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Intervention effects of Er Miao san on metabolic syndrome in Bama miniature pigs. 二苗散对巴马小型猪代谢综合征的干预作用。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2024-12-28 DOI: 10.1016/j.phymed.2024.156355
Rong Chen, Jianchi Lun, Tianze Wang, Yimu Ma, Jieyi Huang, Shiqi He, Yingwen Zhang, Qian Qu, Mengjie Liu, Haiyang Sun, Jinbo Sun, Wei Mao, Juanjuan Wang, Weijie Lv, Shining Guo

Background: Metabolic syndrome (MS) refers to a cluster of metabolic disorders characterized by systemic chronic inflammation. Er Miao San (EMS) is a classic traditional Chinese medicine compound containing Phellodendron amurense and Atractylodis rhizome at a ratio of 1:1, proven to be effective against inflammatory diseases in clinical practice. Nevertheless, the precise functions of EMS in treating MS and its underlying mechanism have yet to be elucidated.

Purpose: This study focuses on the intervention effects of EMS on high humidity exposure and high sugar-fat diet (HHSF)-induced MS in pigs.

Study design: Blood biochemical indices and metabolome analysis were employed to confirm the successful establishment of the MS model, and the preliminary evaluation of the intervention effect of EMS was conducted. Subsequently, a parallel microbiota analysis of the tongue and cecum was combined with metabolomic analysis, histopathologic examination, and other molecular biological detection to further assess the administration mechanism of EMS.

Results: The results demonstrated that EMS significantly reduced the excessive weight gain rate, fat accumulation, hyperlipidemia, hyperglycemia, and systemic inflammation while improving serum metabolic disorder in MS pigs. Moreover, microbiota analysis indicates that EMS restored the diversity and composition of oral-gut microbiota by increasing the proportions of Lactobacillus (gut), Roseburia (gut), Faecalibacterium (gut), CF231 (gut), Streptococcus (gut), Prevotella (gut), while decreasing those of Chryseobacterium (oral), Corynebacterium (oral), Clostridium (oral), Oscillospira (gut), and Turicibacter (oral, gut). Subsequently, EMS up-regulated the concentrations of acetic acid, butyric acid, propionic acid, while down-regulated isobutyric acid and isovaleric acid. This resulted in a suppression of HDAC3 expression and an increase of SCL16A1 expression in the colon. Notably, the changes in acetic acid and butyric acid showed a strong correlation with gut microbiota. Additionally, EMS reduced the serum level of lipopolysaccharide (LPS) and enhanced epithelial barrier integrity by inhibiting the LPS-TLR4/MyD88/NF-κB pathways.

Conclusions: EMS was found to ameliorate MS by alleviating the dysbiosis of the oral-gut microbiota and serum metabolome, thereby improving gut barrier and reducing systemic inflammation. These findings suggest that EMS holds promise as a therapeutic agent for MS.

背景:代谢综合征(MS)是指以全身慢性炎症为特征的一系列代谢紊乱。二苗散(EMS)是一种经典的中药复方,含有黄柏和苍术,其比例为1:1,在临床中被证明对炎症性疾病有有效的治疗作用。然而,EMS在治疗多发性硬化症中的确切作用及其潜在机制尚未阐明。目的:研究EMS对高湿高糖脂日粮(HHSF)诱导的猪多发性硬化症的干预作用。研究设计:通过血液生化指标和代谢组学分析证实MS模型的成功建立,并对EMS的干预效果进行初步评价。随后,结合代谢组学分析、组织病理学检查和其他分子生物学检测,对舌和盲肠进行平行微生物群分析,进一步评估EMS的给药机制。结果:结果表明,EMS显著降低了MS猪的过度增重率、脂肪堆积、高脂血症、高血糖症和全身性炎症,改善了血清代谢紊乱。此外,微生物群分析表明,EMS通过增加乳杆菌(肠道)、Roseburia(肠道)、Faecalibacterium(肠道)、CF231(肠道)、链球菌(肠道)、Prevotella(肠道)的比例,降低Chryseobacterium(口腔)、杆状杆菌(口腔)、Clostridium(口腔)、Oscillospira(肠道)和Turicibacter(口腔、肠道)的比例,恢复了口腔肠道微生物群的多样性和组成。随后,EMS上调乙酸、丁酸、丙酸浓度,下调异丁酸和异戊酸浓度。这导致结肠中HDAC3表达的抑制和SCL16A1表达的增加。值得注意的是,乙酸和丁酸的变化与肠道微生物群有很强的相关性。此外,EMS通过抑制LPS- tlr4 /MyD88/NF-κB通路,降低血清脂多糖(LPS)水平,增强上皮屏障完整性。结论:EMS通过减轻口腔肠道菌群和血清代谢组失调,从而改善肠道屏障,减轻全身炎症,从而改善MS。这些发现表明,EMS有望成为多发性硬化症的治疗药物。
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引用次数: 0
4-hydroxybenzoic acid induces browning of white adipose tissue through the AMPK-DRP1 pathway in HFD-induced obese mice. 4-羟基苯甲酸通过AMPK-DRP1通路诱导hfd诱导的肥胖小鼠白色脂肪组织褐变。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2024-12-27 DOI: 10.1016/j.phymed.2024.156353
Sang Hee Kim, Woo Yong Park, Gahee Song, Ja Yeon Park, Se Jin Jung, Kwang Seok Ahn, Jae-Young Um

Background: Beige adipocytes have physiological functions similar to brown adipocytes, which are available to increase energy expenditure through uncoupling protein 1 (UCP1) within mitochondria. Recently, many studies showed white adipocytes can undergo remodeling into beige adipocytes, called "browning", by increasing fusion and fission events referred to as mitochondrial dynamics.

Purpose: In this study, we aimed to investigate the browning effects of 4-hydroxybenzoic acid (4-HA), one of the major compounds of black raspberries.

Methods: We examined the mechanism underlying the browning properties of 4-HA focusing on UCP1-dependent non-shivering thermogenesis in 3T3-L1 white adipocytes, high-fat diet (HFD)-induced obese male C57BL/6J mice, and cold-exposed male C57BL/6J mice.

Results: 4-HA treatment elevates browning markers such as UCP1, T-Box transcription factor 1, and PR domain containing 16, mitochondrial function factors like oxidative phosphorylation complex as well as mitochondrial dynamic-related factors like phosphorylated dynamin-related protein 1 (p-DRP1), DRP1, and mitofusin 1 in 3T3-L1 white adipocytes, which were also confirmed in inguinal white adipose tissue (iWAT) of HFD-induced obese mice. Mdivi-1 blocked the increased DRP1-mediated mitochondrial fission by 4-HA, and even the browning effect of 4-HA was abolished. Furthermore, 4-HA increased AMP-activated protein kinase (AMPK) in both the 3T3-L1 white adipocytes and iWAT of HFD-induced obese mice. Inhibition of AMPK with Compound C also blocked the 4-HA-induced mitochondrial fission and browning effect.

Conclusions: 4-HA induces the browning of white adipocytes into beige adipocytes by regulating the DRP1-mediated mitochondrial dynamics through AMPK. These findings suggest that 4-HA could serve as a therapeutic candidate for obesity and related metabolic disorders.

背景:米色脂肪细胞具有与棕色脂肪细胞相似的生理功能,可通过线粒体内的解偶联蛋白1 (UCP1)增加能量消耗。近年来,许多研究表明,白色脂肪细胞可以通过增加线粒体动力学中的融合和裂变事件,重新塑造成米色脂肪细胞,称为“褐变”。目的:研究黑树莓主要成分4-羟基苯甲酸(4-HA)的褐变作用。方法:在3T3-L1白色脂肪细胞、高脂饮食(HFD)诱导的肥胖雄性C57BL/6J小鼠和冷暴露雄性C57BL/6J小鼠中,我们研究了4-HA褐化特性的机制,重点关注ucp1依赖的非寒战产热。结果:4-HA处理可提高3T3-L1白色脂肪细胞中的褐变标志物如UCP1、T-Box转录因子1、PR结构域16、氧化磷酸化复合体等线粒体功能因子以及磷酸化动力蛋白相关蛋白1 (p-DRP1)、DRP1、mitofusin 1等线粒体动力学相关因子,这在hfd诱导的肥胖小鼠腹沟白色脂肪组织(iWAT)中也得到证实。Mdivi-1通过4-HA阻断drp1介导的线粒体分裂增加,甚至4-HA的褐变作用也被消除。此外,4-HA增加了hfd诱导的肥胖小鼠3T3-L1白色脂肪细胞和iWAT中amp活化蛋白激酶(AMPK)的表达。化合物C对AMPK的抑制也阻断了4- ha诱导的线粒体裂变和褐变效应。结论:4-HA通过AMPK调控drp1介导的线粒体动力学,诱导白色脂肪细胞褐变为米色脂肪细胞。这些发现表明,4-HA可以作为肥胖和相关代谢紊乱的治疗候选药物。
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引用次数: 0
Effect of daphnetin, the coumarin derivative isolated from Daphne genus, on Helicobacter pylori adhesion to gastric epithelial cells. 达芙妮属香豆素衍生物瑞香素对幽门螺杆菌粘附胃上皮细胞的影响。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2024-12-29 DOI: 10.1016/j.phymed.2024.156357
Genzhu Wang, Mengjie Wang, Jing Pang, Qiang Sun, Tianyun Fan, Zhongdong Li, Xuefu You

Background: Adherence of Helicobacter pylori to the surface of the gastric mucosa is the initial and crucial step for its survival and colonization in the harsh conditions of the stomach. We had previously demonstrated that daphnetin has anti-adhesion effect.

Purpose: This study aims to explore the mechanisms of daphnetin to reduce H. pylori adhesion to gastric epithelial cells (GES-1).

Methods: Fluorescence microscopy and urease assay were used to observe and validate the anti-adhesion effect of daphnetin. Terminal deoxynucleotidyl transferase dUTP nick end labeling, comet assay and agarose gel-based assay were conducted to evaluate the level of DNA damage. Quantitative real-time polymerase chain reaction, western blotting, electrophoretic mobility shifts assay and enzyme-linked immunosorbent assay were performed to investigate the mechanisms of the anti-adhesion effect of daphnetin.

Results: Our results showed that daphnetin decreased H. pylori adhesion to GES-1 in time- and dose-dependent manners. The mechanisms by which daphnetin inhibits H. pylori adhesion involved the inducing of DNA double-strand breaks, the up-regulating of recA transcription leading to RecA binding at 1018-1597 site in the babA promoter, the decreasing of babA/babB transcription ratio, the decreasing of BabA expression and its interaction with Lewis b antigen.

Conclusion: Our results suggested that daphnetin significantly inhibits H. pylori adhesion to GES-1 through the RecA-BabA pathway. To our knowledge, this is the first report on the mechanisms of daphnetin affecting H. pylori adhesion to GES-1.

背景:幽门螺杆菌在胃粘膜表面的粘附是其在恶劣的胃条件下生存和定植的初始和关键步骤。我们之前已经证明了瑞香素具有抗粘连作用。目的:探讨瑞香素降低幽门螺杆菌粘附胃上皮细胞(GES-1)的作用机制。方法:采用荧光显微镜和脲酶法观察并验证瑞香素的抗黏附作用。采用末端脱氧核苷酸转移酶dUTP缺口末端标记法、彗星法和琼脂糖凝胶法评价DNA损伤水平。采用实时定量聚合酶链反应、western blotting、电泳迁移率转移、酶联免疫吸附等方法研究瑞香素抗黏附作用的机制。结果:我们的研究结果显示,瑞香素降低幽门螺杆菌对GES-1的粘附呈时间和剂量依赖性。瑞香素抑制幽门螺杆菌粘附的机制包括诱导DNA双链断裂、上调recA转录导致recA在babA启动子1018-1597位点结合、降低babA/babB转录比、降低babA表达及其与Lewis b抗原的相互作用。结论:我们的研究结果表明,瑞香素通过RecA-BabA途径显著抑制幽门螺杆菌对GES-1的粘附。据我们所知,这是关于瑞香素影响幽门螺杆菌粘附GES-1机制的第一篇报道。
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引用次数: 0
Melittin suppresses ovarian cancer growth by regulating SREBP1-mediated lipid metabolism. 蜂毒素通过调节srebp1介导的脂质代谢抑制卵巢癌的生长。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1016/j.phymed.2025.156367
Ruixin Wu, Ning Li, Weiling Huang, Yifang Yang, Rongrong Zang, Haiyan Song, Jianrong Shi, Shiguo Zhu, Qing Liu

Background: Melittin, a major peptide component of bee venom, has demonstrated promising anti-cancer activity across various preclinical cell models, making it a potential candidate for cancer therapy. However, its molecular mechanisms, particularly in ovarian cancer, remain largely unexplored. Ovarian cancer is a life-threatening gynecological malignancy with poor clinical outcomes and limited treatment options.

Purpose: This study evaluated the efficacy of melittin in suppressing ovarian cancer and elucidated its underlying molecular mechanisms.

Methods: A subcutaneous xenograft tumor model was established using ID8 cells in C57BL/6J mice. RNA sequencing revealed that melittin's anticancer effects were associated with the downregulation of lipid metabolism, particularly fatty acid synthesis. The impact of melittin on de novo fatty acid synthesis was assessed by measuring free fatty acid (FFA), triglyceride (TG), and total cholesterol (TC) levels in ovarian cancer cells. Lipogenic gene expression and sterol regulatory element-binding protein 1 (SREBP1) were analyzed by Western blot and quantitative real-time polymerase chain reaction. The regulation of FASN transcription by SREBP1 was explored using a dual-luciferase reporter assay. Plasmid DNA transfection and the SREBP1 inhibitor Fatostatin were employed to identify the signaling pathway mediating melittin's anticancer effects.

Results: Our results confirmed that melittin significantly reduced de novo fatty acid synthesis, as evidenced by lower FFA, TG, and lipid droplet levels. Additionally, melittin inhibited the nuclear translocation of SREBP1 and specifically reduced SREBP1-mediated FASN transcription, demonstrating effects similar to those of Fatostatin. The motif (-424/-415) within the FASN promoter is a potential SREBP-1 binding site. SREBP1 overexpression through plasmid DNA transfection significantly counteracted melittin's downregulation of FASN promoter activity and counteracted its inhibitory effects on de novo fatty acid synthesis, cell proliferation, and colony formation.

Conclusion: Our findings suggested that melittin acts as a novel modulator of the SREBP1/FASN pathway, reducing lipogenesis and inhibiting ovarian cancer growth. This study was the first to demonstrate melittin's ability to target the SREBP1/FASN axis in ovarian cancer, identifying SREBP1 as a novel therapeutic target. These results highlighted melittin as a potential therapeutic agent for ovarian cancer by attenuating SREBP1-mediated lipid metabolism and suggested novel treatment strategies for targeting ovarian cancer.

背景:蜂毒素是蜂毒的主要肽成分,在各种临床前细胞模型中显示出有希望的抗癌活性,使其成为癌症治疗的潜在候选者。然而,其分子机制,特别是在卵巢癌中的机制,在很大程度上仍未被探索。卵巢癌是一种危及生命的妇科恶性肿瘤,临床预后差,治疗方案有限。目的:研究蜂毒素对卵巢癌的抑制作用,并阐明其分子机制。方法:采用ID8细胞建立C57BL/6J小鼠皮下移植瘤模型。RNA测序显示蜂毒素的抗癌作用与脂质代谢,特别是脂肪酸合成的下调有关。通过测量卵巢癌细胞中游离脂肪酸(FFA)、甘油三酯(TG)和总胆固醇(TC)水平来评估蜂毒素对新脂肪酸合成的影响。采用Western blot和实时定量聚合酶链反应分析脂质基因表达和甾醇调控元件结合蛋白1 (SREBP1)表达。利用双荧光素酶报告基因试验,探讨SREBP1对FASN转录的调控。采用质粒DNA转染和SREBP1抑制剂Fatostatin鉴定蜂毒素抗癌作用的信号通路。结果:我们的研究结果证实,蜂毒素显著减少了脂肪酸的新合成,这可以通过降低FFA、TG和脂滴水平来证明。此外,melittin抑制SREBP1的核易位,特异性降低SREBP1介导的FASN转录,其作用与Fatostatin相似。FASN启动子内的基序(-424/-415)是潜在的SREBP-1结合位点。通过质粒DNA转染过表达SREBP1,显著抵消了蜂毒蛋白对FASN启动子活性的下调,并抵消了其对新生脂肪酸合成、细胞增殖和集落形成的抑制作用。结论:我们的研究结果表明蜂毒素作为SREBP1/FASN通路的一种新的调节剂,减少脂肪生成并抑制卵巢癌的生长。这项研究首次证明了蜂毒蛋白在卵巢癌中靶向SREBP1/FASN轴的能力,确定了SREBP1是一个新的治疗靶点。这些结果突出了蜂毒素通过减弱srebp1介导的脂质代谢而成为卵巢癌的潜在治疗剂,并为卵巢癌靶向治疗提供了新的策略。
{"title":"Melittin suppresses ovarian cancer growth by regulating SREBP1-mediated lipid metabolism.","authors":"Ruixin Wu, Ning Li, Weiling Huang, Yifang Yang, Rongrong Zang, Haiyan Song, Jianrong Shi, Shiguo Zhu, Qing Liu","doi":"10.1016/j.phymed.2025.156367","DOIUrl":"10.1016/j.phymed.2025.156367","url":null,"abstract":"<p><strong>Background: </strong>Melittin, a major peptide component of bee venom, has demonstrated promising anti-cancer activity across various preclinical cell models, making it a potential candidate for cancer therapy. However, its molecular mechanisms, particularly in ovarian cancer, remain largely unexplored. Ovarian cancer is a life-threatening gynecological malignancy with poor clinical outcomes and limited treatment options.</p><p><strong>Purpose: </strong>This study evaluated the efficacy of melittin in suppressing ovarian cancer and elucidated its underlying molecular mechanisms.</p><p><strong>Methods: </strong>A subcutaneous xenograft tumor model was established using ID8 cells in C57BL/6J mice. RNA sequencing revealed that melittin's anticancer effects were associated with the downregulation of lipid metabolism, particularly fatty acid synthesis. The impact of melittin on de novo fatty acid synthesis was assessed by measuring free fatty acid (FFA), triglyceride (TG), and total cholesterol (TC) levels in ovarian cancer cells. Lipogenic gene expression and sterol regulatory element-binding protein 1 (SREBP1) were analyzed by Western blot and quantitative real-time polymerase chain reaction. The regulation of FASN transcription by SREBP1 was explored using a dual-luciferase reporter assay. Plasmid DNA transfection and the SREBP1 inhibitor Fatostatin were employed to identify the signaling pathway mediating melittin's anticancer effects.</p><p><strong>Results: </strong>Our results confirmed that melittin significantly reduced de novo fatty acid synthesis, as evidenced by lower FFA, TG, and lipid droplet levels. Additionally, melittin inhibited the nuclear translocation of SREBP1 and specifically reduced SREBP1-mediated FASN transcription, demonstrating effects similar to those of Fatostatin. The motif (-424/-415) within the FASN promoter is a potential SREBP-1 binding site. SREBP1 overexpression through plasmid DNA transfection significantly counteracted melittin's downregulation of FASN promoter activity and counteracted its inhibitory effects on de novo fatty acid synthesis, cell proliferation, and colony formation.</p><p><strong>Conclusion: </strong>Our findings suggested that melittin acts as a novel modulator of the SREBP1/FASN pathway, reducing lipogenesis and inhibiting ovarian cancer growth. This study was the first to demonstrate melittin's ability to target the SREBP1/FASN axis in ovarian cancer, identifying SREBP1 as a novel therapeutic target. These results highlighted melittin as a potential therapeutic agent for ovarian cancer by attenuating SREBP1-mediated lipid metabolism and suggested novel treatment strategies for targeting ovarian cancer.</p>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"137 ","pages":"156367"},"PeriodicalIF":6.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971950","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
Yiqi Huayu Jiedu formula inhibits JAK2/STAT3-mediated partial EMT in treating chronic atrophic gastritis. 益气化瘀解毒方抑制JAK2/ stat3介导的部分EMT治疗慢性萎缩性胃炎。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1016/j.phymed.2024.156356
Weifeng Yu, Shuni Chen, Xiuming Guan, Guihua He, Wang Zhang, Haiyan Zhang, Suiping Huang, Zhenhao Ye, Hudan Pan, Zishao Zhong

Background: Chronic atrophic gastritis (CAG) is a precursor to gastric cancer, a leading cause of cancer-related deaths worldwide. Despite current therapeutic strategies, preventing the transition from gastritis to cancer remains a challenge. Traditional Chinese Medicine (TCM), particularly the Yiqi-Huayu-Jiedu (YQHYJD) formula, have exhibited promising results in CAG management. However, the pharmacological underpinnings of this formula remain elusive.

Purpose: The study aimed to elucidate the pharmacological mechanisms of the YQHYJD formula in treating CAG and its role in inhibiting the progression to gastric cancer through the modulation of the "inflammation-cancer" sequence.

Methods: Mass spectrometric analysis of YQHYJD formula-containing serum was conducted to determine the active compounds involved in CAG treatment. A CAG rat model was induced using a combination of deoxycholic acid and ammonia, while a gastric precancerous lesion cell model was generated by exposing GES-1 cells to deoxycholic acid. Both models were treated with varying concentrations of the YQHYJD formula to assess its effects of the JAK2/STAT3 signaling-mediated epithelial-mesenchymal transition (EMT) pathway.

Results: Mass spectrometry analysis identified 80 active compounds in the YQHYJD formula, including quercetin. Network pharmacology analysis revealed that these active compounds may exert their therapeutic effects on CAG through various mechanisms, including the JAK/STAT signaling. Using rat and cellular models of CAG, we found that the JAK/STAT pathway is activated alongside partial epithelial-mesenchymal transition (pEMT). YQHYJD treatment effectively mitigated the activation of the JAK2/STAT3 activation and pEMT. Furthermore, the therapeutic effect of the YQHYJD formula was maintained even in the presence of Colivelin or overexpressed STAT3.

Conclusions: The YQHYJD formula treats CAG by inhibiting the JAK2/STAT3 -mediated pEMT, thereby suppressing the gastric "inflammation-cancer" transformation. This study provides mechanistic insights into the efficacy of YQHYJD in CAG treatment and suggests new therapeutic strategies for preventing gastric cancer development.

背景:慢性萎缩性胃炎(CAG)是胃癌的前兆,是世界范围内癌症相关死亡的主要原因。尽管目前的治疗策略,防止从胃炎到癌症的转变仍然是一个挑战。中药,特别是益气化瘀解毒方剂,在CAG治疗中显示出良好的效果。然而,这个配方的药理学基础仍然难以捉摸。目的:本研究旨在阐明YQHYJD方治疗CAG的药理机制,并通过调节“炎-癌”序列抑制胃癌进展。方法:采用质谱分析方法,对复方含血血清进行质谱分析,确定其治疗CAG的有效成分。脱氧胆酸联合氨水诱导CAG大鼠模型,脱氧胆酸诱导GES-1细胞形成胃癌前病变细胞模型。用不同浓度的YQHYJD配方处理两种模型,以评估其对JAK2/STAT3信号介导的上皮-间质转化(EMT)途径的影响。结果:质谱分析鉴定出槲皮素等80种有效成分。网络药理学分析表明,这些活性化合物可能通过包括JAK/STAT信号在内的多种机制对CAG发挥治疗作用。通过大鼠和CAG细胞模型,我们发现JAK/STAT通路与部分上皮-间质转化(pEMT)一起被激活。YQHYJD治疗有效地减轻了JAK2/STAT3激活和ppt的激活。此外,即使存在Colivelin或过表达STAT3, YQHYJD方的治疗效果也能保持不变。结论:YQHYJD方通过抑制JAK2/STAT3介导的pEMT治疗CAG,从而抑制胃“炎-癌”转化。本研究为YQHYJD治疗CAG的作用机制提供了新的见解,并为预防胃癌的发展提供了新的治疗策略。
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引用次数: 0
Celastrol ameliorates fibrosis in Western diet/tetrachloromethane-induced nonalcoholic steatohepatitis by suppressing Notch/osteopontin signaling. Celastrol通过抑制Notch/骨桥蛋白信号通路改善西方饮食/四氯甲烷诱导的非酒精性脂肪性肝炎的纤维化。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1016/j.phymed.2025.156369
Dingwu Li, Jianing Chen, Chenhui Ye, Bingru Lin, Tiantian Zhang, Qingxia Chen, Chaohui Yu, Xingyong Wan

Background: Celastrol was recently identified as a potential treatment for obesity and hepatic steatosis. However, whether Celastrol effectively suppresses the nonalcoholic fatty liver disease (NAFLD) stage remains unknown. This study aimed to evaluate the role of Celastrol in the progression from simple steatosis to nonalcoholic steatohepatitis (NASH) and fibrosis.

Methods: C57BL/6 mice were fed a Western diet combined with a weekly low-dose injection of CCl4 (WD/CCl4) for 16 weeks to establish NASH models. The effects of Celastrol on NASH were further explored through histopathological assessments, immunoblotting, and in vitro analyses.

Results: Celastrol treatment effectively attenuated hepatic steatosis and fibrosis in WD/CCl4-induced NASH models, in which Notch2 was downregulated by Celastrol in a posttranscriptional manner. In vitro experiments revealed that Notch2 suppression in Celastrol-treated hepatocytes further decreased osteopontin (OPN) levels, inhibiting hepatic stellate cells (HSCs) activation. Moreover, the protective effects of Celastrol on NASH progression were abolished in Notch2-overexpressing mice.

Conclusion: This study demonstrated the protective effects of Celastrol on NASH-related liver fibrosis by modulating Notch/OPN signaling, providing fresh insights into the potential application of Celastrol in NASH treatment.

背景:雷公藤红素最近被确定为肥胖和肝脂肪变性的潜在治疗方法。然而,Celastrol是否有效抑制非酒精性脂肪性肝病(NAFLD)阶段仍不清楚。本研究旨在评估Celastrol在从单纯性脂肪变性到非酒精性脂肪性肝炎(NASH)和纤维化过程中的作用。方法:以C57BL/6小鼠为研究对象,采用西餐联合每周注射低剂量CCl4 (WD/CCl4),连续16周建立NASH模型。通过组织病理学评估、免疫印迹和体外分析,进一步探讨了Celastrol对NASH的影响。结果:在WD/ ccl4诱导的NASH模型中,Celastrol治疗有效地减轻了肝脂肪变性和纤维化,其中Notch2被Celastrol以转录后方式下调。体外实验显示,celastrol处理的肝细胞中Notch2的抑制进一步降低了骨桥蛋白(OPN)水平,抑制了肝星状细胞(hsc)的活化。此外,在notch2过表达小鼠中,Celastrol对NASH进展的保护作用被取消。结论:本研究证实了Celastrol通过调节Notch/OPN信号通路对NASH相关肝纤维化的保护作用,为Celastrol在NASH治疗中的潜在应用提供了新的见解。
{"title":"Celastrol ameliorates fibrosis in Western diet/tetrachloromethane-induced nonalcoholic steatohepatitis by suppressing Notch/osteopontin signaling.","authors":"Dingwu Li, Jianing Chen, Chenhui Ye, Bingru Lin, Tiantian Zhang, Qingxia Chen, Chaohui Yu, Xingyong Wan","doi":"10.1016/j.phymed.2025.156369","DOIUrl":"10.1016/j.phymed.2025.156369","url":null,"abstract":"<p><strong>Background: </strong>Celastrol was recently identified as a potential treatment for obesity and hepatic steatosis. However, whether Celastrol effectively suppresses the nonalcoholic fatty liver disease (NAFLD) stage remains unknown. This study aimed to evaluate the role of Celastrol in the progression from simple steatosis to nonalcoholic steatohepatitis (NASH) and fibrosis.</p><p><strong>Methods: </strong>C57BL/6 mice were fed a Western diet combined with a weekly low-dose injection of CCl<sub>4</sub> (WD/CCl<sub>4</sub>) for 16 weeks to establish NASH models. The effects of Celastrol on NASH were further explored through histopathological assessments, immunoblotting, and in vitro analyses.</p><p><strong>Results: </strong>Celastrol treatment effectively attenuated hepatic steatosis and fibrosis in WD/CCl<sub>4</sub>-induced NASH models, in which Notch2 was downregulated by Celastrol in a posttranscriptional manner. In vitro experiments revealed that Notch2 suppression in Celastrol-treated hepatocytes further decreased osteopontin (OPN) levels, inhibiting hepatic stellate cells (HSCs) activation. Moreover, the protective effects of Celastrol on NASH progression were abolished in Notch2-overexpressing mice.</p><p><strong>Conclusion: </strong>This study demonstrated the protective effects of Celastrol on NASH-related liver fibrosis by modulating Notch/OPN signaling, providing fresh insights into the potential application of Celastrol in NASH treatment.</p>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"137 ","pages":"156369"},"PeriodicalIF":6.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971931","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
Danshensu enhances autophagy and reduces inflammation by downregulating TNF-α to inhibit the NF-κB signaling pathway in ischemic flaps. 丹参素通过下调TNF-α抑制缺血皮瓣NF-κB信号通路,增强自噬,减轻炎症。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1016/j.phymed.2025.156378
Yingying Huang, Yingying Lai, Liang Chen, Kejian Fu, Donghao Shi, Xianhui Ma, Ningning Yang, Xuankuai Chen, Sheng Cheng, Jingzhou Lu, Xuzi Zhang, Weiyang Gao

Background: The significant distal necrosis of the random-pattern skin flaps greatly restricts their clinical applications in flap transplantation. Previous studies have demonstrated the potential of danshensu (DSS) to alleviate ischemic tissue injury. However, no research to date has confirmed whether DSS can improve the survival of ischemic flaps. This study employed DSS to examine its role and the mechanisms underlying its impact on flap survival.

Methods: RNA sequencing was conducted to identify potential targets of DSS in ischemic flaps. The viability of random-pattern skin flaps was assessed by analyzing the survival area, tissue edema, laser Doppler blood flow, and histological examination. Western blot and immunofluorescence were used to determine the protein levels related to angiogenesis, pyroptosis, macrophage polarization, autophagy, and the TNF-α-mediated NF-κB signaling pathway.

Results: Through RNA sequencing analysis, we observed differences in gene expression related to inflammation and cell death before and after flap injury. Based on the above, DSS, which possesses anti-inflammatory and antioxidant properties, came into our view and was confirmed to enhance the viability of ischemic flaps. The results showed that DSS promoted angiogenesis, induced macrophage polarization toward the M2 type, and reduced pyroptosis. We also demonstrated that enhancing autophagic flux promoted angiogenesis and reduced inflammation. In addition, DSS enhanced autophagy by suppressing the NF-κB signaling pathway through the downregulation of TNF-α. Overexpression of TNF-α activated the NF-κB signaling pathway, reduced autophagic flux, and eliminated the protective effect of DSS.

Conclusion: DSS promoted autophagy and reduced inflammation by downregulating TNF-α to suppress the NF-κB signaling pathway, thereby improving the vitality of ischemic flaps and providing strong support for its clinical application.

背景:随机皮瓣远端坏死严重,极大地限制了其在皮瓣移植中的临床应用。已有研究证实丹参素具有减轻缺血性组织损伤的作用。然而,目前还没有研究证实DSS是否能提高缺血皮瓣的存活率。本研究采用DSS研究其在皮瓣存活中的作用及其影响机制。方法:采用RNA测序方法鉴定缺血皮瓣中DSS的潜在靶点。通过存活面积、组织水肿、激光多普勒血流和组织学检查来评估随机皮瓣的生存能力。采用Western blot和免疫荧光法检测血管生成、焦亡、巨噬细胞极化、自噬及TNF-α-介导的NF-κB信号通路相关蛋白水平。结果:通过RNA测序分析,我们观察到皮瓣损伤前后炎症和细胞死亡相关基因表达的差异。因此,DSS具有抗炎、抗氧化的特性,可以提高缺血皮瓣的生存能力。结果表明,DSS促进血管生成,诱导巨噬细胞向M2型极化,减少焦亡。我们还证明,增强自噬通量促进血管生成和减少炎症。此外,DSS通过下调TNF-α抑制NF-κB信号通路,从而增强自噬。过表达TNF-α激活NF-κB信号通路,降低自噬通量,消除DSS的保护作用。结论:DSS通过下调TNF-α抑制NF-κB信号通路,促进自噬,减轻炎症,从而提高缺血皮瓣的活力,为其临床应用提供有力支持。
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引用次数: 0
Integrated UHPLC-Q-exactive orbitrap HRMS and serum pharmacochemistry for the investigation of anti-hepatic fibrosis effect of Baoganning Decoction. 将超高效液相色谱-质谱-非活性轨道质谱(UHPLC-Q-Exactive orbitrap HRMS)与血清药理分析相结合研究保甘宁煎剂的抗肝纤维化作用
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1016/j.phymed.2025.156363
Kaili Deng, Min Li, Liangliang Xiang, Yuhua Wang, Yamei Li, Junya Wen, Yuanyuan Li, Shanshan Kuang, Jinjie Wen, Chuying Zhou, Sha Huang, Zhiping Lv

Background: Early intervention in hepatic fibrosis (HF) is critical to reducing the risk of cirrhosis-related mortality and hepatocellular cancer. However, treating fibrosis has proven to be more challenging, with no approved anti-fibrotic therapies currently available for HF. Traditional Chinese medicines (TCMs) hold significant potential for the management of HF.

Purpose: This study aims to propose a systematic approach for investigating the pharmacological basis of Baoganning (BGN) Decoction, providing empirical evidence to support future research on its targets and mechanisms of BGN.

Study design: Ultrahigh-performance liquid chromatography coupled with high- resolution mass spectrometry (UPLC-HRMS) was employed to analyze the chemical composition of BGN. Key compounds were investigated using disease databases to predict relevant targets, followed by molecular docking and molecular dynamics simulations to explore molecular-level interactions. The efficacy and critical targets of BGN were validated through in vivo and in vitro experiments.

Methods: UPLC-HRMS was used to identify the chemical composition of the BGN, and serum pharmacology determined the active chemical constituents in rat plasma. Zebrafish, HSC-T6 cells, JS-1 cell line and mice served as experimental models to evaluate the antifibrotic effects of BGN.

Results: BGN demonstrated significant antifibrotic effect in vivo and in vitro models. A total of 757 compounds were identified in BGN, with 18 prototypical components and metabolites detected. Three compounds-quillaic acid, methyl cholate, and 3β-hydroxy-5-cholenoic exhibited dose-dependent inhibitory effects on HF. Molecular docking studies revealed stable interactions between these compounds and predicted targets. Additionally, the screened components effectively reduced the expression of ‌α-SMA and COL-I in both a cellular model and a zebrafish fibrosis model in a dose-dependent manner.

Conclusion: The comprehensive analysis of BGN's chemical composition and its metabolic processes provides valuable insights into its pharmacological effects. These findings support the potential clinical and international application of BGN in treating hepatic fibrosis and improving patient outcomes.

背景:肝纤维化(HF)的早期干预对于降低肝硬化相关死亡率和肝细胞癌的风险至关重要。然而,治疗纤维化已被证明更具挑战性,目前尚无批准的抗纤维化治疗方法可用于心衰。中药对心衰的治疗具有重要的潜力。目的:本研究旨在系统探讨保肝宁汤的药理基础,为进一步研究保肝宁的作用靶点和作用机制提供经验依据。研究设计:采用超高效液相色谱-高分辨率质谱联用技术(UPLC-HRMS)对BGN的化学成分进行分析。利用疾病数据库对关键化合物进行研究,预测相关靶点,然后进行分子对接和分子动力学模拟,探索分子水平的相互作用。通过体内和体外实验验证了BGN的有效性和关键靶点。方法:采用超高效液相色谱-高效液相色谱法(UPLC-HRMS)鉴定其化学成分,血清药理学法测定大鼠血浆中有效化学成分。以斑马鱼、HSC-T6细胞、JS-1细胞系和小鼠为实验模型,评价BGN的抗纤维化作用。结果:BGN在体内和体外模型中均有明显的抗纤维化作用。在BGN中共鉴定出757种化合物,检测到18种原型成分和代谢物。三种化合物-丁香酸、胆酸甲酯和3β-羟基-5-胆烯酸对HF表现出剂量依赖性的抑制作用。分子对接研究揭示了这些化合物与预测靶标之间稳定的相互作用。此外,筛选的成分在细胞模型和斑马鱼纤维化模型中均以剂量依赖的方式有效降低了α-SMA和col - 1的表达。结论:对BGN的化学成分及其代谢过程的综合分析为其药理作用提供了有价值的见解。这些发现支持BGN在治疗肝纤维化和改善患者预后方面的潜在临床和国际应用。
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引用次数: 0
Schisandrol B alleviates depression-like behavior in mice by regulating bile acid homeostasis in the brain-liver-gut axis via the pregnane X receptor. 五味子酚B通过妊娠X受体调节脑-肝-肠轴胆汁酸稳态,减轻小鼠抑郁样行为。
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-02-01 Epub Date: 2024-12-26 DOI: 10.1016/j.phymed.2024.156340
Peng Wang, Hui Ouyang, Guofang Bi, Fengting Liang, Shuang Hu, Chenghua Wu, Xiaowen Jiang, Wenhong Zhou, Dan Li, Shuaishuai Zhang, Xiao Yang, Mingliang Zhao, Jian-Hong Fang, Haitao Wang, Wei Jia, Zheng-Jiang Zhu, Huichang Bi

Background: Depression is a widely recognized neuropsychiatric disorder. Recent studies have shown a potential correlation between bile acid disorders and depression, highlighting the importance of maintaining bile acid balance for effective antidepressant treatment. Schisandrol B (SolB), a primary bioactive compound from Schisandra chinensis (Turcz.) Baill. or Schisandra sphenanthera Rehd.etWils, is pivotal in regulating bile acid homeostasis via pregnane X receptor (PXR) in cholestasis. However, the potential of SolB in alleviating depression-like symptoms, its pharmacological effects, and the underlying mechanisms remain to be fully elucidated.

Methods: We confirmed the effect of SolB against depression induced by chronic restraint stress (CRS) and chronic unpredictable mild stress (CUMS) in mice. The role of SolB in bile acid homeostasis in depression was analyzed using the metabolomic. Gene analyses and 16S rRNA sequencing were employed to investigate the involvement of PXR. Experiments with Pxr-/- mice were conducted to confirm the essential role of the PXR pathway in SolB's antidepressant effects.

Results: SolB treatment significantly increased sucrose consumption in the SPT and the locomotor activity in the OFT, while decreasing immobility time in the FST and TST in mice exposed to CRS and CUMS. Additionally, SolB treatment significantly preserved the integrity of the dendritic spine, elevated synaptic protein PSD95 levels, and augmented CREB/BDNF expression. Metabolomic and gene analyses indicated that SolB treatment significantly facilitated bile acid metabolism, promoted intestinal bile acid efflux, decreased hippocampal levels of the secondary bile acids DCA and TLCA, and upregulated expression of the PXR target proteins CYP3A11, SULT2A1, MRP2, and OATP1B1 in the liver, and MRP2 and MDR1 in hippocampus, which are integral to bile acid homeostasis. 16S rRNA sequencing revealed that SolB reduced the abundance of the bile salt hydrolase (BSH)-producing bacteria Lactobacillus johnsonii and Bacteroides fragilis and subsequently decreased the production of TLCA and DCA. Moreover, SolB failed to protect against depression induced by CRS in Pxr-null mice, suggesting that the antidepressant effect of SolB was PXR-dependent.

Conclusions: These results provide direct evidence of the antidepressant effect of SolB via activation of PXR to regulate bile acid homeostasis in the brain-liver-gut axis, suggesting that SolB may serve as a novel potential target for preventing and treating depression.

背景介绍抑郁症是一种公认的神经精神疾病。最近的研究表明,胆汁酸紊乱与抑郁症之间存在潜在的相关性,这凸显了维持胆汁酸平衡对于有效抗抑郁治疗的重要性。五味子醇 B(SolB)是五味子(Schisandra chinensis (Turcz.) Baill.或 Schisandra sphenanthera Rehd.etWils)中的一种主要生物活性化合物,在胆汁淤积症中通过孕烷 X 受体(PXR)调节胆汁酸平衡起着关键作用。然而,SolB在缓解抑郁症状方面的潜力、药理作用及其潜在机制仍有待全面阐明:我们证实了 SolB 对小鼠慢性束缚应激(CRS)和慢性不可预测轻度应激(CUMS)诱导的抑郁症的作用。我们利用代谢组学分析了SolB在抑郁症中胆汁酸平衡中的作用。基因分析和 16S rRNA 测序被用来研究 PXR 的参与。用Pxr-/-小鼠进行实验,以证实PXR通路在SolB抗抑郁作用中的重要作用:结果:在CRS和CUMS暴露的小鼠中,SolB处理明显增加了SPT的蔗糖消耗量和OFT的运动活性,同时减少了FST和TST的不动时间。此外,SolB处理还能显著保持树突棘的完整性,提高突触蛋白PSD95的水平,并增强CREB/BDNF的表达。代谢组学和基因分析表明,SolB处理能明显促进胆汁酸代谢,促进肠道胆汁酸外流,降低海马中次级胆汁酸DCA和TLCA的水平,并上调肝脏中PXR靶蛋白CYP3A11、SULT2A1、MRP2和OATP1B1以及海马中MRP2和MDR1的表达,这些蛋白与胆汁酸平衡密不可分。16S rRNA 测序显示,SolB 降低了胆盐水解酶(BSH)产生菌约翰逊乳杆菌和脆弱拟杆菌的丰度,从而减少了 TLCA 和 DCA 的产生。此外,SolB不能保护Pxr-null小鼠免受CRS诱导的抑郁,这表明SolB的抗抑郁作用依赖于PXR:这些结果提供了SolB通过激活PXR调节脑-肝-肠轴胆汁酸平衡而产生抗抑郁作用的直接证据,表明SolB可能成为预防和治疗抑郁症的一个新的潜在靶点。
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引用次数: 0
Hepatotoxicity of Phytolacca acinosa Roxb mediated by phytolaccagenin via ferroptosis/PPAR/P53/arachidonic acid metabolism.
IF 6.7 1区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2025-01-31 DOI: 10.1016/j.phymed.2025.156433
Muyao Cui, Yao Zhang, Yang Tang, Qiqi Fan, Xiaolu Chen, Jiaqi Li, Chuanqi Qiao, Xue Chen, Ruichao Lin, Xue Yu, Chongjun Zhao

Background: The traditional Chinese medicine Phytolacca acinosa Roxb (PAR), known as Shanglu, possesses recognized therapeutic benefits against many diseases. PAR is also hepatotoxic, making it a major public health problem. However, the specific toxic substances and molecular mechanisms of PAR remain unclear. Therefore, appropriate animal models and methods are essential to confirm the toxic components and related mechanisms of PAR.

Methods: L-02 cells and zebrafish larvae at 4 days post-fertilization (4 dpf) were used as models and treated with various concentrations of phytolaccagenin (Phy), esculentoside A (EsA), and esculentoside H (EsH). The hepatotoxicity of three samples was assessed based on liver phenotype, pathological assessments, and biochemical index in zebrafish and proliferative activity, apoptosis level, and biochemical index in L02 cells. The transcriptomic technique was used to explore the related signaling pathways and potential mechanisms in vitro and in zebrafish , and the findings were validated by RT-PCR.

Results: The results of acute toxicity tests indicated that Phy exhibited substantially more severe hepatotoxicity than EsA, while EsH did not lead to any obvious toxic effects. Especially, under sublethal exposure (

Conclusion: This study identified Phy as a key hepatotoxic component of PAR. Furthermore, using transcriptomic techniques, we preliminarily investigated the hepatotoxic mechanisms of Phy in vitro and in vivo. The results of the present study showed that Phy affects several signaling pathways, including those involved in lipid metabolism, oxidative stress, and apoptosis, finally leading to hepatotoxicity. These findings provide invaluable insights into the safe use of PAR in clinical settings.

{"title":"Hepatotoxicity of Phytolacca acinosa Roxb mediated by phytolaccagenin via ferroptosis/PPAR/P53/arachidonic acid metabolism.","authors":"Muyao Cui, Yao Zhang, Yang Tang, Qiqi Fan, Xiaolu Chen, Jiaqi Li, Chuanqi Qiao, Xue Chen, Ruichao Lin, Xue Yu, Chongjun Zhao","doi":"10.1016/j.phymed.2025.156433","DOIUrl":"https://doi.org/10.1016/j.phymed.2025.156433","url":null,"abstract":"<p><strong>Background: </strong>The traditional Chinese medicine Phytolacca acinosa Roxb (PAR), known as Shanglu, possesses recognized therapeutic benefits against many diseases. PAR is also hepatotoxic, making it a major public health problem. However, the specific toxic substances and molecular mechanisms of PAR remain unclear. Therefore, appropriate animal models and methods are essential to confirm the toxic components and related mechanisms of PAR.</p><p><strong>Methods: </strong>L-02 cells and zebrafish larvae at 4 days post-fertilization (4 dpf) were used as models and treated with various concentrations of phytolaccagenin (Phy), esculentoside A (EsA), and esculentoside H (EsH). The hepatotoxicity of three samples was assessed based on liver phenotype, pathological assessments, and biochemical index in zebrafish and proliferative activity, apoptosis level, and biochemical index in L02 cells. The transcriptomic technique was used to explore the related signaling pathways and potential mechanisms in vitro and in zebrafish , and the findings were validated by RT-PCR.</p><p><strong>Results: </strong>The results of acute toxicity tests indicated that Phy exhibited substantially more severe hepatotoxicity than EsA, while EsH did not lead to any obvious toxic effects. Especially, under sublethal exposure (<LC10), both Phy and EsA induced similar liver damage in zebrafish and L-02 cells, increasing mortality, disrupting morphology, enhancing apoptosis, altering liver enzyme levels, and leading to significant structural changes in cells and zebrafish. Multiomics analysis of 605 genes in L-02 cells and 780 genes in zebrafish showed that exposure to Phy significantly altered gene expression in various biological processes. Further enrichment analysis demonstrated that Phy predominantly affects the P53apoptosiscell cycle arrest, ferroptosis, PPAR signaling, and arachidonic acid metabolism, leading to notable cellular damage.</p><p><strong>Conclusion: </strong>This study identified Phy as a key hepatotoxic component of PAR. Furthermore, using transcriptomic techniques, we preliminarily investigated the hepatotoxic mechanisms of Phy in vitro and in vivo. The results of the present study showed that Phy affects several signaling pathways, including those involved in lipid metabolism, oxidative stress, and apoptosis, finally leading to hepatotoxicity. These findings provide invaluable insights into the safe use of PAR in clinical settings.</p>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"138 ","pages":"156433"},"PeriodicalIF":6.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075062","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
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