Peng Jiahua, Liu Shuzhen, Xie Yunxiang, Xiao Min, Wang Chichiu, Liang Ruining
Jiangxi Provincial Key Laboratory of TCM Female Reproductive Health and Related Diseases Research and Transformation, Nanchang 330006, China.
Jiangxi University of Chinese Medicine, Nanchang 330006, China.
J Food Drug Anal. 2025 Jun 13;33(2):150-162. doi: 10.38212/2224-6614.3544.
The Ping-Chong-Jiang-Ni Formula (PCJNF), a compound of Traditional Chinese Medicine (TCM), has demonstrated remarkable clinical effectiveness and is widely utilized in the treatment of endometriosis (EMs). Previous studies have shown that PCJNF inhibits the proliferation and induces the apoptosis of ectopic endometrial stromal cells (EESCs) by modulating the JNK signaling pathway. In our most recent study, published in January 2024, we found that PCJNF effectively alleviates EMs-associated pain by reducing inflammatory mediators, including tumor necrosis factor-alpha (TNF-α) and nerve growth factor (NGF). Furthermore, PCJNF down-regulates the expression of transient receptor potential vanilloid 1 (TRPV1), phosphorylated TRPV1 (p-TRPV1), and protein kinase C (PKC). To further investigate the therapeutic potential of PCJNF, we conducted a comprehensive tandem mass tag (TMT) proteomics analysis, identifying 4984 proteins co-expressed in human EESCs treated with PCJNF and control serum. Based on these findings, this study explored the inhibitory effects of PCJNF on the migration and invasion of EMs cells in vitro. Reverse transcription-polymerase chain reaction (RT-PCR) analysis of 12 genes revealed a significant upregulation of FER and TRIP13 in ectopic lesions, which was further validated by immunohistochemistry. Given the crucial role of TRIP13 in EMs, we employed small interfering RNA (siRNA) to knock down its expression, observing a marked reduction in the migration and invasion abilities of EMs cells. Conversely, overexpression of TRIP13 using short hairpin RNA (shRNA) enhanced these processes. Additionally, after PCJNF treatment, we observed significant alterations in the expression of migration-and invasion-related proteins, such as vimentin and E-cadherin. In conclusion, these findings suggest that TRIP13 may serve as a potential therapeutic target for EMs and that PCJNF offers a promising new approach for integrating Traditional Chinese Medicine with modern medical treatments.
平冲降逆方(PCJNF)是一种中药复方,已显示出显著的临床疗效,广泛应用于子宫内膜异位症(EMs)的治疗。以往研究表明,PCJNF通过调节JNK信号通路抑制异位子宫内膜间质细胞(EESCs)的增殖并诱导其凋亡。在我们于2024年1月发表的最新研究中,我们发现PCJNF通过减少包括肿瘤坏死因子-α(TNF-α)和神经生长因子(NGF)在内的炎症介质,有效减轻了EMs相关疼痛。此外,PCJNF下调瞬时受体电位香草酸亚型1(TRPV1)、磷酸化TRPV1(p-TRPV1)和蛋白激酶C(PKC)的表达。为进一步探究PCJNF的治疗潜力,我们进行了全面的串联质谱标签(TMT)蛋白质组学分析,鉴定出在用PCJNF和对照血清处理的人EESCs中共表达的4984种蛋白质。基于这些发现,本研究探讨了PCJNF对体外EMs细胞迁移和侵袭的抑制作用。对12个基因的逆转录-聚合酶链反应(RT-PCR)分析显示,异位病灶中FER和TRIP13显著上调,免疫组织化学进一步验证了这一结果。鉴于TRIP13在EMs中的关键作用,我们采用小干扰RNA(siRNA)敲低其表达,观察到EMs细胞的迁移和侵袭能力显著降低。相反,使用短发夹RNA(shRNA)过表达TRIP13增强了这些过程。此外,PCJNF处理后,我们观察到迁移和侵袭相关蛋白(如波形蛋白和E-钙黏蛋白)的表达有显著变化。总之,这些发现表明TRIP13可能是EMs的潜在治疗靶点,且PCJNF为中西医结合治疗提供了一种有前景的新方法。
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