Pub Date : 2026-02-05DOI: 10.1016/j.phymed.2026.157921
Max Kam-Kwan Chan , Philip Chiu-Tsun Tang , Zoey Zeyuan Ji , Jeff Yat-Fai Chung , Aaron Qi Zhang , Yan-Fang Xian , Qing Zhang , Chun-Kwok Wong , Ka-Fai To , Chunjie Li , Dongmei Zhang , Patrick Ming-Kuen Tang
Cancer-associated fibroblasts (CAFs) are major components of the tumor microenvironment (TME). They are highly heterogeneous containing both anti-cancer and pro-tumor populations, which largely limits their translational development. Recently, we have identified macrophage‐myofibroblast transition (MMT) as a novel and key origin of pro-tumoral CAF in non-small-cell lung cancer (NSCLC), targeting it with Traditional Chinese Medicine (TCM) may represent a safe and effective strategy for solid tumors. Here, by spatial single-cell bioinformatics, we revealed that not only Smad3 activation but also Smad7 reduction occurs in the macrophages undergoing MMT in clinical NSCLC. Therefore, we optimized our well-established TCM-derived natural product formulation AANG, which remodulated TGF-β1/Smad3/Smad7 signaling and synergistically blocked MMT on the bone marrow derived macrophages (BMDM) in vitro. More encouragingly, this optimized AANG can effectively block MMT-derived cancer progression on mouse cancer models with syngeneic lung cancer LLC and human NSCLC xenograft A549 without side-effect in vivo. Thus, AANG may represent the first natural compound formulation for blocking MMT-derived pro-tumoral CAF formation in the clinical NSCLC.
{"title":"AANG: A natural compound formulation for targeting macrophage-myofibroblast transition in non-small-cell lung carcinoma","authors":"Max Kam-Kwan Chan , Philip Chiu-Tsun Tang , Zoey Zeyuan Ji , Jeff Yat-Fai Chung , Aaron Qi Zhang , Yan-Fang Xian , Qing Zhang , Chun-Kwok Wong , Ka-Fai To , Chunjie Li , Dongmei Zhang , Patrick Ming-Kuen Tang","doi":"10.1016/j.phymed.2026.157921","DOIUrl":"10.1016/j.phymed.2026.157921","url":null,"abstract":"<div><div>Cancer-associated fibroblasts (CAFs) are major components of the tumor microenvironment (TME). They are highly heterogeneous containing both anti-cancer and pro-tumor populations, which largely limits their translational development. Recently, we have identified macrophage‐myofibroblast transition (MMT) as a novel and key origin of pro-tumoral CAF in non-small-cell lung cancer (NSCLC), targeting it with Traditional Chinese Medicine (TCM) may represent a safe and effective strategy for solid tumors. Here, by spatial single-cell bioinformatics, we revealed that not only Smad3 activation but also Smad7 reduction occurs in the macrophages undergoing MMT in clinical NSCLC. Therefore, we optimized our well-established TCM-derived natural product formulation AANG, which remodulated TGF-β1/Smad3/Smad7 signaling and synergistically blocked MMT on the bone marrow derived macrophages (BMDM) in vitro. More encouragingly, this optimized AANG can effectively block MMT-derived cancer progression on mouse cancer models with syngeneic lung cancer LLC and human NSCLC xenograft A549 without side-effect in vivo. Thus, AANG may represent the first natural compound formulation for blocking MMT-derived pro-tumoral CAF formation in the clinical NSCLC.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157921"},"PeriodicalIF":8.3,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192299","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}
Pub Date : 2026-02-05DOI: 10.1016/j.phymed.2026.157928
Feiyue Sun , Ruining She , Tong Yang , Bei Chen , Zi Liao , Jun Liao , Zhigang Mei
Background
Cerebral ischemia-reperfusion injury (CIRI) leads to severe mitochondrial dysfunction, which is a critical trigger of widespread neuronal apoptosis. Therefore, restoring mitochondrial homeostasis represents a key strategy for neuroprotection. Clinical observations suggest that the herbal pair Geum japonicum Thunb. var. chinense-P. decorata H. Andres (GJ-PD) shows therapeutic advantages in alleviating CIRI. However, its precise neuroprotective effects and underlying molecular mechanisms remain unclear.
Purpose
This study aimed to elucidate the protective mechanisms of combined GJ-PD against CIRI, with particular emphasis on mitochondrial transfer and neuronal PANoptosis.
Methods
Ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF/MS) was used to identify the chemical constituents of GJ-PD in brain. The mechanisms of GJ-PD in CIRI were investigated using transmission electron microscopy, Western blotting, immunofluorescence, immunohistochemistry, and pathological staining. In addition, an in vitro oxygen-glucose deprivation/reoxygenation (OGD/R)-induced co-culture injury model was established using HT22 neurons and C8-D1A astrocytes. Scanning electron microscopy and laser confocal microscopy combined with MitoTracker staining were applied to explore the effects of GJ-PD on mitochondrial transfer and neuronal PANoptosis. Furthermore, the involvement of CD38 and Miro1 was examined using CD38- and Miro1-overexpression plasmids, both alone and in combination with GJ-PD treatment.
Results
GJ-PD exhibited significant neuroprotective effects following CIRI. It reduced cerebral infarct volume, alleviated neuronal oxidative stress and mitochondrial dysfunction, and increased CD38 and Miro1 expression, thereby attenuating programmed cell death. These effects contributed to its anti-CIRI efficacy. In vitro results were consistent with in vivo findings. Treatment with GJ-PD-containing plasma alone in the co-culture system enhanced mitochondrial transfer from C8-D1A astrocytes to neurons via tunneling nanotubes (TNTs). This was accompanied by increased neuronal proliferation and ATP production, along with reduced neuronal PANoptosis. Co-treatment with CD38- or Miro1-overexpressing C8-D1A cells further improved cell viability and ATP levels, decreased the expression of programmed cell death-related proteins, and elevated CD38 and Miro1 protein expression. Notably, Miro1 overexpression did not significantly affect CD38 expression.
Conclusions
GJ-PD promotes the transfer of astrocytic mitochondria to neurons via TNTs through the CD38/Miro1 pathway. This process alleviates neuronal PANoptosis and improves neurological function, thereby exerting protective effects against CIRI.
背景:脑缺血再灌注损伤(CIRI)导致严重的线粒体功能障碍,这是广泛的神经元凋亡的关键触发因素。因此,恢复线粒体稳态是神经保护的关键策略。临床观察表明,中药对金菊有一定的治疗作用。var. chinense-P。decorata H. Andres (GJ-PD)在缓解CIRI方面显示出治疗优势。然而,其确切的神经保护作用和潜在的分子机制尚不清楚。目的:本研究旨在阐明GJ-PD联合对CIRI的保护机制,重点研究线粒体转移和神经元PANoptosis。方法:采用超高效液相色谱联用四极杆飞行时间质谱法(UPLC-Q-TOF/MS)对脑用GJ-PD进行化学成分鉴定。采用透射电镜、Western blotting、免疫荧光、免疫组织化学、病理染色等方法研究GJ-PD在CIRI中的作用机制。此外,以HT22神经元和C8-D1A星形胶质细胞建立体外氧葡萄糖剥夺/再氧化(OGD/R)诱导的共培养损伤模型。采用扫描电镜、激光共聚焦显微镜联合MitoTracker染色观察GJ-PD对线粒体转移和神经元PANoptosis的影响。此外,使用CD38和Miro1过表达质粒,单独或联合GJ-PD治疗,检测CD38和Miro1的参与情况。结果:GJ-PD在CIRI后表现出明显的神经保护作用。减少脑梗死体积,减轻神经元氧化应激和线粒体功能障碍,增加CD38和Miro1表达,从而减轻程序性细胞死亡。这些作用有助于其抗ciri的作用。体外实验结果与体内实验结果一致。在共培养系统中单独使用含gj - pd的血浆,可增强线粒体通过隧道纳米管(TNTs)从C8-D1A星形胶质细胞向神经元的转移。这伴随着神经元增殖和ATP生成的增加,以及神经元PANoptosis的减少。与过表达CD38或Miro1的C8-D1A细胞共处理进一步提高了细胞活力和ATP水平,降低了程序性细胞死亡相关蛋白的表达,并提高了CD38和Miro1蛋白的表达。值得注意的是,Miro1过表达并未显著影响CD38的表达。结论:GJ-PD通过CD38/Miro1通路促进星形细胞线粒体通过tnt向神经元转移。这一过程减轻了神经元PANoptosis,改善了神经功能,从而对CIRI发挥保护作用。
{"title":"Geum japonicum Thunb. var. Chinese-P.decorata H.Andres herbal pair ameliorates CIRI-induced neuronal injury by facilitating mitochondrial transfer via the CD38/Miro1 signaling pathway","authors":"Feiyue Sun , Ruining She , Tong Yang , Bei Chen , Zi Liao , Jun Liao , Zhigang Mei","doi":"10.1016/j.phymed.2026.157928","DOIUrl":"10.1016/j.phymed.2026.157928","url":null,"abstract":"<div><h3>Background</h3><div>Cerebral ischemia-reperfusion injury (CIRI) leads to severe mitochondrial dysfunction, which is a critical trigger of widespread neuronal apoptosis. Therefore, restoring mitochondrial homeostasis represents a key strategy for neuroprotection. Clinical observations suggest that the herbal pair <em>Geum japonicum</em> Thunb. var. <em>chinense</em>-<em>P. decorata</em> H. Andres (GJ-PD) shows therapeutic advantages in alleviating CIRI. However, its precise neuroprotective effects and underlying molecular mechanisms remain unclear.</div></div><div><h3>Purpose</h3><div>This study aimed to elucidate the protective mechanisms of combined GJ-PD against CIRI, with particular emphasis on mitochondrial transfer and neuronal PANoptosis.</div></div><div><h3>Methods</h3><div>Ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF/MS) was used to identify the chemical constituents of GJ-PD in brain. The mechanisms of GJ-PD in CIRI were investigated using transmission electron microscopy, Western blotting, immunofluorescence, immunohistochemistry, and pathological staining. In addition, an <em>in vitro</em> oxygen-glucose deprivation/reoxygenation (OGD/R)-induced co-culture injury model was established using HT22 neurons and C8-D1A astrocytes. Scanning electron microscopy and laser confocal microscopy combined with MitoTracker staining were applied to explore the effects of GJ-PD on mitochondrial transfer and neuronal PANoptosis. Furthermore, the involvement of CD38 and Miro1 was examined using CD38- and Miro1-overexpression plasmids, both alone and in combination with GJ-PD treatment.</div></div><div><h3>Results</h3><div>GJ-PD exhibited significant neuroprotective effects following CIRI. It reduced cerebral infarct volume, alleviated neuronal oxidative stress and mitochondrial dysfunction, and increased CD38 and Miro1 expression, thereby attenuating programmed cell death. These effects contributed to its anti-CIRI efficacy. <em>In vitro</em> results were consistent with <em>in vivo</em> findings. Treatment with GJ-PD-containing plasma alone in the co-culture system enhanced mitochondrial transfer from C8-D1A astrocytes to neurons via tunneling nanotubes (TNTs). This was accompanied by increased neuronal proliferation and ATP production, along with reduced neuronal PANoptosis. Co-treatment with CD38- or Miro1-overexpressing C8-D1A cells further improved cell viability and ATP levels, decreased the expression of programmed cell death-related proteins, and elevated CD38 and Miro1 protein expression. Notably, Miro1 overexpression did not significantly affect CD38 expression.</div></div><div><h3>Conclusions</h3><div>GJ-PD promotes the transfer of astrocytic mitochondria to neurons via TNTs through the CD38/Miro1 pathway. This process alleviates neuronal PANoptosis and improves neurological function, thereby exerting protective effects against CIRI.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157928"},"PeriodicalIF":8.3,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181921","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}
Pub Date : 2026-02-05DOI: 10.1016/j.phymed.2026.157922
Jianfeng Wu , Siqi Liu , Zhen Ma , Badrakh Munkhbayar , Qichao Liao , Menglong Hou , Yutian Wei , Yang Xiao , Yang Wang , Ruxue Chen , Batbold Batsaikhan , Khongorzul Batchuluun , Lei Zhou , Yixing Li
Background
Metabolic associated fatty liver disease (MAFLD) is a chronic liver condition with a high global prevalence. Obesity and its associated insulin resistance are among the main risk factors for MAFLD, for which no effective clinical treatments are currently available. Aloesin, a natural chromone compound derived from Aloe vera, has anti-inflammatory, antioxidant, anticancer, and antidiabetes activity. However, its involvement in MAFLD has not been systematically studied.
Purpose
This study investigated the effectiveness of aloesin against MAFLD and obesity and elucidated its potential molecular mechanism.
Methods
Aloesin was added to the high-fat diet-of an induced mouse model and to oleic acid/palmitic acid-induced HepG2 cells to explore its effect on lipid metabolism. Molecular targets were identified by reverse docking, cellular thermal shift assay (CETSA), and drug affinity responsive target stability (DARTS).
Results
Aloesin significantly reduced lipid accumulation in hepatocytes in both the high-fat diet-induced MAFLD mouse model and the oleic acid/palmitic acid-induced HepG2 cells. It also alleviated oxidative stress and energy metabolism disorders and decreased the body fat mass in mice fed the high-fat diet, which ameliorated the pathological features of MAFLD and obesity. Target prediction and validation identified TGFBR1 as a direct target of aloesin, which was confirmed by CETSA and DARTS. Functional experiments demonstrated that overexpression of TGFBR1 increased lipid accumulation and metabolic disturbances, which were reversed by aloesin.
Conclusion
Aloesin improved lipid deposition and slowed the progression of MAFLD by targeting TGFBR1. The results support its potential application for the prevention and treatment of MAFLD.
{"title":"Aloesin improves metabolic associated fatty liver disease and obesity by targeting TGFBR1","authors":"Jianfeng Wu , Siqi Liu , Zhen Ma , Badrakh Munkhbayar , Qichao Liao , Menglong Hou , Yutian Wei , Yang Xiao , Yang Wang , Ruxue Chen , Batbold Batsaikhan , Khongorzul Batchuluun , Lei Zhou , Yixing Li","doi":"10.1016/j.phymed.2026.157922","DOIUrl":"10.1016/j.phymed.2026.157922","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic associated fatty liver disease (MAFLD) is a chronic liver condition with a high global prevalence. Obesity and its associated insulin resistance are among the main risk factors for MAFLD, for which no effective clinical treatments are currently available. Aloesin, a natural chromone compound derived from <em>Aloe vera,</em> has anti-inflammatory, antioxidant, anticancer, and antidiabetes activity. However, its involvement in MAFLD has not been systematically studied.</div></div><div><h3>Purpose</h3><div>This study investigated the effectiveness of aloesin against MAFLD and obesity and elucidated its potential molecular mechanism.</div></div><div><h3>Methods</h3><div>Aloesin was added to the high-fat diet-of an induced mouse model and to oleic acid/palmitic acid-induced HepG2 cells to explore its effect on lipid metabolism. Molecular targets were identified by reverse docking, cellular thermal shift assay (CETSA), and drug affinity responsive target stability (DARTS).</div></div><div><h3>Results</h3><div>Aloesin significantly reduced lipid accumulation in hepatocytes in both the high-fat diet-induced MAFLD mouse model and the oleic acid/palmitic acid-induced HepG2 cells. It also alleviated oxidative stress and energy metabolism disorders and decreased the body fat mass in mice fed the high-fat diet, which ameliorated the pathological features of MAFLD and obesity. Target prediction and validation identified TGFBR1 as a direct target of aloesin, which was confirmed by CETSA and DARTS. Functional experiments demonstrated that overexpression of TGFBR1 increased lipid accumulation and metabolic disturbances, which were reversed by aloesin.</div></div><div><h3>Conclusion</h3><div>Aloesin improved lipid deposition and slowed the progression of MAFLD by targeting TGFBR1. The results support its potential application for the prevention and treatment of MAFLD.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157922"},"PeriodicalIF":8.3,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181918","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}
Pub Date : 2026-02-03DOI: 10.1016/j.phymed.2026.157834
Libin Xu , Siyu Li , Jiaxin Qi , Yan Mi , Ying Zhang , Yuxin Yang , Yingjie Wang , Di Zhou , Ning Li , Yue Hou
{"title":"Corrigendum to “Effusol ameliorates ischemic stroke by targeting NLRP3 protein to regulate NLRP3 inflammasome-mediated pyroptosis” [Phytomedicine, 136 (2025) 156253/PMID: 39615210]","authors":"Libin Xu , Siyu Li , Jiaxin Qi , Yan Mi , Ying Zhang , Yuxin Yang , Yingjie Wang , Di Zhou , Ning Li , Yue Hou","doi":"10.1016/j.phymed.2026.157834","DOIUrl":"10.1016/j.phymed.2026.157834","url":null,"abstract":"","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"152 ","pages":"Article 157834"},"PeriodicalIF":8.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114025","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}
Pub Date : 2026-02-03DOI: 10.1016/j.phymed.2026.157918
Sina Tamaddonfard , Amir Abbas Farshid , Esmaeal Tamaddonfard , Seyedeh Soraya Mahmoudi , Amir Erfanparast , Mehdi Imani
Background
Crocetin (CRT), one of the active ingredients in saffron, exerts health-promoting effects on body systems such as neuroprotective, cardioprotective and hepatoprotective properties.
Purpose
In the present study, the effects of CRT and lansoprazole (LAP), as a reference drug, were investigated on indomethacin (IND)-induced gastric ulcer and related anxiety.
Methods
Thirty rats were divided into five groups of six. Groups 1 and 2 received vehicle and groups 3, 4 and 5 received CRT (5 and 20 mg/kg) and LAP (30 mg/kg) for seven consecutive days. All groups were deprived of food on day 6. On day 7, group 1 was treated with vehicle and groups 2, 3, 4 and 5 received 50 mg/kg IND. Anxiety and locomotor activity were recorded, and then the animals were euthanized and stomach and hippocampus samples were taken. The effects of the aforementioned treatments were studied in 24 intact rats in four equal groups.
Results
CRT (20 mg/kg) and LAP restored IND-induced alterations in the gastric content volume and pH and ulcer index and protection and cyclooxygenases 1 and 2 and prostaglandin E2 and gastric mucosal and hippocampal superoxide dismutase, malondialdehyde, tumor necrosis factor-alpha, interleukin-1β and caspase-3 and hippocampal brain derived neurotrophic factor. Histopathological alterations in the gastric mucosa and hippocampus were improved, and anxiety was suppressed. Intact rats were not influenced.
Conclusions
CRT and LAP caused protective effects against IND-induced gastric ulcer and by antioxidative, anti-inflammatory, anti-apoptotic and PGE2-increasing activities. Anxiolytic effects of CRT and LAP were also observed.
{"title":"Effects of crocetin, a constituent of saffron, on indomethacin-induced gastric ulcer and related anxiety-like behavior in rats","authors":"Sina Tamaddonfard , Amir Abbas Farshid , Esmaeal Tamaddonfard , Seyedeh Soraya Mahmoudi , Amir Erfanparast , Mehdi Imani","doi":"10.1016/j.phymed.2026.157918","DOIUrl":"10.1016/j.phymed.2026.157918","url":null,"abstract":"<div><h3>Background</h3><div>Crocetin (CRT), one of the active ingredients in saffron, exerts health-promoting effects on body systems such as neuroprotective, cardioprotective and hepatoprotective properties.</div></div><div><h3>Purpose</h3><div>In the present study, the effects of CRT and lansoprazole (LAP), as a reference drug, were investigated on indomethacin (IND)-induced gastric ulcer and related anxiety.</div></div><div><h3>Methods</h3><div>Thirty rats were divided into five groups of six. Groups 1 and 2 received vehicle and groups 3, 4 and 5 received CRT (5 and 20 mg/kg) and LAP (30 mg/kg) for seven consecutive days. All groups were deprived of food on day 6. On day 7, group 1 was treated with vehicle and groups 2, 3, 4 and 5 received 50 mg/kg IND. Anxiety and locomotor activity were recorded, and then the animals were euthanized and stomach and hippocampus samples were taken. The effects of the aforementioned treatments were studied in 24 intact rats in four equal groups.</div></div><div><h3>Results</h3><div>CRT (20 mg/kg) and LAP restored IND-induced alterations in the gastric content volume and pH and ulcer index and protection and cyclooxygenases 1 and 2 and prostaglandin E2 and gastric mucosal and hippocampal superoxide dismutase, malondialdehyde, tumor necrosis factor-alpha, interleukin-1β and caspase-3 and hippocampal brain derived neurotrophic factor. Histopathological alterations in the gastric mucosa and hippocampus were improved, and anxiety was suppressed. Intact rats were not influenced.</div></div><div><h3>Conclusions</h3><div>CRT and LAP caused protective effects against IND-induced gastric ulcer and by antioxidative, anti-inflammatory, anti-apoptotic and PGE<sub>2</sub>-increasing activities. Anxiolytic effects of CRT and LAP were also observed.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157918"},"PeriodicalIF":8.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143200","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}
Pub Date : 2026-02-03DOI: 10.1016/j.phymed.2026.157920
Yuan Chen , Guang Yue , Yanjun Liu , Wei Wang , Ge Jiang , Jinhua Zhang , Zhuo Ga , Yanfei Zhang , Xiaoya Liu , Qingjia Ren , Caolong Li
<div><h3>Background</h3><div>Chronic atrophic gastritis (CAG) is a pivotal premalignant stage in the Correa cascade, characterized by progressive and largely irreversible loss of gastric glands and an elevated risk of gastric cancer. Renqingchangjue (RQCJ), a classical Tibetan multi-herb formula, has demonstrated clinical and pharmacological benefits in gastritis, yet its mechanisms of action in CAG remain inadequately defined.</div></div><div><h3>Purpose</h3><div>This study aims to clarify the therapeutic efficacy and mechanistic basis of RQCJ in CAG.</div></div><div><h3>Methods</h3><div>We established a network pharmacology–bioinformatics workflow to predict potential RQCJ targets in CAG, integrating targets obtained from TCMSP/SwissTargetPrediction with CAG-related genes to construct a STRING protein–protein interaction (PPI) network and perform GO/KEGG enrichment analyses. Constituents were characterized by UHPLC–HRMS/MS. An MNNG-induced CAG mouse model (control group, model group, Weifuchun positive control group, RQCJ low-dose group and RQCJ high-dose group) was validated by histopathology (H&E), immunohistochemistry (IHC), immunofluorescence (IF), TUNEL, ELISA, and Western blot (WB). In vitro, MNNG-injured GES-1 cells were evaluated using CCK-8, scratch wound-healing, and Annexin V–FITC/PI flow cytometry. Mechanistically, RT-qPCR, WB, and reference-based transcriptome sequencing of gastric tissue were employed, and compound druggability was assessed by AutoDock Vina docking.</div></div><div><h3>Results</h3><div>RQCJ markedly ameliorated MNNG-induced chronic atrophic gastritis in vivo and in vitro. UHPLC–HRMS/MS profiling identified 43 constituents, of which 31 were detected as circulating prototypes. Network pharmacology first predicted 154 putative RQCJ–CAG targets enriched in TNF/NF-κB signaling; integrating serum-absorbed component targets with CAG-related genes refined this to 140 high-confidence targets with consistent TNF/NF-κB enrichment. Functionally, RQCJ (20–40 μg/mL) improved GES-1 cell viability and migration while suppressing apoptosis, and in mice dose-dependently repaired gastric mucosal architecture, lowered TNF-α, IL-1β and IL-6, and normalized gastrin and pepsinogen. RQCJ also reduced IL-8, CCL2 and CXCL1 mRNA and increased IL-10 in both models. Mechanistically, it inhibited phosphorylation of IKKβ, IκBα and NF-κB p65 in a dose- and time-dependent manner, decreased cleaved caspase-8/3, restored the Bax/Bcl-2 ratio. Transcriptomics confirmed enrichment of NF-κB and apoptosis pathways, and intersecting differentially expressed genes with the 140 serum-based targets yielded 99 core genes converging on TNF/NF-κB-mediated apoptosis. Molecular docking further supported target engagement, with a chromen-7-ol derivative showing strong predicted affinity for MMP9.</div></div><div><h3>Conclusions</h3><div>Together, these multi-level data indicate that RQCJ exerts clinically relevant protection against CAG via multi-component su
背景:慢性萎缩性胃炎(CAG)是Correa级联中一个关键的癌前阶段,其特征是胃腺的进行性和大部分不可逆的丧失以及胃癌的风险升高。仁青肠觉是一种经典的藏药复方,其治疗胃炎的临床和药理作用已得到证实,但其治疗CAG的作用机制尚不明确。目的:本研究旨在阐明RQCJ治疗CAG的疗效及机制基础。方法:建立网络药理学-生物信息学工作流程预测CAG中潜在的RQCJ靶点,将TCMSP/SwissTargetPrediction获得的靶点与CAG相关基因整合,构建STRING蛋白-蛋白相互作用(STRING protein-protein interaction, PPI)网络,并进行GO/KEGG富集分析。采用UHPLC-HRMS/MS对成分进行表征。采用组织病理学(H&E)、免疫组化(IHC)、免疫荧光(IF)、TUNEL、ELISA、Western blot等方法对mnng诱导的CAG小鼠模型(对照组、模型组、维复春阳性对照组、RQCJ低剂量组和RQCJ高剂量组)进行验证。体外,采用CCK-8、划伤创面愈合和Annexin V-FITC/PI流式细胞术评估mnng损伤的GES-1细胞。在机制上,采用RT-qPCR、WB和基于参考的胃组织转录组测序,并通过AutoDock Vina对接评估复方药物的可药物性。结果:RQCJ在体内外均能显著改善mnng诱导的慢性萎缩性胃炎。UHPLC-HRMS/MS分析鉴定出43种成分,其中31种为循环原型。网络药理学首次预测了154个富含TNF/NF-κB信号的RQCJ-CAG靶点;将血清吸收成分靶点与cag相关基因整合,将其细化为140个高可信度靶点,具有一致的TNF/NF-κB富集。在功能上,RQCJ (20 ~ 40 μg/mL)可提高GES-1细胞活力和迁移能力,抑制细胞凋亡,并在小鼠胃粘膜结构中呈剂量依赖性修复,降低TNF-α、IL-1β和IL-6,并使胃泌素和胃蛋白酶原正常化。RQCJ还降低了两种模型中IL-8、CCL2和CXCL1 mRNA的表达,增加了IL-10的表达。机制上,其抑制IKKβ、i -κ b α和NF-κ b p65磷酸化呈剂量依赖性和时间依赖性,降低裂解caspase-8/3,恢复Bax/Bcl-2比值。转录组学证实了NF-κB和凋亡通路的富集,并将差异表达基因与140个基于血清的靶点相交,获得了99个核心基因,这些基因聚集在TNF/NF-κB介导的凋亡中。分子对接进一步支持了靶标结合,铬-7-醇衍生物显示出对MMP9的强亲和性。结论:这些多层面数据表明,RQCJ通过多组分抑制TNF-NF-κ b /Caspase-3轴、促/抗炎细胞因子的广泛再平衡以及恢复胃功能,对CAG具有临床相关的保护作用。
{"title":"Renqingchangjue ameliorates MNNG-induced chronic atrophic gastritis by inhibiting the TNF/NF-κB/Caspase-3 axis","authors":"Yuan Chen , Guang Yue , Yanjun Liu , Wei Wang , Ge Jiang , Jinhua Zhang , Zhuo Ga , Yanfei Zhang , Xiaoya Liu , Qingjia Ren , Caolong Li","doi":"10.1016/j.phymed.2026.157920","DOIUrl":"10.1016/j.phymed.2026.157920","url":null,"abstract":"<div><h3>Background</h3><div>Chronic atrophic gastritis (CAG) is a pivotal premalignant stage in the Correa cascade, characterized by progressive and largely irreversible loss of gastric glands and an elevated risk of gastric cancer. Renqingchangjue (RQCJ), a classical Tibetan multi-herb formula, has demonstrated clinical and pharmacological benefits in gastritis, yet its mechanisms of action in CAG remain inadequately defined.</div></div><div><h3>Purpose</h3><div>This study aims to clarify the therapeutic efficacy and mechanistic basis of RQCJ in CAG.</div></div><div><h3>Methods</h3><div>We established a network pharmacology–bioinformatics workflow to predict potential RQCJ targets in CAG, integrating targets obtained from TCMSP/SwissTargetPrediction with CAG-related genes to construct a STRING protein–protein interaction (PPI) network and perform GO/KEGG enrichment analyses. Constituents were characterized by UHPLC–HRMS/MS. An MNNG-induced CAG mouse model (control group, model group, Weifuchun positive control group, RQCJ low-dose group and RQCJ high-dose group) was validated by histopathology (H&E), immunohistochemistry (IHC), immunofluorescence (IF), TUNEL, ELISA, and Western blot (WB). In vitro, MNNG-injured GES-1 cells were evaluated using CCK-8, scratch wound-healing, and Annexin V–FITC/PI flow cytometry. Mechanistically, RT-qPCR, WB, and reference-based transcriptome sequencing of gastric tissue were employed, and compound druggability was assessed by AutoDock Vina docking.</div></div><div><h3>Results</h3><div>RQCJ markedly ameliorated MNNG-induced chronic atrophic gastritis in vivo and in vitro. UHPLC–HRMS/MS profiling identified 43 constituents, of which 31 were detected as circulating prototypes. Network pharmacology first predicted 154 putative RQCJ–CAG targets enriched in TNF/NF-κB signaling; integrating serum-absorbed component targets with CAG-related genes refined this to 140 high-confidence targets with consistent TNF/NF-κB enrichment. Functionally, RQCJ (20–40 μg/mL) improved GES-1 cell viability and migration while suppressing apoptosis, and in mice dose-dependently repaired gastric mucosal architecture, lowered TNF-α, IL-1β and IL-6, and normalized gastrin and pepsinogen. RQCJ also reduced IL-8, CCL2 and CXCL1 mRNA and increased IL-10 in both models. Mechanistically, it inhibited phosphorylation of IKKβ, IκBα and NF-κB p65 in a dose- and time-dependent manner, decreased cleaved caspase-8/3, restored the Bax/Bcl-2 ratio. Transcriptomics confirmed enrichment of NF-κB and apoptosis pathways, and intersecting differentially expressed genes with the 140 serum-based targets yielded 99 core genes converging on TNF/NF-κB-mediated apoptosis. Molecular docking further supported target engagement, with a chromen-7-ol derivative showing strong predicted affinity for MMP9.</div></div><div><h3>Conclusions</h3><div>Together, these multi-level data indicate that RQCJ exerts clinically relevant protection against CAG via multi-component su","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157920"},"PeriodicalIF":8.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143285","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}
Pub Date : 2026-02-03DOI: 10.1016/j.phymed.2026.157919
Dong Xue , Xixi Hu , Ranchang Li , Tongyu Sun , Siying Qian , Fuxin Chu , Huawu Gao , Feng Li , Biao Cai
Background
Alzheimer’s disease (AD) is increasingly recognized as a multisystem disorder shaped not only by central neurodegeneration but also by peripheral metabolic and immune dysregulation. Growing evidence highlights the gut microbiota and its metabolites as key modulators of amyloid accumulation, tau phosphorylation, neuroinflammation, and microglial dysfunction.
Purpose
This review aims to synthesize current advances on how plant-derived bioactive compounds modulate AD pathophysiology through microbiota-dependent metabolic and neuroimmune mechanisms, and to establish a systems-level framework linking botanical interventions to gut microbiota remodeling and metabolite signaling.
Methods
A comprehensive literature survey was conducted using PubMed, Web of Science, ScienceDirect, and Google Scholar, covering publications from 2010 to 2026. Studies investigating gut microbiota, microbial metabolites, and plant-derived bioactive compounds in AD-related metabolic, immune, and neurodegenerative pathways were systematically reviewed and integrated.
Results
Plant-derived bioactive compounds, including phytochemicals, polysaccharides, and multi-herb formulations, interact extensively with the gut microbiota, undergoing microbial biotransformation to yield more active metabolites while simultaneously reshaping microbial community structure and metabolite profiles. These bidirectional interactions position the microbiota as a central mediator of plant-derived therapeutic activity. We summarize current evidence on how plant-derived compounds influence AD pathophysiology through microbiota-dependent metabolic and neuroimmune pathways. Major microbial metabolites, including short-chain fatty acids (SCFAs), trimethylamine N-oxide (TMAO), bile acids (BAs), and indole derivatives, are discussed, together with their regulatory roles in signaling networks such as nuclear factor κB (NF-κB), phosphatidylinositol 3-kinase/Akt (PI3K/Akt), cAMP response element-binding protein/brain-derived neurotrophic factor (CREB/BDNF), and triggering receptor expressed on myeloid cells 2 (TREM2)-associated microglial states. We further summarize evidence for synergistic strategies combining plant bioactives with probiotics and highlight advances in microbial biotransformation, precision metabolite modulation, and engineered microbial systems. Finally, future directions integrating multi-omics, personalized microbiota-guided interventions, and synthetic biology are outlined to support the development of targeted, mechanism-based therapies.
Conclusion
By framing AD through a gut microbiota-centered perspective, this review provides a unified mechanistic foundation for the development of next-generation interventions based on plant-derived compounds and microbiota regulation.
背景:阿尔茨海默病(AD)越来越被认为是一种多系统疾病,不仅由中枢神经退行性变引起,还由外周代谢和免疫失调引起。越来越多的证据表明,肠道微生物群及其代谢物是淀粉样蛋白积累、tau磷酸化、神经炎症和小胶质细胞功能障碍的关键调节剂。目的:本文旨在综述植物源性生物活性化合物如何通过微生物依赖的代谢和神经免疫机制调节阿尔茨海默病病理生理的最新进展,并建立植物干预与肠道微生物群重塑和代谢物信号传导之间的系统水平框架。方法:采用PubMed、Web of Science、ScienceDirect、谷歌Scholar等数据库,对2010 - 2026年发表的文献进行综合调查。对肠道微生物群、微生物代谢物和植物源性生物活性化合物在ad相关代谢、免疫和神经退行性途径中的研究进行了系统的回顾和整合。结果:植物衍生的生物活性化合物,包括植物化学物质、多糖和多种草药配方,与肠道微生物群广泛相互作用,经历微生物生物转化,产生更活跃的代谢物,同时重塑微生物群落结构和代谢物谱。这些双向相互作用将微生物群定位为植物源性治疗活性的中心介质。我们总结了目前关于植物源性化合物如何通过微生物依赖的代谢和神经免疫途径影响AD病理生理的证据。主要的微生物代谢物,包括短链脂肪酸(SCFAs)、三甲胺n-氧化物(TMAO)、胆胆酸(BAs)和吲哚衍生物,以及它们在信号网络中的调节作用,如核因子κB (NF-κB)、磷脂酰肌醇3-激酶/Akt (PI3K/Akt)、cAMP反应元件结合蛋白/脑源性神经营养因子(CREB/BDNF)和髓样细胞2 (TREM2)相关小胶质状态的触发受体表达。我们进一步总结了将植物生物活性与益生菌相结合的协同策略的证据,并重点介绍了微生物生物转化、精确代谢物调节和工程微生物系统的进展。最后,展望了整合多组学、个性化微生物引导干预和合成生物学的未来方向,以支持靶向、基于机制的治疗方法的发展。结论:通过以肠道微生物群为中心的视角来构建AD,本综述为基于植物源性化合物和微生物群调节的下一代干预措施的开发提供了统一的机制基础。
{"title":"Plant-derived bioactive compounds modulate the gut microbiota in Alzheimer’s disease: Metabolite signaling, neuroimmune circuits, and systems-level regulation","authors":"Dong Xue , Xixi Hu , Ranchang Li , Tongyu Sun , Siying Qian , Fuxin Chu , Huawu Gao , Feng Li , Biao Cai","doi":"10.1016/j.phymed.2026.157919","DOIUrl":"10.1016/j.phymed.2026.157919","url":null,"abstract":"<div><h3>Background</h3><div>Alzheimer’s disease (AD) is increasingly recognized as a multisystem disorder shaped not only by central neurodegeneration but also by peripheral metabolic and immune dysregulation. Growing evidence highlights the gut microbiota and its metabolites as key modulators of amyloid accumulation, tau phosphorylation, neuroinflammation, and microglial dysfunction.</div></div><div><h3>Purpose</h3><div>This review aims to synthesize current advances on how plant-derived bioactive compounds modulate AD pathophysiology through microbiota-dependent metabolic and neuroimmune mechanisms, and to establish a systems-level framework linking botanical interventions to gut microbiota remodeling and metabolite signaling.</div></div><div><h3>Methods</h3><div>A comprehensive literature survey was conducted using PubMed, Web of Science, ScienceDirect, and Google Scholar, covering publications from 2010 to 2026. Studies investigating gut microbiota, microbial metabolites, and plant-derived bioactive compounds in AD-related metabolic, immune, and neurodegenerative pathways were systematically reviewed and integrated.</div></div><div><h3>Results</h3><div>Plant-derived bioactive compounds, including phytochemicals, polysaccharides, and multi-herb formulations, interact extensively with the gut microbiota, undergoing microbial biotransformation to yield more active metabolites while simultaneously reshaping microbial community structure and metabolite profiles. These bidirectional interactions position the microbiota as a central mediator of plant-derived therapeutic activity. We summarize current evidence on how plant-derived compounds influence AD pathophysiology through microbiota-dependent metabolic and neuroimmune pathways. Major microbial metabolites, including short-chain fatty acids (SCFAs), trimethylamine N-oxide (TMAO), bile acids (BAs), and indole derivatives, are discussed, together with their regulatory roles in signaling networks such as nuclear factor κB (NF-κB), phosphatidylinositol 3-kinase/Akt (PI3K/Akt), cAMP response element-binding protein/brain-derived neurotrophic factor (CREB/BDNF), and triggering receptor expressed on myeloid cells 2 (TREM2)-associated microglial states. We further summarize evidence for synergistic strategies combining plant bioactives with probiotics and highlight advances in microbial biotransformation, precision metabolite modulation, and engineered microbial systems. Finally, future directions integrating multi-omics, personalized microbiota-guided interventions, and synthetic biology are outlined to support the development of targeted, mechanism-based therapies.</div></div><div><h3>Conclusion</h3><div>By framing AD through a gut microbiota-centered perspective, this review provides a unified mechanistic foundation for the development of next-generation interventions based on plant-derived compounds and microbiota regulation.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157919"},"PeriodicalIF":8.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181867","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}
Pub Date : 2026-02-02DOI: 10.1016/j.phymed.2026.157905
Siqi Liu , Penglong Chen , Yayi Li , Zhisen Pan , Can Zhang , Anquan Li , Chongyan Huang , Hongxuan Zheng , Like Chen , Chuangpeng Shen
Background
Bupleurum chinense (Bc) is a traditional Chinese medicine commonly used to treat metabolic-associated fatty liver disease (MAFLD), demonstrating hepatoprotective, anti-inflammatory, and antioxidant effects. Sirtuin 6 (SIRT6) regulates fatty acid metabolism and oxidative stress, playing a crucial role in MAFLD treatment.
Purpose
To investigate Bc’s mechanisms in ameliorating MAFLD and analyze the primary active components contributing to its therapeutic effects.
Methods
C57BL/6J mice developed MAFLD through 12-week high-fat diet (HFD) feeding, followed by 4-week interventions with Bc decoction (1.3, 0.65, 0.325 g/kg/d) or pioglitazone (0.1 g/kg/d). Lipid metabolism, oxidative stress, inflammation, and insulin resistance were measured. RNA-seq identified the key Bc targets, which were validated in liver-specific knockout mice. Bioactive constituents were initially screened using the Traditional Chinese Medicine Systems Pharmacology (TCMSP) database, followed by molecular docking, dynamics simulations, and microscale thermophoresis (MST) to validate target affinity and binding stability. An in vitro MAFLD model was established using primary mouse hepatocytes (MPHs) challenged with oleic and palmitic acid (OAPA).
Results
Bc significantly ameliorated lipid accumulation and HFD-induced oxidative stress. Pioglitazone and Bc (1.3 g/kg/d) administration demonstrated marked reductions in circulating TG, ALT, and AST concentrations in a dose-responsive manner. Furthermore, Bc ameliorated hepatic oxidative stress, as evidenced by elevated GSH and SOD levels alongside reduced H₂O₂ content. Transcriptomic profiling and mechanistic validation identified SIRT6 as the central mediator. Bc upregulated SIRT6 expression and enhanced its deacetylase activity, resulting in reduced acetylation of histone H3K9 and H3K56 compared to HFD controls. This promoted PPARα/NRF2 nuclear translocation, upregulating fatty acid β-oxidation genes (such as Cpt1a) and antioxidant genes (such as Ho-1). Crucially, hepatocyte-specific Sirt6 knockout abolished Bc's therapeutic effects. Moreover, molecular docking, molecular dynamics, and MST results indicated that Saikosaponin C (SSc), the major component of Bc, has a strong affinity for SIRT6. Cell experiments confirmed that SSc (25 μM) significantly improved lipid deposition and redox imbalance in MAFLD models, exhibiting SIRT6-dependent efficacy.
Conclusion
Bc alleviates MAFLD by activating SIRT6 through its core component SSc. This activation, via SIRT6-mediated histone deacetylation, enhances PPARα/NRF2-driven metabolic-redox homeostasis, establishing the Bc-SSc-SIRT6 axis as a therapeutic target.
{"title":"Bupleurum chinense ameliorates metabolic-associated fatty liver disease by modulating Sirtuin 6","authors":"Siqi Liu , Penglong Chen , Yayi Li , Zhisen Pan , Can Zhang , Anquan Li , Chongyan Huang , Hongxuan Zheng , Like Chen , Chuangpeng Shen","doi":"10.1016/j.phymed.2026.157905","DOIUrl":"10.1016/j.phymed.2026.157905","url":null,"abstract":"<div><h3>Background</h3><div><em>Bupleurum chinense</em> (Bc) is a traditional Chinese medicine commonly used to treat metabolic-associated fatty liver disease (MAFLD), demonstrating hepatoprotective, anti-inflammatory, and antioxidant effects. Sirtuin 6 (SIRT6) regulates fatty acid metabolism and oxidative stress, playing a crucial role in MAFLD treatment.</div></div><div><h3>Purpose</h3><div>To investigate Bc’s mechanisms in ameliorating MAFLD and analyze the primary active components contributing to its therapeutic effects.</div></div><div><h3>Methods</h3><div>C57BL/6J mice developed MAFLD through 12-week high-fat diet (HFD) feeding, followed by 4-week interventions with Bc decoction (1.3, 0.65, 0.325 g/kg/d) or pioglitazone (0.1 g/kg/d). Lipid metabolism, oxidative stress, inflammation, and insulin resistance were measured. RNA-seq identified the key Bc targets, which were validated in liver-specific knockout mice. Bioactive constituents were initially screened using the Traditional Chinese Medicine Systems Pharmacology (TCMSP) database, followed by molecular docking, dynamics simulations, and microscale thermophoresis (MST) to validate target affinity and binding stability. An in vitro MAFLD model was established using primary mouse hepatocytes (MPHs) challenged with oleic and palmitic acid (OAPA).</div></div><div><h3>Results</h3><div>Bc significantly ameliorated lipid accumulation and HFD-induced oxidative stress. Pioglitazone and Bc (1.3 g/kg/d) administration demonstrated marked reductions in circulating TG, ALT, and AST concentrations in a dose-responsive manner. Furthermore, Bc ameliorated hepatic oxidative stress, as evidenced by elevated GSH and SOD levels alongside reduced H₂O₂ content. Transcriptomic profiling and mechanistic validation identified SIRT6 as the central mediator. Bc upregulated SIRT6 expression and enhanced its deacetylase activity, resulting in reduced acetylation of histone H3K9 and H3K56 compared to HFD controls. This promoted PPARα/NRF2 nuclear translocation, upregulating fatty acid β-oxidation genes (such as <em>Cpt1a</em>) and antioxidant genes (such as <em>Ho-1</em>). Crucially, hepatocyte-specific Sirt6 knockout abolished Bc's therapeutic effects. Moreover, molecular docking, molecular dynamics, and MST results indicated that Saikosaponin C (SSc), the major component of Bc, has a strong affinity for SIRT6. Cell experiments confirmed that SSc (25 μM) significantly improved lipid deposition and redox imbalance in MAFLD models, exhibiting SIRT6-dependent efficacy.</div></div><div><h3>Conclusion</h3><div>Bc alleviates MAFLD by activating SIRT6 through its core component SSc. This activation, via SIRT6-mediated histone deacetylation, enhances PPARα/NRF2-driven metabolic-redox homeostasis, establishing the Bc-SSc-SIRT6 axis as a therapeutic target.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157905"},"PeriodicalIF":8.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158089","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}
Pub Date : 2026-02-02DOI: 10.1016/j.phymed.2026.157916
Haijun Zhang , Hao Zhang , Meihuan Zhao , Wenjun Luo , Simin Chen , Ping Wang , Xiao Liu , Shijun Xu
Background
Lysosomal acidification deficits are increasingly recognized as a convergent pathological mechanism driving both age-related cognitive decline (ARCD) and early Alzheimer's disease (AD) progression, creating a self-reinforcing cycle of cellular aging and Aβ dyshomeostasis. Despite demonstrated neuroprotective effects of Da-Bu-Yin-Wan (DBYW) in Parkinson's disease models, its therapeutic potential for lysosomal dysfunction in ARCD and AD remains an uncharted area of investigation.
Purpose
This present work aimed to elucidate the mechanistic basis by which DBYW mitigates both ARCD and AD pathology through functionally rescuing impaired lysosomal acidification.
Methods
Cell-based D-galactose and Aβ-induced in BV2 cells to study lysosomal acidification. Molecular analyses combined immunofluorescence localization studies with quantitative immunoblotting of lysosomal and Wnt signaling proteins. In vivo, DBYW treatment effects were systematically evaluated in both D-gal-induced and APP/PS1 transgenic models using cognitive behavioral followed by immunohistochemical and biochemical assessment of brain tissues lysosomal parameters and Wnt signaling activity.
Results
DBYW attenuated the mechanistic basis of ARCD and AD pathology by functionally rescuing impaired lysosomal acidification. Overexpression of β-catenin could modulate D-galactose or Aβ-induced dysregulation of the Wnt/β-catenin pathway and restore lysosomes with abnormal acidification, while DBYW could regulate lysosomal function by promoting Wnt/β-catenin signaling. In addition, in D-gal-induced aging and AD model mice, DBYW treatment activated Wnt/β-catenin signaling to restore lysosomal acidification, while spatial memory deficits in ARCD and AD models were improved, and pathology in mouse attenuation and APP/PS1 mouse brain tissue was inhibited.
Conclusion
DBYW shows a potential dual efficacy in improving cognitive decline in ARCD and AD models. It makes DBYW a promising disease-modifying intervention targeting the shared lysosomal pathophysiology of aging-associated neurodegeneration.
{"title":"Da-Bu-Yin-Wan rescues cognitive deficits in aging and Alzheimer’s disease models by Wnt/β-catenin-dependent restoration of lysosomal acidification","authors":"Haijun Zhang , Hao Zhang , Meihuan Zhao , Wenjun Luo , Simin Chen , Ping Wang , Xiao Liu , Shijun Xu","doi":"10.1016/j.phymed.2026.157916","DOIUrl":"10.1016/j.phymed.2026.157916","url":null,"abstract":"<div><h3>Background</h3><div>Lysosomal acidification deficits are increasingly recognized as a convergent pathological mechanism driving both age-related cognitive decline (ARCD) and early Alzheimer's disease (AD) progression, creating a self-reinforcing cycle of cellular aging and Aβ dyshomeostasis. Despite demonstrated neuroprotective effects of Da-Bu-Yin-Wan (DBYW) in Parkinson's disease models, its therapeutic potential for lysosomal dysfunction in ARCD and AD remains an uncharted area of investigation.</div></div><div><h3>Purpose</h3><div>This present work aimed to elucidate the mechanistic basis by which DBYW mitigates both ARCD and AD pathology through functionally rescuing impaired lysosomal acidification.</div></div><div><h3>Methods</h3><div>Cell-based D-galactose and Aβ-induced in BV2 cells to study lysosomal acidification. Molecular analyses combined immunofluorescence localization studies with quantitative immunoblotting of lysosomal and Wnt signaling proteins. <em>In vivo</em>, DBYW treatment effects were systematically evaluated in both D-gal-induced and APP/PS1 transgenic models using cognitive behavioral followed by immunohistochemical and biochemical assessment of brain tissues lysosomal parameters and Wnt signaling activity.</div></div><div><h3>Results</h3><div>DBYW attenuated the mechanistic basis of ARCD and AD pathology by functionally rescuing impaired lysosomal acidification. Overexpression of β-catenin could modulate D-galactose or Aβ-induced dysregulation of the Wnt/β-catenin pathway and restore lysosomes with abnormal acidification, while DBYW could regulate lysosomal function by promoting Wnt/β-catenin signaling. In addition, in D-gal-induced aging and AD model mice, DBYW treatment activated Wnt/β-catenin signaling to restore lysosomal acidification, while spatial memory deficits in ARCD and AD models were improved, and pathology in mouse attenuation and APP/PS1 mouse brain tissue was inhibited.</div></div><div><h3>Conclusion</h3><div>DBYW shows a potential dual efficacy in improving cognitive decline in ARCD and AD models. It makes DBYW a promising disease-modifying intervention targeting the shared lysosomal pathophysiology of aging-associated neurodegeneration.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157916"},"PeriodicalIF":8.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150424","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}
Pub Date : 2026-02-02DOI: 10.1016/j.phymed.2026.157914
Xinglinzi Tang , Feiyan Wu , Huijuan Rao , Xinyi Luo , Guixing Zhang , Xin Lai , Caizhi Li , Jiansong Fang , Hang Li
Background
Non-small cell lung cancer (NSCLC) is the predominant subtype of lung cancer. Although traditional treatment methods such as surgery, chemotherapy, and radiotherapy can extend patient survival to some extent, they still present significant challenges due to their limited efficacy and substantial side effects. Ferroptosis, a form of iron-dependent programmed cell death, has been shown to exhibit considerable potential in the treatment of NSCLC. However, the molecular mechanisms underlying ferroptosis and how to safely and effectively induce it remain to be fully explored. This study aims to investigate the mechanism by which the natural flavonoid compound Quercetagitrin (Que) regulates the ferritinophagy-ferroptosis pathway to suppress NSCLC and to identify its molecular targets.
Methods
This study evaluated the selective toxicity of Que against NSCLC cells (A549, PC9) and normal lung epithelial cells (BEAS-2B) using in vitro assays, including CCK-8, colony formation, and flow cytometry. Key pathways related to ferritinophagy and ferroptosis were identified through transcriptomic analysis and KEGG pathway analysis. Fluorescence imaging, Western blot (WB) and BODIPY C11 staining were used to assess the levels of ferritinophagy and ferroptosis in cells. Limited proteolysis-mass spectrometry (LiP-MS) and molecular dynamics simulations were employed to identify the direct targets of Que. Gene knockdown and overexpression experiments were conducted to verify that Que targets eukaryotic translation initiation factor 3 subunit D (EIF3D) and regulates the activation of nuclear receptor coactivator 4 (NCOA4) -mediated ferritinophagy. In vivo experiments using xenograft mouse models assessed the antitumor effect and safety of Que.
Results
Que selectively inhibited the proliferation and colony formation of NSCLC cells while showing minimal toxicity to normal lung epithelial cells. It promoted the release of Fe²⁺ and lipid peroxidation by activating the NCOA4-dependent ferritinophagy pathway, while simultaneously inhibiting the expression of ferroptosis markers such as glutathione peroxidase 4 (GPX4). LiP-MS and molecular dynamics simulations confirmed EIF3D as a direct target of Que. Knockdown of EIF3D mimicked the antitumor effect of Que, whereas overexpression of EIF3D diminished its antitumor effect. In vivo, Que significantly inhibited tumor growth without observable toxicity, accompanied by upregulation of NCOA4 and LC3 II, and downregulation of EIF3D and GPX4.
Conclusion
Que exerts significant antitumor effects in NSCLC by targeting EIF3D to activate NCOA4-mediated ferritinophagy and ferroptosis. This study reveals a novel mechanism involving the EIF3D-NCOA4 axis in the regulation of ferritinophagy-dependent ferroptosis, providing a potential therapeutic strategy for the treatment of NSCLC.
背景:非小细胞肺癌(NSCLC)是肺癌的主要亚型。虽然手术、化疗、放疗等传统治疗方法可以在一定程度上延长患者的生存期,但由于其疗效有限,副作用大,仍然面临着巨大的挑战。铁凋亡是铁依赖性程序性细胞死亡的一种形式,已被证明在治疗非小细胞肺癌中具有相当大的潜力。然而,铁下垂的分子机制和如何安全有效地诱导仍有待充分探索。本研究旨在探讨天然类黄酮化合物Quercetagitrin (Que)调控铁蛋白噬铁-铁凋亡通路抑制NSCLC的机制,并确定其分子靶点。方法:本研究通过体外实验,包括CCK-8、集落形成和流式细胞术,评估Que对非小细胞肺癌细胞(A549、PC9)和正常肺上皮细胞(BEAS-2B)的选择性毒性。通过转录组学分析和KEGG通路分析,确定了与铁蛋白吞噬和铁凋亡相关的关键通路。采用荧光成像、Western blot (WB)和BODIPY C11染色检测细胞中铁蛋白吞噬和铁凋亡的水平。有限蛋白水解-质谱(LiP-MS)和分子动力学模拟被用来鉴定Que的直接靶点。通过基因敲低和过表达实验验证Que靶向真核翻译起始因子3亚基D (EIF3D),调控核受体共激活因子4 (NCOA4)介导的铁蛋白自噬的激活。异种移植小鼠模型体内实验评估了Que的抗肿瘤作用和安全性。结果:Que选择性地抑制非小细胞肺癌细胞的增殖和集落形成,同时对正常肺上皮细胞的毒性很小。它通过激活ncoa4依赖的铁蛋白自噬途径促进Fe +的释放和脂质过氧化,同时抑制谷胱甘肽过氧化物酶4 (GPX4)等铁凋亡标志物的表达。LiP-MS和分子动力学模拟证实了EIF3D是Que的直接靶点。低表达EIF3D可模拟Que的抗肿瘤作用,而过表达EIF3D可降低Que的抗肿瘤作用。在体内,Que显著抑制肿瘤生长,无明显毒性,同时伴有NCOA4和LC3 II上调,EIF3D和GPX4下调。结论:Que通过靶向EIF3D激活ncoa4介导的铁蛋白吞噬和铁凋亡,在非小细胞肺癌中具有显著的抗肿瘤作用。本研究揭示了EIF3D-NCOA4轴参与铁蛋白吞噬依赖性铁凋亡调控的新机制,为治疗非小细胞肺癌提供了潜在的治疗策略。
{"title":"Quercetagitrin targets EIF3D to activate NCOA4-mediated ferritinophagy-dependent ferroptosis for the treatment of non-small cell lung cancer","authors":"Xinglinzi Tang , Feiyan Wu , Huijuan Rao , Xinyi Luo , Guixing Zhang , Xin Lai , Caizhi Li , Jiansong Fang , Hang Li","doi":"10.1016/j.phymed.2026.157914","DOIUrl":"10.1016/j.phymed.2026.157914","url":null,"abstract":"<div><h3>Background</h3><div>Non-small cell lung cancer (NSCLC) is the predominant subtype of lung cancer. Although traditional treatment methods such as surgery, chemotherapy, and radiotherapy can extend patient survival to some extent, they still present significant challenges due to their limited efficacy and substantial side effects. Ferroptosis, a form of iron-dependent programmed cell death, has been shown to exhibit considerable potential in the treatment of NSCLC. However, the molecular mechanisms underlying ferroptosis and how to safely and effectively induce it remain to be fully explored. This study aims to investigate the mechanism by which the natural flavonoid compound Quercetagitrin (Que) regulates the ferritinophagy-ferroptosis pathway to suppress NSCLC and to identify its molecular targets.</div></div><div><h3>Methods</h3><div>This study evaluated the selective toxicity of Que against NSCLC cells (A549, PC9) and normal lung epithelial cells (BEAS-2B) using <em>in vitro</em> assays, including CCK-8, colony formation, and flow cytometry. Key pathways related to ferritinophagy and ferroptosis were identified through transcriptomic analysis and KEGG pathway analysis. Fluorescence imaging, Western blot (WB) and BODIPY C11 staining were used to assess the levels of ferritinophagy and ferroptosis in cells. Limited proteolysis-mass spectrometry (LiP-MS) and molecular dynamics simulations were employed to identify the direct targets of Que. Gene knockdown and overexpression experiments were conducted to verify that Que targets eukaryotic translation initiation factor 3 subunit D (EIF3D) and regulates the activation of nuclear receptor coactivator 4 (NCOA4) -mediated ferritinophagy. <em>In vivo</em> experiments using xenograft mouse models assessed the antitumor effect and safety of Que.</div></div><div><h3>Results</h3><div>Que selectively inhibited the proliferation and colony formation of NSCLC cells while showing minimal toxicity to normal lung epithelial cells. It promoted the release of Fe²⁺ and lipid peroxidation by activating the NCOA4-dependent ferritinophagy pathway, while simultaneously inhibiting the expression of ferroptosis markers such as glutathione peroxidase 4 (GPX4). LiP-MS and molecular dynamics simulations confirmed EIF3D as a direct target of Que. Knockdown of EIF3D mimicked the antitumor effect of Que, whereas overexpression of EIF3D diminished its antitumor effect. <em>In vivo</em>, Que significantly inhibited tumor growth without observable toxicity, accompanied by upregulation of NCOA4 and LC3 II, and downregulation of EIF3D and GPX4.</div></div><div><h3>Conclusion</h3><div>Que exerts significant antitumor effects in NSCLC by targeting EIF3D to activate NCOA4-mediated ferritinophagy and ferroptosis. This study reveals a novel mechanism involving the EIF3D-NCOA4 axis in the regulation of ferritinophagy-dependent ferroptosis, providing a potential therapeutic strategy for the treatment of NSCLC.</div></div>","PeriodicalId":20212,"journal":{"name":"Phytomedicine","volume":"153 ","pages":"Article 157914"},"PeriodicalIF":8.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137817","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}