南方医科大学学报 ›› 2025, Vol. 45 ›› Issue (9): 1889-1902.doi: 10.12122/j.issn.1673-4254.2025.09.09

• • 上一篇    

金樱子通过调控Src-AKT1轴抑制肺动脉高压平滑肌增殖

杨子为1(), 吕畅2, 董柱1, 计书磊1, 毕生辉1, 张雪花1, 王晓武1()   

  1. 1.南方医科大学珠江医院,心脏大血管外科,广东 广州 510280
    2.南方医科大学珠江医院,脊柱外科,广东 广州 510280
  • 收稿日期:2025-04-17 出版日期:2025-09-20 发布日期:2025-09-28
  • 通讯作者: 王晓武 E-mail:a_1779874531@smu.edu.cn;xzwkwxw@smu.edu.cn
  • 作者简介:杨子为,在读硕士研究生,E-mail: a_1779874531@smu.edu.cn
  • 基金资助:
    国家自然科学基金青年基金(82300470);广东省医学科学技术研究基金项目(B2025246)

Rosa laevigata Michx. inhibits pulmonary arterial smooth muscle cell proliferation in hypertension by modulating the Src-AKT1 axis

Ziwei YANG1(), Chang LÜ2, Zhu DONG1, Shulei JI1, Shenghui BI1, Xuehua ZHANG1, Xiaowu WANG1()   

  1. 1.Department of Cardiovascular Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
    2.Department of Spinal Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
  • Received:2025-04-17 Online:2025-09-20 Published:2025-09-28
  • Contact: Xiaowu WANG E-mail:a_1779874531@smu.edu.cn;xzwkwxw@smu.edu.cn
  • Supported by:
    Natural Science Foundation for the Youth (NSFY) of China(82300470)

摘要:

目的 探讨传统中药金樱子(RLM)治疗肺动脉高压(PAH)的协同机制,通过网络药理学预测其活性成分与作用靶点,并通过体内外实验验证其抗增殖效应 降低细胞内钙离子浓度作用。 方法 网络药理学分析:筛选金樱子活性成分及PAH疾病靶点,构建“成分-靶点-疾病”互作网络,进行基因富集分析与分子对接验证。体外实验:设置对照组、缺氧组+溶剂对照、缺氧+金樱子(100 mg/mL)、缺氧+金樱子(200 mg/mL)、缺氧+金樱子(300 mg/mL),通过Western blotting和免疫荧光检测细胞增殖。动物实验:将大鼠随机分为5组:阴性对照组、野百合碱(MCT)+溶剂对照、野百合碱+金樱子(100 mg/mL),MCT+金樱子(200 mg/mL)、MCT+金樱子(300 mg/mL)。HE染色、免疫荧光染色观察肺血管形态学变化。 结果 网络分析筛选出7种核心活性成分(如β-谷甾醇、山奈酚)及39个关键靶点,分子对接显示Src为高亲和力靶点。KEGG富集分析显示,差异基因显著富集于钙信号通路和PI3K-AKT通路。体外实验表明,与对照组相比,Hypo组PCNA上调(P<0.001)。金樱子显著抑制PASMCs增殖(PCNA表达下调)。Western blotting实验证实金樱子可以抑制Src和AKT1的磷酸化。动物实验证实,金樱子治疗组肺动脉平均压(P<0.001)和右心室肥厚指数降低,右心室射血功能改善,肺血管壁增厚和纤维化减轻。 结论 金樱子通过调控Src-AKT1轴,发挥抗平滑肌增殖的作用,为肺动脉高压的治疗提供了新型天然药物候选策略。

关键词: 肺动脉高压, 平滑肌细胞增殖, AKT1, Src, 网络药理学

Abstract:

Objective To investigate the synergistic mechanism of the traditional Chinese medicine Rosa laevigata Michx. (RLM) for treatment of pulmonary arterial hypertension (PAH). Methods Network pharmacological analysis was carried out to screen the active ingredients of RLM and PAH disease targets and construct the "component-target-disease" interaction network, followed by gene enrichment analysis and molecular docking studies. In the cell experiments, primary cultures of rat pulmonary arterial smooth muscle cells were exposed to hypoxia for 24 h and treated with solvent or 100, 200 and 300 mg/mL RLM, and the changes in cell proliferation were detected using Western blotting for PCNA and immunofluorescence staining. In the animal experiment, male SD rats were randomized into 5 control group, monocrotaline (MCT) solvent group, and MCT with RLM (100, 200 and 300 mg/mL) treatment groups. HE staining and immunofluorescence staining were used to observe histopathological changes in the pulmonary blood vessels of the rats. Results Seven core active ingredients (including β-sitosterol and kaempferol) in RLM and 39 key disease targets were identified, and molecular docking showed that SRC was a high-affinity target. KEGG enrichment analysis showed that the differential genes were significantly enriched in calcium signaling and PI3K-AKT pathways. In rat pulmonary arterial smooth muscle cells, hypoxic exposure significantly up-regulated cellular expression of PCNA and phosphorylation levels of Src and AKT1, which were obviously lowered by RLM treatment. In RLM-treated rat models, the mean pulmonary artery pressure and right ventricular hypertrophy index (Fulton index) were significantly reduced, the tricuspid annular plane systolic excursion (TAPSE) was improved, and pulmonary vascular wall thickening and fibrosis were obviously ameliorated. Conclusion RLM inhibits pulmonary arterial smooth muscle cell proliferation in rat models of hypertension possibly by regulating the Src-AKT1 axis, suggesting the potential of RLM as a new natural drug for treatment of pulmonary hypertension.

Key words: pulmonary hypertension, smooth muscle cell proliferation, AKT1, Src, network pharmacology