天龙咳喘灵汤通过抑制内皮-间质转化减轻肺动脉高压。

IF 5.4 2区 医学 Q1 CHEMISTRY, MEDICINAL Journal of ethnopharmacology Pub Date : 2025-03-13 Epub Date: 2025-02-03 DOI:10.1016/j.jep.2025.119395
Jing Gong , Huihua Li , Xiaoqing Cui , Yuling Yan , Qinghe Yu , Qi Ding , Yuanyuan Shi , Peng Wang
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引用次数: 0

摘要

民族药理学相关性:肺动脉高压(PH)是一种严重的进行性疾病,对患者的生存和生活质量构成重大挑战。然而,目前的治疗方法效果有限。天龙咳喘灵是临床上常用的治疗肺心病的中药复方制剂,但其作用机制尚不清楚。研究目的:本研究旨在验证白芷对PH的缓解作用,并进一步探讨其作用机制。材料与方法:采用SU5416联合缺氧(SuHx)诱导大鼠PH模型。通过右心室收缩压(RVSP)、右心室肥厚指数(RVHI)及组织病理学分析评价TL对PH的影响。ELISA法检测大鼠血清HIF-1α、VEGFA水平;免疫组化检测VEGFR2、Vimentin和CD31的作用机制,缺氧诱导人肺动脉内皮细胞(HPAECs), RT-PCR和Western Blotting证实TL的作用。结果:荷叶提取物通过调节HIF-1α/VEGFA通路和内皮-间质转化(End-MT)改善PH。该研究还确定了造成这些影响的关键化学成分。结论:本研究表明,TL可以通过抑制End-MT来改善PH,支持TL作为一种有效的PH治疗选择的进一步发展。
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Tianlong Kechuanling decoction attenuates pulmonary hypertension by inhibiting endothelial-to-mesenchymal transition

Ethnopharmacological relevance

Pulmonary hypertension (PH) is a serious and progressive disease, posing a significant challenge to patient survival and quality of life. However, current treatments have limited effectiveness. Tianlong Kechuanling (TL) is a traditional Chinese medicine (TCM) compound formulation commonly used in clinical practice for the treatment of pulmonary heart disease, but its underlying mechanism is unknown.

Aim of the study

This study aimed to validate the mitigating effect of TL on PH and to further investigate its mechanism.

Materials and methods

A rat model of PH was induced by SU5416 combined with hypoxia (SuHx). The effects of TL on PH were evaluated through right ventricular systolic pressure (RVSP), Right ventricular hypertrophy index (RVHI) and histopathological analysis. The serum levels of HIF-1α, VEGFA in rats were detected by ELISA; VEGFR2, Vimentin and CD31 were detected by immunohistochemistry to explore the mechanism of action of TL. Human pulmonary artery endothelial cells (HPAECs) were induced by hypoxia, and the effects of TL were confirmed by RT-PCR and Western Blotting. Liquid chromatography-mass spectrometry (LC-MS) analysis was used to identify the chemical composition of TL.

Results

TL ameliorated PH through modulation of the HIF-1α/VEGFA pathway and endothelial-to-mesenchymal transition (End-MT). The study also identified the key chemical components responsible for these effects.

Conclusions

The study demonstrates that TL can improve PH by inhibiting End-MT, supporting the further development of TL as an effective therapeutic option for PH.
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来源期刊
Journal of ethnopharmacology
Journal of ethnopharmacology 医学-全科医学与补充医学
CiteScore
10.30
自引率
5.60%
发文量
967
审稿时长
77 days
期刊介绍: The Journal of Ethnopharmacology is dedicated to the exchange of information and understandings about people''s use of plants, fungi, animals, microorganisms and minerals and their biological and pharmacological effects based on the principles established through international conventions. Early people confronted with illness and disease, discovered a wealth of useful therapeutic agents in the plant and animal kingdoms. The empirical knowledge of these medicinal substances and their toxic potential was passed on by oral tradition and sometimes recorded in herbals and other texts on materia medica. Many valuable drugs of today (e.g., atropine, ephedrine, tubocurarine, digoxin, reserpine) came into use through the study of indigenous remedies. Chemists continue to use plant-derived drugs (e.g., morphine, taxol, physostigmine, quinidine, emetine) as prototypes in their attempts to develop more effective and less toxic medicinals.
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