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Effect of Kuijie Granule on the Expression of TGF-β/Smads Signaling Pathway in Patients with Ulcerative Colitis
Xinjie Xu1, Chunhua Xu2, Shakir M Saud3
1Traditional Chinese Medicine Department, Affiliated Hospital of Taishan Medical University, Shandong 271000, China.
Abstract:
The dysregulation of TGF-β/Smads signaling pathway has been postulated to contribute to the development of ulcerative colitis (UC) and the manifestation of clinical symptoms. Kuijie Granule is a prescription medicine used clinically in China to alleviate the symptoms associated with UC. To evaluate whether the clinical benefit of Kuijie Granule is associated with TGF-β/Smads signaling, we measured the expression levels of TGF-β/Smads signaling proteins (TGF-β1, TGF-βRII, Smad2, Smad4, Smad6, and Smad7) in the intestinal mucosa of 72 patients with UC treated with Kuijie Granule for 60 days. Colonic tissues were obtained by a virtual colonoscopy guided biopsy before and after Kuijie Granule treatment followed by pathological analysis and quantitative analysis of TGF-β/Smads using immunohistochemistry. Kuijie Granule treatment significantly improved symptoms associated with UC, which include diarrhea, mucus production, pus and blood in stool, abdominal pain and distention, and tenesmus. The clinical benefit of Kuijie Granule treatment correlated with decreased expression of TGF-β1 and Smad7 and increased expression of TGF-βRII and Smad4. These clinical results indicate that Kuijie Granule can alleviate the symptoms associated with UC and modulate TGF-β/Smads signaling.
Insights
Kuijie Granule alleviates ulcerative colitis (UC) symptoms by modulating the transforming growth factor-beta (TGF-β)/Smads signaling pathway. Treatment reduced key inflammatory markers, improving patient outcomes.
Area of Science:
- Gastroenterology
- Molecular Biology
- Pharmacology
Background:
- Ulcerative colitis (UC) is linked to dysregulation of the TGF-β/Smads signaling pathway.
- Kuijie Granule is a Chinese herbal medicine used to manage UC symptoms.
Purpose of the Study:
- To investigate the effect of Kuijie Granule on TGF-β/Smads signaling in UC patients.
- To correlate clinical improvements with changes in TGF-β/Smads protein expression.
Main Methods:
- 72 UC patients received Kuijie Granule for 60 days.
- Colonic biopsies were analyzed pre- and post-treatment using immunohistochemistry.
- Expression levels of TGF-β1, TGF-βRII, Smad2, Smad4, Smad6, and Smad7 were quantified.
Main Results:
- Kuijie Granule significantly improved UC symptoms including diarrhea, bleeding, and pain.
- Treatment led to decreased TGF-β1 and Smad7 expression.
- Increased expression of TGF-βRII and Smad4 was observed post-treatment.
Conclusions:
- Kuijie Granule demonstrates clinical efficacy in alleviating UC symptoms.
- The therapeutic effect is associated with the modulation of the TGF-β/Smads signaling pathway.
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