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Medicinal serum of Tougu Xuejie Powder inhibiting the malignant behavior of human rheumatoid arthritis synovial fibroblasts by blocking the PI3K/AKT signaling pathway
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DOI   10.11656/j.issn.1672-1519.2026.05.14
Key Words   Tougu Xuejie Powder;PI3K/AKT signaling pathway;rheumatoid arthritis;synovial fibroblasts;malignant behavior
Author NameAffiliationE-mail
PENG Lili Department of Integrated Traditional Chinese and Western Medicine, Changsha Third Hospital(Changsha Hospital Affiliated to Hunan University), Changsha 410015, China  
DENG Wenwen Department of Integrated Traditional Chinese and Western Medicine, Changsha Third Hospital(Changsha Hospital Affiliated to Hunan University), Changsha 410015, China  
JIANG Ru Department of Integrated Traditional Chinese and Western Medicine, Changsha Third Hospital(Changsha Hospital Affiliated to Hunan University), Changsha 410015, China  
XIAO Zhi Department of Integrated Traditional Chinese and Western Medicine, Changsha Third Hospital(Changsha Hospital Affiliated to Hunan University), Changsha 410015, China xziiou@163.com 
Abstract
    [Objective] To investigate whether the drug-containing serum of Tonggu Xuejie Powder can inhibit the malignant behavior of human rheumatoid arthritis synovial fibroblasts(RA-FLS) by blocking the phosphoinositide 3-kinase(PI3K)/protein kenase B(AKT) signaling pathway. [Methods] Human RA-FLS cells were cultured in vitro. The cells were divided into the following 4 groups:Group A(normal group),Group B [model group,induced inflammatory microenvironment by lipopolysaccharide(LPS)],Group C(LPS+Tougu Xuejie Powder group),and Group D(LPS+Tougu Xuejie Powder+PI3K activator group). Cell viability was detected by CCK-8,apoptosis was detected by flow cytometry,cell migration was detected by scratch assay,cell invasion was detected by Transwell,and the levels of inflammatory factors in cell supernatants[Tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6),interleukin-10(IL-10)] were detected by Enzyme-linked immunosorbent assay(ELISA),and the expression levels of PI3K/AKT signaling pathway-related proteins were detected by western blot. [Results] The CCK8 experiment results showed that 15% and 20% of the drug-containing serum of Tougu Xuejie Powder significantly reduced the cell viability of RA-FLS(both P<0.05) at 24 hours and 48 hours of intervention. Compared with group A,the cell proliferation,migration,invasion quantity,and levels of TNF-α,IL-1β,and IL-6 in the supernatant of cells in group B were significantly increased,while the apoptosis rate and the level of IL-10 in the supernatant of cells decreased,and the ratios of p-PI3K/PI3K,pAKT/AKT,p-mTOR/mTOR and p-GSK-3β/GSK-3β increased(all P<0.05). This indicates that LPS stimulation promotes the malignant behavior of RA-FLS cells,activates the PI3K/AKT signaling pathway,and enhances the phosphorylation levels of downstream key molecules(such as mTOR and GSK-3β).After 24 hours of treatment with the drug-containing serum of Tougu Xuejie Powder,the proliferation,migration,invasion quantity,levels of TNF-α,IL-1β,and IL-6 in the supernatant of RA-FLS cells,and the ratios of p-PI3K/PI3K,pAKT/AKT,p-mTOR/mTOR and p-GSK-3β/GSK-3β decreased,while the apoptosis rate and the level of IL-10 in the supernatant of cells increased. Activation of the PI3K/AKT signaling partially reversed the inhibitory effect of the drug-containing serum of Tougu Xuejie Powder on the proliferation,migration,and invasion abilities of RA-FLS cells,as well as the improvement effect on the inflammatory response of RA-FLS cells. [Conclusion] The medicinal serum of Tougu Xuejie Powder inhibits the malignant behavior of human rheumatoid arthritis synovial fibroblasts by blocking the PI3K/AKT signaling pathway.

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