1.Study on the improvement effects and mechanisms of Sangbaipi decoction in mice with second-hand smoke-induced pulmonary fibrosis
Runrui WU ; Minghao ZHANG ; Yuxin CHEN ; Run ZHANG ; Qiujin YAN ; Yanwen MAO
China Pharmacy 2026;37(14):1851-1855
OBJECTIVE To investigate the improvement effects and potential mechanisms of Sangbaipi decoction (SBP) on mice with second-hand smoke-induced pulmonary fibrosis (PF). METHODS Using network pharmacology methods, the common targets between the active components of SBP and PF-specific targets were screened, the protein-protein interaction network was constructed, the pathway enrichment analysis was performed using the Kyoto Encyclopedia of Genes and Genomes, and the molecular docking was conducted. Based on these results, the male Kunming mice were divided into a normal control group, a model control group, an SBP group (1.08 g/kg, calculated by crude drugs), and a pirfenidone group (positive control, 90 mg/kg), with eight mice in each group. Except for the normal control group, all other groups were exposed to second-hand smoke via the static respiratory tract smoking method (30 min of smoking twice daily for 20 consecutive days) to establish a mouse model of PF induced by second-hand smoke. Each drug group was administered the corresponding drug solution via gavage 0.5 h after the second daily smoke exposure; the normal control and model control groups were simultaneously administered an equal volume of water via gavage, once daily for 20 consecutive days. Twenty-four hours after the final administration, pathological changes in lung tissue were observed, and the levels of pro-inflammatory factors, injury markers, and the expression of proteins in related signaling pathways in lung tissue were detected. RESULTS A total of 2 448 common targets were identified, with core targets including protein kinase B1 (AKT1), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6), which were enriched in signaling pathways such as phosphoinositide 3-kinase (PI3K)/AKT. The bin ding energies of AKT1, PI3K, TNF-α, and IL-6 to the active compound chaksine were -11.0, -7.7, -9.0, and -9.4 kcal/mol, respectively. Compared with the model control group, pathological changes such as inflammatory cell infiltration and collagen deposition in lung tissue were alleviated in the administration groups. The expression of collagen Ⅲ in lung tissue was significantly downregulated, and the levels of IL-6, TNF-α, tissue inhibitor of metalloproteinase 1, and pulmonary surfactant-associated protein D, as well as the percentage of positive areas with pulmonary fibrosis and protein phosphorylation levels of PI3K and AKT, were all significantly downregulated or reduced ( P <0.05). CONCLUSIONS The role of SBP in improving PF induced by second-hand smoke may be related to the regulation of multiple core targets, including AKT1, and the inhibition of the PI3K/AKT signaling pathway, thereby alleviating pulmonary inflammation and collagen deposition.
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