Hu Ying-Yi, Zhong Rui-Hua, Guo Xiang-Jie, Li Guo-Ting, Zhou Jie-Yun, Yang Wen-Jie, Ren Bing-Tao, Zhu Yan
Pharmacy School, Fudan University, Shanghai, 200032, China; Lab of Reproductive Pharmacology, NHC Key Lab of Reproduction Regulation, Shanghai Institute for Biomedical and Pharmaceutical Technologies, Fudan University, Shanghai, 200032, China.
Lab of Reproductive Pharmacology, NHC Key Lab of Reproduction Regulation, Shanghai Institute for Biomedical and Pharmaceutical Technologies, Fudan University, Shanghai, 200032, China.
J Ethnopharmacol. 2023 May 10;307:116242. doi: 10.1016/j.jep.2023.116242. Epub 2023 Feb 10.
ETHNOPHARMACOLOGICAL RELEVANCE: Jinfeng Pill (JFP) is a classical Chinese medicine formula and composed of 9 herbs, including Epimedium brevicornu Maxim (Yinyanghuo), Cervus elaphus Linnaeus (Lurong), Panax ginseng C.A.Mey. (Renshen), Equus asinus (EJiao), Ligustrum lucidum W.T.Aiton (Nvzhenzi), Reynoutria multiflora (Thunb.) Moldenke (Heshouwu), Curculigo orchioides Gaertn (Xianmao), Neolitsea cassia (L.) Kosterm. (Rougui) and Leonurus japonicus Houtt. (Yimucao). The formula is clinically used to regulate menstrual cycle and alleviate polycystic ovarian syndrome due to its capabilities of ovulation induction. It is therefore presumed that JFP could be used for the therapy of premature ovarian insufficiency (POI) but the assumed efficacy has not been fully substantiated in experiment. AIM OF STUDY: To evaluate the effectiveness of JFP on cyclophosphamide (CTX)-induced POI and preliminarily explore its potential mechanisms of action. MATERIAL AND METHODS: An experimental rat model of POI was established by using CTX induction to assess the efficacy of JFP. The potential targets of action for JFP alleviating POI were predicted by the combination of network pharmacology and transcriptomics and finally validating by RT-qPCR and Western blot. RESULTS: JFP alleviated the damages of ovarian tissue induced by CTX in the rat model of POI via significantly decreasing serum levels of FSH and LH and the ratio of FSH/LH and increasing the levels of E2 and AMH, accompanied with promoting ovarian folliculogenesis and follicle maturity and reversing the depletion of follicle pool. With the analysis of network pharmacology, pathways in cancer, proteoglycans in cancer, PI3K-AKT, TNF and FoxO signaling pathways were predicted to be influenced by JFP. The results of RNA-seq further revealed that IL-17 signaling pathway was the most important pathway regulated by both CTX and JFP, following by transcriptional misregulation in cancer and proteoglycans in cancer. Combining the two analytical methods, JFP likely targeted genes associated with immune regulation, including COX-2, HSP90AA1, FOS, MMP3 and MAPK11 and pathways, including IL-17,Th17 cell differentiation and TNF signaling pathway. Finally, JFP was validated to regulate the mRNA expression of FOS, FOSB, FOSL1, MMP3, MMP13 and COX-2 and decrease the release of IL-17A and the protein expression of IL-6 and suppress the phosphorylation of MEK1/2 and ERK1/2 in CTX induced POI rats. CONCLUSION: Jinfeng Pill is effective to ameliorate the symptoms of POI induced by CTX in the model of rats and its action is likely associated with suppressing IL-17A/IL-6 axis and the activity of MEK1/2-ERK1/2 signaling.
民族药理学相关性:金凤丸(JFP)是一种经典的中药方剂,由9味中药组成,包括淫羊藿(yin yang huo)、鹿茸(lu rong)、人参(ren shen)、阿胶(e jiao)、女贞子(nv zhen zi)、何首乌(he shou wu)、仙茅(xian mao)、肉桂(rou gui)和益母草(yi mu cao)。该方剂临床上用于调节月经周期,因其具有促排卵作用,可缓解多囊卵巢综合征。因此推测金凤丸可用于治疗卵巢早衰(POI),但其假定疗效尚未在实验中得到充分证实。 研究目的:评估金凤丸对环磷酰胺(CTX)诱导的卵巢早衰的疗效,并初步探讨其潜在作用机制。 材料与方法:采用CTX诱导建立POI实验大鼠模型,以评估金凤丸的疗效。通过网络药理学和转录组学相结合的方法预测金凤丸缓解POI的潜在作用靶点,最后通过RT-qPCR和蛋白质免疫印迹法进行验证。 结果:金凤丸通过显著降低血清FSH和LH水平以及FSH/LH比值,提高E2和AMH水平,减轻了POI大鼠模型中CTX诱导的卵巢组织损伤,同时促进卵巢卵泡发生和卵泡成熟,逆转卵泡池的耗竭。通过网络药理学分析,预测癌症通路、癌症中的蛋白聚糖、PI3K-AKT、TNF和FoxO信号通路受金凤丸影响。RNA-seq结果进一步显示,IL-17信号通路是CTX和金凤丸共同调节的最重要通路,其次是癌症中的转录失调和癌症中的蛋白聚糖。结合两种分析方法,金凤丸可能靶向与免疫调节相关的基因,包括COX-2、HSP90AA1、FOS、MMP3和MAPK11,以及通路,包括IL-17、Th17细胞分化和TNF信号通路。最后,在CTX诱导的POI大鼠中验证了金凤丸可调节FOS、FOSB、FOSL1、MMP3、MMP13和COX-2的mRNA表达,降低IL-17A的释放和IL-6的蛋白表达,并抑制MEK1/2和ERK1/2的磷酸化。 结论:金凤丸对CTX诱导的大鼠POI模型症状有改善作用,其作用可能与抑制IL-17A/IL-6轴及MEK1/2-ERK1/2信号活性有关。
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