Chen Ce, Wang Jialin, Cheng Mengqin, Xie Haifeng, Li Wei, Zhang Chaofeng
Sino-Jan Joint Lab of Natural Health Products Research, School of Traditional Chinese Medicines, China Pharmaceutical University, Nanjing 211198, China.
Research and Development Department, Chengdu Biopurify Phytochemicals Ltd., Chengdu, China.
Pharmacol Res. 2025 Feb;212:107587. doi: 10.1016/j.phrs.2025.107587. Epub 2025 Jan 6.
Pulmonary fibrosis (PF) is a fatal disease with increasing incidence, poor prognosis, and unclear pathogenesis. Our previous research demonstrated the beneficial effects of the natural cyclopeptide Heterophyllin B (HB) in PF. However, the precise mechanism by which HB exerts its effects in PF remains unclear. Our study revealed HB's beneficial effects in alleviating PF symptoms and restoring the intestinal mucosal barrier. Subsequently, the microbiota-dependent antifibrotic efficacy of HB was verified using various delivery routes, antibiotic treatments, and faecal microbiota transplantation. Functionally, 16S rRNA sequencing, untargeted metabolomics, and co-incubation experiments revealed that the antifibrotic efficacy of HB was primarily contingent on the enrichment of Muribaculum intestinale and its metabolite, 3-hydroxybutyric acid. Mechanistically, indoleamine 2,3- dioxygenase 1 (IDO1)-mediated ferroptosis was identified as a pivotal process in initiating PF, and the anti-fibrotic efficacy of HB relies on suppressing IDO1-mediated ferroptosis. Conversely, IDO1 deficiency alleviated the symptoms of bleomycin-induced PF and ferroptosis in mice. Coincidentally, both IDO1 overexpression and ferroptosis were observed in the pulmonary tissue of patients with idiopathic PF. Collectively, this study revealed that HB alleviates PF by eliminating intestinal microecology and metabolism and highlights the feasibility of targeting IDO1 for PF treatment.
肺纤维化(PF)是一种发病率不断上升、预后不良且发病机制不明的致命疾病。我们之前的研究证明了天然环肽异叶娃儿藤碱B(HB)对PF具有有益作用。然而,HB在PF中发挥作用的确切机制仍不清楚。我们的研究揭示了HB在缓解PF症状和恢复肠黏膜屏障方面的有益作用。随后,通过多种给药途径、抗生素治疗和粪便微生物群移植验证了HB的微生物群依赖性抗纤维化功效。功能上,16S rRNA测序、非靶向代谢组学和共孵育实验表明,HB的抗纤维化功效主要取决于肠道栖瘤杆菌及其代谢产物3-羟基丁酸的富集。机制上,吲哚胺2,3-双加氧酶1(IDO1)介导的铁死亡被确定为引发PF的关键过程,而HB的抗纤维化功效依赖于抑制IDO1介导的铁死亡。相反,IDO1缺乏减轻了博莱霉素诱导的小鼠PF症状和铁死亡。巧合的是,在特发性PF患者的肺组织中观察到IDO1过表达和铁死亡。总的来说,这项研究揭示了HB通过消除肠道微生态和代谢来减轻PF,并突出了靶向IDO1治疗PF的可行性。
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