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  • Zhi-yu LI, Song-ling WANG, Wen ZHANG, Xin-yu DAI, Ming-ming ZHOU, Hai-yan PENG
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 153-162.

    This study investigates the inducing effects of jatrorrhizine (JAT), a bioactive compound extracted from Coptidis Rhizoma, on the p53-mediated ferroptosis in human colorectal cancer (CRC) cell lines HT29 and HCT116, specifically through the modulation of spermidine/spermine N1-acetyltransferase 1 (SAT1). Cell viability was assessed via the cell counting kit-8 (CCK-8) assay, while the colony formation assay was employed to determine the proliferative capacity. Cell cycle distribution was analyzed by flow cytometry, and mitochondrial membrane potential was evaluated via JC-1 dye. High-throughput RNA sequencing (RNA-seq) was performed to analyze transcriptomic changes in JAT-treated HT29 and HCT116 cells. Lentiviral transduction was utilized to generate SAT1-overexpressing HCT116 and HT29 cell lines, with transfection efficiency confirmed by qPCR. The levels of intracellular Fe2+, reactive oxygen species (ROS), malondialdehyde (MDA), and glutathione (GSH) were quantified via specific commercial assay kits. The protein and mRNA levels of key ferroptosis-related markers: solute carrier family 7 member 11 (SLC7A11), glutathione peroxidase 4 (GPX4), acyl-CoA synthetase long-chain family member 4 (ACSL4), tumor protein p53, and SAT1 were determined by Western blot and qPCR, respectively. The results demonstrated that JAT treatment significantly inhibited both cell viability and proliferation, induced cell cycle arrest, and reduced mitochondrial membrane potential in HCT116 and HT29 cells. RNA-seq results revealed that the KEGG pathways most significantly enriched in JAT-treated cells were protein digestion and absorption, arginine and proline metabolism, glycine, serine and threonine metabolism, and ferroptosis. Notably, the mRNA level of SAT1 in the arginine metabolism pathway was significantly upregulated following JAT treatment. Furthermore, JAT treatment increased the levels of Fe2+, ROS, and MDA, while markedly decreasing GSH content in a dose-dependent manner. In addition, the treatment downregulated the protein levels of the ferroptosis inhibitors SLC7A11 and GPX4, and upregulated the expression of the pro-ferroptotic proteins ACSL4, SAT1, and p53. SAT1 overexpression inhibited cell proliferation and activated the p53-mediated ferroptosis signaling pathway. The combination of SAT1 overexpression and JAT treatment (oveSAT1+JAT group) exhibited a synergistic effect, showing superior efficacy over SAT1 overexpression alone (oveSAT1 group). In conclusion, JAT activates the p53-dependent ferroptosis signaling pathway by upregulating the key metabolic enzyme SAT1, which is involved in proline metabolism, thereby inhibiting colorectal cancer cell proliferation.

  • Long-long WU, Jia-rui WU, Liu-qiang ZHANG, Yi-ming LI, Rong-bin WANG
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 121-132.

    The chemical constituents from Sanguisorba officinalis were isolated and purified through macroporous resin, silica gel, polyamide, ODS, Sephadex LH-20 column chromatography, and preparative HPLC. Their structures were determined by extensive analysis of data from MS, NMR, OR, and calculated NMR and ECD. Twenty-six compounds (1-26) were isolated from the 95% ethanol extract of S. officinalis and identified as (1S, 4S, 5R, 7S, 10R, 11R)-1α, 11, 12-trihydroxy-eudesmane (1), vomifolilol (2), (3S, 5R, 6R, 7E)-3, 5, 6-trihydroxy-7-megastigmen-9-one (3), threo-1, 2-bis- (4-hydroxy-3-methoxyphenyl)-propane-1, 3-diol (4), erythro-1, 2-bis- (4-hydroxy-3-methoxyphenyl)-propane-1, 3-diol (5), phenylformic acid (6), vanillic acid (7), veratric acid (8), 3, 4-dimethoxy-5-hydroxybenzoic acid (9), 4- (1-hydroxy-1-methylethyl)-benzoic acid (10), p-hydrocoumaric acid (11), 4-hydroxyphenethyl alcohol (12), ω-hydroxypropioguaiacone (13), cytosporone V (14), indazole (15), 1H-indole-3-carboxylic acid (16), 7, 8-dimethyl-iso-alloxazine (17), (-)-jasmonic acid (18), 12-hydroxyjasmonic acid (19), (-)-methyl 12-hydroxyjasmonate (20), 5-hydroxyhexan-4-olide (21), (8R*, 9R*, 10S*, 6Z)-trihydroxyoctadec-6-enoic acid (22), (9S, 10R, 11E, 13R)-9, 10, 13-trihydroxyoctadec-11-enoic acid (23), methyl (9S, 10R, 11E, 13R)-9, 10, 13-trihydroxyoctadec-11-enoate (24), pinellic acid (25), and (9E)-8, 11, 12-trihydroxyoctadecenoic acid methyl ester (26). Compound 1 was a new eudesmane-type sesquiterpenoid and named sanguisorbaol M. Compounds 3-5, 8, 10, 14-17, 19-23, 25, and 26 were isolated from Rosaceae for the first time. Compounds 2, 11, 12, 18, and 24 were firstly isolated from the genus Sanguisorba and compound 6 was isolated from S. officinalis for the first time. The inhibitory effects of the isolated compounds on melanin synthesis were evaluated via the 3-isobutyl-1-methylxanthine (IBMX)-induced B16F10 melanoma cell model. The results showed that compounds 1-3 at a concentration of 50 μmol·L-1 had a significant anti-melanogenic activity.

  • Lei CHEN, Zi-mo HE, Yuan-yuan CHEN, Lin-qi SUN, Meng WANG, Xiao HUANG, Juan DENG, Qian LI, Kun YU
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 73-82.

    Using the whole-genome data of Atractylodes lancea, members of the auxin (Aux)/indole-3-acetic acid (IAA) gene family were identified and characterized, and the effects of 1-naphthaleneacetic acid (NAA) treatment on the expression levels of this gene family were investigated, providing a foundation for further studies on the functions of the A. lancea Aux (AlAux)/IAA gene family. Members of the AlAux/IAA gene family were identified from the A. lancea whole-genome data using TBtools-Ⅱ. Bioinformatics software was employed to analyze the physicochemical properties of the encoded proteins, construct a phylogenetic tree, and predict conserved motifs and gene structures. Tissue-cultured seedlings of A. lancea were used as experimental materials, and key genes of the AlAux/IAA gene family were screened by transcriptome sequencing. The expression of key AlAux/IAA genes was analyzed after one month of NAA treatment. A total of 53 AlAux/IAA genes were identified from the A. lancea genome. Most AlAux/IAA proteins were localized in the nucleus, lacked transmembrane domains, and exhibited negative hydrophobicity. Among them, 44 AlAux/IAA genes were predicted to encode functional Aux/IAA transport proteins. Transcriptome sequencing and RT-qPCR analyses showed that the AlAux/IAA family genes exhibited spatiotemporal expression specificity, and different members displayed varying response times and intensities to NAA treatment. Tissue-specific expression analysis revealed that the AlAux/IAA gene family was generally highly expressed in flowers. This study identified the Aux/IAA gene family members in A. lancea, preliminarily analyzed their sequence characteristics, and examined their expression features in response to Aux. It is speculated that AlAux/IAA13 and AlAux/IAA38 may be involved in rooting and bud growth and development during the subculture process of A. lancea tissue-cultured seedlings. These results provide a theoretical basis for elucidating the molecular mechanisms of AlAux/IAA gene function and Aux-mediated regulation of rhizome growth in A. lancea.

  • Ran XU, Zhi-jia WANG, Xiao-yu LIN, Ji-chang WEI, Yi-hang ZHAO, Xin-ru TAN, Zhi-xia WANG, Liu-yang ZHANG, Hong-li WANG, Xue-mei HUANG, Peng-long WANG
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 83-91.

    Based on supramolecular chemistry of TCM, this study investigated the interaction between Cinnamomi Cortex-Coptidis Rhizoma herb pair and compared phase states and bioactivity differences under different decoction methods (co-decoction vs individual decoction followed by mechanical mixing). Phase state variations were observed macroscopically and through turbidimetry. The herb interaction was analyzed using isothermal titration calorimetry, UV and IR spectroscopy. Particle size differences were determined by dynamic light scattering and scanning electron microscopy (SEM). Antimicrobial activity was evaluated through broth dilution, plate coating, live/dead staining, and SEM. Component analysis was conducted using UPLC-MS/MS. Results revealed distinct supramolecular structures in Cinnamomi Cortex-Coptidis Rhizoma decoctions, with co-decoction showing more stable macroscopic phase states. The interaction was a spontaneous exothermic reaction driven by both entropy and enthalpy. UV and IR spectra revealed co-decoction demonstrated more sufficient molecular interactions, more stable supramolecular structures, and smaller particle sizes with a more centralized distribution. In addition, co-decoction resulted in higher berberine and coptisine content and stronger inhibitory activity against Staphylococcus aureus compared to mechanical mixtures. These findings indicated that co-decoction produced Cinnamomi Cortex-Coptidis Rhizoma supramolecular systems with more homogeneous phase states, enhanced measurable coptisine and berberine content, and superior antibacterial efficacy.

  • Zi-hao LIU, Min XIAO, Xiao-cui JIANG, Qin PAN, Chao-yang DENG, Zhong-yi ZHU, Ji-gang CAO
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 250-259.

    This study aims to investigate the effects of aged male parents on the learning ability of offspring and the intervention effect of Wuzi Yanzong Pills based on the microRNA-34a-5p (miR-34a-5p)/silent information regulator 1 (SIRT1) signaling pathway. Thirty-two SD male rats of 15 months old were randomized into aged model, model+high-dose (8 g·kg-1) Wuzi Yanzong Pills, model+low-dose (2 g·kg-1) Wuzi Yanzong Pills, and model+vitamin C (100 mg·kg-1) groups (n=8). In addition, 8 SD male rats of 3 months old were selected as the control group. Rats in treatment groups were fed the diets containing different doses of Wuzi Yanzong Pills or vitamin C, and the control and model groups received a regular diet for 12 weeks. After 5 days of co-caging with 3-month-old female mice, the fertilization rate was recorded. An automated sperm analyzer was used to examine the sperm motility and count, and the testicular spermatogenesis was assessed by hematoxylin-eosin staining. The senescence cells in the testicular tissue was detected byβ-galactosidase staining, and miR-34a-5p expression was quantified via qPCR. The litter size was counted, and the body mass and body length were measured on days 1 and 30 to assess offspring development. For the offspring of 30 days old, their learning ability was examined via Morris water maze, and Nissl staining was employed to count hippocampal neurons. The miR-34a-5p expression in the hippocampal tissue of the offspring was determined by qPCR, and the protein levels of brain-derived neurotrophic factor (BDNF) and SIRT1 were determined by Western blot. Compared with the control group, the model group exhibited reductions in fertility rate, litter size, and sperm motility and count, as well as impaired testicular spermatogenesis (P<0.01). In addition, the model group showed increased senescence cells in testicular and epididymal tissue, accompanied by elevated miR-34a-5p expression in sperms. The 30-day-old offspring showed slow growth, reduced hippocampal neurons, up-regulated miR-34a-5p expression, and down-regulated protein levels of SIRT1 and BDNF in the hippocampus (P<0.01), along with impaired learning and memory performance (P<0.01). Compared with the model group, both high-dose Wuzi Yanzong Pills and vitamin C improved the fertilization rate, litter size, sperm motility, sperm count, and testicular spermatogenesis (P<0.05). The 30-day-old offspring in the two groups showed accelerated growth and development, increased hippocampal neurons, and elevated BDNF protein level in the hippocampus (P<0.05), along with enhanced learning and memory capabilities (P<0.05). Compared with the vitamin C group, the high-dose Wuzi Yanzong Pills group exhibited accelerated offspring growth (P<0.05), increases in fertilization rate and litter size (P<0.05), and improved learning and memory abilities (P<0.05). These findings indicate that Wuzi Yanzong Pills can improve testicular spermatogenesis and sperm quality in aged rats, thereby enhancing offspring's learning and memory performance. Specifically, Wuzi Yanzong Pills regulate miR-34a-5p expression to delay spermatogenic cell senescence in the testicular tissue and improve the offspring's cognitive function by miR-34a-5p mediated intergenerational transmission.

  • Lin LI, Hui-hui DU, Yan-xun LIU, Xiao-yu FAN, Jin-hong YE, Hui-juan SHEN, Peng-yue LI, Shou-ying DU
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 10-18.

    Focused on the challenges in brain disease treatment and advancements in nose-to-brain delivery research, this article summarized current progress in nasal drug delivery research and proposed several novel evaluation models for nasal drug absorption. By reviewing five types of evaluation models-ex vivo animal tissue models, in situ perfusion models, in vivo pharmacokinetic models, in vitro cell models, and computational fluid dynamics model-it clarified the distinct advantages of nasal drug delivery compared to other administration routes. Furthermore, by outlining emerging nasal drug delivery technologies and irritation evaluation methods, it explored the cutting-edge directions of nose-to-brain delivery. This provides essential support for the selection of nose-to-brain delivery dosage forms and paves new paths for the advancement of nasal drug delivery.

  • Zi-xing QIAN, Jia-xuan LI, Xian-jun RAO, Guo-dong HUANG, Ran LIU, Wei WEI
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 32-39.

    Colorectal cancer (CRC) is a highly prevalent malignant tumor worldwide, and its occurrence and development are closely related to gut microbiota disturbance. The germ-free (GF) animal model, by providing a unique environment free of indigenous microorganisms, has become a tool for precisely dissecting the causal role and mechanism of the gut microbiota in the occurrence and development of CRC and the therapeutic mechanisms of pharmaceuticals. This review aims to systematically elaborate on the application progress of GF animal models in CRC research, with a focus on the key mechanisms by which specific microorganisms promote the occurrence and development of CRC revealed by this model. Furthermore, this review focuses on the research dynamics of TCM in this field and systematically expounds the application of GF models in the research of TCM against CRC. Through in-depth analysis of the GF animal models of CRC, it is possible to develop precise diagnostic and therapeutic strategies based on TCM and the microbiome in the future, providing new directions and ideas for the prevention and treatment of CRC.

  • Hai-dong ZHOU, Hui LUO, Liang-shen HU, Feng-ting ZHANG, Wen-tao HU, Jie-fei XIE, Yao-hong LU, Ji-chun SHAN, Shao-yong FAN, Yu-wen CHEN
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 19-31.

    Osteoarthritis (OA) is a common degenerative joint disease characterized by cartilage degeneration, synovial inflammation, osteophyte formation, and joint space narrowing, seriously impairing patients' mobility and quality of life. The pathogenesis of OA is highly complex, involving multiple cell types and signaling pathways. Key pathological processes include abnormal chondrocyte function, sustained activation of inflammatory responses, and imbalances in apoptosis and autophagy. In recent years, microRNAs (miRNAs), small non-coding RNAs, have been recognized for their crucial roles in regulating gene expression and influencing the progression of various diseases. miRNAs exhibit important regulatory functions in OA-related processes such as inflammatory regulation, chondrocyte apoptosis and autophagy, extracellular matrix metabolism, and subchondral bone remodeling. Multiple specific miRNAs have been shown to be closely associated with the onset and progression of OA, demonstrating potential diagnostic and therapeutic value. Traditional Chinese medicine (TCM) is an important treatment approach for OA, offering advantages such as multi-component, multi-target, and multi-pathway regulation. Recent studies have shown that TCM single herbs, compound prescriptions, acupuncture, and moxibustion can upregulate or downregulate the expression of specific miRNAs, thereby intervening in their downstream target genes and related signaling pathways. This leads to anti-inflammatory and analgesic effects, inhibition of chondrocyte apoptosis, promotion of matrix synthesis, and cartilage repair. This review systematically summarizes the mechanisms of miRNAs in the progression of OA, with a focus on the latest research advances in TCM regulation of miRNAs to intervene in OA. The aim is to provide a theoretical basis and new insights for the early molecular diagnosis, targeted therapy, and modern research and clinical translation of TCM in OA.

  • Wen-shuai JI, Kang ZHANG, Hao YANG, Wen-jing YIN, Xin-yu MIAO, Xiao-xuan HE, Peng-zhen JING, Hai-feng WANG
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 281-300.

    This study aims to compare the efficacy and safety of different traditional Chinese medicine injections (TCMIs) combined with conventional western medicine in the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure (RF) using a network Meta-analysis approach. A comprehensive literature search was conducted in CNKI, VIP, Wanfang, SinoMed, Web of Science, PubMed, Cochrane Library, and EMbase databases from inception to June 29, 2025. Randomized controlled trials (RCTs) were performed by employing the literature on the treatment of COPD with RF by TCMIs, and data were analyzed by Stata 17. A total of 110 RCTs involving 9 218 participants and 11 different TCMIs were included. The ranking of efficacy in the surface under the cumulative ranking curve (SUCRA) from network Meta-analysis was as follows: ① for improving clinical total response rate, Chuanxiongqin Injection + conventional western medicine, Shankezhi Injection + conventional western medicine, and Danhong Injection + conventional western medicine ranked top three; ② for reducing mortality, Chuanxiongqin Injection + conventional western medicine, Danshen Chuanxiongqin Injection + conventional western medicine, and Shenfu Injection + conventional western medicine ranked top three; ③ for shortening length of hospital stay, Danshen Chuanxiongqin Injection + conventional western medicine, Shenfu Injection + conventional western medicine, and Shenmai Injection + conventional western medicine ranked top three; ④ for reducing duration of mechanical ventilation, Shenqi Fuzheng Injection + conventional western medicine, Shenmai Injection + conventional western medicine, and Tanreqing Injection + conventional western medicine ranked top three; ⑤ for improving arterial partial pressure of oxygen (PaO2), Chuanxiongqin Injection + conventional western medicine, Danshen Injection + conventional western medicine, and Danhong Injection + conventional western medicine ranked top three; ⑥ for reducing arterial partial pressure of carbon dioxide (PaCO2), Shenfu Injection + conventional western medicine, Tanreqing Injection + conventional western medicine, and Danshen Chuanxiongqin Injection + conventional western medicine ranked top three; ⑦ for improving arterial oxygen saturation (SaO2), Shenqi Fuzheng Injection + conventional western medicine, Xuebijing Injection + conventional western medicine, and Xingnaojing Injection +conventional western medicine ranked top three; ⑧ for improving forced expiratory volume in one second (FEV1), Chuanxiongqin Injection + conventional western medicine, Shenmai Injection + conventional western medicine, and Tanreqing Injection + conventional western medicine ranked top three; ⑨ for improving forced vital capacity (FVC), Danshen Chuanxiongqin Injection + conventional western medicine, Xuebijing Injection + conventional western medicine, and Tanreqing Injection + conventional western medicine ranked top three. In terms of safety, adverse events were mostly mild and occurred at a low incidence. In conclusion, TCMIs combined with conventional western medicine may offer clinical benefits in the management of COPD with RF. However, due to limitations in the number and quality of studies for each intervention, further rigorously designed RCT should be conducted to validate these findings.

  • Li HE, Jia-chao YAN, Jing-sheng YU
    Chinese Journal of Traditional Chinese Medicine. 2026, 51(1): 260-268.

    This study aims to explore the protective mechanism of Danqi Huayu Recipe against light-induced retinal damage (LIRD) in rats from the perspective of cell apoptosis. Sixty male SD rats were randomly allocated into six groups (n=10): normal group, model group, Ziyin Mingmu Pills group (7.8 g·kg-1), and low-, medium-, and high-dose (3.45, 10.35, and 31.05 g·kg-1, respectively) Danqi Huayu Recipe groups. A self-made light damage chamber was used for the modeling of LIRD in rats of other groups except normal group. Seven days after modeling, each group received corresponding agents by gavage. Normal group and model group were administrated with an equal volume of distilled water by gavage for 14 d. The retinal function was evaluated by electroretinography. Hematoxylin-eosin (HE) staining was employed to observe the retinal morphology and measure the thickness of the outer nuclear layer (ONL). The cell apoptosis was examined by terminal deoxynucleotidyl transferase dUTP nick end labeling. The ultrastructure of the retina was observed by transmission electron microscopy. The protein and mRNA levels of factors related to retinal cell apoptosis were determined by Western blot and RT-qPCR, respectively. The results showed that compared with normal group, model group demonstrated significantly decreased amplitudes of ERG a-waves and b-waves, thinned ONL, increased cell apoptosis rate, damaged retinal ultrastructure, down-regulated protein and mRNA levels of the anti-apoptotic factor (Bcl-2), and up-regulated protein and mRNA levels of pro-apoptotic factors (Caspase-3, Caspase-6, p53, and Bax). Compared with model group, Ziyin Mingmu Pills group and medium-and high-dose Danqi Huayu Recipe group recovered the amplitudes of ERG a-waves and b-waves, increased the ONL thickness, decreased the cell apoptosis rate, and improved the retinal ultrastructure. Meanwhile, they up-regulated protein and mRNA levels of Bcl-2 and down-regulated protein and mRNA levels of pro-apoptotic factors in a dose-dependent manner. In conclusion, Danqi Huayu Recipe protects rats from LIRD by regulating the expression of proteins and genes related to cell apoptosis to reduce light-induced retinal cell apoptosis.