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Junren Bufei Yixin Granules attenuates hypoxic pulmonary hypertension via PTBP1/PKM2 signaling pathway
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Run-xiu ZHENG1, 2, Shi-zhong WANG1, Jun-lan TAN2, Xian-ya CAO1, 2, Wei HUANG1, 2, Qing DAI1, 2, Lan SONG2, Ai-guo DAI1, 2, 3, 4, *
Chinese Journal of Traditional Chinese Medicine | 2026, 51(2) : 543 - 552
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Chinese Journal of Traditional Chinese Medicine | 2026, 51(2): 543-552
Junren Bufei Yixin Granules attenuates hypoxic pulmonary hypertension via PTBP1/PKM2 signaling pathway
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Run-xiu ZHENG1, 2, Shi-zhong WANG1, Jun-lan TAN2, Xian-ya CAO1, 2, Wei HUANG1, 2, Qing DAI1, 2, Lan SONG2, Ai-guo DAI1, 2, 3, 4, *
Affiliations
  • 1.School of Integrated Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha 410208, China
  • 2.Hunan Provincial Key Laboratory of Vascular Biology and Translational Medicine, Changsha 410208, China
  • 3.Department of Respiratory Diseases, Medical School, Hunan University of Chinese Medicine, Changsha 410208, China
  • 4.Department of Respiratory Medicine, the First Hospital of Hunan University of Chinese Medicine, Changsha 410021, China
Published: 2026-01-15 doi: 10.19540/j.cnki.cjcmm.20251027.302
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This study is aimed to investigate the therapeutic effects of Junren Bufei Yixin Granules (JRBF) on hypoxic pulmonary hypertension (HPH) and explore the therapeutic mechanism through the polypyrimidine tract-binding protein 1 (PTBP1)/pyruvate kinase isozyme type M2 (PKM2) signaling pathway. Sixty SPF-grade C57BL/6 male mice were randomized into normal, model, sildenafil, and low/medium/high-dose JRBF groups. HPH was induced by hypoxic exposure (10% O2, 8 h/day) for 4 weeks. The right ventricular systolic pressure (RVSP) was measured by right cardiac catheterization. Echocardiography was employed record the pulmonary artery acceleration time (PAAT), pulmonary ejection time (PET), tricuspid annular plane systolic excursion (TAPSE), and right ventricular anterior wall thickness at diastole (RVAWd). The histopathological changes were observed by hematoxylin-eosin (HE) and Masson staining. Western blot was employed to measure the expression levels of PTBP1, PKM2, and PKM1 in the lung tissue. The immunofluorescence assay was employed to detect the co-localization of PTBP1 with the marker alpha-smooth muscle actin (α-SMA) of pulmonary arterial smooth muscle cells (PASMCs). The lactate assay kit was used to measure the lactate levels in the serum and lung tissue. In the cell experiments, the hypoxia model was established by exposing human pulmonary artery smooth muscle cells (hPASMCs) to 1% O2 for 48 h. The optimal (10%) JRBF concentration for intervention was determined by the cell-counting kit-8 (CCK-8). The cell proliferation (EdU), migration (Transwell), PTBP1/PKM2/PKM1, and lactate production were analyzed. The results showed that JRBF significantly reduced the RVSP, improved the PAAT/PET ratio and TAPSE, and attenuated pulmonary arteriolar remodeling and myocardial fibrosis. Furthermore, JRBF suppressed PTBP1 and PKM2 expression and reduced the lactate accumulation in the lung tissue and PASMCs. The cell experiment results showed that the 10% JRBF-containing serum inhibited the proliferation and migration of hPASMCs, while decreasing the PTBP1/PKM2 expression and lactate production. In conclusion, JRBF mitigates HPH progression by suppressing the PTBP1/PKM2 axis and restoring the glycolytic flux.

Junren Bufei Yixin Granules  /  hypoxic pulmonary hypertension  /  PTBP1/PKM2 signaling pathway  /  pulmonary arterial smooth muscle cells  /  glycolysis
Run-xiu ZHENG, Shi-zhong WANG, Jun-lan TAN, Xian-ya CAO, Wei HUANG, Qing DAI, Lan SONG, Ai-guo DAI. Junren Bufei Yixin Granules attenuates hypoxic pulmonary hypertension via PTBP1/PKM2 signaling pathway[J]. Chinese Journal of Traditional Chinese Medicine, 2026 , 51 (2) : 543 -552 . DOI: 10.19540/j.cnki.cjcmm.20251027.302
Year 2026 volume 51 Issue 2
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doi: 10.19540/j.cnki.cjcmm.20251027.302
  • Receive Date:2025-05-07
  • Online Date:2026-06-25
  • Published:2026-01-15
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  • Received:2025-05-07
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Affiliations
    1.School of Integrated Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha 410208, China
    2.Hunan Provincial Key Laboratory of Vascular Biology and Translational Medicine, Changsha 410208, China
    3.Department of Respiratory Diseases, Medical School, Hunan University of Chinese Medicine, Changsha 410208, China
    4.Department of Respiratory Medicine, the First Hospital of Hunan University of Chinese Medicine, Changsha 410021, China
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表12种不同金属材料的力学参数

Family
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Number of
genus
种数
Number of
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占总种数比例
Percentage of
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种数
Number of
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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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