Compound Kushen injection improves M1 macrophage polarisation and radiation-induced colitis by regulating

Xin Sun1, Zheng Li2, Shangfei Luo1

  • 1Innovation Research Institute of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, 4655 Daxue Road Changqing District, Ji'nan, Shandong 250355, China.

Abstract

Insights

Compound Kushen injection (CKI) protects against radiation-induced colitis (RIC) by suppressing Piezo1 activation in macrophages. This modulation of the Piezo1-NF-κB/NLRP3 pathway reduces inflammation and improves outcomes in RIC.

Area of Science:

  • Gastroenterology
  • Immunology
  • Radiotherapy Research

Background:

  • Radiation-induced colitis (RIC) is a frequent consequence of pelvic radiotherapy.
  • Macrophage polarization to the M1 phenotype drives RIC progression.

Purpose of the Study:

  • To investigate the protective effects of compound Kushen injection (CKI) on RIC.
  • To elucidate the underlying mechanisms of CKI's therapeutic action.

Main Methods:

  • A mouse model of RIC was established using whole-abdominal irradiation (14 Gy).
  • Mice received CKI intraperitoneally before irradiation.
  • Macrophage activation, Piezo1 expression, NF-κB, and NLRP3 inflammasome signaling were analyzed.

Main Results:

  • CKI significantly improved survival rates, body weight, and colon length in RIC mice.
  • CKI ameliorated tissue damage, intestinal barrier dysfunction, and inflammatory markers.
  • CKI suppressed macrophage Piezo1 activation and the subsequent NF-κB/NLRP3 inflammasome pathway.

Conclusions:

  • CKI demonstrates protective effects against RIC.
  • CKI functions by modulating macrophage polarization via the Piezo1-NF-κB/NLRP3 pathway.
  • CKI represents a potential therapeutic strategy for managing RIC.