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The efficacy and mechanism of Renzhu Jianwei Granules in reversing chronic atrophic gastritis with premalignant lesions
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Ying DU1, Yu-han WANG1, Si-lu LI1, Jie-jie WU1, Zi-qian HUANG1, Fang HUANG1, 2, *, Hai-li WANG2, Kai-jun ZHAO2, Jun CHENG2
Acta Pharmaceutica Sinica | 2025, 60(10) : 3074 - 3084
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Acta Pharmaceutica Sinica | 2025, 60(10): 3074-3084
• Original Articles •
The efficacy and mechanism of Renzhu Jianwei Granules in reversing chronic atrophic gastritis with premalignant lesions
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Ying DU1, Yu-han WANG1, Si-lu LI1, Jie-jie WU1, Zi-qian HUANG1, Fang HUANG1, 2, *, Hai-li WANG2, Kai-jun ZHAO2, Jun CHENG2
Affiliations
  • 1School of Traditional Chinese Medicine, China Pharmaceutical University, Nanjing 211198, China
  • 2Nanjing Zhongshan Pharmaceutical Co., Ltd., Nanjing 210046, China
Published: 2025-10-12 doi: 10.16438/j.0513-4870.2025-0182
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Objective to study the efficacy and mechanism of Renzhu Jianwei Granules in treating chronic atrophic gastritis (CAG) with the precancerous lesions of gastric cancer, CAG rat models were induced using N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) comprehensive factor modeling method. After successful modeling, Renzhu Jianwei Granules were administered by gavage. Evaluating the efficacy of Renzhu Jianwei Granules by observing their effects on gastric acid pH, food intake, body weight, serum levels of pepsinogen (PG), gastrin (GAS), motilin (MTL), and inflammatory factors TNF-α, IL-1α, and IL-6 in CAG rats; Hematoxylin-Eosin (H&E) staining and Alcian blue-periodic acid Schiff (AB-PAS) staining were used to observe pathological changes in the gastric antral tissue; TUNEL fluorescence staining was used to observe apoptosis of gastric mucosal epithelial cells; immunofluorescence staining was used to detect the expression of PCNA and p53 proteins in the gastric mucosa; qRT-PCR was used to detect the mRNA expression of p53, Mdm2, Bcl-2, Bax, and Tnf-α, Il-1α, Il-6 in gastric tissue; Western blot was used to detect the protein expression of PTEN, Akt, NF-κB, p53, MDM2, Bcl-2, Bax in gastric tissue, and immunofluorescence staining technology was used to detect the protein expression of Bcl-2/Bax in gastric tissue. Animal experiments approved by the Ethics Committee of China Pharmaceutical University (approval No. 2022-09-029). The results show Renzhu Jianwei Granules significantly reduced the gastric acid pH in rats, increased food intake and body weight, and decreased the serum levels of PGI/PGⅡ, GAS, MTL, TNF-α, IL-1α, IL-6 (P < 0.01); increased the mRNA expression levels of p53, Bax in the gastric antral tissue (P < 0.05, P < 0.01), and decreased the mRNA expression levels of Mdm2, Bcl-2, Tnf-α, Il-1α, Il-6 in the gastric tissue (P < 0.01); significantly increased the protein expression levels of PTEN, p53, Bax in the gastric tissue (P < 0.05, P < 0.01), and downregulated the expression of p-NF-κB, p-Akt, MDM2, Bcl-2 proteins (P < 0.05, P < 0.01). To sum up, Renzhu Jianwei Granules treat CAG by intervening in the PTEN/Akt/p53 pathway, inducing cell apoptosis, and preventing precancerous lesions.

Renzhu Jianwei Granules  /  chronic atrophic gastritis  /  gastric precancerous lesion  /  inflammation-malignant transformation  /  p53/Bcl-2
杜莹, 王雨涵, 李思璐, 吴洁洁, 黄子倩, 黄芳, 王海丽, 赵开军, 成俊. 仁术健胃颗粒逆转慢性萎缩性胃炎伴胃癌前病变的药效及机制研究. 药学学报, 2025 , 60 (10) : 3074 -3084 . DOI: 10.16438/j.0513-4870.2025-0182
Ying DU, Yu-han WANG, Si-lu LI, Jie-jie WU, Zi-qian HUANG, Fang HUANG, Hai-li WANG, Kai-jun ZHAO, Jun CHENG. The efficacy and mechanism of Renzhu Jianwei Granules in reversing chronic atrophic gastritis with premalignant lesions[J]. Acta Pharmaceutica Sinica, 2025 , 60 (10) : 3074 -3084 . DOI: 10.16438/j.0513-4870.2025-0182
Year 2025 volume 60 Issue 10
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doi: 10.16438/j.0513-4870.2025-0182
  • Receive Date:2025-02-24
  • Online Date:2026-09-20
  • Published:2025-10-12
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  • Received:2025-02-24
  • Revised:2025-05-30
Affiliations
    1School of Traditional Chinese Medicine, China Pharmaceutical University, Nanjing 211198, China
    2Nanjing Zhongshan Pharmaceutical Co., Ltd., Nanjing 210046, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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