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大元饮通过恢复E-钙黏蛋白/β-连环蛋白复合物抑制上皮-间质转化,从而减轻博来霉素诱导的肺损伤。

Da-yuan-yin decoction alleviates bleomycin-induced pulmonary injury by inhibiting epithelial-mesenchymal transition via E-cadherin/β-catenin complex restoration.

作者信息

Lin Jiayi, Wang Sufang, Li Zhongquan, Li JingYue, Wang XinMiao, Wan Xi, Li Chengze, Chu Fuhao, Gai Cong, Li Yuan, Ding Xia, Li Yadong

机构信息

School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.

Qi-Huang Chinese Medicine School, Beijing University of Chinese Medicine, Beijing, China.

出版信息

J Ethnopharmacol. 2025 Jun 14;351:120148. doi: 10.1016/j.jep.2025.120148.


DOI:10.1016/j.jep.2025.120148
PMID:40523450
Abstract

ETHNOPHARMACOLOGICAL RELEVANCE: The Da-Yuan-Yin (DYY) decoction, a classical multi-herbal preparation documented in the Treatise on Pestilence (Wen Yi Lun,⟪⟫), exhibits therapeutic potential in respiratory pathophysiology. Clinical studies during the COVID-19 pandemic have validated DYY's therapeutic efficacy in ameliorating respiratory symptoms in patients. However, its pharmacological mechanisms against lung injury remain unexplored. AIM OF THE STUDY: This investigation sought to delineate the medicinal efficacy and underlying pharmacological mechanisms of DYY through integrated experimental models encompassing animal studies and cellular assays. MATERIALS AND METHODS: Pharmacological evaluation was conducted in a mouse model of pulmonary injury via intratracheal (i.t.) administration of bleomycin (BLM). Test cohorts received DYY extract at graded concentrations: low-dose (4.3 g/kg), medium-dose (8.6 g/kg), and high-dose (17.2 g/kg) via daily oral gavage. After 14 consecutive days of intervention, pulmonary specimens were harvested. Histomorphological alterations were quantified through Hematoxylin-eosin and Masson trichrome staining of pulmonary parenchyma. E-cadherin and α-SMA protein distribution in tissue samples was monitored by immunohistochemical or immunofluorescent staining techniques. Longitudinal fibrosis progression was assessed through HYP quantification on day 21 following BLM instillation. TGF-β1-elicited epithelial-mesenchymal transition (EMT) in A549 alveolar epithelial cells served as an in vitro paradigm. Proteomic characterization of EMT markers (E-cadherin, vimentin, N-cadherin, α-SMA) was conducted via immunoblotting. Migratory capacity was evaluated using standardized scratch assay protocols. Transcriptional dynamics of EMT-associated genes (CDH1, CDH2, VIM, ACTA2) were monitored by RT-qPCR. Subcellular β-catenin redistribution was visualized through confocal microscopy following fluorescence labeling. RESULTS: Histopathological analysis of day 14 specimens revealed that DYY intervention attenuated pulmonary histoarchitectural disruption, preserved epithelial integrity through E-cadherin maintenance, and suppressed α-SMA-mediated mesenchymal activation. Longitudinal evaluation at day 21 demonstrated DYY-mediated significant attenuation of fibrotic progression, evidenced by the reduction in HYP accumulation (p < 0.01) and collagen deposition regression. In cell-based models, DYY treatment upregulated CDH1 transcript/protein levels (p < 0.01) while downregulating mesenchymal markers (N-cadherin; vimentin; α-SMA; p < 0.05). Scratch-wound assays demonstrated that DYY treatment significantly suppressed TGF-β1-induced migration of A549 cells (p < 0.01). Mechanistically, DYY disrupted β-catenin nuclear localization, reducing transcriptionally active β-catenin in cytoplasmic fractions. Crucially, in vivo validation confirmed DYY's dose-dependent inhibition of EMT progression. CONCLUSIONS: This study delineates a molecular cascade through which DYY exerts its therapeutic effects: CDH1 transcriptional upregulation mechanistically mediates E-cadherin/β-catenin complex reconstitution at adherens junctions, achieving restoration of membrane-localized β-catenin. This stabilization effectively blocks β-catenin nuclear translocation, thereby suppressing α-SMA transcriptional activation. Crucially, early DYY intervention demonstrated alveolar epithelial preservation and significant attenuation of fibrotic progression, positioning it as a multi-target therapeutic strategy against EMT-driven pulmonary pathologies. This study demonstrates DYY's efficacy in mitigating bleomycin-induced alveolar injury within a single GMP-certified production batch; however, systematic validation of its long-term pharmacological stability under variable environmental conditions and multi-batch reproducibility remains necessary to confirm clinical translatability.

摘要

民族药理学相关性:大元饮(DYY)汤剂是《温疫论》中记载的经典多草药制剂,在呼吸病理生理学方面具有治疗潜力。COVID-19大流行期间的临床研究证实了DYY在改善患者呼吸道症状方面的治疗效果。然而,其抗肺损伤的药理机制尚不清楚。 研究目的:本研究旨在通过包括动物研究和细胞试验在内的综合实验模型,阐明DYY的药用功效和潜在药理机制。 材料与方法:通过气管内(i.t.)注射博来霉素(BLM)建立小鼠肺损伤模型进行药理评价。试验组通过每日口服灌胃给予不同浓度的DYY提取物:低剂量(4.3 g/kg)、中剂量(8.6 g/kg)和高剂量(17.2 g/kg)。连续干预14天后,采集肺组织标本。通过苏木精-伊红和肺实质的Masson三色染色对组织形态学改变进行定量分析。通过免疫组织化学或免疫荧光染色技术监测组织样本中E-钙黏蛋白和α-平滑肌肌动蛋白(α-SMA)的蛋白分布。通过在BLM滴注后第21天对羟脯氨酸(HYP)进行定量分析来评估纵向纤维化进展。A549肺泡上皮细胞中转化生长因子-β1(TGF-β1)诱导的上皮-间质转化(EMT)作为体外模型。通过免疫印迹对EMT标志物(E-钙黏蛋白、波形蛋白、N-钙黏蛋白、α-SMA)进行蛋白质组学表征。使用标准化划痕试验方案评估迁移能力。通过逆转录定量聚合酶链反应(RT-qPCR)监测EMT相关基因(CDH1、CDH2、VIM、ACTA2)的转录动态。荧光标记后通过共聚焦显微镜观察亚细胞β-连环蛋白的重新分布。 结果:第14天标本的组织病理学分析显示,DYY干预减轻了肺组织结构破坏,通过维持E-钙黏蛋白保持上皮完整性,并抑制α-SMA介导的间质激活。第21天的纵向评估表明,DYY介导纤维化进展显著减轻,表现为HYP积累减少(p < 0.01)和胶原沉积消退。在基于细胞的模型中,DYY处理上调了CDH1转录本/蛋白水平(p < 0.01),同时下调了间质标志物(N-钙黏蛋白、波形蛋白、α-SMA;p < 0.05)。划痕试验表明,DYY处理显著抑制了TGF-β1诱导的A549细胞迁移(p < 0.01)。机制上,DYY破坏了β-连环蛋白的核定位,减少了细胞质组分中具有转录活性的β-连环蛋白。至关重要的是,体内验证证实了DYY对EMT进展的剂量依赖性抑制作用。 结论:本研究阐明了DYY发挥其治疗作用的分子级联反应:CDH1转录上调通过机制介导黏附连接处E-钙黏蛋白/β-连环蛋白复合物的重构,实现膜定位β-连环蛋白的恢复。这种稳定有效地阻断了β-连环蛋白的核转位,从而抑制α-SMA的转录激活。至关重要的是,早期DYY干预显示出肺泡上皮的保存和纤维化进展的显著减轻,使其成为针对EMT驱动的肺部疾病的多靶点治疗策略。本研究证明了DYY在单一GMP认证生产批次中减轻博来霉素诱导的肺泡损伤的功效;然而,有必要系统验证其在可变环境条件下的长期药理稳定性和多批次可重复性,以确认其临床可转化性。

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