like dermatitis in mice by regulating the interleukin-23/T helper 17 cells axis[J].Journal of Chongqing Medical University,2026,51(10):1472-1478. DOI: 10.13406/j.cnki.cyxb.004171.
目的
2
探讨栀子苷对咪喹莫特诱导的小鼠银屑病样皮炎的影响,并基于白细胞介素-23(interleukin-23,IL-23)/辅助性T细胞17(T helper 17 cells,Th17)轴揭示其可能的作用机制。
方法
2
在60只6~7周龄无特定病原体(specific pathogen-free,SPF)级健康雄性BALB/c小鼠(体质量:20~25 g)中随机选取6只作为对照组,剩余小鼠采用咪喹莫特乳膏诱导法构建银屑病样皮炎小鼠模型。将造模成功的小鼠分为模型组、栀子苷低剂量组(连续1周腹腔注射20 mg/kg栀子苷)、栀子苷高剂量组(连续1周腹腔注射40 mg/kg栀子苷)、阳性药物组(连续1周灌胃5 mg/kg地塞米松),每组6只。对小鼠进行银屑病面积和严重程度指数(psoriasis area and severity index,PASI)评分和表皮含水量测定,苏木精-伊红(hematoxylin-eosin,HE)染色观察皮损组织形态变化并进行Baker评分,流式细胞术检测Th17、Treg细胞比例,并计算Th17/Treg比值,采用试剂盒检测IL-23、IL-17A、IL-22、IL-6、IL-10水平,蛋白免疫印迹(Western blot,WB)检测皮损组织中IL-23/Th17轴相关蛋白表达水平。
结果
2
与对照组相比,模型组小鼠表皮含水量降低(
t
=13.350,
P
<
0.05),PASI评分、Baker评分升高(
t
=17.105、15.588,
P
<
0.05),皮损组织病理损伤加重,Th17细胞比例、Th17/Treg比值、IL-23、IL-17A、IL-22、IL-6水平、IL-23蛋白水平、p-STAT3/STAT3比值、IL-17A蛋白水平升高(
t
=16.062、20.996、13.685、17.404、12.425、14.257、19.280、16.108、19.061,
P
<
0.05),Treg细胞比例、IL-10水平降低(
t
=13.426、18.219,
P
<
0.05)。与模型组相比,栀子苷低、高剂量组和阳性药物组小鼠表皮含水量升高(
t
=6.485、10.423、10.912,
P
<
0.05),PASI评分(
t
=5.282、5.961、11.173,
P
<
0.05)、Baker评分降低(
t
=3.856、10.078、10.078,
P
<
0.05),皮损组织病理损伤减轻,Th17细胞比例(
t
=4.477、11.675、11.751,
P
<
0.05)、Th17/Treg比值(
t
=11.407、18.936、19.061,
P
<
0.05)、IL-23(
t
=4.868、10.860、11.156,
P
<
0.05)、IL-17A(
t
=7.087、14.536、13.887,
P
<
0.05)、IL-22(
t
=4.317、10.076、10.561,
P
<
0.05)、IL-6(
t
=5.200、10.573、10.240,
P
<
0.05)水平、IL-23蛋白水平(
t
=4.322、11.758、12.163,
P
<
0.05)、p-STAT3/STAT3比值(
t
=2.939、8.764、9.129,
P
<
0.05)、IL-17A蛋白水平降低(
t
=3.964、11.758、11.758,
P
<
0.05),Treg细胞比例(
t
=7.838、12.433、12.888,
P
<
0.05)、IL-10(
t
=10.999、16.800、17.279,
P
<
0.05)水平升高,且高剂量组改善程度显著高于低剂量组。
结论
2
栀子苷能够改善咪喹莫特诱导的小鼠银屑病样皮炎,其机制可能与抑制IL-23/Th17轴,调节Th17/Treg细胞平衡有关。
Objective
2
To investigate the effect of geniposide on imiquimod-induced psoriasis-like dermatitis in mice and its potential mechanism of action based on the interleukin(IL)-23/T helper 17 cells(Th17) axis.
Methods
2
A total of 60 specific pathogen-free healthy male BALB/c mice(age:6-7 weeks; body weight:20-25 g) were used,among which 6 mice were randomly selected as the control group,and the remaining mice were used to establish a model of psoriasis-like dermatitis using the imiquimod cream induction method. After successful modeling,the mice were divided into model group,low-dose geniposide group(intraperitoneal injection of 20 mg/kg geniposide daily for 1 week),high-dose geniposide group (intraperitoneal injection of 40 mg/kg geniposide daily for 1 week),and positive drug group(intragastric administration of 5 mg/kg dexamethasone daily for 1 week),with 6 mice in each group. The Psoriasis Area and Severity Index(PASI) score and epidermal water content were measured for all mice;HE staining was used to observe the morphological changes of skin lesions and determine Baker score; flow cytometry was used to measure the percentages of Th17 and Treg cells and calculate Th17/Treg ratio; kits were used to measure the levels of IL-23,IL-17A,IL-22,IL-6,and IL-10,and Western blot was used to measure the expression levels of the proteins associated with the IL-23/Th17 axis in skin lesions.
Results
2
Compared with the control group,the model group had a significant reduction in epidermal water content(
t
=13.350,
P
<
0.05),significant increases in PASI and Baker scores(
t
=17.105,15.588,
P
<
0.05),aggravated pathological damage in skin lesions,and significant increases in the percentage of Th17 cells,Th17/Treg ratio,the levels of IL-23,IL-17A,IL-22,and IL-6,the protein expression level of IL-23,p-STAT3/STAT3 ratio,and the protein expression level of IL-17A(
t
=16.062,20.996,13.685,17.404,12.425,14.257,19.280,16.108,19.061,
P
<
0.05),as well as significant reductions in the percentage of Treg cells and the level of IL-10(
t
=13.426,18.219,
P
<
0.05).
Compared with the model group,the low- and high-dose geniposide groups and the positive drug group had a significant increase in epidermal water content(
t
=6.485,10.423,10.912,
P
<
0.05),significant reductions in PASI score(
t
=5.282,5.961,11.173,
P
<
0.05) and Baker score(
t
=3.856,10.078,10.078,
P
<
0.05),alleviation of pathological damage in skin lesions,and significant reductions in the percentage of Th17 cells(
t
=4.477,11.675,11.751,
P
<
0.05),Th17/Treg ratio (
t
=11.407,18.936,19.061,
P
<
0.05),the levels of IL-23(
t
=4.868,10.860,11.156,
P
<
0.05),IL-17A(
t
=7.087,14.536,13.887,
P
<
0.05),IL-22 (
t
=4.317,10.076,10.561,
P
<
0.05),and IL-6(
t
=5.200,10.573,10.240,
P
<
0.05),the protein expression level of IL-23(
t
=4.322,11.758,12.163,
P
<
0.05),p-STAT3/STAT3 ratio(
t
=2.939,8.764,9.129,
P
<
0.05),and the protein expression level of IL-17A (
t
=3.964,11.758,11.758,
P
<
0.05),as well as significant increases in the percentage of Treg cells(
t
=7.838,12.433,12.888,
P
<
0.05) and the level of IL-10(
t
=10.999,16.800,17.279,
P
<
0.05). The high-dose group had significantly greater improvements than the low-dose group.
Conclusion
2
Geniposide can alleviate imiquimod-induced psoriasis-like dermatitis in mice,possibly by inhibiting the IL-23/Th17 axis and regulating Th17/Treg balance.
Armstrong AW , Blauvelt A , Callis Duffin K , et al . Psoriasis [J ] . Nat Rev Dis Primers , 2025 , 11 : 45 .
Shaheen SS , Lofty RA , Afify AA . Prevalence of sexual dysfunction among psoriatic male patients [J ] . QJM , 2024 , 117 ( Suppl 1 ): hcae070.170.
Ponikowska M , Hill L , Lee CS , et al . Cardiovascular disease and psoriasis [J ] . Dermatol Ther , 2026 , 16 ( 1 ): 155 - 169 .
Yan L , Wang WQ , Dong MH , et al . Skin metabolic signatures of psoriasis and psoriasis concurrent with metabolic syndrome [J ] . J Inflamm Res , 2025 , 18 : 505 - 517 .
Tran M , Lea V , Wong LC . Complications of psoriasis:clinicopathology,screening,and management [J ] . Br J Gen Pract , 2024 , 74 ( 744 ): 329 - 330 .
Feng W , Liu HZ , Liang CL , et al . Immunoregulatory effects of traditional Chinese medicine and its ingredients on psoriasis [J ] . Int Immunopharmacol , 2025 , 159 : 114896 .
刘 媛 , 王志刚 , 张彦红 , 等 . 栀子苷对小鼠银屑病模型血管生成的影响及机制研究 [J ] . 湖北中医药大学学报 , 2025 , 27 ( 2 ): 3 - 8 .
Liu Y , Wang ZG , Zhang YH , et al . Geniposide exert anti-psoriasis skin lesion effect by inhibiting angiogenesis [J ] . J Hubei Univ Chin Med , 2025 , 27 ( 2 ): 3 - 8 .
Zhang MM , Li N , Cai RH , et al . Rosmarinic acid protects mice from imiquimod induced psoriasis-like skin lesions by inhibiting the IL-23/Th17 axis via regulating Jak2/Stat3 signaling pathway [J ] . Phytother Res , 2021 , 35 ( 8 ): 4526 - 4537 .
薛 雯 , 聂堂政 , 狄 伟 . 高良姜素调节磷脂酰肌醇-3激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白信号通路对银屑病大鼠皮肤损伤的影响 [J ] . 河北中医 , 2025 , 47 ( 6 ): 970 - 975,981 .
Xue W , Nie TZ , Di W . Effect of galangin on skin damage in psoriasis rats by regulating PI3K/Akt/mTOR signaling pathway [J ] . Hebei J Tradit Chin Med , 2025 , 47 ( 6 ): 970 - 975,981 .
刘 媛 . 栀子苷对咪喹莫特诱导的小鼠银屑病样皮损的影响及机制研究 [D ] . 武汉 : 湖北中医药大学 , 2024 .
Liu Y . Effect and mechanism of geniposide on imiquimod-induced psoriasis-like skin lesions in mice [D ] . Wuhan : Hubei University of Chinese Medicine , 2024 .
汪 晴 , 张红玉 , 张骏鸿 , 等 . 乌梅可改善咪喹莫特诱导的小鼠银屑病样皮炎 [J ] . 皮肤性病诊疗学杂志 , 2025 , 32 ( 3 ): 166 - 175 .
Wang Q , Zhang HY , Zhang JH , et al . Mume Fructus improves imiquimod-induced psoriasis-like dermatitis in mice [J ] . J Diagn Ther Derm Venereol , 2025 , 32 ( 3 ): 166 - 175 .
廖怡静 , 刘炎杰 , 卢 月 , 等 . 基于P38/Erk/NF-κB信号通路探讨扶正和肤止痒方对银屑病炎症微环境的改善作用 [J ] . 中成药 , 2025 , 47 ( 8 ): 2550 - 2558 .
Liao YJ , Liu YJ , Lu Y , et al . Mechanistic investigation of Fuzheng Hefu Zhiyang Formula in alleviating psoriasis inflammatory microenvironment via P38/Erk/NF-κB signaling pathway [J ] . Chin Tradit Pat Med , 2025 , 47 ( 8 ): 2550 - 2558 .
Chen WX , Liang JQ , He S , et al . She-Chuang-Si-wu-Tang alleviates inflammation and itching symptoms in a psoriasis mouse model by regulating the Th17/IL-17 axis via the STAT3/MAPK pathways [J ] . JIR , 2024 , 17 : 5957 - 5975 .
Mateu-Arrom L , Puig L . Genetic and epigenetic mechanisms of psoriasis [J ] . Genes , 2023 , 14 ( 8 ): 1619 .
Wu MJ , Dai C , Zeng FF . Cellular mechanisms of psoriasis pathogenesis:a systemic review [J ] . Clin Cosmet Investig Dermatol , 2023 , 16 : 2503 - 2515 .
Yi RC , Gantz HY , Shah SC , et al . Pharmacotherapeutic management of psoriatic disease:addressing psoriatic arthritis and cutaneous manifestations [J ] . Expert Opin Pharmacother , 2024 , 25 ( 16 ): 2203 - 2212 .
Ramic L , Sator P . Topical treatment of psoriasis vulgaris [J ] . JDDG J Der Dtschen Dermatol Gesell , 2023 , 21 ( 6 ): 631 - 642 .
赵文鹏 , 刘 妍 , 乔祖莎 . 低剂量IL-2治疗银屑病的临床疗效及其逆转外周血Th17/Treg失衡细胞因子紊乱的作用研究 [J ] . 中华风湿病学杂志 , 2025 , 29 ( 9 ): 741 - 749 .
Zhao WP , Liu Y , Qiao ZS . Low-dose interleukin-2 effectively treats patients with psoriasis by regulating Th17/Treg imbalance and cytokine abnormality in peripheral blood [J ] . Chin J Rheumatol , 2025 , 29 ( 9 ): 741 - 749 .
常珍珍 , 闫保梅 , 李显龙 , 等 . 本维莫德乳膏联合阿维A胶囊治疗寻常型银屑病的临床疗效及对Th17、Treg细胞比例的影响 [J ] . 中国合理用药探索 , 2025 , 22 ( 4 ): 111 - 116 .
Chang ZZ , Yan BM , Li XL , et al . Clinical efficacy of benvitimod cream combined with acitretin capsules in the treatment of psoriasis vulgaris and its effects on the percentage of Th17 and Treg cells [J ] . China Licens Pharm , 2025 , 22 ( 4 ): 111 - 116 .
张雨冰 , 何海艳 , 焦滕震 , 等 . 槐杞黄颗粒调控Th17/Treg平衡改善银屑病样小鼠皮损机制研究 [J ] . 陕西中医 , 2025 , 46 ( 10 ): 1318 - 1324 .
Zhang YB , He HY , Jiao TZ , et al . Mechanism of Huaiqihuang granules regulating Th17/Treg balance and improving psoriatic mouse skin lesions [J ] . Shaanxi J Tradit Chin Med , 2025 , 46 ( 10 ): 1318 - 1324 .
吴 佳 , 吴 进 , 肖 凯 , 等 . 栀子苷调节PI3K/AKT/mTOR信号通路在动脉粥样硬化形成过程中对Th17/Treg功能的影响 [J ] . 中西医结合心脑血管病杂志 , 2024 , 22 ( 5 ): 817 - 822 .
Wu J , Wu J , Xiao K , et al . Effect of geniposide regulating PI3K/AKT/mTOR signaling pathway on Th17/treg function during atherogenesis [J ] . Chin J Integr Med Cardio Cerebrovascular Dis , 2024 , 22 ( 5 ): 817 - 822 .
周莹莹 , 方 桢 , 朱红柳 , 等 . 克银合剂治疗血热证中重度寻常型银屑病的临床观察及其与IL-23/Th17细胞轴的关系 [J ] . 江苏大学学报(医学版) , 2025 , 35 ( 6 ): 534 - 538 .
Zhou YY , Fang Z , Zhu HL , et al . Clinical evaluation of Keyin mixture for treating moderate-to-severe plaque psoriasis with blood-heat syndrome and association with IL-23/Th17 cell axis modulation [J ] . J Jiangsu Univ Med Ed , 2025 , 35 ( 6 ): 534 - 538 .
任晓燕 , 王李雯 , 张丽丽 , 等 . 湿润烧伤膏对寻常型银屑病小鼠IL23/Th17轴及其相关因子表达水平的影响 [J ] . 中国烧伤创疡杂志 , 2020 , 32 ( 3 ): 153 - 161 .
Ren XY , Wang LW , Zhang LL , et al . Effect of MEBO on the expression levels of IL23/Th17 axis and its related factors in mice with psoriasis vulgaris [J ] . Chin J Burns Wounds Surf Ulcers , 2020 , 32 ( 3 ): 153 - 161 .
唐利东 . 基于IL-23/IL-17轴探讨杜仲萜类成分对类风湿性关节炎的作用机制 [D ] . 上海 : 上海中医药大学 , 2022 .
Tang LD . Based on the IL-23/IL-17 axis,the mechanism of action of terpenes from Eucommia ulmoides Oliv . on rheumatoid arthritis was discussed[D ] . Shanghai : Shanghai University of Traditional Chinese Medicine , 2022 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621