Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Shandong Academy of Occupational Health and Occupational Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China.
J Cell Mol Med. 2018 Sep;22(9):4354-4365. doi: 10.1111/jcmm.13725. Epub 2018 Jul 4.
Epithelial-mesenchymal transition (EMT) plays an important role in idiopathic pulmonary fibrosis (IPF). Astragaloside IV (ASV), a natural saponin from astragalus membranaceus, has shown anti-fibrotic property in bleomycin (BLM)-induced pulmonary fibrosis. The current study was undertaken to determine whether EMT was involved in the beneficial of ASV against BLM-induced pulmonary fibrosis and to elucidate its potential mechanism. As expected, in BLM-induced IPF, ASV exerted protective effects on pulmonary fibrosis and ASV significantly reversed BLM-induced EMT. Intriguing, transforming growth factor-β1 (TGF-β1) was found to be up-regulated, whereas Forkhead box O3a (FOXO3a) was hyperphosphorylated and less expressed. However, ASV treatment inhibited increased TGF-β1 and activated FOXO3a in lung tissues. TGF-β1 was administered to alveolar epithelial cells A549 to induce EMT in vitro. Meanwhile, stimulation with TGF-β1-activated phosphatidylinositol 3 kinase/protein kinase B (PI3K/Akt) pathway and induced FOXO3a hyperphosphorylated and down-regulated. It was found that overexpression of FOXO3a leading to the suppression of TGF-β1-induced EMT. Moreover, ASV treatment, similar with the TGF-β1 or PI3K/Akt inhibitor, reverted these cellular changes and inhibited EMT in A549 cells. Collectively, the results suggested that ASV significantly inhibited TGF-β1/PI3K/Akt-induced FOXO3a hyperphosphorylation and down-regulation to reverse EMT during the progression of fibrosis.
上皮-间充质转化 (EMT) 在特发性肺纤维化 (IPF) 中起重要作用。黄芪甲苷 (ASV) 是黄芪中的一种天然皂苷,已显示出在博来霉素 (BLM) 诱导的肺纤维化中具有抗纤维化作用。本研究旨在确定 EMT 是否参与 ASV 对 BLM 诱导的肺纤维化的有益作用,并阐明其潜在机制。正如预期的那样,在 BLM 诱导的 IPF 中,ASV 对肺纤维化具有保护作用,并且 ASV 显著逆转了 BLM 诱导的 EMT。有趣的是,转化生长因子-β1 (TGF-β1) 上调,而叉头框 O3a (FOXO3a) 过度磷酸化和表达减少。然而,ASV 治疗抑制了肺组织中 TGF-β1 的增加和 FOXO3a 的激活。TGF-β1 被给予肺泡上皮细胞 A549 以在体外诱导 EMT。同时,刺激 TGF-β1 激活的磷脂酰肌醇 3 激酶/蛋白激酶 B (PI3K/Akt) 途径并诱导 FOXO3a 过度磷酸化和下调。结果发现,FOXO3a 的过表达导致 TGF-β1 诱导的 EMT 受到抑制。此外,ASV 治疗与 TGF-β1 或 PI3K/Akt 抑制剂相似,可逆转这些细胞变化并抑制 A549 细胞中的 EMT。总之,这些结果表明,ASV 可显著抑制 TGF-β1/PI3K/Akt 诱导的 FOXO3a 过度磷酸化和下调,以逆转纤维化进展过程中的 EMT。
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