Wr He, Yq Lu, Xg Liu, Yf Zhao, Y Wei, P Zhao, Js Li, Q Zhang
Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China; Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases co-constructed by Henan province & Education Ministry of P.R. China, Zhengzhou, Henan 450046, China; Pneumology department, Miyun Campus of the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China; Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases co-constructed by Henan province & Education Ministry of P.R. China, Zhengzhou, Henan 450046, China.
Phytomedicine. 2025 Sep;145:156986. doi: 10.1016/j.phymed.2025.156986. Epub 2025 Jun 17.
Silicosis is a severe fibrotic lung disease resulting from exposure to silica, with limited therapeutic options despite recent advances. The Baojin Chenfei Formula (BCF), a traditional Chinese medicine, has shown promise in alleviating silicosis, yet its precise mechanisms of action remain unclear.
This study aimed to elucidate the antifibrotic mechanisms of BCF, focusing particularly on its regulation of peroxisome proliferator-activated receptor gamma (PPARγ) and lipid metabolism in silica-induced pulmonary fibrosis.
Silicosis was induced in mice via intratracheal instillation of crystalline silica (CS), followed by oral administration of BCF. Lung function, histopathology (H&E and Masson's staining), fibrosis markers, collagen deposition, and PPARγ signaling pathway activity were assessed. Active fractions of BCF were separated using macroporous resin adsorption technology, and the cellular activity of these fractions was evaluated. The active fraction BCF5 was analyzed by mass spectrometry to identify its components. RNA-Seq analysis was conducted to uncover molecular pathways by which BCF inhibits fibroblast activation. Co-immunoprecipitation (Co-IP) and GFP reporter assays assessed BCF's effects on PPARγ-RXRα complex formation and PPARγ transcriptional activity. Molecular docking and biolayer interferometry (BLI) evaluated binding affinities between BCF5 components and PPARγ. Expression of PPARγ target genes was quantified by PCR, and lipid metabolomics identified lipid metabolites modulated by BCF5. The role of PPARγ-mediated lipid synthesis in BCF's therapeutic effects was further investigated using siPPARγ, PPARγ inhibitors, siFASN and FASN-EGFP-Reporter plasmids.
BCF treatment improved lung function, reduced fibrosis markers, and attenuated histopathological damage in silicosis mice. The active fraction BCF5 significantly inhibited TGF-β-induced fibroblast activation and contained 188 identified active constituents. RNA-Seq analysis revealed that BCF5 regulates the PPAR signaling pathway.Co-IP showed that BCF5 promoted PPARγ-RXRα complex formation, and PPRE-EGFP-Reporter assays confirmed enhanced PPARγ transcriptional activity. PCR analysis revealed increased expression of PPARγ target genes following BCF5 treatment. The antifibrotic effect of BCF5 was notably diminished by siPPARγ and PPARγ inhibitors. Molecular docking, cellular assays, and BLI identified Magnoloside A as a potent PPARγ agonist capable of inhibiting fibroblast activation. Lipid metabolomics demonstrated that BCF5 markedly increased total fatty acid levels, with lauric acid exhibiting significant inhibitory effects on fibroblast activation. Analysis via the JASPAR database suggested fatty acid synthase (FASN) as a PPARγ target gene, and FASN silencing significantly reversed BCF's inhibitory effect on fibroblast activation. FASN-EGFP reporter gene analysis showed that BCF-driven FASN transcription depends on the transcriptional activity of PPARγ. Importantly, the therapeutic efficacy of BCF in silicosis was substantially reduced upon administration of a PPARγ inhibitor.
BCF exerts antifibrotic effects by activating the PPARγ signaling pathway, upregulating FASN expression, and promoting lauric acid biosynthesis, a novel mechanistic insight into silicosis treatment.
矽肺是一种因接触二氧化硅而导致的严重纤维化肺部疾病,尽管近年来有所进展,但治疗选择仍然有限。保金陈肺方(BCF)是一种中药,已显示出缓解矽肺的潜力,但其确切作用机制仍不清楚。
本研究旨在阐明BCF的抗纤维化机制,特别关注其对过氧化物酶体增殖物激活受体γ(PPARγ)和二氧化硅诱导的肺纤维化中脂质代谢的调节作用。
通过气管内滴注结晶二氧化硅(CS)诱导小鼠矽肺,随后口服BCF。评估肺功能、组织病理学(苏木精-伊红染色和马松染色)、纤维化标志物、胶原沉积和PPARγ信号通路活性。使用大孔树脂吸附技术分离BCF的活性成分,并评估这些成分的细胞活性。通过质谱分析活性成分BCF5以鉴定其成分。进行RNA测序分析以揭示BCF抑制成纤维细胞活化的分子途径。免疫共沉淀(Co-IP)和绿色荧光蛋白报告基因检测评估BCF对PPARγ-RXRα复合物形成和PPARγ转录活性的影响。分子对接和生物层干涉术(BLI)评估BCF5成分与PPARγ之间的结合亲和力。通过聚合酶链反应(PCR)定量PPARγ靶基因的表达,并通过脂质代谢组学鉴定由BCF5调节的脂质代谢物。使用小干扰RNA(siPPARγ)、PPARγ抑制剂、小干扰RNA(siFASN)和脂肪酸合酶-增强绿色荧光蛋白报告质粒(FASN-EGFP-Reporter)进一步研究PPARγ介导的脂质合成在BCF治疗效果中的作用。
BCF治疗改善了矽肺小鼠的肺功能,降低了纤维化标志物,并减轻了组织病理学损伤。活性成分BCF5显著抑制转化生长因子-β(TGF-β)诱导的成纤维细胞活化,并含有188种已鉴定的活性成分。RNA测序分析表明BCF5调节PPAR信号通路。Co-IP表明BCF5促进PPARγ-RXRα复合物形成,并且PPRE-EGFP报告基因检测证实PPARγ转录活性增强。PCR分析显示BCF5处理后PPARγ靶基因的表达增加。siPPARγ和PPARγ抑制剂显著降低了BCF5的抗纤维化作用。分子对接、细胞实验和BLI鉴定出厚朴酚A是一种有效的PPARγ激动剂,能够抑制成纤维细胞活化。脂质代谢组学表明BCF5显著增加总脂肪酸水平,月桂酸对成纤维细胞活化具有显著抑制作用。通过JASPAR数据库分析表明脂肪酸合酶(FASN)是PPARγ靶基因,FASN沉默显著逆转了BCF对成纤维细胞活化的抑制作用。FASN-EGFP报告基因分析表明BCF驱动的FASN转录依赖于PPARγ的转录活性。重要的是,给予PPARγ抑制剂后,BCF对矽肺的治疗效果显著降低。
BCF通过激活PPARγ信号通路、上调FASN表达和促进月桂酸生物合成发挥抗纤维化作用,这为矽肺治疗提供了新的机制见解。