Baicalein relieves lung graft ischemia-reperfusion injury by reducing advanced glycation endproducts: From screens to mechanisms.

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Tác giả: Wei-Yang Chen, Yu-Xuan Chen, Sen-Lin Hou, Yang Li, Lin-Xi Liu, Lun-Xu Liu, Pei-Zhi Liu, Ya-Ling Liu, Qiang Pu, Masaaki Sato, Hong-Tao Tang, Dong Tian, Yun Wang, Hong-Ying Wen, Ye Wu, Zeng-Wei Yu, Chuan-Fen Zhang, Yang Zhao, Xiang-Yun Zheng

Ngôn ngữ: eng

Ký hiệu phân loại: 262.135 College of Cardinals

Thông tin xuất bản: United States : The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 137460

BACKGROUND: The lack of effective drugs for treating ischemia-reperfusion injury (IRI) in lung transplants (LTx) remains an issue. Traditional Chinese medicine (TCM) ingredients are promising but poorly studied in LTx. This study aimed to identify potential ingredients and elucidate their mechanisms. METHODS: Ten TCM ingredients, including (-)-epigallocatechin-3-gallate, quercetin, wogonin, triptolide, berberine, fisetin, coumestrol, luteolin, nobiletin, and baicalein, were identified as promising candidates using a network pharmacology approach. All the candidates were tested for their ability to improve clamp-induced IRI. Multiple-dose validation was conducted in LTx models, with a focus on baicalein. The pharmacological efficacy of baicalin was verified in an ex-vivo rat lung perfusion model. RESULTS: All ten TCM ingredients improved clamp-induced IRI. Multiple-dose validation confirmed that baicalein mitigated IRI-induced graft damage and dysfunction. Baicalein reduced the elevated levels of advanced glycation endproducts (AGEs) and their downstream pathogenic effects induced by IRI. Exogenous AGEs counteracted the therapeutic effect of baicalein. CONCLUSIONS: Baicalein inhibited AGE formation by modulating glucose oxidation rather than polyol metabolism. This study provides a laboratory foundation for the use of TCM ingredients in the treatment of IRI in LTx.
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