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.

Tissue & Cell
|February 11, 2026
PubMed
Abstract

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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