Fangji Fuling Decoction Alleviates Sepsis by Blocking MAPK14/FOXO3A Signaling Pathway

Yi Wang1, Ming-Qi Chen2, Lin-Feng Dai2

  • 1Department of Critical Care Medicine, Changzhou Hospital of Traditional of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Changzhou, Jiangsu Province, 213000, China.

Abstract

Insights

Fangji Fuling Decoction (FFD) reduces organ damage and inflammation in sepsis by inhibiting the mitogen-activated protein kinase 14/Forkhead Box O 3A (MAPK14/FOXO3A) pathway. This study combined network pharmacology with in vitro and in vivo experiments.

Area of Science:

  • Pharmacology
  • Immunology
  • Molecular Biology

Background:

  • Sepsis is a life-threatening organ dysfunction caused by dysregulated host response to infection.
  • Lipopolysaccharide (LPS) is a key component of Gram-negative bacteria that triggers inflammatory responses in sepsis.
  • Traditional Chinese Medicine (TCM) formulations, like Fangji Fuling Decoction (FFD), are explored for their therapeutic potential in sepsis.

Purpose of the Study:

  • To investigate the therapeutic effects of Fangji Fuling Decoction (FFD) on sepsis.
  • To elucidate the underlying molecular mechanisms of FFD action using network pharmacology.
  • To validate findings through in vitro and in vivo experimental models.

Main Methods:

  • Sepsis models were established in mice (LPS injection) and RAW264.7 macrophages (LPS stimulation).
  • Network pharmacology identified key pathways involved in FFD's action on sepsis.
  • In vitro and in vivo experiments assessed FFD's impact on organ damage, inflammation, cell apoptosis, and the MAPK14/FOXO3A signaling pathway.

Main Results:

  • FFD significantly reduced organ damage and inflammation in LPS-induced septic mice.
  • FFD suppressed LPS-induced macrophage apoptosis and inflammation in vitro.
  • Network pharmacology and experimental validation confirmed FFD inhibits the MAPK14/FOXO3A signaling pathway, mitigating sepsis-induced inflammation and apoptosis.

Conclusions:

  • FFD demonstrates therapeutic potential in ameliorating sepsis.
  • Inhibition of the MAPK14/FOXO3A signaling pathway is a key mechanism by which FFD exerts its anti-inflammatory and anti-apoptotic effects in sepsis.
  • FFD offers a promising therapeutic strategy for managing sepsis-related inflammatory responses.

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