Introduction: Baicalin is a flavonoid chemical extracted and purified from the traditional Chinese medicine named Scutellaria baicalensis Georgi, which possesses broad pharmacological properties. Our work aimed to explore the protective role of baicalin in allergic asthma and its potential mechanisms on regulating type 2 immune response. Methods: Mice were injected intraperitoneally with ovalbumin (OVA) twice, further challenged with OVA aerosol for continuous 5 days. For baicalin group, mice were pre-administrated with baicalin. After the final challenge, the immune cells in bronchoalveolar lavage fluid (BALF) and blood were examined. The cytokines were evaluated by ELISA. Histological inspections were examined by hematoxylin and eosin staining and Periodic Acid-Schiff staining. Thymic stromal lymphopoietin (TSLP) expression in lungs were detected using immunohistochemistry and Western blotting. Results: The eosinophils infiltrating in BALF were reduced remarkably in baicalin-treated asthmatic mice. Baicalin decreased OVA-induced inflammatory cytokines and total serum immunoglobulin E secretion significantly. Moreover, baicalin alleviated the asthmatic pathological changes and substantially suppressed TSLP expression in the lung tissues. Conclusion: Our study indicates that baicalin attenuates OVA-induced allergic asthma in mice effectively by suppressing type 2 immune responses, which might provide a novel insight into the anti-asthmatic activity of baicalin.

Baicalin is a flavonoid chemical extracted and purified from Scutellaria baicalensis Georgi, which possesses broad pharmacological properties. Our work objected to explore the protective effect of baicalin on allergic asthma and the possible mechanisms on regulating type 2 immune response. Mice were stimulated with OVA and administrated with baicalin. We found that eosinophils infiltrate in BALF were reduced remarkably in baicalin-treated asthmatic mice. Baicalin decreased OVA-induced inflammatory cytokines and serum immunoglobulin E secretion significantly. Moreover, baicalin alleviated the asthmatic pathological changes and substantially suppressed TSLP expression in the lung tissues. Our study indicates that baicalin attenuates OVA-induced allergic asthma in mice effectively by suppressing type 2 immune responses, which may provide a new mechanistic insight into the anti-asthmatic activity of baicalin.

1.
Global Initiative for Asthma
.
Global strategy for asthma management and prevention
.
2024
. Available from: http://www.ginaasthma.org
2.
Wang
J
,
Zhou
Y
,
Zhang
H
,
Hu
L
,
Liu
J
,
Wang
L
, et al
.
Pathogenesis of allergic diseases and implications for therapeutic interventions
.
Signal Transduct Target Ther
.
2023
;
8
(
1
):
138
.
3.
Huang
J
,
Cai
H
,
Ye
X
,
Zhang
G
,
Ye
L
,
Yang
C
, et al
.
Demethylzeylasteral (T-96) alleviates allergic asthma via inhibiting MAPK/ERK and NF-κB pathway
.
Int Arch Allergy Immunol
.
2024
;
185
(
7
):
631
40
.
4.
Hammad
H
,
Lambrecht
BN
.
The basic immunology of asthma
.
Cell
.
2021
;
184
(
9
):
2521
2
.
5.
Yasuda
Y
,
Nagano
T
,
Kobayashi
K
,
Nishimura
Y
.
Group 2 innate lymphoid cells and the house dust mite-induced asthma mouse model
.
Cells
.
2020
;
9
(
5
):
1178
.
6.
Leon
B
,
Ballesteros-Tato
A
.
Modulating Th2 cell immunity for the treatment of asthma
.
Front Immunol
.
2021
;
12
:
637948
.
7.
Boonpiyathad
T
,
Sozener
ZC
,
Satitsuksanoa
P
,
Akdis
CA
.
Immunologic mechanisms in asthma
.
Semin Immunol
.
2019
;
46
:
101333
.
8.
Mitchell
PD
,
O’Byrne
PM
.
Biologics and the lung: TSLP and other epithelial cell-derived cytokines in asthma
.
Pharmacol Ther
.
2017
;
169
:
104
12
.
9.
Choi
Y
,
Kim
YM
,
Lee
HR
,
Mun
J
,
Sim
S
,
Lee
DH
, et al
.
Eosinophil extracellular traps activate type 2 innate lymphoid cells through stimulating airway epithelium in severe asthma
.
Allergy
.
2020
;
75
(
1
):
95
103
.
10.
Wang
W
,
Li
Y
,
Lv
Z
,
Chen
Y
,
Li
Y
,
Huang
K
, et al
.
Bronchial allergen challenge of patients with atopic asthma triggers an alarmin (IL-33, TSLP, and IL-25) response in the airways epithelium and submucosa
.
J Immunol
.
2018
;
201
(
8
):
2221
31
.
11.
Yi
L
,
Cheng
D
,
Zhang
K
,
Huo
X
,
Mo
Y
,
Shi
H
, et al
.
Intelectin contributes to allergen-induced IL-25, IL-33, and TSLP expression and type 2 response in asthma and atopic dermatitis
.
Mucosal Immunol
.
2017
;
10
(
6
):
1491
503
.
12.
Kabata
H
,
Flamar
AL
,
Mahlakoiv
T
,
Moriyama
S
,
Rodewald
HR
,
Ziegler
SF
, et al
.
Targeted deletion of the TSLP receptor reveals cellular mechanisms that promote type 2 airway inflammation
.
Mucosal Immunol
.
2020
;
13
(
4
):
626
36
.
13.
Duchesne
M
,
Okoye
I
,
Lacy
P
.
Epithelial cell alarmin cytokines: frontline mediators of the asthma inflammatory response
.
Front Immunol
.
2022
;
13
:
975914
.
14.
Brister
DL
,
Omer
H
,
Whetstone
CE
,
Ranjbar
M
,
Gauvreau
GM
.
Multifactorial causes and consequences of TLSP production, function, and release in the asthmatic airway
.
Biomolecules
.
2024
;
14
(
4
):
401
.
15.
Wang
D
,
Li
Y
.
Pharmacological effects of baicalin in lung diseases
.
Front Pharmacol
.
2023
;
14
:
1188202
.
16.
Song
S
,
Ding
L
,
Liu
G
,
Chen
T
,
Zhao
M
,
Li
X
, et al
.
The protective effects of baicalin for respiratory diseases: an update and future perspectives
.
Front Pharmacol
.
2023
;
14
:
1129817
.
17.
Jiang
M
,
Li
Z
,
Zhu
G
.
Immunological regulatory effect of flavonoid baicalin on innate immune toll-like receptors
.
Pharmacol Res
.
2020
;
158
:
104890
.
18.
Ma
C
,
Ma
Z
,
Fu
Q
,
Ma
S
.
Anti-asthmatic effects of baicalin in a mouse model of allergic asthma
.
Phytother Res
.
2014
;
28
(
2
):
231
7
.
19.
Liu
J
,
Wei
Y
,
Luo
Q
,
Xu
F
,
Zhao
Z
,
Zhang
H
, et al
.
Baicalin attenuates inflammation in mice with OVA-induced asthma by inhibiting NF-κB and suppressing CCR7/CCL19/CCL21
.
Int J Mol Med
.
2016
;
38
(
5
):
1541
8
.
20.
Xu
L
,
Li
J
,
Zhang
Y
,
Zhao
P
,
Zhang
X
.
Regulatory effect of baicalin on the imbalance of Th17/Treg responses in mice with allergic asthma
.
J Ethnopharmacol
.
2017
;
208
:
199
206
.
21.
Yoshida
K
,
Takabayashi
T
,
Kaneko
A
,
Takiyama
M
,
Sakashita
M
,
Imoto
Y
, et al
.
Baicalin suppresses type 2 immunity through breaking off the interplay between mast cell and airway epithelial cell
.
J Ethnopharmacol
.
2021
;
267
:
113492
.
22.
Bao
C
,
Liu
C
,
Liu
Q
,
Hua
L
,
Hu
J
,
Li
Z
, et al
.
Liproxstatin-1 alleviates LPS/IL-13-induced bronchial epithelial cell injury and neutrophilic asthma in mice by inhibiting ferroptosis
.
Int Immunopharmacol
.
2022
;
109
:
108770
.
23.
Peters
MC
,
Wenzel
SE
.
Intersection of biology and therapeutics: type 2 targeted therapeutics for adult asthma
.
Lancet
.
2020
;
395
(
10221
):
371
83
.
24.
Lv
J
,
Xiong
Y
,
Li
W
,
Cui
X
,
Cheng
X
,
Leng
Q
, et al
.
IL-37 inhibits IL-4/IL-13-induced CCL11 production and lung eosinophilia in murine allergic asthma
.
Allergy
.
2018
;
73
(
8
):
1642
52
.
25.
Lambrecht
BN
,
Hammad
H
,
Fahy
JV
.
The cytokines of asthma
.
Immunity
.
2019
;
50
(
4
):
975
91
.
26.
Wang
X
,
Xie
L
,
Long
J
,
Liu
K
,
Lu
J
,
Liang
Y
, et al
.
Therapeutic effect of baicalin on inflammatory bowel disease: a review
.
J Ethnopharmacol
.
2022
;
283
:
114749
.
27.
Park
K
,
Lee
JS
,
Choi
JS
,
Nam
YJ
,
Han
JH
,
Byun
HD
, et al
.
Identification and characterization of baicalin as a phosphodiesterase 4 inhibitor
.
Phytother Res
.
2016
;
30
(
1
):
144
51
.
28.
Sun
J
,
Li
L
,
Wu
J
,
Liu
B
,
Gong
W
,
Lv
Y
, et al
.
Effects of baicalin on airway remodeling in asthmatic mice
.
Planta Med
.
2013
;
79
(
3–4
):
199
206
.
29.
Hu
L
,
Li
L
,
Yan
C
,
Cao
Y
,
Duan
X
,
Sun
J
.
Baicalin inhibits airway smooth muscle cells proliferation through the RAS signaling pathway in murine asthmatic airway remodeling model
.
Oxid Med Cell Longev
.
2023
;
2023
:
4144138
.
30.
Takai
T
.
TSLP expression: cellular sources, triggers, and regulatory mechanisms
.
Allergol Int
.
2012
;
61
(
1
):
3
17
.
31.
Gauvreau
GM
,
Hohlfeld
JM
,
FitzGerald
JM
,
Boulet
LP
,
Cockcroft
DW
,
Davis
BE
, et al
.
Inhaled anti-TSLP antibody fragment, ecleralimab, blocks responses to allergen in mild asthma
.
Eur Respir J
.
2023
;
61
(
3
):
2201193
.
32.
Hirata
H
,
Yukawa
T
,
Tanaka
A
,
Miyao
T
,
Fukuda
T
,
Fukushima
Y
, et al
.
Th2 cell differentiation from naive CD4(+) T cells is enhanced by autocrine CC chemokines in atopic diseases
.
Clin Exp Allergy
.
2019
;
49
(
4
):
474
83
.
33.
Rochman
Y
,
Dienger-Stambaugh
K
,
Richgels
PK
,
Lewkowich
IP
,
Kartashov
AV
,
Barski
A
, et al
.
TSLP signaling in CD4(+) T cells programs a pathogenic T helper 2 cell state
.
Sci Signal
.
2018
;
11
(
521
):
eaam8858
.
34.
Ebina-Shibuya
R
,
Leonard
WJ
.
Role of thymic stromal lymphopoietin in allergy and beyond
.
Nat Rev Immunol
.
2023
;
23
(
1
):
24
37
.
35.
Gubernatorova
EO
,
Namakanova
OA
,
Gorshkova
EA
,
Medvedovskaya
AD
,
Nedospasov
SA
,
Drutskaya
MS
.
Novel anti-cytokine strategies for prevention and treatment of respiratory allergic diseases
.
Front Immunol
.
2021
;
12
:
601842
.
36.
Pelaia
C
,
Pelaia
G
,
Crimi
C
,
Maglio
A
,
Gallelli
L
,
Terracciano
R
, et al
.
Tezepelumab: a potential new biological therapy for severe refractory asthma
.
Int J Mol Sci
.
2021
;
22
(
9
):
4369
.
37.
Dorey-Stein
ZL
,
Shenoy
KV
.
Tezepelumab as an emerging therapeutic option for the treatment of severe asthma: evidence to date
.
Drug Des Devel Ther
.
2021
;
15
:
331
8
.
You do not currently have access to this content.