Salvinorin A Alleviates Bleomycin-Induced Pulmonary Fibrosis by Inhibiting M2 Macrophage Polarization and

Li Xu1, Aijuan Sun2, Yanyan Liu1

  • 1Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, 214122, Jiangsu, China.

Lung
|June 23, 2026
PubMed
Abstract

Insights

Salvinorin A (SA) effectively treats pulmonary fibrosis by inhibiting M2 macrophage polarization and macrophage-to-myofibroblast transition (MMT). This study provides evidence for SA as a potential therapeutic for this progressive lung disease.

Area of Science:

  • Pulmonology
  • Immunology
  • Pharmacology

Background:

  • Pulmonary fibrosis (PF) is a fatal lung disease with few treatments.
  • Macrophages are key immune cells driving PF progression.
  • Salvinorin A (SA) has anti-inflammatory properties, but its effect on PF is unknown.

Purpose of the Study:

  • Investigate SA's therapeutic effects on bleomycin-induced PF in mice.
  • Elucidate SA's mechanism involving macrophage function and MMT.

Main Methods:

  • Established a bleomycin-induced PF mouse model.
  • Administered SA via intraperitoneal injection.
  • Assessed SA's impact on M2 macrophage polarization and MMT in vivo and in vitro.

Main Results:

  • SA treatment reduced PF severity, inflammation, and extracellular matrix deposition.
  • SA inhibited M2 macrophage polarization (downregulating CD206, Arg1, Fizz1, YM1).
  • SA suppressed MMT, decreasing α-SMA⁺CD68⁺ cells.

Conclusions:

  • SA alleviates pulmonary fibrosis by inhibiting M2 macrophage polarization and MMT.
  • SA shows promise as a therapeutic agent for pulmonary fibrosis.

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