Activation of Cholinergic Anti-Inflammatory Pathway in Peripheral Immune Cells Involved in Therapeutic Actions of α-Mangostin on Collagen-Induced Arthritis in Rats

• Main Authors: Yin Q, Wu Y, Pan S, Wang D, Tao M, Pei W, Zuo J
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-05-01
• Series: Drug Design, Development and Therapy
• Subjects: rheumatoid arthritis; α-mangostin; choline anti-inflammatory pathways; α7 nicotinic cholinergic receptor; th17/treg
• Online Access: https://www.dovepress.com/activation-of-cholinergic-anti-inflammatory-pathway-in-peripheral-immu-peer-reviewed-article-DDDT
• ISSN: 1177-8881

Qin Yin,1,* Yi-jin Wu,1,* Shu Pan,1 Dan-dan Wang,2,3 Meng-qing Tao,2,3 Wei-ya Pei,2 Jian Zuo2– 4 1Department of Pharmacy, The Second Affiliated Hospital of Wannan Medical College, Wuhu 241000, People’s Republic of China; 2Department of Traditional Chinese Medicine, Yijishan Hospital of Wannan Medical College, Wuhu 241000, People’s Republic of China; 3Research Center of Integration of Traditional Chinese and Western Medicine, Wannan Medical College, Wuhu 241000, People’s Republic of China; 4Key Laboratory of Non-Coding RNA Transformation Research of Anhui Higher Education Institution, Wannan Medical College, Wuhu 241000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jian Zuo Tel [phone]Email [e-mail]: Studies have shown that α-mangostin (MG) could exert anti-rheumatic effects in vivo by restoring immunity homeostasis, and have indicated that activation of the choline anti-inflammatory pathway (CAP) may contribute to this immunomodulatory property. The current study was designed to further investigate the effects of MG on the CAP in peripheral immune cells and clarify its relevance to the potential anti-rheumatic actions.Methods: The catalytic activity of acetylcholinesterase (AChE) and expression of α 7-nicotinic cholinergic receptor (α 7nAChR) in peripheral blood mononuclear cells (PBMCs) from rats with collagen-induced arthritis (CIA) or human volunteers were evaluated after MG treatment. Consequent influences on the immune environment were assessed by flow cytometry and ELISA analyses. Indirect effects on joints resulting from these immune changes were studied in a co-culture system comprised of fibroblast-like synoviocytes (FLSs) and PBMCs.Results: MG promoted α 7nAChR expression in PBMCs both in vivo and in vitro, and inhibited the enzymatic activity of AChE simultaneously. Activation of the CAP was accompanied by a significant decrease in Th17 cells (CD4+IL-17A+), while no obvious changes concerning the distribution of other T-cell subsets were noticed upon MG treatment. Meanwhile, MG decreased the secretion of TNF-α and IL-1β under inflammatory conditions. PBMCs from MG-treated CIA rats lost the potential to stimulate NF-κB activation and pro-inflammatory cytokine production of FLSs in the co-culture system.Conclusion: Overall, the evidence suggested that MG can improve the peripheral immune milieu in CIA rats by suppressing Th17-cell differentiation through CAP activation, and achieve remission of inflammation mediated by FLSs.Keywords: rheumatoid arthritis, α-mangostin, choline anti-inflammatory pathway, α 7-nicotinic cholinergic receptor, Th17/Treg