Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis

Abstract Background Lamiophlomis rotata (Benth.) Kudo (L. rotata), the oral Traditional Tibetan herbal medicine, is adopted for treating knife and gun wounds for a long time. As previously demonstrated, total iridoid glycoside extract of L. rotata (IGLR) induced polarization of M2 macrophage to spee...

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Main Authors: Xiaoyu Geng, Ying Wang, Huan Li, Liang Song, Chen Luo, Xiaojie Gu, Haixin Zhong, Huilin Chen, Xinzhu Chen, Jianwei Wang, Zheng Pan
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Chinese Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13020-024-00921-1
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author Xiaoyu Geng
Ying Wang
Huan Li
Liang Song
Chen Luo
Xiaojie Gu
Haixin Zhong
Huilin Chen
Xinzhu Chen
Jianwei Wang
Zheng Pan
author_facet Xiaoyu Geng
Ying Wang
Huan Li
Liang Song
Chen Luo
Xiaojie Gu
Haixin Zhong
Huilin Chen
Xinzhu Chen
Jianwei Wang
Zheng Pan
author_sort Xiaoyu Geng
collection DOAJ
description Abstract Background Lamiophlomis rotata (Benth.) Kudo (L. rotata), the oral Traditional Tibetan herbal medicine, is adopted for treating knife and gun wounds for a long time. As previously demonstrated, total iridoid glycoside extract of L. rotata (IGLR) induced polarization of M2 macrophage to speed up wound healing. In diabetic wounds, high levels inflammatory and chemotactic factors are usually related to high reactive oxygen species (ROS) levels. As a ROS target gene, nuclear factor erythroid 2-related factor 2 (NRF2), influences the differentiation of monocytes to M1/M2 macrophages. Fortunately, iridoid glycosides are naturally occurring active compounds that can be used as the oxygen radical scavenger. Nevertheless, the influence of IGLR in diabetic wound healing and its associated mechanism is largely unclear. Materials and methods With macrophages and dermal fibroblasts in vitro, as well as a thickness excision model of db/db mouse in vivo, the role of IGLR in diabetic wound healing and the probable mechanism of the action were investigated. Results Our results showed that IGLR suppressed oxidative distress and inflammation partly through the NRF2/cyclooxygenase2 (COX2) signaling pathway in vitro. The intercellular communication between macrophages and dermal fibroblasts was investigated by the conditioned medium (CM) of IGLR treatment cells. The CM increased the transcription and translation of collagen I (COL1A1) and alpha smooth muscle actin (α-SMA) within fibroblasts. With diabetic wound mice, the data demonstrated IGLR activated the NRF2/KEAP1 signaling and the downstream targets of the pathway, inhibited COX2/PEG2 signaling and decreased the interaction inflammatory targets of the axis, like interleukin-1beta (IL-1β), interleukin 6 (IL-6), apoptosis-associated speck-like protein (ASC), cysteinyl aspartate specific proteinase1 (caspase1) and NOD-like receptor-containing protein 3 (NLRP3).In addition, the deposition of COL1A1, and the level of α-SMA, and Transforming growth factor-β1 (TGF-β1) obviously elevated, whereas that of pro-inflammatory factors reduced in the diabetic wound tissue with IGLR treatment. Conclusion IGLR suppressed oxidative distress and inflammation mainly through NRF2/COX2 axis, thus promoting paracrine and accelerating wound healing in diabetes mice. Graphical Abstract
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spelling doaj.art-d13c6fd7918243919d474c6551256bf52024-03-24T12:33:52ZengBMCChinese Medicine1749-85462024-03-0119111910.1186/s13020-024-00921-1Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axisXiaoyu Geng0Ying Wang1Huan Li2Liang Song3Chen Luo4Xiaojie Gu5Haixin Zhong6Huilin Chen7Xinzhu Chen8Jianwei Wang9Zheng Pan10College of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityCollege of Traditional Chinese Medicine, Chongqing Medical UniversityAbstract Background Lamiophlomis rotata (Benth.) Kudo (L. rotata), the oral Traditional Tibetan herbal medicine, is adopted for treating knife and gun wounds for a long time. As previously demonstrated, total iridoid glycoside extract of L. rotata (IGLR) induced polarization of M2 macrophage to speed up wound healing. In diabetic wounds, high levels inflammatory and chemotactic factors are usually related to high reactive oxygen species (ROS) levels. As a ROS target gene, nuclear factor erythroid 2-related factor 2 (NRF2), influences the differentiation of monocytes to M1/M2 macrophages. Fortunately, iridoid glycosides are naturally occurring active compounds that can be used as the oxygen radical scavenger. Nevertheless, the influence of IGLR in diabetic wound healing and its associated mechanism is largely unclear. Materials and methods With macrophages and dermal fibroblasts in vitro, as well as a thickness excision model of db/db mouse in vivo, the role of IGLR in diabetic wound healing and the probable mechanism of the action were investigated. Results Our results showed that IGLR suppressed oxidative distress and inflammation partly through the NRF2/cyclooxygenase2 (COX2) signaling pathway in vitro. The intercellular communication between macrophages and dermal fibroblasts was investigated by the conditioned medium (CM) of IGLR treatment cells. The CM increased the transcription and translation of collagen I (COL1A1) and alpha smooth muscle actin (α-SMA) within fibroblasts. With diabetic wound mice, the data demonstrated IGLR activated the NRF2/KEAP1 signaling and the downstream targets of the pathway, inhibited COX2/PEG2 signaling and decreased the interaction inflammatory targets of the axis, like interleukin-1beta (IL-1β), interleukin 6 (IL-6), apoptosis-associated speck-like protein (ASC), cysteinyl aspartate specific proteinase1 (caspase1) and NOD-like receptor-containing protein 3 (NLRP3).In addition, the deposition of COL1A1, and the level of α-SMA, and Transforming growth factor-β1 (TGF-β1) obviously elevated, whereas that of pro-inflammatory factors reduced in the diabetic wound tissue with IGLR treatment. Conclusion IGLR suppressed oxidative distress and inflammation mainly through NRF2/COX2 axis, thus promoting paracrine and accelerating wound healing in diabetes mice. Graphical Abstracthttps://doi.org/10.1186/s13020-024-00921-1Iridoid glycosideLamiophlomis rotataNRF2/COX2 axisDiabetic wound healing
spellingShingle Xiaoyu Geng
Ying Wang
Huan Li
Liang Song
Chen Luo
Xiaojie Gu
Haixin Zhong
Huilin Chen
Xinzhu Chen
Jianwei Wang
Zheng Pan
Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
Chinese Medicine
Iridoid glycoside
Lamiophlomis rotata
NRF2/COX2 axis
Diabetic wound healing
title Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
title_full Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
title_fullStr Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
title_full_unstemmed Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
title_short Total iridoid glycoside extract of Lamiophlomis rotata (Benth) Kudo accelerates diabetic wound healing by the NRF2/COX2 axis
title_sort total iridoid glycoside extract of lamiophlomis rotata benth kudo accelerates diabetic wound healing by the nrf2 cox2 axis
topic Iridoid glycoside
Lamiophlomis rotata
NRF2/COX2 axis
Diabetic wound healing
url https://doi.org/10.1186/s13020-024-00921-1
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