Function of the Diaphoretic Recipe and Toll-like Receptor

Jiang Tingliang , Zhao Baosheng , Du Xinliang , Zhang Changbin , Sui Feng , Li Lanfang , Zhang Hongwei
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Abstract

In this research, molecules with similar structures to those of viral or bacterial components or the sera from patients with distinct syndromes of upper respiratory tract infections were used as stimulants. Through the intervening treatments by the sera containing exterior-relieving or heat-clearing recipes on RAW264.7 cells, the responses of the Toll-like receptor (TLR), its intracellular signal pathway adaptor proteins and the corresponding induced products were observed. Based on the above research, the medicative categorization basis of different recipes was further studied. The current results showed that the diaphoretic recipes and heat-clearing recipes selectively affected different subtypes of the TLR family. This indicated that the TLR system, which could recognize the pathogen-associated molecular patterns, initiate innate immunity and regulate adaptive immunity, may contribute to the biological basis of the function classifications of the diaphoretic recipes and heat-clearing recipes. Moreover, the results, that is, the abnormal expression of TLR induced by the serum from the patients with Guizhi-decoction syndrome could only be completely reversed by the serum containing Guizhi decoction, might support the concept of interrelationship between syndrome and prescription (“prescription-syndrome correspondence”) in traditional Chinese medicine.

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发汗方与toll样受体的作用
在本研究中,使用与病毒或细菌成分结构相似的分子或具有不同上呼吸道感染综合征患者的血清作为兴奋剂。通过含清热解热配方的血清干预RAW264.7细胞,观察toll样受体(Toll-like receptor, TLR)及其胞内信号通路接头蛋白及其诱导产物的反应。在此基础上,进一步研究了不同方剂的药物分类依据。目前的研究结果表明,发汗方和清热方选择性地影响了TLR家族的不同亚型。提示TLR系统具有识别病原体相关分子模式、启动先天免疫和调节适应性免疫的功能,可能是汗方和清热方功能分类的生物学基础。此外,桂枝汤证候患者血清中TLR的异常表达只能被含有桂枝汤的血清完全逆转,这一结果可能支持了中医证方关系的概念(“方证对应”)。
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