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The mechanism of Xihuang Pill in regulating exosome secretion and PD-L1 expression in triple-negative breast cancer
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Jie-wei HE1, Jing ZHANG1, Jing-wei LI2, Guang-xi SHI2, Miao-qi SUN1, Zi-chao CHEN1, *, Zhen ZHANG1, *
Acta Pharmaceutica Sinica | 2026, 61(8) : 3021 - 3030
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Acta Pharmaceutica Sinica | 2026, 61(8): 3021-3030
• Original Articles •
The mechanism of Xihuang Pill in regulating exosome secretion and PD-L1 expression in triple-negative breast cancer
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Jie-wei HE1, Jing ZHANG1, Jing-wei LI2, Guang-xi SHI2, Miao-qi SUN1, Zi-chao CHEN1, *, Zhen ZHANG1, *
Affiliations
  • 1Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
  • 2Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250355, China
Published: 2026-08-12 doi: 10.16438/j.0513-4870.2026-0062
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This study systematically investigated the effects of Xihuang Pill on exosomes (Exo) secretion and how Exo pretreated with Xihuang Pill affect intercellular communication, thereby inhibiting the activity of triple-negative breast cancer cells. First, the inhibitory affected of Xihuang Pill on the activity and migration of 4T1 and MDA-MB-231 cells were verified using MTT, scratch assays, and crystal violet assays. Then, Exo and Exo secreted by cells pretreated with Xihuang Pill (XHP-Exo) were obtained by ultracentrifugation. The Exo were characterized by transmission electron microscopy, potential, particle size, and marker proteins. The inhibitory effects of XHP-Exo on the activity and migration of 4T1 and MDA-MB-231 cells were detected using crystal violet and scratch assays. The expression of programmed death ligand 1 (PD-L1), glutathione peroxidase 4 (GPX4), reactive oxygen species (ROS), and reduced glutathione (GSH) in cells was detected by Western blot and immunofluorescence. The chemical components of Xihuang Pill and XHP-Exo were analyzed by ultra-high performance liquid chromatography-quadrupole-electrostatic field orbital trap mass spectrometry (UPLC-Q-Exactive-MS/MS). The results showed that Xihuang Pill could significantly inhibit the proliferation and migration of breast cancer cells, downregulate kidney and brain expressed adaptor protein (KIBRA) expression, and effectively reduce the secretion of exosomes from breast cancer cells. Furthermore, XHP-Exo induced ferroptosis in recipient tumor cells, characterized by increased intracellular ROS levels and decreased GSH content, accompanied by downregulation of PD-L1 expression. Component analysis revealed 19 common active chemical components in both Xihuang Pill and XHP-Exo. In summary, Xihuang Pill inhibits the secretion of exosomes from breast cancer cells, and component-containing exosomes derived from it induce ferroptosis in recipient cells and downregulate PD-L1 expression.

Xihuang Pill  /  breast cancer  /  exosome  /  intercellular communication  /  programmed cell death ligand 1
贺杰伟, 张静, 李静蔚, 时光喜, 孙苗棋, 陈子超, 张振. 西黄丸调控三阴性乳腺癌外泌体分泌及PD-L1表达的作用机制研究. 药学学报, 2026 , 61 (8) : 3021 -3030 . DOI: 10.16438/j.0513-4870.2026-0062
Jie-wei HE, Jing ZHANG, Jing-wei LI, Guang-xi SHI, Miao-qi SUN, Zi-chao CHEN, Zhen ZHANG. The mechanism of Xihuang Pill in regulating exosome secretion and PD-L1 expression in triple-negative breast cancer[J]. Acta Pharmaceutica Sinica, 2026 , 61 (8) : 3021 -3030 . DOI: 10.16438/j.0513-4870.2026-0062
Year 2026 volume 61 Issue 8
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Article Info
doi: 10.16438/j.0513-4870.2026-0062
  • Receive Date:2026-01-14
  • Online Date:2026-09-21
  • Published:2026-08-12
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  • Received:2026-01-14
  • Revised:2026-04-13
Affiliations
    1Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
    2Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250355, 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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