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Fuming decoction inhibits the activation of lung fibroblast and lung epithelial injury to alleviate bleomycin-induced pulmonary fibrosis through regulating TGF-β1/Smad3 pathway
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DOI   10.11656/j.issn.1672-1519.2020.12.20
Key Words   fuming decoction;TGF-β1;Smad3;pulmonary fibrosis
Author NameAffiliationE-mail
YU Honggang Department of Pulmonary Diseases, Xi'an Hospital of Traditional Chinese Medicine, Xi'an 710012, China  
FU Dahai Department of Pulmonary Diseases, Xi'an Hospital of Traditional Chinese Medicine, Xi'an 710012, China  
YANG Lisheng Department of Pulmonary Diseases, Xi'an Hospital of Traditional Chinese Medicine, Xi'an 710012, China  
SONG Chao Department of Pulmonary Diseases, Xi'an Hospital of Traditional Chinese Medicine, Xi'an 710012, China  
TANG Junfeng Department of Traditional Chinese Medicine Pharmacology, Shaanxi University of Chinese Medicine, Xianyang 712000, China  
QIN Xiaojuan Department of Respiratory Medicine, Hanzhong People's Hospital, Hanzhong 723000, China 33911553@qq.com 
Abstract
    [Objective] To explore the mechanism of Fuming decoction in the treatment of pulmonary fibrosis,and to lay a theoretical foundation for its clinical application.[Methods] The effect of Fuming decoction on TGF-β1 signaling pathway was detected by luciferase reporter gene,and its effect on TGF-β1-induced Smad2/3-dependent pathway and non-Smad signaling was detected,qRT-PCR and western blot methods were used to detect the effect of fuming decoction on the levels of ECM-related mRNA and protein and epithelial damage-related mRNA and protein. Finally,mouse lung fibrosis model was established to clarify the therapeutic effect of fuming decoction on pulmonary fibrosis.[Results] Fuming decoction can antagonize TGF-β1/Smad3 signaling,which can not only inhibit TGF-β1-induced alveolar epithelial cell damage,but also reduce TGF-β1-induced fibroblast differentiation,extracellular matrix formation and fibroblast migration. In vivo experiments showed that Fuming decoction could inhibit bleomycin-induced lung injury and even attenuate formed pulmonary fibrosis in mice.[Conclusion] Fuming decoction can alleviate bleomycin-induced pulmonary fibrosis in mice by mediating the TGF-β1/Smad3 pathway,which lays a theoretical foundation for the clinical application of fuming decoction in the treatment of pulmonary fibrosis.

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