Related Experiment Video
Updated: Jun 29, 2025

Oropharyngeal Administration of Bleomycin in the Murine Model of Pulmonary Fibrosis
Published on: May 9, 2025
NBR1-p62-Nrf2 mediates the anti-pulmonary fibrosis effects of protodioscin
Qian Zeng1, Bin-Bin Wen1, Xin Liu2
1Xiangya Nursing School, Central South University, 172 Tongzipo Road, Changsha, 410013, Hunan, China.
Background:
Idiopathic pulmonary fibrosis is a persistent disease of the lung interstitium for which there is no efficacious pharmacological therapy. Protodioscin, a steroidal saponin, possesses diverse pharmacological properties; however, its function in pulmonary fibrosis is yet to be established. Hence, in this investigation, it was attempted to figure out the anti-pulmonary fibrosis influences of protodioscin and its pharmacological properties related to oxidative stress.
Methods:
A mouse lung fibrosis model was generated using tracheal injections of bleomycin, followed by intraperitoneal injection of different concentrations of protodioscin, and the levels of oxidative stress and fibrosis were detected in the lungs. Multiple fibroblasts were treated with TGF-β to induce their transition to myofibroblasts. It was attempted to quantify myofibroblast markers' expression levels and reactive oxygen species levels as well as Nrf2 activation after co-incubation of TGF-β with fibroblasts and different concentrations of protodioscin. The influence of protodioscin on the expression and phosphorylation of p62, which is associated with Nrf2 activation, were detected, and p62 related genes were predicted by STRING database. The effects of Nrf2 inhibitor or silencing of the Nrf2, p62 and NBR1 genes, respectively, on the activation of Nrf2 by protodioscin were examined. The associations between p62, NBR1, and Keap1 in the activation of Nrf2 by protodioscin was demonstrated using a co-IP assay. Nrf2 inhibitor were used when protodioscin was treated in mice with pulmonary fibrosis and lung tissue fibrosis and oxidative stress levels were detected.
Results:
In vivo, protodioscin decreased the levels of fibrosis markers and oxidative stress markers and activated Nrf2 in mice with pulmonary fibrosis, and these effects were inhibited by Nrf2 inhibitor. In vitro, protodioscin decreased the levels of myofibroblast markers and oxidative stress markers during myofibroblast transition and promoted Nrf2 downstream gene expression, with reversal of these effects after Nrf2, p62 and NBR1 genes were silenced or Nrf2 inhibitors were used, respectively. Protodioscin promoted the binding of NBR1 to p62 and Keap1, thereby reducing Keap1-Nrf2 binding.
Conclusion:
The NBR1-p62-Nrf2 axis is targeted by protodioscin to reduce oxidative stress and inhibit pulmonary fibrosis.
Insights
Protodioscin shows potential in treating pulmonary fibrosis by reducing oxidative stress and fibrosis markers. It activates the NBR1-p62-Nrf2 pathway, offering a new therapeutic avenue for this lung disease.
Area of Science:
- Pharmacology
- Cell Biology
- Pathology
Background:
- Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease with limited treatment options.
- Protodioscin, a steroidal saponin, has shown various pharmacological effects but its role in IPF was unknown.
- This study investigated protodioscin's anti-fibrotic effects and its relation to oxidative stress.
Purpose of the Study:
- To evaluate the efficacy of protodioscin in mitigating pulmonary fibrosis.
- To elucidate the underlying mechanisms of protodioscin, particularly its impact on oxidative stress and the Nrf2 pathway.
Main Methods:
- Established a mouse model of lung fibrosis using bleomycin and treated with protodioscin.
- Investigated protodioscin's effects on fibroblast to myofibroblast transition in vitro.
- Assessed oxidative stress markers, myofibroblast markers, and Nrf2 pathway activation.
- Utilized Nrf2 inhibitors and gene silencing (Nrf2, p62, NBR1) to confirm pathway involvement.
Main Results:
- Protodioscin reduced fibrosis and oxidative stress markers in vivo and in vitro.
- Protodioscin promoted Nrf2 activation and downstream gene expression.
- The anti-fibrotic effects were dependent on Nrf2, p62, and NBR1, with protodioscin facilitating NBR1-p62-Keap1 binding.
Conclusions:
- Protodioscin effectively inhibits pulmonary fibrosis by targeting the NBR1-p62-Nrf2 signaling pathway.
- This pathway modulation reduces oxidative stress, presenting protodioscin as a potential therapeutic agent for IPF.
Related Concept Videos
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...

