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Updated: Feb 13, 2026

Investigation of Macrophage Polarization Using Bone Marrow Derived Macrophages
Published on: June 23, 2013
Houpu Sanwu decoction alleviates rat intraperitoneal adhesion by regulating macrophage polarization and inhibiting
Mei Liu1, Quanxin Chen2, Yan Cui2
1Department of Rehabilitation Medicine, Lanzhou University Second Hospital, Gansu 730000, China; The First Clinical Medical School, Gansu University of Chinese Medicine, Gansu 730000, China.
Background:
Intraperitoneal adhesion frequently occurs after abdominal surgery, substantially affecting patients' quality of life. This study evaluated the therapeutic effect of Houpu Sanwu decoction on intraperitoneal adhesion and its possible molecular mechanism.
Methods:
Thirty-six male Sprague Dawley rats were randomly assigned to sham, control, fluvastatin and low-, medium-, and high-concentration Hopu Sanwu decoction groups. All groups, except for the sham group, underwent abdominal adhesion modeling. Hematoxylin and eosin staining was conducted to observe the pathological changes in peritoneal tissue. Masson staining was used to observe the development of collagen fibers within the adhesive tissues. The protein levels of MCP-1 in adhesion tissues were detected using immunohistochemistry. The serum levels of IL-1, IL-6, TNF-α, IL-4, and IL-10 were detected using ELISA. RT-PCR and western blotting were utilized to identify the expression levels of the SOCS/JAK2/STAT/PPAR-γ pathway.
Results:
The occurrence of intraperitoneal adhesion decreased in the low-, medium-, and high-concentration Hopu Sanwu decoction groups compared with the control group, with the most significant decrease observed in the medium-concentration group (P < 0.05). Following Hopu Sanwu decoction treatment, MCP-1 protein expression in adhesive tissue significantly decreased (P < 0.05). Furthermore, markers associated with M1-type macrophages, such as IL-1, IL-6, and TNF-α, exhibited decreased expression levels, whereas markers of M2-type macrophages, such as IL-4 and IL-10, increased post-Hopu Sanwu decoction treatment. Additionally, Hopu Sanwu decoction can activate the SOCS1/STAT6/PPAR-γpathway, inhibit the SOCS3/JAK2/STAT1 pathway, and promote the polarization of macrophages toward M2.
Conclusions:
These results suggest that Hopu Sanwu decoction is effective in alleviating intraperitoneal adhesion, possibly by inducing M2-type macrophage polarization and modulating the SOCS/JAK2/STAT/PPAR-γ pathway.
Insights
Houpu Sanwu decoction effectively reduces postsurgical intraperitoneal adhesion by modulating macrophage polarization and the SOCS/JAK2/STAT/PPAR-γ pathway.
Area of Science:
- Surgical pathology
- Immunology
- Pharmacology
Background:
- Intraperitoneal adhesion is a common complication after abdominal surgery, significantly impacting patient quality of life.
- This study investigates the therapeutic potential of Houpu Sanwu decoction for treating intraperitoneal adhesion and elucidating its underlying molecular mechanisms.
Purpose of the Study:
- To evaluate the efficacy of Houpu Sanwu decoction in reducing intraperitoneal adhesion in a rat model.
- To explore the molecular mechanisms by which Houpu Sanwu decoction exerts its therapeutic effects, focusing on macrophage polarization and the SOCS/JAK2/STAT/PPAR-γ pathway.
Main Methods:
- A rat model of abdominal adhesion was established, with animals randomized into sham, control, fluvastatin, and varying concentrations of Houpu Sanwu decoction groups.
- Histopathological analysis (Hematoxylin and eosin, Masson staining) was performed on peritoneal tissues.
- Protein levels of MCP-1 and serum levels of inflammatory cytokines (IL-1, IL-6, TNF-α, IL-4, IL-10) were quantified.
- Gene and protein expression of the SOCS/JAK2/STAT/PPAR-γ pathway was assessed using RT-PCR and western blotting.
Main Results:
- Houpu Sanwu decoction significantly decreased the incidence of intraperitoneal adhesion, with optimal effects observed at medium concentrations.
- Treatment led to a reduction in MCP-1 protein expression and modulated macrophage polarization, decreasing M1 markers (IL-1, IL-6, TNF-α) and increasing M2 markers (IL-4, IL-10).
- The decoction activated the SOCS1/STAT6/PPAR-γ pathway and inhibited the SOCS3/JAK2/STAT1 pathway, promoting M2 macrophage polarization.
Conclusions:
- Houpu Sanwu decoction demonstrates significant therapeutic efficacy in alleviating intraperitoneal adhesion.
- The mechanism involves the induction of M2-type macrophage polarization and modulation of the SOCS/JAK2/STAT/PPAR-γ signaling pathway.
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