Abstract
Mycoplasma pneumoniae (MPP) induced pneumonia is a common disease of children. Sinomenine (SIN) is an isoquinoline mainly sequestered from Sinomenium acutum. It is a promising drug for treating arthritis, lung, colon, liver and gastric cancer. Hence, the present study investigated the role and mechanism of SIN treatment in MPP induced pneumonia in experimental in-vivo mice model. The BALB/c male mice were separated into four groups (n = 6 mice/group): normal, MPP, MPP + SIN (20 mg/kg bw), and SIN (20 mg/kg bw) alone. Results were expressed as mean ± SD. Data were analyzed using one way Analysis of Variance (ANOVA) with the Dunnett’s post hoc test using SPSS v 18.0. P value < 0.05 was considered significant. The total protein, cell count, inflammatory cytokines, MP–IgM, Monocyte chemo attractant protein-1 (MCP-1), and MP–DNA were measured. The protein expressions of Bax/Bcl–2, ERK, JNK, NF-κB were analyzed and histopathology of lungs was examined. SIN treatment significantly (p < 0.05) reduced the total proteins, cell counts in BALF, inflammatory cytokines, MP–IgM, MCP-1, MP–DNA and reversed the histological alterations. SIN attenuated the apoptotic pathway through the modulation of Bax/Bcl-2 expression. SIN alleviated pulmonary inflammatory mediators and apoptosis in MPP-infected mice via suppression of ERK/JNK/NF-κB signaling. SIN administration diminished inflammation and lung fibrosis by inhibiting apoptosis in MPP mice. Hence, SIN is a potential natural protective remedy for MPP.
Similar content being viewed by others
Data availability statement
The data sets generated during and/or analyzed during the current study can be procured from the corresponding author on reasonable request.
References
Abdel Sater F, Younes M, Nassar H, Nguewa P, Hamze K (2012) A rapid and low-cost protocol for the detection of B.1.1.7 lineage of SARS-CoV-2 by using SYBR Green-based RT-qPCR. Mol Biol Rep 48(11):7243–7249
Boddeke EW (2001) Involvement of chemokines in pain. Eur J Pharmacol 429(1–3):115–119
Bordon J, Aliberti S, Fernandez-Botran R, Uriarte SM, Rane MJ, Duvvuri P, Peyrani P, Morlacchi LC, Blasi F, Ramirez JA (2013) Understanding the roles of cytokines and neutrophil activity and neutrophil apoptosis in the protective versus deleterious inflammatory response in pneumonia. Int J Infect Dis 17(2):e76-83
Caraballo JC, Borcherding J, Thorne PS, Comellas AP (2013) Protein kinase C-ζ mediates lung injury induced by diesel exhaust particles. Am J Respir Cell Mol Biol 48(3):306–313
Ferrer BE, Webster J, Bruce J, Narh-Bana SA, Narh CT, Allotey NK, Glover R, Bart-Plange C, Sagoe-Moses I, Malm K, Gyapong M (2016) Integrated community case management and community-based health planning and services: a cross sectional study on the effectiveness of the national implementation for the treatment of malaria, diarrhoea and pneumonia. Malar J 15(1):340
Gao LW, Yin J, Hu YH, Liu XY, Feng XL, He JX, Liu J, Guo Y, Xu BP, Shen KL (2006) The epidemiology of paediatric Mycoplasma pneumoniae pneumonia in North China: 2006 to 2016. Epidemiol Infect 147:e192
Gao T, Hao J, Wiesenfeld-Hallin Z, Wang DQ, Xu XJ (2013) Analgesic effect of sinomenine in rodents after inflammation and nerve injury. Eur J Pharmacol 721(1–3):5–11
Guo L, Liu F, Lu MP, Zheng Q, Chen ZM (2015) Increased T cell activation in BALF from children with Mycoplasma pneumoniae pneumonia. Pediatr Pulmonol 50(8):814–819
He X, Wang J, Guo Z, Liu Q, Chen T, Wang X, Cao X (2005) Requirement for ERK activation in sinomenine-induced apoptosis of macrophages. Immunol Lett 98(1):91–96
Kienast K, Knorst M, Müller-Quernheim J, Ferlinz R (1996) Modulation of IL-1 beta, IL-6, IL-8, TNF-alpha, and TGF-beta secretions by alveolar macrophages under NO2 exposure. Lung 174(1):57–67
Kurai D, Nakagaki K, Wada H, Saraya T, Kamiya S, Fujioka Y, Nakata K, Takizawa H, Goto H (2013) Mycoplasma pneumoniae extract induces an IL-17-associated inflammatory reaction in murine lung: implication for mycoplasmal pneumonia. Inflammation 36(2):285–293
Lavazza C, Budelli S, Montelatici E, Viganò M, Ulbar F, Catani L, Cannone MG, Savelli S, Groppelli E, Lazzari L, Lemoli RM, Cescon M, La Manna G, Giordano R, Montemurro T (2022) Process development and validation of expanded regulatory T cells for prospective applications: an example of manufacturing a personalized advanced therapy medicinal product. J Transl Med 20(1):14
Lichtenstein DA (2015) BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest 147(6):1659–1670
Lin Y, Tan D, Kan Q, Xiao Z, Jiang Z (2018) The Protective effect of naringenin on airway remodeling after mycoplasma pneumoniae infection by inhibiting autophagy-mediated lung inflammation and fibrosis. Mediators Inflamm 2018:8753894
Liu F, Sun GQ, Gao HY, Li RS, Soromou LW, Chen N, Deng YH, Feng HH (2013) Angelicin regulates LPS-induced inflammation via inhibiting MAPK/NF-κB pathways. J Surg Res 185(1):300–309
Maselli DJ, Medina JL, Brooks EG, Coalson JJ, Kannan TR, Winter VT, Principe M, Cagle MP, Baseman JB, Dube PH, Peters JI (2018) The immunopathologic effects of mycoplasma pneumoniae and community-acquired respiratory distress syndrome toxin. A primate model. Am J Respir Cell Mol Biol 58(2):253–260
Mu S, Kang B, Zeng W, Sun Y, Yang F (2016) MicroRNA-143-3p inhibits hyperplastic scar formation by targeting connective tissue growth factor CTGF/CCN2 via the Akt/mTOR pathway. Mol Cell Biochem 416(1–2):99–108
Shangguan Z, Sun Q, Zhang M, Ding J, Yi L, Gao Y, Zhan A, Zhao R, Ci X (2014) Mycoplasma pneumoniae infection in hospitalized adult patients with community-acquired pneumonia in China. J Infect Dev Ctries 8(10):1259–1266
Shimizu T (2016) Inflammation-inducing factors of mycoplasma pneumoniae. Front 7:414
Tornatore L, Thotakura AK, Bennett J, Moretti M, Franzoso G (2012) The nuclear factor kappa B signaling pathway: integrating metabolism with inflammation. Trends Cell Biol 22(11):557–566
Van Hoecke L, Job ER, Saelens X, Roose K (2017) Bronchoalveolar lavage of murine lungs to analyze inflammatory cell infiltration. J vis Exp 123:55398
Wang Y, Sheibani N (2006) PECAM-1 isoform-specific activation of MAPK/ERKs and small GTPases: implications in inflammation and angiogenesis. J Cell Biochem 98(2):451–468
Wang Y, Fang Y, Huang W, Zhou X, Wang M, Zhong B, Peng D (2005) Effect of sinomenine on cytokine expression of macrophages and synoviocytes in adjuvant arthritis rats. J Ethnopharmacol 98(1–2):37–43
Wang M, Wang Y, Yan Y, Zhu C, Huang L, Shao X, Xu J, Zhu H, Sun X, Ji W, Chen Z (2014) Clinical and laboratory profiles of refractory Mycoplasma pneumoniae pneumonia in children. Int J Infect Dis 29:18–23
Wood PR, Kampschmidt JC, Dube PH, Cagle MP, Chaparro P, Ketchum NS, Kannan TR, Singh H, Peters JI, Baseman JB, Brooks EG (2017) Mycoplasma pneumoniae and health outcomes in children with asthma. Ann Allergy Asthma Immunol 119(2):146-152.e2
Xu F, Li Q, Wang Z, Cao X (2019) Sinomenine inhibits proliferation, migration, invasion and promotes apoptosis of prostate cancer cells by regulation of miR-23a. Biomed Pharmacother 112:108592
Zhang M, Gu L, Zheng P, Chen Z, Dou X, Qin Q, Cai X (2020) Improvement of cell counting method for Neubauer counting chamber. J Clin Lab Anal 34(1):e23024
Zhao XX, Peng C, Zhang H, Qin LP (2012) Sinomenium acutum: a review of chemistry, pharmacology, pharmacokinetics, and clinical use. Pharm Biol 50(8):1053–1061
Zhou X, Moore BB (2017) Lung section staining and microscopy. Bio Protoc 7(10):e2286
Zhu Q, Sun Y, Mao L, Liu C, Jiang B, Zhang W, Li JX (2016) Antinociceptive effects of sinomenine in a rat model of postoperative pain. Br J Pharmacol 173(10):1693–1702
Funding
The authors declare no funding for this research.
Author information
Authors and Affiliations
Contributions
YC: Methodology, formal analysis, investigation, manuscript drafting, review and editing. WZ: Methodology, investigation, manuscript drafting, review and editing. LX: Conceptualization, methodology, formal analysis, manuscript drafting. ZW: Conceptualization, methodology, formal analysis, investigation, manuscript Drafting. MZ: Conceptualization, methodology, formal analysis, investigation, manuscript drafting, review and editing. AV: Conceptualization, methodology, formal analysis, manuscript drafting, review and editing.
Corresponding author
Ethics declarations
Conflict of interest
No conflicts of interest were reported.
Ethical approval
This research was approved by Xi'an Children's Hospital animal ethical committee, (Approval No. XCH202106726A).
Informed consent
All the authors provided consent to publish this research.
Additional information
Communicated by Erko Stackebrandt.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chen, Y., Zhang, W., Xin, L. et al. Modulatory apoptotic effects of sinomenine on Mycoplasma pneumonia through the attenuation of inflammation via ERK/JNK/NF-κB signaling pathway. Arch Microbiol 204, 441 (2022). https://doi.org/10.1007/s00203-022-03039-w
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00203-022-03039-w