Article(id=1322631273613471880, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631228000424183, articleNumber=null, orderNo=null, doi=10.7501/j.issn.0253-2670.2026.18.009, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1769356800000, receivedDateStr=2026-01-26, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793269468929, onlineDateStr=2026-10-29, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793269468929, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793269468929, creator=13701087609, updateTime=1793269468929, updator=13701087609, issue=Issue{id=1322631228000424183, tenantId=1146029695717560320, journalId=1302319053441957962, year='2026', volume='57', issue='18', pageStart='7073', pageEnd='7500', issueExtLink='null', onlineDate='null', pubDate='1790524800000', pubDateStr='2026-09-28', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793269458054, creator='13701087609', updateTime=1793269548245, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322631606339228314, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631228000424183, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322631606339228315, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1322631228000424183, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=7178, endPage=7191, ext={EN=ArticleExt(id=1322631273961599114, articleId=1322631273613471880, tenantId=1146029695717560320, journalId=1302319053441957962, language=EN, title=Protective effect of Armeniacae Semen Amarum-Sophorae Flavescentis Radix on rats with idiopathic pulmonary fibrosis based on RAF/MEK/ERK signaling pathway, columnId=null, journalTitle=Chinese Traditional and Herbal Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=Objective To explore the protective effect of herb pair Kuxingren (Armeniacae Semen Amarum)-Kushen (Sophorae Flavescentis Radix) on bleomycin-induced idiopathic pulmonary fibrosis (IPF) in rats and investigate its mechanism. Methods SD rats were randomly divided into control group, model group, pirfenidone (200 mg/kg) group, Armeniacae Semen Amarum-Sophorae Flavescentis Radix low-, medium-and high-dose (1, 2, 4 g/kg) groups. The IPF rat model was established by one-time tracheal instillation of bleomycin sulfate (5 mg/kg). After drug intervention, the pathological changes in lung tissue were observed using hematoxylin-eosin (HE) and Masson staining. ELISA was used to detect the levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6 and hydroxyproline (Hyp) in serum and bronchoalveolar lavage fluid. TUNEL staining was used to detect cell apoptosis in lung tissue. The expressions of α-smooth muscle actin (α-SMA), collagen type I (collagen-I) and fibronectin-1 (FN-1) in lung tissue were detected by immunofluorescence. Western blotting was used to detect the expressions of p-p38, phosphorylated extracellular signal regulated kinase (p-ERK), phosphorylated c-Jun N-terminal kinase (p-JNK), B-cell lymphoma-2 (Bcl-2) and Bcl-2 associated X protein (Bax) in lung tissue. Transforming growth factor-β1 (TGF-β1) was used to induce human lung fibroblasts (MRC-5) in vitro model. After intervention with Armeniacae Semen Amarum-Sophorae Flavescentis Radix containing serum, cell proliferation activity was detected using CCK-8 method. TUNEL staining was used to detect cell apoptosis. The expressions of α-SMA, collagen-I and FN-1 were detected by immunofluorescence. Western blotting was used to detect the expressions of p-RAF, phosphorylated mitogen activated protein kinase (p-MEK), p-ERK, Cyclin D1, proliferating cell nuclear antigen (PCNA), Bax and Bcl-2 proteins. Results In the in vivo experiment, compared with control group, the body weight of rats in model group was decreased (P < 0.01), the dry wet mass ratio and lung index of lung tissue were increased (P < 0.01), the lung tissue showed significant inflammatory infiltration, thickening and edema of alveolar space, and the cell apoptosis rate of lung tissue was decreased (P < 0.01), the levels of inflammatory factors in serum and bronchoalveolar lavage fluid were increased (P < 0.01), the protein expressions of α-SMA, collagen-I, FN-1, p-p38, p-ERK, p-JNK and Bcl-2 in lung tissue were significantly up-regulated (P < 0.01), while the protein expression of Bax was significantly down-regulated (P < 0.01). Compared with model group, the body weight of rats in each treatment group were increased (P < 0.01), the dry wet mass ratio and lung index of lung tissue were decreased (P < 0.01), the pathological changes of lung tissue were significantly improved, the cell apoptosis rate of lung tissue was increased (P < 0.01), the levels of inflammatory factors in serum and bronchoalveolar lavage fluid were decreased (P < 0.05, 0.01), the expressions of α-SMA, collagen-I, FN-1, p-p38, p-ERK, p-JNK and Bcl-2 proteins in lung tissue were significantly down-regulated (P < 0.01), and the expression of Bax protein was significantly up-regulated (P < 0.01). In the in vitro experiments, compared with control group, cell proliferation activity in model group was increased (P < 0.01), cell apoptosis rate was decreased (P < 0.01), α-SMA, collagen-Ⅰ, FN-1, p-RAF, p-MEK, p-ERK, Cyclin D1, PCNA, Bcl-2 protein expressions were increased (P < 0.01), and Bax protein expression was decreased (P < 0.01). Compared with model group, Armeniacae Semen Amarum-Sophorae Flavescentis Radix containing serum and RAF inhibitor GW5074 intervention resulted in a decrease in cell proliferation activity (P < 0.05, 0.01), an increase in cell apoptosis rate (P < 0.01), a decrease in the expressions of α-SMA, collagen-I, FN-1, p-RAF, p-MEK, p-ERK, Cyclin D1, PCNA, Bcl-2 proteins (P < 0.05, 0.01), and an increase in Bax protein expression (P < 0.05, 0.01). ConclusionArmeniacae Semen Amarum-Sophorae Flavescentis Radix exerts an anti-IPF effect by regulating RAF/MEK/ERK signaling pathway, inhibiting inflammatory response, suppressing cell proliferation and promoting cell apoptosis., authors=HAN Xingji1,2,3, WANG Xiaoyu4, JIAO Taiqiang5, GAO Chenxi1,2, LI Defang1,2, JIA Xusheng2, NIU Yang1,2, authorsList=HAN Xingji, WANG Xiaoyu, JIAO Taiqiang, GAO Chenxi, LI Defang, JIA Xusheng, NIU Yang, authorCompany=1 School of Traditional Chinese Medicine, Ningxia Medical University, Yinchuan 750004, China; 2 Key Laboratory of Dryness Syndrome of Traditional Chinese Medicine, Ministry of Education, Ningxia Medical University, Yinchuan 750004, China; 3 Jingyuan County Hospital of Traditional Chinese Medicine, Baiyin 730600, China; 4 First Clinical College, Ningxia Medical University, Yinchuan 750004, China; 5 First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322631273877713033, articleId=1322631273613471880, tenantId=1146029695717560320, journalId=1302319053441957962, language=CN, title=基于RAF/MEK/ERK信号通路探讨苦杏仁-苦参对特发性肺纤维化大鼠的保护作用, columnId=1322631229128691961, journalTitle=中草药, columnName=中药防治器官纤维化研究, runingTitle=null, highlight=null, articleAbstract=目的 探讨苦杏仁-苦参(Armeniacae Semen Amarum-Sophorae Flavescentis Radix)对博来霉素诱导的特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)大鼠的保护作用,并探讨其作用机制。方法 SD大鼠随机分为对照组、模型组、吡非尼酮(200 mg/kg)组和苦杏仁-苦参低、中、高剂量(1、2、4 g/kg)组,采用一次性气管滴注硫酸博来霉素(5 mg/kg)的方式建立IPF大鼠模型,给予药物干预后,采用苏木素-伊红(hematoxylin-eosin,HE)和Masson染色观察肺组织病理学改变;ELISA检测血清及肺泡灌洗液中肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-1β(interleukin-1β,IL-1β)、IL-6、羟脯氨酸(hydroxyproline,Hyp)水平;TUNEL染色检测肺组织细胞凋亡情况;免疫荧光检测肺组织中α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)、Ⅰ型胶原蛋白(collagen type Ⅰ,collagen-Ⅰ)、纤连蛋白-1(fibronectin-1,FN-1)的表达;Western blotting检测肺组织p-p38、磷酸化细胞外信号调节激酶(phosphorylated extracellular signal-regulated kinase,p-ERK)、磷酸化c-Jun氨基末端激酶(phosphorylated c-Jun N-terminal kinase,p-JNK)、B细胞淋巴瘤-2(B-cell lymphoma-2,Bcl-2)、Bcl-2相关X蛋白(Bcl-2 associated X protein,Bax)表达。采用转化生长因子-β1(transforming growth factor-β1,TGF-β1)诱导人肺成纤维细胞(MRC-5)建立体外模型,给予苦杏仁-苦参含药血清干预后,采用CCK-8法检测细胞增殖活力;TUNEL染色检测细胞凋亡情况;免疫荧光检测α-SMA、collagen-Ⅰ、FN-1的表达;Western blotting检测p-RAF、磷酸化丝裂原活化蛋白激酶激酶(phosphorylated mitogen-activated protein kinase kinase,p-MEK)、p-ERK、细胞周期蛋白D1(Cyclin D1)、增殖细胞核抗原(proliferating cell nuclear antigen,PCNA)、Bax、Bcl-2蛋白表达。结果 体内实验中,与对照组比较,模型组大鼠体质量降低(P<0.01),肺组织干湿质量比和肺脏指数升高(P<0.01),肺组织出现明显炎性浸润、肺泡间隙增厚及水肿,肺组织细胞凋亡率降低(P<0.01),血清及肺泡灌洗液中炎症因子水平升高(P<0.01),肺组织中α-SMA、collagen-Ⅰ、FN-1、p-p38、p-ERK、p-JNK、Bcl-2蛋白表达显著上调(P<0.01),Bax蛋白表达显著下调(P<0.01);与模型组比较,各给药组大鼠体质量升高(P<0.01),肺组织干湿质量比和肺脏指数降低(P<0.01),肺组织病理变化得到明显改善,肺组织细胞凋亡率升高(P<0.01),血清及肺泡灌洗液中炎症因子水平降低(P<0.05、0.01),肺组织中α-SMA、collagen-Ⅰ、FN-1、p-p38、p-ERK、p-JNK、Bcl-2蛋白表达显著下调(P<0.01),Bax蛋白表达显著上调(P<0.01)。体外实验中,与对照组比较,模型组细胞增殖活性升高(P<0.01),细胞凋亡率降低(P<0.01),α-SMA、collagen-Ⅰ、FN-1、p-RAF、p-MEK、p-ERK、Cyclin D1、PCNA、Bcl-2蛋白表达升高(P<0.01),Bax蛋白表达降低(P<0.01);与模型组比较,杏仁-苦参含药血清以及RAF抑制剂GW5074干预后细胞增殖活性降低(P<0.05、0.01),细胞凋亡率升高(P<0.01),α-SMA、collagen-Ⅰ、FN-1、p-RAF、p-MEK、p-ERK、Cyclin D1、PCNA、Bcl-2蛋白表达降低(P<0.05、0.01),Bax蛋白表达升高(P<0.05、0.01)。结论 苦杏仁-苦参通过调控RAF/MEK/ERK信号通路,抑制炎症反应、抑制细胞增殖以及促进细胞凋亡,从而发挥抗IPF的作用。, authors=韩兴稷1,2,3, 王晓羽4, 焦太强5, 高晨曦1,2, 李德芳1,2, 贾戌生2, 牛阳1,2, authorsList=韩兴稷, 王晓羽, 焦太强, 高晨曦, 李德芳, 贾戌生, 牛阳, authorCompany=1 宁夏医科大学中医学院, 宁夏 银川 750004; 2 宁夏医科大学 中医燥证教育部重点实验室, 宁夏 银川 750004; 3 靖远县中医院, 甘肃 白银 730600; 4 宁夏医科大学 第一临床学院, 宁夏 银川 750004; 5 南京中医药大学第一临床学院, 江苏 南京 210023, correspAuthors=null, authorNote=韩兴稷: 韩兴稷(1998—),男,硕士研究生,研究方向为中医肺病。E-mail:1916410833@qq.com, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=uXqsvLyRkshDIMPdNe7MIw==, pdfFileSize=1480982, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=国家自然科学基金区域创新发展联合基金项目 (U20A20404); 宁夏自然科学基金项目 (2023AAC03212); 国家中医药管理局高水平中医药重点学科温病学学科建设项目 (zyyzdxk-2023209); 2022年全国名老中医药专家传承工作室建设项目 (国中医药人教函[2022]75号))}, authors=null, keywords=[Keyword(id=1322634632198210063, tenantId=1146029695717560320, journalId=1302319053441957962, articleId=1322631273613471880, language=CN, orderNo=1, keyword=特发性肺纤维化), Keyword(id=1322634632282096144, tenantId=1146029695717560320, 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Pulmonary fibrosis as a result of acute lung inflammation:Molecular mechanisms, relevant in vivo models, prognostic and therapeutic approaches[J]. Int J Mol Sci, 2022, 23(23):14959. Spagnolo P, Kropski J A, Jones M G, et al. Idiopathic pulmonary fibrosis:Disease mechanisms and drug development[J]. Pharmacol Ther, 2021, 222:107798. 孙梦迪,孙志运,卢芳,等.五味子乙素联合桔梗皂苷D通过抑制JAK2/STAT6通路调控巨噬细胞M1/M2极化改善肺纤维化[J]. 中草药, 2026, 57(3):968-980. Chanda D, Otoupalova E, Smith S R, et al. Developmental pathways in the pathogenesis of lung fibrosis[J]. Mol Aspects Med, 2019, 65:56-69. Burgstaller G, Oehrle B, Gerckens M, et al. The instructive extracellular matrix of the lung:Basic composition and alterations in chronic lung disease[J]. Eur Respir J, 2017,50(1). DOI:10.1183/13993003.01805-2016. Raghu G, Remy-Jardin M, Richeldi L, et al. Idiopathic pulmonary fibrosis(an update)and progressive pulmonary fibrosis in adults:An official ATS/ERS/JRS/ALAT clinical practice guideline[J]. Am J Respir Crit Care Med, 2022,205(9):e18-e47. Xie B B, Ren Y H, Geng J, et al. Idiopathic Pulmonary Fibrosis Registry China study(PORTRAY):Protocol for a prospective, multicentre registry study[J]. BMJ Open,2020, 10(11):e036809. Thannickal V J, Toews G B, White E S, et al. Mechanisms of pulmonary fibrosis[J]. Annu Rev Med, 2004, 55:395-417. Justet A, Klay D, Porcher R, et al. Safety and efficacy of pirfenidone and nintedanib in patients with idiopathic pulmonary fibrosis and carrying a telomere-related gene mutation[J]. Eur Respir J, 2021, 57(2):2003198. 张丽雯,李优优,姜东华,等.基于网络药理学和生物信息学探讨小檗胺治疗特发性肺纤维化的作用机制[J]. 现代药物与临床, 2025, 40(4):878-888. Zhang Y K, Lu P, Qin H, et al. Traditional Chinese medicine combined with pulmonary drug delivery system and idiopathic pulmonary fibrosis:Rationale and therapeutic potential[J]. Biomed Pharmacother, 2021,133:111072. 马玉玮,李占涛,贾孟辉,等.麻黄-苦杏仁药对通过调控巨噬细胞极化和PI3K/Akt/mTOR通路缓解急性肺损伤[J]. 中草药, 2025, 56(20):7407-7421. 韩兴稷,焦太强,高晨曦,等.基于TGF-β/Smad信号通路探讨麻杏苦甘汤对急性肺损伤大鼠肺纤维化的影响[J]. 中成药, 2025, 47(12):3943-3950. 罗浩睿,庄雪菲,李曦东等.黄连-苦参不同配比中特征性成分的量-质变化相关性研究[J]. 中草药, 2024,55(12):3977-3986. 孙翠鸽,郑潇楠,邸晴,等.苦杏仁成分及其在肺癌防治中的靶点预测研究进展[J]. 药学前沿, 2025, 29(10):1738-1747. Feldstein A E, Papouchado B G, Angulo P, et al. Hepatic stellate cells and fibrosis progression in patients with nonalcoholic fatty liver disease[J]. Clin Gastroenterol Hepatol, 2005, 3(4):384-389. 赵鑫,吕文良,李娟梅,等.苦杏仁苷抗纤维化作用机制研究进展[J]. 中华中医药学刊, 2020, 38(10):109-112. 刘梦肖,陈林林,王彦,等.中药苦参的研究进展[J]. 药学实践与服务, 2025, 43(4):156-162. Fu L Y, Xu Y N, Tu L, et al. Oxymatrine inhibits aldosterone-induced rat cardiac fibroblast proliferation and differentiation by attenuating smad-2,-3 and-4 expression:An in vitro study[J]. BMC Complement Altern Med, 2016,16:241. Liu L, Lu W, Ma Z, et al. Oxymatrine attenuates bleomycin-induced pulmonary fibrosis in mice via the inhibition of inducible nitric oxide synthase expression and the TGF-β/Smad signaling pathway[J]. Int J Mol Med,2012, 29(5):815-822. Fuentes-Calvo I, Martinez-Salgado C. Sos1 modulates extracellular matrix synthesis, proliferation, and migration in fibroblasts[J]. Front Physiol, 2021, 12:645044. 安宁,许涛,张晓霞,等. Mfn2通过Ras-Raf-ERK1/2信号通路抑制ARDS肺纤维化及其机制[J]. 中国老年学杂志, 2024, 44(1):217-220. Liu T J, De Los Santos F G, Phan S H. The bleomycin model of pulmonary fibrosis[M] //Laure R. Fibrosis. New York, NY:Springer New York, 2017:27-42. Zuo H, Zhou W T, Zhou B Q, et al. CCDC59 alleviates bleomycin-induced inflammation and pulmonary fibrosis by increasing SP-B and SP-C expression in mice[J]. Int Immunopharmacol, 2024, 138:112645. Du W J, Tang Z, Yang F Y, et al. Icariin attenuates bleomycin-induced pulmonary fibrosis by targeting Hippo/YAP pathway[J]. Biomed Pharmacother, 2021,143:112152. Cheng D M, Xu Q, Wang Y, et al. Metformin attenuates silica-induced pulmonary fibrosis via AMPK signaling[J]. J Transl Med, 2021, 19(1):349. 李家树,史家欣,胡蓉,等.敲低金属蛋白酶组织抑制物1(TIMP-1)抑制TGF-β1诱导的MRC-5人胚肺成纤维细胞增殖和胶原蛋白合成[J]. 细胞与分子免疫学杂志, 2019, 35(1):25-30. Cargnello M, Roux P P. Activation and function of the MAPKs and their substrates, the MAPK-activated protein kinases[J]. Microbiol Mol Biol Rev, 2011, 75(1):50-83. Kang H. Role of microRNAs in TGF-β signaling pathwaymediated pulmonary fibrosis[J]. Int J Mol Sci, 2017,18(12):2527. Tian M M, Chang X H, Zhang Q, et al. TGF-β1 mediated MAPK signaling pathway promotes collagen formation induced by Nano NiO in A549 cells[J]. Environ Toxicol,2019, 34(6):719-727. Liu T J, Gonzalez De Los Santos F, Hirsch M, et al.Noncanonical Wnt signaling promotes myofibroblast differentiation in pulmonary fibrosis[J]. Am J Respir Cell Mol Biol, 2021, 65(5):489-499. Mirzaei S, Saghari S, Bassiri F, et al. NF-κB as a regulator of cancer metastasis and therapy response:A focus on epithelial-mesenchymal transition[J]. J Cell Physiol,2022, 237(7):2770-2795. Lu F Q, Sun X H, Xu X F, et al. SILAC-based proteomic profiling of the suppression of TGF-β1-induced lung fibroblast-to-myofibroblast differentiation by trehalose[J]. Toxicol Appl Pharmacol, 2020, 391:114916. Xu J F, Li W, Xu S F, et al. Effect of dermatan sulphate on a C57-mouse model of pulmonary fibrosis[J]. J Int Med Res, 2019, 47(6):2655-2665. Mebratu Y, Tesfaigzi Y. How ERK1/2 activation controls cell proliferation and cell death:Is subcellular localization the answer?[J]. Cell Cycle, 2009, 8(8):1168-1175. Grogan L, Shapiro P. Progress in the development of ERK1/2 inhibitors for treating cancer and other diseases[J]. Adv Pharmacol, 2024, 100:181-207. Roskoski R Jr. ERK1/2 MAP kinases:Structure, function,and regulation[J]. Pharmacol Res, 2012, 66(2):105-143. 纪文雯,何程,朱恩惠,等.基于ASS1介导的Src/STAT3、MAPK/ERK级联反应探究参七虫草方对IPF模型大鼠成纤维细胞的影响[J]. 辽宁中医杂志, 2025,52(9):192-196. Wang M L, Pan W, Xu Y, et al. Microglia-mediated neuroinflammation:A potential target for the treatment of cardiovascular diseases[J]. J Inflamm Res, 2022, 15:3083-3094. Sun X J, Zhao J W, Ma Y T, et al. Combatting pulmonary fibrosis with Astragalus membranaceus:A review of active components and multifaceted mechanisms[J]. Chin Herb Med, 2026, 18(3):541-554. Reyes-Jiménez E, Ramírez-Hernández A A, Santos-Álvarez J C, et al. Coadministration of 3',5-dimaleamylbenzoic acid and quercetin decrease pulmonary fibrosis in a systemic sclerosis model[J]. Int Immunopharmacol, 2023, 122:110664. Conte E, Gili E, Fruciano M, et al. PI3K p110γoverexpression in idiopathic pulmonary fibrosis lung tissue and fibroblast cells:In vitro effects of its inhibition[J]. Lab Investig, 2013, 93(5):566-576. Dragunow M, Preston K. The role of inducible transcription factors in apoptotic nerve cell death[J]. Brain Res Brain Res Rev, 1995, 21(1):1-28. 亓永杰,陈晨,李学军,等.吡非尼酮联合尼达尼布治疗特发性肺间质纤维化的疗效及安全性[J]. 中国老年学杂志, 2024, 44(20):4937-4941. 宋宁,段林,贺文舒.特发性肺间质纤维化的全球发病率和病死率[J]. 临床荟萃, 2015, 30(7):744. 陈军,杜峣楠,徐仕宏.基于网络药理学探讨桃红化瘀方治疗肺纤维化机制[J]. 光明中医, 2024, 39(13):2551-2555. 王昊,宋莉莎,周佩夏,等.从“湿热”辨治特发性肺纤维化探析[J]. 中医药临床杂志, 2024, 36(9):1710-1714. 陈凤,张伟,杨公涛.基于细胞自噬论“伏毒”的微观机制及在特发性肺纤维化中的作用[J]. 世界中医药,2021, 16(18):2742-2746. 任玥,王燕青,胡海波.肺间质纤维化患者的出生日期与五运六气相关性分析[J]. 中医药临床杂志, 2019,31(8):1487-1490.)
Protective effect of Armeniacae Semen Amarum-Sophorae Flavescentis Radix on rats with idiopathic pulmonary fibrosis based on RAF/MEK/ERK signaling pathway
HAN Xingji1,2,3, WANG Xiaoyu4, JIAO Taiqiang5, GAO Chenxi1,2, LI Defang1,2, JIA Xusheng2, NIU Yang1,2
Affiliations
1 School of Traditional Chinese Medicine, Ningxia Medical University, Yinchuan 750004, China; 2 Key Laboratory of Dryness Syndrome of Traditional Chinese Medicine, Ministry of Education, Ningxia Medical University, Yinchuan 750004, China; 3 Jingyuan County Hospital of Traditional Chinese Medicine, Baiyin 730600, China; 4 First Clinical College, Ningxia Medical University, Yinchuan 750004, China; 5 First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China
Objective To explore the protective effect of herb pair Kuxingren (Armeniacae Semen Amarum)-Kushen (Sophorae Flavescentis Radix) on bleomycin-induced idiopathic pulmonary fibrosis (IPF) in rats and investigate its mechanism. Methods SD rats were randomly divided into control group, model group, pirfenidone (200 mg/kg) group, Armeniacae Semen Amarum-Sophorae Flavescentis Radix low-, medium-and high-dose (1, 2, 4 g/kg) groups. The IPF rat model was established by one-time tracheal instillation of bleomycin sulfate (5 mg/kg). After drug intervention, the pathological changes in lung tissue were observed using hematoxylin-eosin (HE) and Masson staining. ELISA was used to detect the levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6 and hydroxyproline (Hyp) in serum and bronchoalveolar lavage fluid. TUNEL staining was used to detect cell apoptosis in lung tissue. The expressions of α-smooth muscle actin (α-SMA), collagen type I (collagen-I) and fibronectin-1 (FN-1) in lung tissue were detected by immunofluorescence. Western blotting was used to detect the expressions of p-p38, phosphorylated extracellular signal regulated kinase (p-ERK), phosphorylated c-Jun N-terminal kinase (p-JNK), B-cell lymphoma-2 (Bcl-2) and Bcl-2 associated X protein (Bax) in lung tissue. Transforming growth factor-β1 (TGF-β1) was used to induce human lung fibroblasts (MRC-5) in vitro model. After intervention with Armeniacae Semen Amarum-Sophorae Flavescentis Radix containing serum, cell proliferation activity was detected using CCK-8 method. TUNEL staining was used to detect cell apoptosis. The expressions of α-SMA, collagen-I and FN-1 were detected by immunofluorescence. Western blotting was used to detect the expressions of p-RAF, phosphorylated mitogen activated protein kinase (p-MEK), p-ERK, Cyclin D1, proliferating cell nuclear antigen (PCNA), Bax and Bcl-2 proteins. Results In the in vivo experiment, compared with control group, the body weight of rats in model group was decreased (P < 0.01), the dry wet mass ratio and lung index of lung tissue were increased (P < 0.01), the lung tissue showed significant inflammatory infiltration, thickening and edema of alveolar space, and the cell apoptosis rate of lung tissue was decreased (P < 0.01), the levels of inflammatory factors in serum and bronchoalveolar lavage fluid were increased (P < 0.01), the protein expressions of α-SMA, collagen-I, FN-1, p-p38, p-ERK, p-JNK and Bcl-2 in lung tissue were significantly up-regulated (P < 0.01), while the protein expression of Bax was significantly down-regulated (P < 0.01). Compared with model group, the body weight of rats in each treatment group were increased (P < 0.01), the dry wet mass ratio and lung index of lung tissue were decreased (P < 0.01), the pathological changes of lung tissue were significantly improved, the cell apoptosis rate of lung tissue was increased (P < 0.01), the levels of inflammatory factors in serum and bronchoalveolar lavage fluid were decreased (P < 0.05, 0.01), the expressions of α-SMA, collagen-I, FN-1, p-p38, p-ERK, p-JNK and Bcl-2 proteins in lung tissue were significantly down-regulated (P < 0.01), and the expression of Bax protein was significantly up-regulated (P < 0.01). In the in vitro experiments, compared with control group, cell proliferation activity in model group was increased (P < 0.01), cell apoptosis rate was decreased (P < 0.01), α-SMA, collagen-Ⅰ, FN-1, p-RAF, p-MEK, p-ERK, Cyclin D1, PCNA, Bcl-2 protein expressions were increased (P < 0.01), and Bax protein expression was decreased (P < 0.01). Compared with model group, Armeniacae Semen Amarum-Sophorae Flavescentis Radix containing serum and RAF inhibitor GW5074 intervention resulted in a decrease in cell proliferation activity (P < 0.05, 0.01), an increase in cell apoptosis rate (P < 0.01), a decrease in the expressions of α-SMA, collagen-I, FN-1, p-RAF, p-MEK, p-ERK, Cyclin D1, PCNA, Bcl-2 proteins (P < 0.05, 0.01), and an increase in Bax protein expression (P < 0.05, 0.01). ConclusionArmeniacae Semen Amarum-Sophorae Flavescentis Radix exerts an anti-IPF effect by regulating RAF/MEK/ERK signaling pathway, inhibiting inflammatory response, suppressing cell proliferation and promoting cell apoptosis.
HAN Xingji, WANG Xiaoyu, JIAO Taiqiang, GAO Chenxi, LI Defang, JIA Xusheng, NIU Yang.
Protective effect of Armeniacae Semen Amarum-Sophorae Flavescentis Radix on rats with idiopathic pulmonary fibrosis based on RAF/MEK/ERK signaling pathway[J].
Chinese Traditional and Herbal Drugs,
2026
, 57
(18)
: 7178
-7191
.
DOI: 10.7501/j.issn.0253-2670.2026.18.009
Savin I A, Zenkova M A, Sen’kova A V. Pulmonary fibrosis as a result of acute lung inflammation:Molecular mechanisms, relevant in vivo models, prognostic and therapeutic approaches[J]. Int J Mol Sci, 2022, 23(23):14959. Spagnolo P, Kropski J A, Jones M G, et al. Idiopathic pulmonary fibrosis:Disease mechanisms and drug development[J]. Pharmacol Ther, 2021, 222:107798. 孙梦迪,孙志运,卢芳,等.五味子乙素联合桔梗皂苷D通过抑制JAK2/STAT6通路调控巨噬细胞M1/M2极化改善肺纤维化[J]. 中草药, 2026, 57(3):968-980. Chanda D, Otoupalova E, Smith S R, et al. Developmental pathways in the pathogenesis of lung fibrosis[J]. Mol Aspects Med, 2019, 65:56-69. Burgstaller G, Oehrle B, Gerckens M, et al. The instructive extracellular matrix of the lung:Basic composition and alterations in chronic lung disease[J]. Eur Respir J, 2017,50(1). DOI:10.1183/13993003.01805-2016. Raghu G, Remy-Jardin M, Richeldi L, et al. Idiopathic pulmonary fibrosis(an update)and progressive pulmonary fibrosis in adults:An official ATS/ERS/JRS/ALAT clinical practice guideline[J]. Am J Respir Crit Care Med, 2022,205(9):e18-e47. Xie B B, Ren Y H, Geng J, et al. Idiopathic Pulmonary Fibrosis Registry China study(PORTRAY):Protocol for a prospective, multicentre registry study[J]. BMJ Open,2020, 10(11):e036809. Thannickal V J, Toews G B, White E S, et al. Mechanisms of pulmonary fibrosis[J]. Annu Rev Med, 2004, 55:395-417. Justet A, Klay D, Porcher R, et al. Safety and efficacy of pirfenidone and nintedanib in patients with idiopathic pulmonary fibrosis and carrying a telomere-related gene mutation[J]. Eur Respir J, 2021, 57(2):2003198. 张丽雯,李优优,姜东华,等.基于网络药理学和生物信息学探讨小檗胺治疗特发性肺纤维化的作用机制[J]. 现代药物与临床, 2025, 40(4):878-888. Zhang Y K, Lu P, Qin H, et al. Traditional Chinese medicine combined with pulmonary drug delivery system and idiopathic pulmonary fibrosis:Rationale and therapeutic potential[J]. Biomed Pharmacother, 2021,133:111072. 马玉玮,李占涛,贾孟辉,等.麻黄-苦杏仁药对通过调控巨噬细胞极化和PI3K/Akt/mTOR通路缓解急性肺损伤[J]. 中草药, 2025, 56(20):7407-7421. 韩兴稷,焦太强,高晨曦,等.基于TGF-β/Smad信号通路探讨麻杏苦甘汤对急性肺损伤大鼠肺纤维化的影响[J]. 中成药, 2025, 47(12):3943-3950. 罗浩睿,庄雪菲,李曦东等.黄连-苦参不同配比中特征性成分的量-质变化相关性研究[J]. 中草药, 2024,55(12):3977-3986. 孙翠鸽,郑潇楠,邸晴,等.苦杏仁成分及其在肺癌防治中的靶点预测研究进展[J]. 药学前沿, 2025, 29(10):1738-1747. Feldstein A E, Papouchado B G, Angulo P, et al. Hepatic stellate cells and fibrosis progression in patients with nonalcoholic fatty liver disease[J]. Clin Gastroenterol Hepatol, 2005, 3(4):384-389. 赵鑫,吕文良,李娟梅,等.苦杏仁苷抗纤维化作用机制研究进展[J]. 中华中医药学刊, 2020, 38(10):109-112. 刘梦肖,陈林林,王彦,等.中药苦参的研究进展[J]. 药学实践与服务, 2025, 43(4):156-162. Fu L Y, Xu Y N, Tu L, et al. Oxymatrine inhibits aldosterone-induced rat cardiac fibroblast proliferation and differentiation by attenuating smad-2,-3 and-4 expression:An in vitro study[J]. BMC Complement Altern Med, 2016,16:241. Liu L, Lu W, Ma Z, et al. Oxymatrine attenuates bleomycin-induced pulmonary fibrosis in mice via the inhibition of inducible nitric oxide synthase expression and the TGF-β/Smad signaling pathway[J]. Int J Mol Med,2012, 29(5):815-822. Fuentes-Calvo I, Martinez-Salgado C. Sos1 modulates extracellular matrix synthesis, proliferation, and migration in fibroblasts[J]. Front Physiol, 2021, 12:645044. 安宁,许涛,张晓霞,等. Mfn2通过Ras-Raf-ERK1/2信号通路抑制ARDS肺纤维化及其机制[J]. 中国老年学杂志, 2024, 44(1):217-220. Liu T J, De Los Santos F G, Phan S H. The bleomycin model of pulmonary fibrosis[M] //Laure R. Fibrosis. New York, NY:Springer New York, 2017:27-42. Zuo H, Zhou W T, Zhou B Q, et al. CCDC59 alleviates bleomycin-induced inflammation and pulmonary fibrosis by increasing SP-B and SP-C expression in mice[J]. Int Immunopharmacol, 2024, 138:112645. Du W J, Tang Z, Yang F Y, et al. Icariin attenuates bleomycin-induced pulmonary fibrosis by targeting Hippo/YAP pathway[J]. Biomed Pharmacother, 2021,143:112152. Cheng D M, Xu Q, Wang Y, et al. Metformin attenuates silica-induced pulmonary fibrosis via AMPK signaling[J]. J Transl Med, 2021, 19(1):349. 李家树,史家欣,胡蓉,等.敲低金属蛋白酶组织抑制物1(TIMP-1)抑制TGF-β1诱导的MRC-5人胚肺成纤维细胞增殖和胶原蛋白合成[J]. 细胞与分子免疫学杂志, 2019, 35(1):25-30. Cargnello M, Roux P P. Activation and function of the MAPKs and their substrates, the MAPK-activated protein kinases[J]. Microbiol Mol Biol Rev, 2011, 75(1):50-83. Kang H. Role of microRNAs in TGF-β signaling pathwaymediated pulmonary fibrosis[J]. Int J Mol Sci, 2017,18(12):2527. Tian M M, Chang X H, Zhang Q, et al. TGF-β1 mediated MAPK signaling pathway promotes collagen formation induced by Nano NiO in A549 cells[J]. Environ Toxicol,2019, 34(6):719-727. Liu T J, Gonzalez De Los Santos F, Hirsch M, et al.Noncanonical Wnt signaling promotes myofibroblast differentiation in pulmonary fibrosis[J]. Am J Respir Cell Mol Biol, 2021, 65(5):489-499. Mirzaei S, Saghari S, Bassiri F, et al. NF-κB as a regulator of cancer metastasis and therapy response:A focus on epithelial-mesenchymal transition[J]. J Cell Physiol,2022, 237(7):2770-2795. Lu F Q, Sun X H, Xu X F, et al. SILAC-based proteomic profiling of the suppression of TGF-β1-induced lung fibroblast-to-myofibroblast differentiation by trehalose[J]. Toxicol Appl Pharmacol, 2020, 391:114916. Xu J F, Li W, Xu S F, et al. Effect of dermatan sulphate on a C57-mouse model of pulmonary fibrosis[J]. J Int Med Res, 2019, 47(6):2655-2665. Mebratu Y, Tesfaigzi Y. How ERK1/2 activation controls cell proliferation and cell death:Is subcellular localization the answer?[J]. Cell Cycle, 2009, 8(8):1168-1175. Grogan L, Shapiro P. Progress in the development of ERK1/2 inhibitors for treating cancer and other diseases[J]. Adv Pharmacol, 2024, 100:181-207. Roskoski R Jr. ERK1/2 MAP kinases:Structure, function,and regulation[J]. Pharmacol Res, 2012, 66(2):105-143. 纪文雯,何程,朱恩惠,等.基于ASS1介导的Src/STAT3、MAPK/ERK级联反应探究参七虫草方对IPF模型大鼠成纤维细胞的影响[J]. 辽宁中医杂志, 2025,52(9):192-196. Wang M L, Pan W, Xu Y, et al. Microglia-mediated neuroinflammation:A potential target for the treatment of cardiovascular diseases[J]. J Inflamm Res, 2022, 15:3083-3094. Sun X J, Zhao J W, Ma Y T, et al. Combatting pulmonary fibrosis with Astragalus membranaceus:A review of active components and multifaceted mechanisms[J]. Chin Herb Med, 2026, 18(3):541-554. Reyes-Jiménez E, Ramírez-Hernández A A, Santos-Álvarez J C, et al. Coadministration of 3',5-dimaleamylbenzoic acid and quercetin decrease pulmonary fibrosis in a systemic sclerosis model[J]. Int Immunopharmacol, 2023, 122:110664. Conte E, Gili E, Fruciano M, et al. PI3K p110γoverexpression in idiopathic pulmonary fibrosis lung tissue and fibroblast cells:In vitro effects of its inhibition[J]. Lab Investig, 2013, 93(5):566-576. Dragunow M, Preston K. The role of inducible transcription factors in apoptotic nerve cell death[J]. Brain Res Brain Res Rev, 1995, 21(1):1-28. 亓永杰,陈晨,李学军,等.吡非尼酮联合尼达尼布治疗特发性肺间质纤维化的疗效及安全性[J]. 中国老年学杂志, 2024, 44(20):4937-4941. 宋宁,段林,贺文舒.特发性肺间质纤维化的全球发病率和病死率[J]. 临床荟萃, 2015, 30(7):744. 陈军,杜峣楠,徐仕宏.基于网络药理学探讨桃红化瘀方治疗肺纤维化机制[J]. 光明中医, 2024, 39(13):2551-2555. 王昊,宋莉莎,周佩夏,等.从“湿热”辨治特发性肺纤维化探析[J]. 中医药临床杂志, 2024, 36(9):1710-1714. 陈凤,张伟,杨公涛.基于细胞自噬论“伏毒”的微观机制及在特发性肺纤维化中的作用[J]. 世界中医药,2021, 16(18):2742-2746. 任玥,王燕青,胡海波.肺间质纤维化患者的出生日期与五运六气相关性分析[J]. 中医药临床杂志, 2019,31(8):1487-1490.