基于转录组学探究温肺化纤汤改善老年小鼠肺纤维化的作用及机制研究
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1.江西中医药大学;2.江西中医药大学附属医院

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国家自然科学基金(82305162,82405334),江西省重点研发计划(20252BCG330013),江西省自然科学基金(20232BAB206145),中医肺科学江西省重点实验室(2024SSY06321),江西中医药大学校级科技创新团队发展计划(CXTD22011),2024年江西省大学生创新创业训练计划省级项目(S202410412076),江西省中医药管理局科技计划项目(2023B1200),2025年江西省大学生创新创业训练计划国家级项目(202510412005)。


Transcriptomics Elucidate the Therapeutic Effect and Underlying Mechanism of Wenfei Huaxian Decoction in Aged Mice with Pulmonary Fibrosis
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1.Jiangxi University of Chinese Medicine;2.Affiliated Hospital of Jiangxi University of Chinese Medicine

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    摘要:

    目的 分析年龄对小鼠肺纤维化转录组特征的影响,结合加权基因共表达网络分析(weighted gene co-expression network analysis,WGCNA)筛选老年肺纤维化的核心调控通路,并探索温肺化纤汤干预老年小鼠肺纤维化的作用及潜在机制。方法 采用气管内滴注博来霉素(bleomycin,BLM)构建2月龄(青年)和18月龄(老年)小鼠肺纤维化模型,整合京都基因与基因组百科全书(kyoto encyclopedia of genes and genomes,KEGG)富集分析、基因集富集分析(gene set enrichment analysis,GSEA)及WGCNA方法筛选关键通路。在老年肺纤维化模型中评估温肺化纤汤的干预效果。通过苏木素-伊红(hematoxylin-eosin,HE)和Masson染色评估肺组织病理改变;酶联免疫吸附法(enzyme-linked immunosorbent assay,ELISA)检测衰老相关分泌表型(senescence-associated secretory phenotype,SASP)因子水平;Western blot检测衰老标志物p53、p21,肌成纤维细胞标志物α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)表达水平。结果 转录组分析显示,BLM诱导的青年模型小鼠主要表现急性损伤修复、免疫细胞活化及基质重塑;而老年模型小鼠表现为细胞外基质过度沉积、肌成纤维细胞活化与慢性炎症累积,与p53信号通路密切相关。WGCNA识别出与年龄高度正相关的基因共表达模块(相关性r = 0.96,P < 0.001),并对模块基因进行KEGG富集分析,结果仍显著富集于p53信号通路。实验验证结果表明,温肺化纤汤可显著减轻BLM诱导的肺泡炎与纤维化程度,降低SASP因子水平(P < 0.05),下调p21、p53、α-SMA表达(P < 0.05)。结论 温肺化纤汤可能通过调控p53信号通路,减轻细胞衰老与SASP因子过度分泌,从而抑制肌成纤维细胞活化,延缓老年肺纤维化进展。

    Abstract:

    Objective To characterize the transcriptomic features of pulmonary fibrosis in young and aged mice, identify the core regulatory pathways in aged lung fibrosis using weighted gene co-expression network analysis (WGCNA), and further investigate the therapeutic mechanisms of Wenfei Huaxian Decoction (WHD) in aged mice with pulmonary fibrosis. Methods Pulmonary fibrosis models were induced by intratracheal instillation of bleomycin (BLM) in 2-month-old (young) and 18-month-old (aged) mice. Transcriptome sequencing combined with kyoto encyclopedia of genes and genomes (KEGG) enrichment, gene set enrichment analysis (GSEA), and WGCNA was performed to identify age-related pathways. For the in vivo verification of WHD efficacy, aged model mice were treated with WHD, followed by HE and Masson staining to assess lung histopathological. Enzyme-linked immunosorbent assay (ELISA) was used to measure the levels of senescence-associated secretory phenotype (SASP) factors, and Western blot conducted to evaluate the protein expression of senescence markers (p53, p21), myofibroblast marker α-smooth muscle actin (α-SMA). Results Transcriptomic analysis revealed that BLM-induced young model mice showed features of acute injury repair, immune cell activation, and mild matrix remodeling. In contrast, aged model mice exhibited excessive extracellular matrix deposition, myofibroblast activation, and chronic inflammatory accumulation-processes strongly associated with the p53 signaling pathway. WGCNA identified a gene co-expression module highly correlated with age (r = 0.96, P < 0.001), and KEGG enrichment of this module further highlighted significant enrichment of the p53 pathway. Experimental validation showed that WHD significantly alleviated BLM?induced alveolitis and fibrosis, reduced SASP factor levels (P < 0.05), and downregulated the expression of p21, p53, and α?SMA (P < 0.05). Conclusion WHD exerts a protective effect against BLM-induced pulmonary fibrosis in aged mice, and its underlying mechanism may be associated with the modulation of the p53 signaling pathway, thereby reducing cellular senescence and excessive SASP secretion, and ultimately suppressing myofibroblast activation.

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  • 收稿日期:2026-01-27
  • 最后修改日期:2026-03-19
  • 录用日期:2026-05-22
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