1. Modified Sijunzi Granules Exhibit Hemostatic Effect by Activating Akt and Erk Signal Pathways via Regulating 5-HT and Its Receptors Levels.
- Author
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Wang, Jun, Zhang, Xue-ying, Kang, Yan-hong, Zhang, Yun, Chen, Xin-yi, Zhou, Jia-li, and Ma, Wei
- Subjects
CHINESE medicine ,HEMOSTATICS ,MITOGEN-activated protein kinases ,BIOLOGICAL models ,PROTEIN kinases ,HERBAL medicine ,ENZYME-linked immunosorbent assay ,CELLULAR signal transduction ,FISHES ,REVERSE transcriptase polymerase chain reaction ,MESSENGER RNA ,GENE expression ,ANIMAL experimentation ,WESTERN immunoblotting ,TRANSFERASES ,SEROTONIN receptors ,THROMBOPENIC purpura ,DRUG dosage ,PHARMACODYNAMICS ,DRUG administration - Abstract
Objective: To investigate the hemostatic effect of modified Sijunzi Granules (MSG) in primary immune thrombocytopenia (ITP) zebrafish model and explore the potential mechanism. Methods: AB strain wild type zebrafish were treated with simvastatin (6 µmol/L) for 24 h to establish the hemorrhage model (model control group). The zebrafish were treated with MSG at different doses (55.6, 167, and 500 µg/mL), respectively. The hemostatic effect was assessed by examining the intestinal bleeding and hemostatic rate. 5-Hydroxytryptamine (5-HT) content was determined using enzyme-linked immunosorbent assay (ELISA) assay. The expressions of 5-HT2aR, 5-HT2bR, and SERT genes were detected by quantitative real-time polymerase chain reaction(PCR). The protein expressions of protein kinase B (Akt), p-Akt, extracellular regulated protein kinases (Erk), and p-Erk were examined using Western blot analysis. Results: The intestinal bleeding rate was 37%, 40%, and 80% in the 55.6, 167, and 500 µg/mL dose of MSG, respectively, in which 55.6 and 167 µg/mL MSG dose groups were associated with significantly decreased intestinal bleeding rate when compared with the model control group (70%, P<0.05). Significantly higher hemostatic rates were also observed in the 55.6 (54%) and 167 (52%) µg/mL MSG dose groups (P<0.05). MSG increased the 5-HT content and mRNA expression levels of 5-HT2aR, 5-HT2bR, and SERT (P<0.05). In addition, caspase3/7 activity was inhibited (P<0.05). Significant increase in p-Akt and p-Erk was also detected after treatment with MSG (P<0.05). Conclusions: MSG could reduce the incidence and severity of intestinal bleeding in zebrafish by activating MAPK/Erk and PI3K/Akt signal pathways through regulating the levels of 5-HT and its receptors, which may provide evidence for the treatment of ITP. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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