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Autocrine and paracrine LIF signals to collaborate sorafenib-resistance in hepatocellular carcinoma and effects of Kanglaite Injection 肝细胞癌索拉非尼抗药性的自分泌和旁分泌 LIF 信号及康莱特注射液的作用
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-15 DOI: 10.1016/j.phymed.2024.156262
Yingying Shao , Weiling Pu , Ranran Su , Yu Wang , Shuangshuang Yin , Hao Zhong , Lifeng Han , Haiyang Yu

Background

Sorafenib (SFN) is the first-line medicine for advanced hepatocellular carcinoma (HCC). However, Sorafenib resistance is a main challenge of therapeutic efficacy, and the mechanisms have not been fully clarified.

Purpose

The purpose of this study was to investigate the therapeutic potential and mechanism of action of LIF in modulating the microenvironment of SFN resistance as well as Kanglaite Injection (KLTI) in ameliorating SFN resistance in HCC and to guide future research directions for drug combination for HCC.

Methods

Established SFN-resistance HCC cell line was used to study the relationship between resistance and immunosuppression in HCC-tumor microenvironment (TME). In vivo macrophage and natural killer (NK) cells depletion were achieved by clodronate liposomes (CL) and anti-NK1.1. In vitro multiple cell co-culture systems were used to determine the effects of KLTI on SFN-resistant. Likewise, flow cytometry, qRT-PCR, Western blot, and immunohistochemistry analysis were performed for further mechanistic investigation.

Results

Tumor associated-macrophages (TAMs) and NK cells mediated SFN-resistance in murine HCC. In the case of SFN resistance, the paracrine-leukemia inhibitory factor (LIF) by M2-like TAMs increased and potently suppressed NK cells proliferation and cytotoxicity, which finally inducing NK cells exhaustion and malignancy of HCC metastasis. Meanwhile, SFN resistance led to the increased autocrine-LIF of tumor cells, and further promoted the protective autophagy and activation of the acquired drug-resistant pathway PI3K/Akt/mTOR. KLTI could ameliorate the resistance of tumor immune microenvironment (TIME) and enhance the sensitivity of HCC to SFN by regulating LIF and macrophage-NK cell interaction.

Conclusions

Our findings verify the therapeutic effects of targeting LIF in SFN-resistance, uncover the potential mechanism for the increased sensitivity to SFN and sought to elucidate how this intervention might contribute to overcoming SFN resistance. KLTI is a promising immunomodulatory drug by regulating LIF and macrophage-NK cell interaction, which could be a potential combination partner for HCC treatment.
背景索拉非尼(Sorafenib,SFN)是治疗晚期肝细胞癌(HCC)的一线药物。目的本研究旨在探讨LIF调节SFN耐药微环境以及康莱特注射液(KLTI)改善HCC中SFN耐药的治疗潜力和作用机制,并指导未来HCC联合用药的研究方向。方法利用已建立的SFN耐药HCC细胞系研究HCC-肿瘤微环境(TME)中耐药与免疫抑制之间的关系。通过氯膦酸脂质体(CL)和抗NK1.1实现体内巨噬细胞和自然杀伤(NK)细胞的耗竭。体外多细胞共培养系统用于确定 KLTI 对 SFN 抗性的影响。结果肿瘤相关巨噬细胞(TAMs)和 NK 细胞介导了小鼠 HCC 的 SFN 抗性。在SFN耐药的情况下,M2样TAMs的旁分泌性白血病抑制因子(LIF)增加并有效抑制NK细胞的增殖和细胞毒性,最终导致NK细胞衰竭和HCC恶性转移。同时,SFN耐药导致肿瘤细胞自分泌-LIF增加,并进一步促进保护性自噬和获得性耐药通路PI3K/Akt/mTOR的激活。结论我们的研究结果验证了靶向LIF在SFN耐药中的治疗效果,揭示了SFN敏感性增加的潜在机制,并试图阐明这种干预如何有助于克服SFN耐药。通过调节 LIF 和巨噬细胞-NK 细胞的相互作用,KLTI 是一种很有前景的免疫调节药物,可能成为治疗 HCC 的潜在联合用药。
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引用次数: 0
Jinwu Jiangu capsule attenuates rheumatoid arthritis via the SLC7A11/GSH/GPX4 pathway in M1 macrophages 金乌健骨胶囊通过 M1 巨噬细胞中的 SLC7A11/GSH/GPX4 通路减轻类风湿性关节炎。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-15 DOI: 10.1016/j.phymed.2024.156232
Yi Ling , Yuzheng Yang , Nina Ren , Hui Xu, Changming Cheng, Daomin Lu, Qiuyi Wang, Xueming Yao, Wukai Ma

Background

JinWu JianGu capsule (JWJGC) is a Chinese herbal medicine that alleviates the clinical manifestations of rheumatoid arthritis (RA). However, the mechanism of action requires further investigation..

Purpose

This study aimed to investigate the anti-inflammatory effects of JWJGC on RA via the regulation of reactive oxygen species (ROS) and ferroptosis.

Materials and methods

JWJGC was administered to rats with collagen-induced arthritis (CIA) via oral gavage for 28 days. In vitro, M1 macrophages were pre-treated with JWJGC-containing serum. After assessing joint swelling and physiologic, the M1/M2 macrophage ratio was detected in CIA rats. The levels of ROS markers were assessed in the serum and cell supernatants. Liquid chromatography-tandem mass spectrometry analyses were employed to check lipid metabolism, and changes in mitochondrial morphology during ferroptosis were detected by transmission electron microscopy. Western blotting, immunofluorescence, immunohistochemistry, and qRT-PCR were performed to validate these results.

Results

JWJGC ameliorated CIA by reducing ROS levels in rats. It also restored the balance of the M1/M2 macrophage ratio and reduced the levels of macrophage-related inflammatory markers. Additionally, JWJGC affected lipid metabolism to alleviate inflammation by downregulating lipids associated with ferroptosis. It attenuated ferroptosis by modulating glutathione (GSH)/ Glutathione peroxidase 4(GPX4) expression in CIA rats. In vitro, JWJGC targeted M1 macrophages via the solute carrier family 7a member 11 (SLC7A11)/GSH/GPX4 signaling pathway.

Conclusions

This study showed that JWJGC improved RA, primarily through the integrated regulation of the SLC7A11/GSH/GPX4 pathway in M1 macrophages. These findings provide an innovative therapeutic basis for RA treatment and expanding the clinical applications of JWJGC.
背景:金乌健骨胶囊(JWJGC)是一种中药,可缓解类风湿性关节炎(RA)的临床表现。目的:本研究旨在探讨金乌健骨胶囊通过调节活性氧(ROS)和铁蛋白沉积对 RA 的抗炎作用:通过口服给胶原诱导性关节炎(CIA)大鼠灌胃 JWJGC 28 天。在体外,用含有 JWJGC 的血清预处理 M1 巨噬细胞。在评估关节肿胀和生理状况后,检测 CIA 大鼠的 M1/M2 巨噬细胞比率。对血清和细胞上清液中的 ROS 标记水平进行了评估。采用液相色谱-串联质谱分析检测脂质代谢,并通过透射电子显微镜检测铁变态反应过程中线粒体形态的变化。为验证这些结果,还进行了 Western 印迹、免疫荧光、免疫组织化学和 qRT-PCR 分析:结果:JWJGC 通过降低 ROS 水平改善了大鼠的 CIA。结果:JWJGC 通过降低 ROS 水平改善了大鼠的 CIA,还恢复了巨噬细胞 M1/M2 比率的平衡,降低了巨噬细胞相关炎症标志物的水平。此外,JWJGC 还能影响脂质代谢,通过下调与铁变态反应相关的脂质来缓解炎症。它通过调节 CIA 大鼠体内谷胱甘肽(GSH)/谷胱甘肽过氧化物酶 4(GPX4)的表达,减轻了铁变态反应。在体外,JWJGC通过溶质运载家族7a成员11(SLC7A11)/GSH/GPX4信号通路靶向M1巨噬细胞:本研究表明,JWJGC 主要通过综合调节 M1 巨噬细胞中的 SLC7A11/GSH/GPX4 通路来改善 RA。这些发现为治疗 RA 提供了创新的治疗基础,并拓展了 JWJGC 的临床应用。
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引用次数: 0
Honey-fried licorice in the treatment of arrhythmia: Structure elucidation and the mechanism of antiarrhythmic activity 蜜炒甘草治疗心律失常:结构阐释和抗心律失常活性机制。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-15 DOI: 10.1016/j.phymed.2024.156259
Yushu Wang , Yuxin Li , Wenxin Xia , Mengxin Tao , Yuanyuan Zhang , Lin Dong , Tingting Li , Xueyan Fu
<div><h3>Aim of the study</h3><div>To evaluate the therapeutic mechanism of Honey-fried licorice on arrhythmia, to explore the distribution of main components of Honey-fried licorice <em>in vivo</em> before and after processing, and to elucidate the active ingredient of Honey-fried licorice on arrhythmia.</div></div><div><h3>Materials and methods</h3><div>UPLC-Q-TOF/MS were used to analyze the common and different components of raw and honey-fried licorice before and after processing. Yin deficiency syndrome was established by continuous irritability and water platform sleep deprivation, and then ventricular arrhythmia model was established by injection of calcium chloride into the tail vein. Applying the electrocardiograph changes in heart rate in rats. Subsequently, ELISA and histopathological examinations were conducted to assess the therapeutic effects of honey-fried licorice on arrhythmia. Metabonomics analysis was employed to predict key regulatory pathways involved in the treatment response. Finally, RT-PCR and enzyme activity assays were utilized to verify the expression and function of key genes and proteins, providing insights into the underlying mechanisms.</div></div><div><h3>Results</h3><div>The heart rate of rats increased after injection of Cacl<sub>2</sub> solution into the tail vein. Honey-fried licorice has a certain improvement effect on heart injury and tachycardia, and its mechanism may be through the obvious correction effect on SOD, MDA, LDH, Na+-K+-ATPase, CaM and CAMK2 in the arrhythmia model. Under pathological conditions, Metabonomics revealed that the heart was highly exposed to glycyrrhetic acid 3-O-glucuronide, isoformononetin, araboglycyrrhizin, 18β-glycyrrhetinic acid, liquiritigenin, licoflavonol and isoliquiritigenin are known to have anti-arrhythmic effects through immune regulation and oxidation. Notably, both PCR and ELISA analyses indicated that honey-fried licorice may effectively treat arrhythmia, potentially through the modulation of the arachidonic acid pathway.</div></div><div><h3>Conclusion</h3><div>These results suggested that honey-fried licorice could protect against arrhythmia and alleviate oxidative stress and tissue damage caused by arrhythmia. Through correlation analysis and metabolomics, it was found that glycyrrhetic acid 3-O-glucuronide, isoformononetin, araboglycyrrhizin, 18β-glycyrrhetinic acid, liquiritigenin, licoflavonol and isoliquiritigenin can be used as the active ingredient of honey-fried licorice in the treatment of arrhythmia. Moreover, our results suggested that the therapeutic effect of honey-fried licorice on arrhythmia may be linked to the regulation of the arachidonic acid pathway. This study elucidates the mechanisms by which honey-fried licorice treats arrhythmia from a metabolic perspective, highlighting its role in "tonifying the spleen and stomach, supplementing qi, and replenishing the pulse." These findings provide a foundation for the further application of honey-frie
研究目的评价蜜炒甘草对心律失常的治疗机制,探讨蜜炒甘草主要成分在加工前后的体内分布,阐明蜜炒甘草对心律失常的有效成分:采用UPLC-Q-TOF/MS分析生甘草和蜜炒甘草加工前后的常见成分和不同成分。方法:采用UPLC-Q-TOF/MS分析生甘草和蜜炒甘草加工前的常见成分和不同成分。应用心电图仪观察大鼠心率变化。随后,通过酶联免疫吸附试验和组织病理学检查评估蜜炒甘草对心律失常的治疗效果。代谢组学分析用于预测参与治疗反应的关键调控途径。最后,利用 RT-PCR 和酶活性测定来验证关键基因和蛋白质的表达和功能,从而深入了解其潜在机制:结果:尾静脉注射 Cacl2 溶液后,大鼠的心率增加。蜜炒甘草对心脏损伤和心动过速有一定的改善作用,其机制可能是通过对心律失常模型中的 SOD、MDA、LDH、Na+-K+-ATPase、CaM 和 CAMK2 有明显的纠正作用。在病理条件下,Metabonomics 发现心脏高度暴露于甘草亭酸 3-O-葡萄糖醛酸、异形酮苷、阿拉伯甘草次碱、18β-甘草次酸、利尿苷元、甘草黄酮醇和异利尿苷元,这些物质通过免疫调节和氧化作用具有抗心律失常的作用。值得注意的是,PCR 和 ELISA 分析表明,蜜炒甘草可能通过调节花生四烯酸途径有效治疗心律失常:这些结果表明,蜜炒甘草可预防心律失常,减轻心律失常引起的氧化应激和组织损伤。通过相关分析和代谢组学研究发现,甘草酸 3-O-葡萄糖醛酸苷、异黄酮苷、阿拉伯甘草次碱、18β-甘草次酸、利尿苷元、甘草黄酮醇和异利尿苷元可作为蜜炒甘草治疗心律失常的有效成分。此外,我们的研究结果表明,蜜炒甘草对心律失常的治疗作用可能与花生四烯酸途径的调节有关。本研究从代谢角度阐明了蜜炒甘草治疗心律失常的机制,突出了其 "补脾胃、补气、补脉 "的作用。这些发现为进一步应用蜜炒甘草和开发相关产品奠定了基础。
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引用次数: 0
Guizhi Shaoyao Zhimu decoction inhibits neutrophil extracellular traps formation to relieve rheumatoid arthritis via gut microbial outer membrane vesicles 桂枝芍药知母汤通过肠道微生物外膜囊泡抑制中性粒细胞胞外捕获物的形成,缓解类风湿性关节炎
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-15 DOI: 10.1016/j.phymed.2024.156254
Haixin Ye , Hao Wang , Bingqi Han , Keshan Chen , Xing Wang , Fopei Ma , Lifang Cheng , Songyuan Zheng , Xueqin Zhao , Junqing Zhu , Juan Li , Mukeng Hong

Background

Rheumatoid arthritis (RA) is a common autoimmune disease with a high disability rate. Accumulating studies suggest that neutrophil extracellular traps (NETs) play a crucial role in the pathogenesis of RA and targeting NETs has emerged as a potential therapeutic strategy for RA. As a traditional Chinese medicine, Guizhi-Shaoyao-Zhimu Decoction (GSZD) has exhibited good efficacy in the treatment of rheumatoid arthritis (RA), while the underly mechanism especially the possibility that GSZD alter NETs formation to relieve RA remains unknown.

Purpose

Our study aimed to investigate relationship between GSZD and NETs in RA treatment and revealed underlying mechanism.

Methods

We constructed collagen-induced arthritis (CIA) model and treated CIA mice with GZSY to validate therapeutic effects of GSZD and examine whether GZSD could inhibit NETs formation in RA. And 16S rRNA sequencing and Fecal microbiota transplantation (FMT) experiment were performed to determine whether GSZD could reduce NETs formation to alleviate RA in gut microbiota-associated manner and identify crucial bacterium in response to GSZD administration. CIA mice treated with effective bacteria and its outer membrane vesicles (OMVs) with oral administration to investigate protective effect against RA and NETs regulative efficiency. We utilized small interfering RNA in vivo and vitro to silence gene mediating effect of GZSD-gut microbiota-NETs.

Results

GSZD could inhibit NETs formation and relive arthritis in CIA mice. Additionally, GSZD alter gut microbiota composition and significantly increase intestinal Parabacteroides goldsteinii (P.goldsteinii) abundance. Mechanistically, P.goldsteinii enriched by GSZD secreted outer membrane vesicles (OMVs) to translocate into joints and activate Cav-1-Nrf2 axis, leading to reduced NETs formation and alleviate arthritis. In clinical, the abundance of P.goldsteinii exhibited negative correlation with NETs indexes and RA disease activities.

Conclusion

Our findings suggest that GSZD inhibits NETs formation to relieve RA in P.goldsteinii-Cav-1-Nrf2 associated manner, which could provide new sight of the prevention and treatment of RA.
背景类风湿性关节炎(RA)是一种常见的自身免疫性疾病,致残率很高。越来越多的研究表明,中性粒细胞胞外捕获物(NETs)在类风湿性关节炎的发病机制中起着至关重要的作用,针对NETs的治疗已成为类风湿性关节炎的一种潜在治疗策略。作为一种传统中药,桂枝芍药知母汤(GSZD)在治疗类风湿性关节炎(RA)方面表现出良好的疗效,但其潜在机制,尤其是桂枝芍药知母汤改变NETs形成以缓解RA的可能性仍不清楚。方法构建胶原诱导的关节炎(CIA)模型,用GZSY治疗CIA小鼠,验证GSZD的治疗效果,并研究GZSD是否能抑制RA中NETs的形成。此外,还进行了16S rRNA测序和粪便微生物群移植(FMT)实验,以确定GSZD是否能通过肠道微生物群相关的方式减少NETs的形成,从而缓解RA,并找出对服用GSZD有反应的关键细菌。通过口服有效细菌及其外膜囊泡(OMVs)治疗 CIA 小鼠,研究其对 RA 的保护作用和 NETs 的调节效率。我们利用体内和体外小干扰 RNA 来沉默 GZSD-肠道微生物群-NETs 的介导基因。此外,GSZD 还能改变肠道微生物群的组成,并显著增加肠道金丝酵母菌(P.goldsteinii)的数量。从机理上讲,GSZD富集的P.goldsteinii会分泌外膜囊泡转运到关节中,激活Cav-1-Nrf2轴,从而减少NETs的形成,缓解关节炎。结论我们的研究结果表明,GSZD通过P.goldsteini-Cav-1-Nrf2相关方式抑制NETs的形成,从而缓解RA,这为RA的预防和治疗提供了新的视角。
{"title":"Guizhi Shaoyao Zhimu decoction inhibits neutrophil extracellular traps formation to relieve rheumatoid arthritis via gut microbial outer membrane vesicles","authors":"Haixin Ye ,&nbsp;Hao Wang ,&nbsp;Bingqi Han ,&nbsp;Keshan Chen ,&nbsp;Xing Wang ,&nbsp;Fopei Ma ,&nbsp;Lifang Cheng ,&nbsp;Songyuan Zheng ,&nbsp;Xueqin Zhao ,&nbsp;Junqing Zhu ,&nbsp;Juan Li ,&nbsp;Mukeng Hong","doi":"10.1016/j.phymed.2024.156254","DOIUrl":"10.1016/j.phymed.2024.156254","url":null,"abstract":"<div><h3>Background</h3><div>Rheumatoid arthritis (RA) is a common autoimmune disease with a high disability rate. Accumulating studies suggest that neutrophil extracellular traps (NETs) play a crucial role in the pathogenesis of RA and targeting NETs has emerged as a potential therapeutic strategy for RA. As a traditional Chinese medicine, Guizhi-Shaoyao-Zhimu Decoction (GSZD) has exhibited good efficacy in the treatment of rheumatoid arthritis (RA), while the underly mechanism especially the possibility that GSZD alter NETs formation to relieve RA remains unknown.</div></div><div><h3>Purpose</h3><div>Our study aimed to investigate relationship between GSZD and NETs in RA treatment and revealed underlying mechanism.</div></div><div><h3>Methods</h3><div>We constructed collagen-induced arthritis (CIA) model and treated CIA mice with GZSY to validate therapeutic effects of GSZD and examine whether GZSD could inhibit NETs formation in RA. And 16S rRNA sequencing and Fecal microbiota transplantation (FMT) experiment were performed to determine whether GSZD could reduce NETs formation to alleviate RA in gut microbiota-associated manner and identify crucial bacterium in response to GSZD administration. CIA mice treated with effective bacteria and its outer membrane vesicles (OMVs) with oral administration to investigate protective effect against RA and NETs regulative efficiency. We utilized small interfering RNA in vivo and vitro to silence gene mediating effect of GZSD-gut microbiota-NETs.</div></div><div><h3>Results</h3><div>GSZD could inhibit NETs formation and relive arthritis in CIA mice. Additionally, GSZD alter gut microbiota composition and significantly increase intestinal <em>Parabacteroides goldsteinii</em> (<em>P.goldsteinii</em>) abundance. Mechanistically, <em>P.goldsteinii</em> enriched by GSZD secreted outer membrane vesicles (OMVs) to translocate into joints and activate Cav-1-Nrf2 axis, leading to reduced NETs formation and alleviate arthritis. In clinical, the abundance of <em>P.goldsteinii</em> exhibited negative correlation with NETs indexes and RA disease activities.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that GSZD inhibits NETs formation to relieve RA in <em>P.goldsteinii-</em>Cav-1-Nrf2 associated manner, which could provide new sight of the prevention and treatment of RA.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"136 ","pages":"Article 156254"},"PeriodicalIF":6.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of YOXINTINE for depression: A double-blinded, randomized, placebo-controlled, phase 2 clinical trial YOXINTINE治疗抑郁症的疗效和安全性:双盲、随机、安慰剂对照的 2 期临床试验
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-14 DOI: 10.1016/j.phymed.2024.156204
Zaiquan Dong , Qi Shen , Hanwen Zhu , Zirong Yang , Jianqin Lv , Ruizhi Feng , Xue Bai , Guoping Huang , Yueqiang Hu , Liya Pan , Guijun Zhao , William Jia , Xue Wang

Background

YOXINTINE contains >98 % of 20(S)-protopanaxadial (PPD), a metabolic product of ginsenosides with pre-clinical neuroprotective activity. Animal experiments and previous studies have shown that PPD has good antidepressant effect and safety.

Purpose

To evaluate YOXINTINE in treating depression compared with a placebo in Chinese patients.

Study Design

This was a multicenter, double-blinded, randomized, placebo-controlled, phase 2 clinical trial.

Methods

The study included 178 randomized (1:1:1) Chinese patients with depression. Patients were randomly assigned to receive oral YOXINTINE at doses of 200 or 400 mg or a placebo administered twice daily for 8 weeks. The primary outcome was assessed by measuring changes in the Montgomery–Asberg Depression Rating Scale (MADRS) total score. All adverse reactions were recorded. All demographic and baseline characteristics were comparable.

Results

The changes in MADRS total scores from baseline were −10.43 for the placebo group, −16.24 for the 200 mg YOXINTINE group, and −13.60 for the 400 mg YOXINTINE group. The differences in MADRS total score changes compared with the placebo were −5.81 (95 % CI: −7.69, −3.92; P < 0.0001) and −3.17 (95 % CI: −5.08, −1.25; P = 0.0013) for the 200 mg and 400 mg groups, respectively. The results indicated a significantly greater MADRS score reduction in the 200 mg group (P = 0.0058, 95 % CI: 0.78, 4.51). Adverse event incidence was comparable among all groups.

Conclusion

Oral YOXINTINE is safe and significantly improves depressive symptoms. PPD may exhibit antidepressant properties through mechanisms distinct from monoamine reuptake inhibition.

Registration number

ChiCTR2300070568
研究背景养心亭含有98%的20(S)-原人参皂苷(PPD),PPD是人参皂苷的代谢产物,具有临床前神经保护活性。研究设计这是一项多中心、双盲、随机、安慰剂对照的2期临床试验。方法该研究纳入了178名随机(1:1:1)的中国抑郁症患者。患者被随机分配接受200或400毫克剂量的YOXINTINE口服液或安慰剂,每天服用两次,连续服用8周。主要结果通过测量蒙哥马利-阿斯伯格抑郁量表(MADRS)总分的变化进行评估。所有不良反应均有记录。结果安慰剂组的MADRS总分与基线相比变化为-10.43,200毫克YOXINTINE组为-16.24,400毫克YOXINTINE组为-13.60。与安慰剂相比,200 毫克组和 400 毫克组的 MADRS 总分变化分别为-5.81(95 % CI:-7.69,-3.92;P < 0.0001)和-3.17(95 % CI:-5.08,-1.25;P = 0.0013)。结果表明,200 毫克组的 MADRS 评分降低幅度明显更大(P = 0.0058,95 % CI:0.78, 4.51)。结论口服 YOXINTINE 安全且能显著改善抑郁症状。PPD可能通过不同于单胺再摄取抑制的机制表现出抗抑郁特性。注册号ChiCTR2300070568
{"title":"Efficacy and safety of YOXINTINE for depression: A double-blinded, randomized, placebo-controlled, phase 2 clinical trial","authors":"Zaiquan Dong ,&nbsp;Qi Shen ,&nbsp;Hanwen Zhu ,&nbsp;Zirong Yang ,&nbsp;Jianqin Lv ,&nbsp;Ruizhi Feng ,&nbsp;Xue Bai ,&nbsp;Guoping Huang ,&nbsp;Yueqiang Hu ,&nbsp;Liya Pan ,&nbsp;Guijun Zhao ,&nbsp;William Jia ,&nbsp;Xue Wang","doi":"10.1016/j.phymed.2024.156204","DOIUrl":"10.1016/j.phymed.2024.156204","url":null,"abstract":"<div><h3>Background</h3><div>YOXINTINE contains &gt;98 % of 20(S)-protopanaxadial (PPD), a metabolic product of ginsenosides with pre-clinical neuroprotective activity. Animal experiments and previous studies have shown that PPD has good antidepressant effect and safety.</div></div><div><h3>Purpose</h3><div>To evaluate YOXINTINE in treating depression compared with a placebo in Chinese patients.</div></div><div><h3>Study Design</h3><div>This was a multicenter, double-blinded, randomized, placebo-controlled, phase 2 clinical trial.</div></div><div><h3>Methods</h3><div>The study included 178 randomized (1:1:1) Chinese patients with depression. Patients were randomly assigned to receive oral YOXINTINE at doses of 200 or 400 mg or a placebo administered twice daily for 8 weeks. The primary outcome was assessed by measuring changes in the Montgomery–Asberg Depression Rating Scale (MADRS) total score. All adverse reactions were recorded. All demographic and baseline characteristics were comparable.</div></div><div><h3>Results</h3><div>The changes in MADRS total scores from baseline were −10.43 for the placebo group, −16.24 for the 200 mg YOXINTINE group, and −13.60 for the 400 mg YOXINTINE group. The differences in MADRS total score changes compared with the placebo were −5.81 (95 % CI: −7.69, −3.92; P &lt; 0.0001) and −3.17 (95 % CI: −5.08, −1.25; P = 0.0013) for the 200 mg and 400 mg groups, respectively. The results indicated a significantly greater MADRS score reduction in the 200 mg group (P = 0.0058, 95 % CI: 0.78, 4.51). Adverse event incidence was comparable among all groups.</div></div><div><h3>Conclusion</h3><div>Oral YOXINTINE is safe and significantly improves depressive symptoms. PPD may exhibit antidepressant properties through mechanisms distinct from monoamine reuptake inhibition.</div></div><div><h3>Registration number</h3><div>ChiCTR2300070568</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"136 ","pages":"Article 156204"},"PeriodicalIF":6.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cryptotanshinone alleviates immunosuppression in endometriosis by targeting MDSCs through JAK2/STAT3 pathway 隐丹参酮通过 JAK2/STAT3 通路靶向 MDSCs 减轻子宫内膜异位症的免疫抑制作用
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-14 DOI: 10.1016/j.phymed.2024.156227
Linling Xie , Yu Zhong , Yi Chen , Yishu Wang , Peiyi Xian , Shanjia Liu , Xiaoyan Xin , Yanfen Chen , Yongge Guan , Kunyin Li

Background

Endometriosis (EMS), a well-recognized chronic inflammatory disorder, characterized by significant immune dysregulation, in which myeloid-derived suppressor cells (MDSCs) are essential for facilitating immunosuppression and driving to disease progression. Cryptotanshinone (CTS) is an active compound capable of modulating MDSC-mediated immunosuppression; however, its therapeutic effects and mechanisms in the treatment of EMS remain unclear.

Purpose

This study aims to investigate the therapeutic potential of CTS in modulating MDSCs through JAK2/STAT3 signaling pathway and to evaluate its effects on immune microenvironment and endometriotic lesion growth in EMS.

Methods

Transcriptomic data (GSE141549) and single-cell RNA sequencing data (GSE213216) were analyzed to compare immune cell populations in control endometrium (CE), eutopic endometrium (EuE) and ectopic endometrium (EcE) of patients with EMS. Network pharmacology analysis, surface plasmon resonance (SPR) and cellular thermal shift assay (CETSA) were utilized to explore the molecular mechanism of CTS's effects on MDSCs. A C57BL/6J EMS mice model was established to evaluate CTS's influence on MDSC-mediated immune response in vivo. Flow cytometry and immunofluorescence were used to analyze the immune cell populations, particularly MDSCs and CD8+ T cells. Ex vivo bone marrow (BM)-derived MDSCs were prepared to investigate the modulatory activities of CTS on the frequency and function of MDSCs. The impacts of CTS on JAK2/STAT3 pathway were further examined by western blot.

Results

Bioinformatic analysis revealed that, among the three progression stages (CE, EuE, and EcE), the EcE stage exhibited a relatively elevated level of MDSCs and a reduced level of CD8+ T cells. Network pharmacological analysis, along with SPR and CETSA identified that CTS potentially modulates MDSCs in EMS by targeting the JAK2/STAT3 pathway. In vivo studies demonstrated that a relatively high dose of CTS treatment (60mg/kg) effectively inhibited lesion growth, reduced the population of MDSCs, and enhanced CD8+ T cell infiltration. Ex vivo experiments showed that CTS decreased the BM-derived MDSC frequency and rescued the suppressive ability of MDSC upon CD8+ T cells in a dose-dependent manner. Further mechanism analysis confirmed that CTS modulates the expression of immunosuppressive genes and proteins associated with MDSCs through JAK2/STAT3 pathway.

Conclusion

This study is the first to demonstrate that CTS is a promising natural compound for EMS treatment by inhibiting MDSC accumulation and modulating MDSC-mediated immune responses. Its therapeutic efficacy is linked to the modulation of the JAK2/STAT3 signaling pathway.
背景子宫内膜异位症(EMS)是一种公认的慢性炎症性疾病,以严重的免疫失调为特征,其中髓源性抑制细胞(MDSC)是促进免疫抑制和推动疾病进展的关键。本研究旨在探讨隐丹参酮(CTS)通过JAK2/STAT3信号通路调节MDSCs的治疗潜力,并评估其对EMS的免疫微环境和子宫内膜异位病变生长的影响。方法分析转录组数据(GSE141549)和单细胞RNA测序数据(GSE213216),比较EMS患者对照子宫内膜(CE)、异位子宫内膜(EuE)和异位子宫内膜(EcE)的免疫细胞群。研究人员利用网络药理学分析、表面等离子体共振(SPR)和细胞热转移测定(CETSA)来探讨CTS对MDSCs影响的分子机制。建立了 C57BL/6J EMS 小鼠模型,以评估 CTS 对 MDSC 介导的体内免疫反应的影响。流式细胞术和免疫荧光用于分析免疫细胞群,特别是 MDSCs 和 CD8+ T 细胞。制备了体内骨髓(BM)衍生的MDSCs,以研究CTS对MDSCs频率和功能的调节活性。结果生物信息学分析表明,在三个进展阶段(CE、EuE 和 EcE)中,EcE 阶段的 MDSCs 水平相对升高,CD8+ T 细胞水平相对降低。网络药理学分析以及 SPR 和 CETSA 发现,CTS 可通过靶向 JAK2/STAT3 通路调节 EMS 中的 MDSCs。体内研究表明,相对较高的 CTS 治疗剂量(60 毫克/千克)能有效抑制病变的生长,减少 MDSCs 的数量,并增强 CD8+ T 细胞的浸润。体内外实验显示,CTS以剂量依赖的方式降低了BM来源的MDSC频率,并挽救了MDSC对CD8+ T细胞的抑制能力。进一步的机制分析证实,CTS 可通过 JAK2/STAT3 通路调节与 MDSC 相关的免疫抑制基因和蛋白的表达。它的疗效与 JAK2/STAT3 信号通路的调节有关。
{"title":"Cryptotanshinone alleviates immunosuppression in endometriosis by targeting MDSCs through JAK2/STAT3 pathway","authors":"Linling Xie ,&nbsp;Yu Zhong ,&nbsp;Yi Chen ,&nbsp;Yishu Wang ,&nbsp;Peiyi Xian ,&nbsp;Shanjia Liu ,&nbsp;Xiaoyan Xin ,&nbsp;Yanfen Chen ,&nbsp;Yongge Guan ,&nbsp;Kunyin Li","doi":"10.1016/j.phymed.2024.156227","DOIUrl":"10.1016/j.phymed.2024.156227","url":null,"abstract":"<div><h3>Background</h3><div>Endometriosis (EMS), a well-recognized chronic inflammatory disorder, characterized by significant immune dysregulation, in which myeloid-derived suppressor cells (MDSCs) are essential for facilitating immunosuppression and driving to disease progression. Cryptotanshinone (CTS) is an active compound capable of modulating MDSC-mediated immunosuppression; however, its therapeutic effects and mechanisms in the treatment of EMS remain unclear.</div></div><div><h3>Purpose</h3><div>This study aims to investigate the therapeutic potential of CTS in modulating MDSCs through JAK2/STAT3 signaling pathway and to evaluate its effects on immune microenvironment and endometriotic lesion growth in EMS.</div></div><div><h3>Methods</h3><div>Transcriptomic data (GSE141549) and single-cell RNA sequencing data (GSE213216) were analyzed to compare immune cell populations in control endometrium (CE), eutopic endometrium (EuE) and ectopic endometrium (EcE) of patients with EMS. Network pharmacology analysis, surface plasmon resonance (SPR) and cellular thermal shift assay (CETSA) were utilized to explore the molecular mechanism of CTS's effects on MDSCs. A C57BL/6J EMS mice model was established to evaluate CTS's influence on MDSC-mediated immune response in vivo. Flow cytometry and immunofluorescence were used to analyze the immune cell populations, particularly MDSCs and CD8<sup>+</sup> T cells. Ex vivo bone marrow (BM)-derived MDSCs were prepared to investigate the modulatory activities of CTS on the frequency and function of MDSCs. The impacts of CTS on JAK2/STAT3 pathway were further examined by western blot.</div></div><div><h3>Results</h3><div>Bioinformatic analysis revealed that, among the three progression stages (CE, EuE, and EcE), the EcE stage exhibited a relatively elevated level of MDSCs and a reduced level of CD8<sup>+</sup> T cells. Network pharmacological analysis, along with SPR and CETSA identified that CTS potentially modulates MDSCs in EMS by targeting the JAK2/STAT3 pathway. In vivo studies demonstrated that a relatively high dose of CTS treatment (60mg/kg) effectively inhibited lesion growth, reduced the population of MDSCs, and enhanced CD8<sup>+</sup> T cell infiltration. Ex vivo experiments showed that CTS decreased the BM-derived MDSC frequency and rescued the suppressive ability of MDSC upon CD8<sup>+</sup> T cells in a dose-dependent manner. Further mechanism analysis confirmed that CTS modulates the expression of immunosuppressive genes and proteins associated with MDSCs through JAK2/STAT3 pathway.</div></div><div><h3>Conclusion</h3><div>This study is the first to demonstrate that CTS is a promising natural compound for EMS treatment by inhibiting MDSC accumulation and modulating MDSC-mediated immune responses. Its therapeutic efficacy is linked to the modulation of the JAK2/STAT3 signaling pathway.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"136 ","pages":"Article 156227"},"PeriodicalIF":6.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salvianolic acid B alleviated myocardial ischemia-reperfusion injury via modulating SIRT3-mediated crosstalk between mitochondrial ROS and NLRP3 丹酚酸B通过调节SIRT3介导的线粒体ROS与NLRP3之间的串扰减轻心肌缺血再灌注损伤
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-14 DOI: 10.1016/j.phymed.2024.156260
Xiao-Hong Wei , Jie Chen , Xue-Fen Wu , Qian Zhang, Gui-Yang Xia, Xin-Yu Chu, Huan Xia, Sheng Lin, Hong-Cai Shang

Background

Mitochondrial ROS (mtROS) accumulation and NLRP3 inflammasome activation are critical in the pathogenesis of myocardial ischemia-reperfusion injury (MIRI). However, their upstream regulatory mechanisms and interaction remain inadequately understood.

Purpose

The study aims to investigate the therapeutic effect of Salvianolic acid B (Sal B) on MIRI and elucidate its potential molecular mechanism, mainly focusing on the role of SIRT3.

Methods

SIRT3 was knocked down (SIRT3KD) and overexpressed (SIRT3OE) using small interfering RNA and plasmid, respectively. The role of SIRT3 in the cardioprotective effect of Sal B was explored using MIRI rat models and H9c2 cell hypoxia/reoxygenation (H/R) models. SIRT3, NLRP3 inflammasome proteins, and MnSOD expression were analyzed by Western blot and immunofluorescence staining. MtROS levels were assessed with mitochondrial superoxide indicators (MitoSOX™ Red). ELISA was utilized to measure the levels of LDH, CK-MB, cTnT, and markers of inflammation and oxidative stress. The interaction between SIRT3 and Sal B was studied through biolayer interferometry, cellular thermal shift assay and molecular docking.

Results

Our findings revealed significantly decreased SIRT3 level, enhanced MnSOD acetylation, and activated NLRP3 inflammasome in myocardium after MIRI and H9c2 cardiomyocytes exposed to H/R conditions. SIRT3KD promoted MnSOD acetylation and NLRP3 expression, aggravating mtROS accumulation and inflammation. Conversely, SIRT3OE significantly inhibited MnSOD acetylation and NLRP3 inflammasome activation. In vitro studies confirmed the crosstalk between mtROS and NLRP3, demonstrating that mtROS scavenger inhibited NLRP3 inflammasome activation induced by H/R and SIRT3KD, and the NLRP3 inhibitor suppressed MnSOD acetylation in H/R and SIRT3KD cardiomyocytes. Interestingly, Sal B was found to bind and upregulate SIRT3, reduce the expression of Acy-MnSOD, NLRP3, ASC, Caspase-1, and GSDMD, inhibit oxidative stress and inflammatory response, decrease myocardial infarct size and ST-segment elevation, and restore myocardial morphology. However, the protective effect of Sal B against MIRI was nullified by a specific SIRT3 inhibitor.

Conclusion

This study unveils that the SIRT3-mediated interplay between mtROS and the NLRP3 inflammasome is pivotal in the pathogenesis of MIRI. Furthermore, it highlights Sal B as a novel therapeutic agent that alleviates MIRI by targeting SIRT3, offering new insights into MIRI treatment.
背景:线粒体 ROS(mtROS)积累和 NLRP3 炎症小体激活在心肌缺血再灌注损伤(MIRI)的发病机制中至关重要。目的:本研究旨在探讨丹酚酸 B(Sal B)对 MIRI 的治疗作用,并阐明其潜在的分子机制,主要关注 SIRT3 的作用:方法:利用小干扰RNA和质粒分别敲除(SIRT3KD)和过表达(SIRT3OE)SIRT3。利用 MIRI 大鼠模型和 H9c2 细胞缺氧/再氧合(H/R)模型探讨了 SIRT3 在 Sal B 的心脏保护作用中的作用。通过 Western 印迹和免疫荧光染色分析了 SIRT3、NLRP3 炎性体蛋白和 MnSOD 的表达。用线粒体超氧化物指示剂(MitoSOX™ Red)评估MtROS水平。利用酶联免疫吸附法测定 LDH、CK-MB、cTnT 以及炎症和氧化应激标志物的水平。通过生物层干涉测量法、细胞热转移测定法和分子对接法研究了 SIRT3 和 Sal B 之间的相互作用:结果:我们的研究结果表明,MIRI和H9c2心肌细胞暴露于H/R条件后,心肌中的SIRT3水平明显降低,MnSOD乙酰化增强,NLRP3炎性体被激活。SIRT3KD 促进了 MnSOD 乙酰化和 NLRP3 的表达,加剧了 mtROS 的积累和炎症反应。相反,SIRT3OE 能显著抑制 MnSOD 乙酰化和 NLRP3 炎性体的激活。体外研究证实了 mtROS 和 NLRP3 之间的相互影响,表明 mtROS 清除剂抑制了 H/R 和 SIRT3KD 诱导的 NLRP3 炎性体的激活,而 NLRP3 抑制剂抑制了 H/R 和 SIRT3KD 心肌细胞中 MnSOD 的乙酰化。有趣的是,研究发现 Sal B 能结合并上调 SIRT3,减少 Acy-MnSOD、NLRP3、ASC、Caspase-1 和 GSDMD 的表达,抑制氧化应激和炎症反应,缩小心肌梗死面积和 ST 段抬高,恢复心肌形态。然而,Sal B 对 MIRI 的保护作用被特异性 SIRT3 抑制剂所抵消:本研究揭示了 SIRT3 介导的 mtROS 与 NLRP3 炎性体之间的相互作用在 MIRI 的发病机制中起着关键作用。此外,它还强调了 Sal B 是一种新型治疗药物,可通过靶向 SIRT3 缓解 MIRI,为 MIRI 的治疗提供了新的思路。
{"title":"Salvianolic acid B alleviated myocardial ischemia-reperfusion injury via modulating SIRT3-mediated crosstalk between mitochondrial ROS and NLRP3","authors":"Xiao-Hong Wei ,&nbsp;Jie Chen ,&nbsp;Xue-Fen Wu ,&nbsp;Qian Zhang,&nbsp;Gui-Yang Xia,&nbsp;Xin-Yu Chu,&nbsp;Huan Xia,&nbsp;Sheng Lin,&nbsp;Hong-Cai Shang","doi":"10.1016/j.phymed.2024.156260","DOIUrl":"10.1016/j.phymed.2024.156260","url":null,"abstract":"<div><h3>Background</h3><div>Mitochondrial ROS (mtROS) accumulation and NLRP3 inflammasome activation are critical in the pathogenesis of myocardial ischemia-reperfusion injury (MIRI). However, their upstream regulatory mechanisms and interaction remain inadequately understood.</div></div><div><h3>Purpose</h3><div>The study aims to investigate the therapeutic effect of Salvianolic acid B (Sal B) on MIRI and elucidate its potential molecular mechanism, mainly focusing on the role of SIRT3.</div></div><div><h3>Methods</h3><div>SIRT3 was knocked down (SIRT3<sup>KD</sup>) and overexpressed (SIRT3<sup>OE</sup>) using small interfering RNA and plasmid, respectively. The role of SIRT3 in the cardioprotective effect of Sal B was explored using MIRI rat models and H9c2 cell hypoxia/reoxygenation (H/R) models. SIRT3, NLRP3 inflammasome proteins, and MnSOD expression were analyzed by Western blot and immunofluorescence staining. MtROS levels were assessed with mitochondrial superoxide indicators (MitoSOX™ Red). ELISA was utilized to measure the levels of LDH, CK-MB, cTnT, and markers of inflammation and oxidative stress. The interaction between SIRT3 and Sal B was studied through biolayer interferometry, cellular thermal shift assay and molecular docking.</div></div><div><h3>Results</h3><div>Our findings revealed significantly decreased SIRT3 level, enhanced MnSOD acetylation, and activated NLRP3 inflammasome in myocardium after MIRI and H9c2 cardiomyocytes exposed to H/R conditions. SIRT3<sup>KD</sup> promoted MnSOD acetylation and NLRP3 expression, aggravating mtROS accumulation and inflammation. Conversely, SIRT3<sup>OE</sup> significantly inhibited MnSOD acetylation and NLRP3 inflammasome activation. In <em>vitro</em> studies confirmed the crosstalk between mtROS and NLRP3, demonstrating that mtROS scavenger inhibited NLRP3 inflammasome activation induced by H/R and SIRT3<sup>KD</sup>, and the NLRP3 inhibitor suppressed MnSOD acetylation in H/R and SIRT3<sup>KD</sup> cardiomyocytes. Interestingly, Sal B was found to bind and upregulate SIRT3, reduce the expression of Acy-MnSOD, NLRP3, ASC, Caspase-1, and GSDMD, inhibit oxidative stress and inflammatory response, decrease myocardial infarct size and ST-segment elevation, and restore myocardial morphology. However, the protective effect of Sal B against MIRI was nullified by a specific SIRT3 inhibitor.</div></div><div><h3>Conclusion</h3><div>This study unveils that the SIRT3-mediated interplay between mtROS and the NLRP3 inflammasome is pivotal in the pathogenesis of MIRI. Furthermore, it highlights Sal B as a novel therapeutic agent that alleviates MIRI by targeting SIRT3, offering new insights into MIRI treatment.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"136 ","pages":"Article 156260"},"PeriodicalIF":6.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mulberry leaf benefits the intestinal epithelial barrier via direct anti-oxidation and indirect modulation of microbiota in pigs 桑叶通过直接抗氧化和间接调节微生物群有益于猪的肠上皮屏障。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-14 DOI: 10.1016/j.phymed.2024.156217
Hui Yan , Shurui Yan , Zaiyao Li , Tingting Zhang , Jun He , Bing Yu , Jie Yu , Junqiu Luo , Aimin Wu , Junning Pu , Quyuan Wang , Huifen Wang , Xingyu Liu , Daiwen Chen

Background

Diarrhea and intestinal dysfunction commonly occur in young mammals, causing malnutrition and growth retardation in both human and livestock. As the traditional Chinese herb, mulberry leaf contains various bioactive compounds and showed several health benefits, such as regulating glucose and lipid metabolism, and modulating gut microbiota. Mulberry leaf exhibits the potential to modulate redox homeostasis and improve gut health, but the function and underlying mechanisms remains elucidative.

Purpose

To investigate the benefit of mulberry leaf on intestinal barrier in weanling pigs, illustrate the possible involvement of Keap1-Nrf2 mediated anti-oxidation and gut microbiota.

Methods

Chemical compositions of mulberry leaf powder (MLP) and mulberry leaf extract (MLE) were determined. The effects of MLP on growth performance, intestinal barrier integrity, anti-oxidative capacity, immune function and gut microbiota were evaluated in weaned pigs. The regulation of redox homeostasis by MLE and the involvement of Keap1-Nrf2 signaling were further determined in H2O2 induced oxidative stress (OS) model in IPEC-J2 cells via determining reactive oxygen species (ROS) production by flow cytometry and related protein abundance by western blot analysis.

Results

In weanling pigs, MLP reduced diarrhea incidence, and increased villus height, intestinal integrity and expression of tight junctions in intestinal mucosa. The improvement of intestinal barrier by MLP was associated with the enhancement in anti-oxidative capacity and the changes in gut microbiota and related short chain fatty acids production. Our study further revealed the direct regulation of MLE on tight junction expressions and ROS production to alleviate H2O2 induced OS in IPEC-J2 cells via the activating Keap1-Nrf2 signaling pathway.

Conclusions

Mulberry leaf in diet improved epithelial barrier via the direct anti-oxidation through the activation of Keap1-Nrf2 signaling pathway and the indirect modulation of gut microbiota in weaned pigs.
背景:幼年哺乳动物常出现腹泻和肠道功能紊乱,导致人类和家畜营养不良和生长迟缓。作为传统的中草药,桑叶含有多种生物活性化合物,具有多种保健功效,如调节葡萄糖和脂质代谢、调节肠道微生物群等。目的:研究桑叶对断奶猪肠道屏障的益处,说明 Keap1-Nrf2 介导的抗氧化和肠道微生物群可能参与其中:方法:测定桑叶粉(MLP)和桑叶提取物(MLE)的化学成分。评估了桑叶粉对断奶猪的生长性能、肠道屏障完整性、抗氧化能力、免疫功能和肠道微生物群的影响。在 H2O2 诱导的氧化应激(OS)模型中,通过流式细胞仪测定活性氧(ROS)的产生,并通过 Western 印迹分析测定相关蛋白质的丰度,进一步确定了 MLP 对氧化还原平衡的调节作用以及 Keap1-Nrf2 信号的参与:结果:MLP能降低断奶猪的腹泻率,增加绒毛高度、肠道完整性和肠粘膜紧密连接的表达。MLP 对肠道屏障的改善与抗氧化能力的增强、肠道微生物群的变化以及相关短链脂肪酸的产生有关。我们的研究进一步揭示了 MLE 通过激活 Keap1-Nrf2 信号通路直接调节紧密连接表达和 ROS 生成,从而减轻 H2O2 诱导的 IPEC-J2 细胞 OS:结论:日粮中添加桑叶可通过激活 Keap1-Nrf2 信号通路直接抗氧化和间接调节断奶猪肠道微生物群来改善上皮屏障。
{"title":"Mulberry leaf benefits the intestinal epithelial barrier via direct anti-oxidation and indirect modulation of microbiota in pigs","authors":"Hui Yan ,&nbsp;Shurui Yan ,&nbsp;Zaiyao Li ,&nbsp;Tingting Zhang ,&nbsp;Jun He ,&nbsp;Bing Yu ,&nbsp;Jie Yu ,&nbsp;Junqiu Luo ,&nbsp;Aimin Wu ,&nbsp;Junning Pu ,&nbsp;Quyuan Wang ,&nbsp;Huifen Wang ,&nbsp;Xingyu Liu ,&nbsp;Daiwen Chen","doi":"10.1016/j.phymed.2024.156217","DOIUrl":"10.1016/j.phymed.2024.156217","url":null,"abstract":"<div><h3>Background</h3><div>Diarrhea and intestinal dysfunction commonly occur in young mammals, causing malnutrition and growth retardation in both human and livestock. As the traditional Chinese herb, mulberry leaf contains various bioactive compounds and showed several health benefits, such as regulating glucose and lipid metabolism, and modulating gut microbiota. Mulberry leaf exhibits the potential to modulate redox homeostasis and improve gut health, but the function and underlying mechanisms remains elucidative.</div></div><div><h3>Purpose</h3><div>To investigate the benefit of mulberry leaf on intestinal barrier in weanling pigs, illustrate the possible involvement of Keap1-Nrf2 mediated anti-oxidation and gut microbiota.</div></div><div><h3>Methods</h3><div>Chemical compositions of mulberry leaf powder (MLP) and mulberry leaf extract (MLE) were determined. The effects of MLP on growth performance, intestinal barrier integrity, anti-oxidative capacity, immune function and gut microbiota were evaluated in weaned pigs. The regulation of redox homeostasis by MLE and the involvement of Keap1-Nrf2 signaling were further determined in H<sub>2</sub>O<sub>2</sub> induced oxidative stress (OS) model in IPEC-J2 cells via determining reactive oxygen species (ROS) production by flow cytometry and related protein abundance by western blot analysis.</div></div><div><h3>Results</h3><div>In weanling pigs, MLP reduced diarrhea incidence, and increased villus height, intestinal integrity and expression of tight junctions in intestinal mucosa. The improvement of intestinal barrier by MLP was associated with the enhancement in anti-oxidative capacity and the changes in gut microbiota and related short chain fatty acids production. Our study further revealed the direct regulation of MLE on tight junction expressions and ROS production to alleviate H<sub>2</sub>O<sub>2</sub> induced OS in IPEC-J2 cells via the activating Keap1-Nrf2 signaling pathway.</div></div><div><h3>Conclusions</h3><div>Mulberry leaf in diet improved epithelial barrier via the direct anti-oxidation through the activation of Keap1-Nrf2 signaling pathway and the indirect modulation of gut microbiota in weaned pigs.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"135 ","pages":"Article 156217"},"PeriodicalIF":6.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bushen Huoxue Yiqi formula alleviates cardiac fibrosis in ischemic heart failure through SIRT1/Notch1 pathway-mediated EndMT. 藿雪益气汤通过SIRT1/Notch1通路介导的EndMT缓解缺血性心力衰竭的心肌纤维化
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-12 DOI: 10.1016/j.phymed.2024.156252
Cong Chen, Jie Wang, Chengzhi Hou, Wenjing Lian, Xueying Zhu, Jun Hu, Chao Liu

Background: Cardiac fibrosis plays a crucial role in the development of heart failure (HF) following myocardial infarction (MI). Endothelial-mesenchymal transition (EndMT) is one of the key drivers of cardiac fibrosis and subsequent cardiac dysfunction. The traditional Chinese medicine formula Bushen Huoxue Yiqi Formula (BHYF) is an effective prescription for treating HF, significantly improving cardiac function in patients. However, the underlying mechanisms of BHYF's efficacy remain inadequately understood.

Objective: This study aims to determine whether BHYF ameliorates HF by inhibiting cardiac fibrosis and to elucidate the intrinsic mechanisms involved.

Methods: A post-MI HF model was established by ligating the left anterior descending coronary artery in rats, and human umbilical vein endothelial cells (HUVEC) were stimulated with hypoxia/reoxygenation (H/R) in vitro. Active compounds in BHYF were identified using HPLC. Cardiac function and morphology were assessed using echocardiography, TTC staining, HE staining, Masson's trichrome, and Sirius Red staining. The mechanism of action of BHYF was evaluated using Western blotting, immunohistochemistry, and immunofluorescence.

Results: A total of 98 compounds, including glycosides, phenolic compounds, carboxylic acids, and others, were identified or preliminarily identified. BHYF improved cardiac function and myocardial damage in rats with MI-induced HF and mitigated cardiac fibrosis by inhibiting EndMT. Mechanistically, BHYF treatment inhibited EndMT by modulating the SIRT1/Notch1 pathway, thereby exerting anti-fibrotic effects in the heart.

Conclusion: Targeting EndMT based on the SIRT1/Notch1 pathway, BHYF may represent a novel antifibrotic therapeutic strategy, providing a scientific basis for the development of new cardiovascular drugs.

背景:心肌梗死(MI)后,心脏纤维化在心力衰竭(HF)的发展过程中起着至关重要的作用。内皮-间质转化(EndMT)是心脏纤维化和随后心功能不全的主要驱动因素之一。中药配方布参藿香益气方(BHYF)是治疗心房颤动的有效方剂,能显著改善患者的心功能。然而,人们对 BHYF 发挥疗效的内在机制仍不甚了解:本研究旨在确定 BHYF 是否通过抑制心脏纤维化来改善 HF,并阐明其内在机制:方法:通过结扎大鼠左前降支冠状动脉建立心肌梗死后高频模型,并在体外用缺氧/再氧(H/R)刺激人脐静脉内皮细胞(HUVEC)。采用高效液相色谱法鉴定了 BHYF 中的活性化合物。使用超声心动图、TTC 染色、HE 染色、马森三色染色和天狼星红染色评估心脏功能和形态。利用 Western 印迹、免疫组织化学和免疫荧光评估了 BHYF 的作用机制:结果:共鉴定或初步鉴定出 98 种化合物,包括苷类化合物、酚类化合物、羧酸等。BHYF能改善心肌梗死所致高频大鼠的心功能和心肌损伤,并通过抑制内膜移植减轻心脏纤维化。从机制上讲,BHYF 通过调节 SIRT1/Notch1 通路抑制 EndMT,从而在心脏中发挥抗纤维化作用:结论:BHYF 基于 SIRT1/Notch1 通路靶向 EndMT,可能是一种新型的抗纤维化治疗策略,为开发新的心血管药物提供了科学依据。
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引用次数: 0
Huang-Lian-Jie-Du decoction alleviates cognitive impairment in high-fat diet-induced obese mice via Trem2/Dap12/Syk pathway 黄连解毒汤通过Trem2/Dap12/Syk途径缓解高脂饮食诱导的肥胖小鼠的认知障碍
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-12 DOI: 10.1016/j.phymed.2024.156248
Jia-Yi Zheng , Rui-Kang Pang , Jiang-Hong Ye , Shan Su , Jia Shi , Yu-Hui Qiu , Hua-Feng Pan , Ru-Yu Zheng , Xin-Rui Hu , Qi-Wen Deng , Xiao-Xiao Li , Ye-Feng Cai , Shi-Jie Zhang
<div><h3>Background</h3><div>Cognitive impairment induced by a high-fat diet (HFD) is common, but its mechanism is largely unknown. Huang-Lian-Jie-Du (HLJD) decoction is a classical and powerful prescription in China. It consists of four medicinal plants and is widely used in traditional Chinese medicines (TCM). Studies have shown that HLJD decoction is effective in treating obesity, depression, and so on. However, the therapeutic mechanism of HLJD is still poorly understood.</div></div><div><h3>Purpose</h3><div>Our study aimed to explore whether inflammatory factors and Trem2/Dap12/Syk pathway are involved in this process and whether HLJD treatment can repair cognitive impairment in HFD-induced obesity.</div></div><div><h3>Methods</h3><div>To obtain the obese mice, male mice were treated with HFD (60 Kcal% fat) for 16 weeks. After an additional eight weeks, HLJD decoction was administered orally at doses of 4 and 8 g/kg daily for eight weeks. The mice were then subjected to four behavior tests. Aβ42, total Tau, inflammatory-related, and microglial dysregulation-related markers expression were measured. Molecular docking analysis was also conducted to predict the interaction of the chemical constituents of HLJD with human TREM2, DAP12, and SYK. HLJD at doses of 12.5, 25, and 50 µg/mL or limonin at concentrations of 12.5, 25, and 50 µM were used to treat BV2 cells for 24 h. CCK8 assay and Trem2, Dap12, Syk, and p-Syk expression were measured.</div></div><div><h3>Results</h3><div>Our study revealed that cognitive impairment was evident in mice treated with HFD, indicating the impact of obesity on cognitive function. The expression of Aβ42 and total Tau in the hippocampus (HIP) was significantly higher in obese (HFD-V) mice compared to normal control (NC-V) mice. The <em>Il6, Il1b</em>, and <em>Il10</em> mRNA expression levels were also markedly increased in the HIP of obese mice. Furthermore, Trem2, Dap12, p-Syk, and Iba1 expression were elevated in the HIP of obese mice. Importantly, HLJD treatment was found to repair cognitive impairment and lower the protein expression of Aβ42, Tau, Trem2, Dap12, p-Syk, and the expression of <em>Il6, Il1b</em>, and <em>Il10</em> mRNA in HIP of HFD-V mice. The increased expression of Trem2, Dap12, p-Syk, and Iba1 in HIP after HFD consumption could be reduced after receiving HLJD decoction. The compound Limonin showed a well-predicted binding energy with TREM2, DAP12, and SYK. BV2 cells with HLJD or limonin detected the mRNA expressions of <em>Trem2/Dap12</em>. HLJD at 25 and 50 µg/mL decreased Trem2, Dap12, and p-Syk protein levels in BV2 cells.</div></div><div><h3>Conclusion</h3><div>These results reveal that HLJD treatment could alleviate cognitive impairment in HFD-induced obese mice by controlling the activation of the Trem2/Dap12 pathway and reducing Syk phosphorylation in HIP microglia. HLJD and limonin suppressed Trem2/Dap12/Syk signaling pathway in BV2 cells. HLJD therapy might represent a novel treatment
背景高脂饮食(HFD)诱发的认知障碍很常见,但其机制尚不清楚。黄连解毒汤(HLJD)是中国的经典名方。它由四种药用植物组成,在传统中药(中医)中被广泛使用。研究表明,鸡血藤煎剂对治疗肥胖症、抑郁症等有显著疗效。目的 我们的研究旨在探讨炎症因子和 Trem2/Dap12/Syk 通路是否参与了这一过程,以及 HLJD 治疗是否能修复高密度脂蛋白胆固醇诱导的肥胖症认知障碍。再连续八周后,以每天每公斤 4 克和 8 克的剂量口服 HLJD 煎剂。然后对小鼠进行四项行为测试。测量了 Aβ42、总 Tau、炎症相关和小胶质细胞失调相关标记物的表达。还进行了分子对接分析,以预测 HLJD 的化学成分与人类 TREM2、DAP12 和 SYK 的相互作用。结果我们的研究发现,用高密度脂蛋白胆固醇(HFD)治疗的小鼠认知功能明显受损,这表明肥胖对认知功能有影响。与正常对照组(NC-V)小鼠相比,肥胖(HFD-V)小鼠海马(HIP)中 Aβ42 和总 Tau 的表达明显升高。肥胖小鼠 HIP 中的 Il6、Il1b 和 Il10 mRNA 表达水平也明显升高。此外,肥胖小鼠 HIP 中 Trem2、Dap12、p-Syk 和 Iba1 的表达也有所升高。重要的是,HLJD 治疗可修复认知障碍,并降低 Aβ42、Tau、Trem2、Dap12、p-Syk 的蛋白表达,以及 Il6、Il1b 和 Il10 mRNA 在 HFD-V 小鼠 HIP 中的表达。服用高纤维食物后,HLJD 水煎剂可降低 HIP 中 Trem2、Dap12、p-Syk 和 Iba1 的表达。化合物Limonin与TREM2、DAP12和SYK具有良好的结合能。用 HLJD 或柠檬素治疗的 BV2 细胞检测到了 TREM2/DAP12 的 mRNA 表达。这些结果表明,HLJD 治疗可通过控制 HIP 小胶质细胞中 Trem2/Dap12 通路的激活和减少 Syk 磷酸化来缓解高氟酸诱导的肥胖小鼠的认知障碍。HLJD和柠檬素抑制了BV2细胞中的Trem2/Dap12/Syk信号通路。HLJD疗法可能是治疗肥胖引起的认知障碍患者的一种新疗法。
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Phytomedicine
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