Abstract:Objective To explore the mechanism of baicalein regulating airway immune inflammation in obstructive sleep apnea (OSA) model through 1(SIRT1 pathway. Methods Thirty C57BL/6 female mice were randomly divided into five groups: control group, chronic intermittent hypoxia (CIH) group, baicalein -L group, baicalein -H group and baicalein +EX527 group, with 6 mice in each group. Except for the control group, the other groups simulated 60 times /h apnea for 5 days. Baicalein -L group and baicalein -H group were given 5 mg/kg baicalein and 20mg/kg baicalein by gavage every day for 5 days. Bronchoalveolar lavage fluid (BALF) of mice was collected. RAW264.7 macrophages were divided into control group (Con), CIH group, baicalein -L group, baicalein -H group and baicalein +EX527 group. Cell culture inserts of each group were co-cultured with bronchial epithelial cells BEAS-2B to simulate the effect of inflammation on airway injury in vivo. The levels of IL-1β, IL-5 and IL-6 in culture medium and BALF were detected by enzyme-linked immunosorbent assay. The viability of BEAS-2B cells was determined by MTT assay. The expressions of SIRT1, NF-κB p65(P65) and p-NF-κB p65(P-p65) were determined by western blot. Results Compared with CIH group, the number of total cells, eosinophils, macrophages and neutrophils in BALF of baicalein -L group and baicalein -H group and the protein levels of IL-5, IL-1β and IL-6 decreased significantly (P < 0.05). Compared with baicalein -H group, the number of total cells, eosinophils, macrophages and neutrophils and the protein levels of IL-5, IL-1β and IL-6 in BALF of mice in baicalein +EX527 group increased significantly (P < 0.05). Compared with CIH group, the concentrations of IL-6 and IL-1β protein in the supernatant of RAW 264.7 cells in baicalein -L group and baicalein -H group decreased significantly (P < 0.05). However, when EX-527 was administered to inhibit SIRT1, baicalein inhibited the release of IL-6 and IL-1β from RAW 264.7 cells. The results of co-culture showed that the macrophage inflammation induced by CIH significantly decreased the activity of BEAS-2B cells (P < 0.05), and the number of TUNEL positive cells and the expression of P-p65/P65 increased significantly (P < 0.05). Compared with CIH group, the activity of BEAS-2B cells in baicalein -L group and baicalein -H group increased significantly (P < 0.05), and the number of TUNEL positive cells and the expression of P-p65/P65 decreased significantly (P < 0.05). Compared with baicalein -H group, BEAS-2B cells in baicalein +EX527 group decreased significantly (P < 0.05), while TUNEL positive cells and P-p65/P65 expression increased significantly (P < 0.05). Conclusions Baicalein regulates NF-κB pathway by activating SIRT1, thus reducing the inflammatory reaction of macrophages, alleviating the damage of BEAS-2B cells, and improving lung injury and airway inflammation in OSA model.