Modulation of cellular metabolism and alleviation of bacterial dysbiosis by Aconiti Lateralis Radix Praeparata in non-small cell lung cancer treatment

Copyright © 2023 Elsevier GmbH. All rights reserved..

BACKGROUND: Non-small cell lung cancer (NSCLC) is a highly prevalent and fatal form of lung cancer. In China, Aconiti Lateralis Radix Praeparata (Fuzi in Chinese), derived from the lateral root of Aconitum carmichaeli Debx. (Ranunculaceae, Aconitum), is extensively prescribed to treat cancer in traditional medicine and clinical practice. However, the precise mechanism by which Fuzi treats NSCLC remains unknown.

PURPOSE: This article aims to assess the efficacy of Fuzi against NSCLC and elucidate its underlying mechanism.

METHODS: Marker ingredients of Fuzi decoction were quantified using UPLC-TSQ-MS. The effectiveness of Fuzi on NSCLC was evaluated using a xenograft mouse model. Subsequently, a comprehensive approach involving network pharmacology, serum metabolomics, and 16S rDNA sequencing was employed to investigate the anti-NSCLC mechanism of Fuzi.

RESULTS: Pharmacological evaluation revealed significant tumour growth inhibition by Fuzi, accompanied by minimal toxicity. Network pharmacology identified 29 active Fuzi compounds influencing HIF-1, PI3K/Akt signalling, and central carbon metabolism in NSCLC. Integrating untargeted serum metabolomics highlighted 30 differential metabolites enriched in aminoacyl-tRNA biosynthesis, alanine, aspartate, and glutamate metabolism, and the tricarboxylic acid (TCA) cycle. Targeted serum metabolomics confirmed elevated glucose content and reduced levels of pyruvate, lactate, citrate, α-ketoglutarate, succinate, fumarate, and malate following Fuzi administration. Furthermore, 16S rDNA sequencing assay showed that Fuzi ameliorated the dysbiosis after tumorigenesis, decreased the abundance of Proteobacteria, and increased that of Firmicutes and Bacteriodetes. PICRUSt analysis revealed that Fuzi modulated the pentose phosphate pathway of the gut microbiota. Spearman correlation showed that Proteobacteria and Escherichia_Shigella accelerated the TCA cycle, whereas Bacteroidota, Bacteroides, and Lachnospiraceae_NK4A136_group suppressed the TCA cycle.

CONCLUSIONS: This study firstly introduces a novel NSCLC mechanism involving Fuzi, encompassing energy metabolism and intestinal flora. It clarifies the pivotal role of the gut microbiota in treating NSCLC and modulating the TCA cycle. Moreover, these findings offer valuable insights for clinical practices and future research of Fuzi against NSCLC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:126

Enthalten in:

Phytomedicine : international journal of phytotherapy and phytopharmacology - 126(2024) vom: 27. März, Seite 155099

Sprache:

Englisch

Beteiligte Personen:

Zhang, Wen [VerfasserIn]
Ding, Menglei [VerfasserIn]
Feng, Yaru [VerfasserIn]
Cai, Shuhui [VerfasserIn]
Luo, Zichen [VerfasserIn]
Shan, Jinjun [VerfasserIn]
Di, Liuqing [VerfasserIn]

Links:

Volltext

Themen:

Aconiti lateralis radix praeparata
DNA, Ribosomal
Drugs, Chinese Herbal
EC 2.7.1.-
Fuzi
Gut microbiota
Journal Article
Metabolomics
NSCLC
Phosphatidylinositol 3-Kinases
Plant Extracts
TCA cycle

Anmerkungen:

Date Completed 11.03.2024

Date Revised 11.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.phymed.2023.155099

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369025962