Quercetin is one of the effective ingredients of many traditional Chinese medicines such as rutin and quercetin. In the current study, we confirmed that quercetin had a protective effect on the damage of intestinal microvascular endothelial cells, and played an anti-pyroptosis effect through the signal pathway mediated by the NLRP3 inflammasome. Based on previous studies, quercetin could protect RIMVECs from PGN-induced cell inflammatory damage. Quercetin inhibited the mRNA and protein levels of TLR2 and TLR4, and down-regulated the protein expression levels of MyD88 to reduce the release of TNF-α [27]. Pyroptosis is a kind of programmed cell death that is different from apoptosis and necrosis. Experiments have shown that quercetin could effectively protect the inflammatory damage of RIMVECs induced by LPS [28], but the effect of LPS-induced pyroptosis of RIMVECs is not ideal. The main reason is that LPS needs further stimulation of ATP after activating cells to induce inflammasome activation and pyroptosis.
Therefore, this experiment used LPS and ATP to induce RIMVECs to establish a pyroptosis model. In this way, the protective and regulatory effects of quercetin on the disease process of bacterial enteritis can be evaluated from the aspect of endothelial cell with pyroptosis. LPS is a component in the outer wall of gram-negative bacteria. It can stimulate inflammation-related cytokines by binding to the TLR4 protein on the cell membrane surface, and further induce pyroptosis under the stimulation of ATP and TNF-α [29]. Our results showed that the combined action of LPS and ATP for 24 hours posed a threat to the survival of RIMVECs. In addition, western blot analysis was used to determine important indicators related to pyroptosis. It was found that compared with the normal cell group, the protein expression levels of TLR4, NLRP3, Caspase-1, and GSDMD were markedly increased, and the protein expression of IL -18, IL-1β also like this. These indicated that LPS and ATP work together successfully established a pyroptosis model of RIMVECs. On the contrary, quercetin (20, 10 and 5µM) improved the survival rate of cells, and attenuated the increase in the levels of pyroptosis-related indicators and inflammatory factor proteins, which were also consistent with the results of fluorescence immunoassay. Quercetin also effectively reduced the secretion of IL-1β and IL-18 which were detected by the ELISA method. These proved that quercetin played an important role in protecting RIMVECs from reducing inflammatory and pyroptosis damage. The mRNA levels of key pyroptosis proteins and inflammatory factors were evaluated by RT-PCR technology. Quercetin reduced the mRNA expression of key pyroptosis proteins and inflammatory factors, and 5, 10µM quercetin down-regulated key pyroptosis proteins significantly. However, 20µM quercetin had failed to inhibit these indicators. Therefore, we considered that there may be a certain difference between protein expression and mRNA expression, but its specific regulatory mechanism needs further study.
Relevant studies have confirmed that NF-κB can activate NLRP3 and up-regulate the expression of NLRP3 by specifically binding to nt-1303 to -1292 and nt-1238 to -1228 in the promoter region of NLRP3 [30]. Its inhibitory protein I-κB is also reduced [31]. The results of Western blot had shown that the combined action of LPS and ATP promoted the activation of NF-κB p65 and reduced the expression of I-κB. On the contrary, quercetin inhibited the increase of NF-κB p65 in protein levels and increased the protein expression levels of I-κB induced by LPS/ATP. Combined with above results, quercetin could restrain the activation of NLRP3 by inhibiting the TLR4/NF-κB/NLRP3 pathway, and defended the damage of LPS/ATP on RIMVECs.
In addition, the activation of NF-κB will also cause the transcription of TJ to be inhibited, which affects the normal structure, morphology, growth and migration of cells [32–34]. Through the cell migration test, it could be seen that LPS/ATP significantly inhibited the growth and migration of cells, and physical scratches were difficult to heal within 24 hours. Quercetin effectively promoted the growth and migration of cells. 5µM quercetin made the cell migration rate reach 67%. TJ is closely related to cell growth and migration. If it is inhibited or missing, it will cause tremendous damage to cell scratch healing, in addition delay migration and decrease value increase [35–37]. ZO-1 is one of the important members of TJ, and it has been proven to be widely used to judge the level of intestinal mucosal barrier damage [38–39]. Our test also detected the expression and distribution of ZO-1. The results of fluorescence immunoassay showed that the spread of ZO-1 in LPS/ATP group was destroyed, and the structure of ZO-1 was damaged which was originally distributed around the cell membrane and nucleus, while quercetin could up-regulate the protein expression of ZO-1 and restore the distribution of ZO-1. Overall, quercetin had a protective effect on the TJ between RIMVECs. Finally, late apoptosis, necrosis and total apoptosis rate were examined by the cell flow cytometry. The results shown that quercetin significantly reduced the number of late apoptosis and necrosis cells. Relevant studies had confirmed that the membrane permeability of late apoptosis and necrotic cells will increase, and intestinal mucosal damage, apoptosis and necrosis in intestinal diseases are also related to the massive infiltration of inflammatory cells and release of inflammatory factors, which may aggravate reactions such as cell pyroptosis [40].
In the organism's intestinal inflammatory response, MEC acts as an intestinal barrier, which can absorb inflammatory factors in tissues and inflammatory lesions and remove bacterial pathogenic products. When LPS enters the intestinal mucosal microvascular system, TLR4 on the surface of endothelial cells first recognizes and binds to pathogens, and then activates NLRP3 Inflammasome through the TLR4/NF-κB signaling pathway. After that, it will activate Caspase-1 to cut GSDMD, causing a series of pyroptosis phenomena such as cell rupture and cell membrane pores [41–43], and releasing inflammatory factors such as IL-1β and IL-18 to expand the inflammatory response. At the same time, activation of NF-κB also inhibits the expression of ZO-1, affecting the TJ, and the growth and migration of cells. In summary, this study proved that quercetin can protect RIMMVECs from pyroptosis caused by LPS/ATP, and enhance the ability of the TJ between cells, and cell growth and migration. However, its effects on non-classical pathways of pyroptosis and other aspects still need to be further studied.