Drug-containing serum of rhubarb-astragalus capsule inhibits the epithelial-mesenchymal transformation of HK-2 by downregulating TGF-β1/p38MAPK/Smad2/3 pathway

• Published in: Journal of ethnopharmacology 2021-11, Vol.280 (NA), p.114414-114414, Article 114414
• Main Authors: Qin, Meng-yuan, Huang, Song-qing, Zou, Xiao-qin, Zhong, Xiao-bin, Yang, Yu-fang, Zhang, Yu-ting, Mi, Zheng-cheng, Zhang, Yan-song, Huang, Zhen-guang
• Format: Article
• Language: English
• Subjects: Animals; Astragalus Plant; Cell Line; Cell Survival - drug effects; Down-Regulation - drug effects; Drug-containing serum; Emodin - administration & dosage; Emodin - pharmacology; Epithelial Cells - drug effects; Epithelial-mesenchymal transformation; Epithelial-Mesenchymal Transition - drug effects; Gene Expression Regulation - drug effects; Humans; Imidazoles - pharmacology; Kidney Tubules - cytology; Male; p38 Mitogen-Activated Protein Kinases - genetics; p38 Mitogen-Activated Protein Kinases - metabolism; Pyridines - pharmacology; Rats; Rats, Sprague-Dawley; Renal tubule epithelial cells; Rheum; Rhubarb-astragalus; Smad2 Protein - genetics; Smad2 Protein - metabolism; Smad3 Protein - genetics; Smad3 Protein - metabolism; TGF-β1/p38 MAPK/Smad; Transforming Growth Factor beta1 - genetics; Transforming Growth Factor beta1 - metabolism
• ISSN: 0378-8741; 1872-7573
• DOI: 10.1016/j.jep.2021.114414

Rheum palmatum L; Astragalus membranaceus (Fisch.), is referred to as ‘Dahuang, Huangqi’ in China. As an important medicinal plant, the rhizome of rhubarb and astragalus is traditionally used in the treatment of kidney diseases associated with renal failure, inflammation and tumors. Aim of the study: This study aimed to investigate the effect of a drug-containing serum of rhubarb-astragalus capsules (composed of rhubarb and astragalus) and to elucidate its mechanism in the epithelial-mesenchymal transformation of renal tubular epithelial cells. Epithelial-mesenchymal transformation (EMT) of HK-2 cells was induced by TGF-β1, and rhubarb-astragalus and losartan drug-containing serum from rats, as well as SB203580 (a specific inhibitor of p38 MAPK), were used. High-performance liquid chromatography analysis was performed to determine the main components of the drug-containing serum of rhubarb-astragalus from rats. Western blotting and immunofluorescence analysis were used to determine the levels of protein expression, and real-time quantitative PCR analysis was used to detect the levels of gene expression. The drug-containing serum of rhubarb-astragalus contained emodin (0.36 μg/ml) and danthraquinone (0.96 μg/ml). Rhubarb-astragalus significantly decreased the protein expression levels of α-SMA, FN, vimentin and N-cadherin in HK-2 cells that were increased by TGF-β1, while it significantly increased the E-cadherin protein expression level that was decreased by TGF-β1. Rhubarb-astragalus also significantly decreased the protein expression levels of TGF-β1 and p38 MAPK and the mRNA expression levels of α-SMA, vimentin, TGF-β1, p38 MAPK, Smad2 and Smad3 in HK-2 cells that were increased by TGF-β1. It is worth noting that SB203580 (a p38 MAPK inhibitor) had similar effects as rhubarb-astragalus in this study. The drug-containing serum of rhubarb-astragalus can inhibit EMT in HK-2 cells by downregulating the TGF-β1/p38 MAPK/Smad2/3 pathway. [Display omitted]