Wenyang Huazhuo Tongluo formula inhibits fibrosis via suppressing Wnt/β-catenin signaling pathway in a Bleomycin-induced systemic sclerosis mouse model
Systemic sclerosis (SSc) is an autoimmune disease characterized by fibrosis of the skin and internal organs. So far, no Western medicine treatment can completely inhibit or reverse the progress of SSc, while at the same time, our previous series of studies have shown that the treatment of SSc by the Wenyang Huazhuo Tongluo formula (WYHZTL), a Chinese herbal decoction, shows a delightful prospect. The aim of this study is to further investigate the mechanism of anti-fibrosis of WYHZTL formula in SSc mouse model.
The Bleomycin-induced SSc mouse model was treated with saline (BLM), high-dosage of WYHZTL formula (WYHZTL-H), medium-dosage of WYHZTL formula (WYHZTL-M), low-dosage of WYHZTL formula (WYHZTL-L) and XAV-939, a small molecule inhibitor of Wnt/β-catenin signaling pathway, by the intragastric administration and intraperitoneal injection, respectively. The mRNA and protein levels of Wnt/β-catenin signaling pathway associated genes, fibrosis markers and histopathology were detected by reverse transcription-quantitative polymerase chain reaction, Western blotting and hematoxylin/eosin-staining. The levels of Wnt1, CTGF and DKK1 protein in serum were detected by enzyme-linked immunosorbent assay.
Compared with BLM group, the WYHZTL formula and XAV-939 could significantly inhibit the thickness of the skin tissue of the SSc mouse model. The mRNA expression levels of GSK3β and DKK1 in the WYHZTL formula and XAV-939-treated group were significantly higher than those in the BLM group, while Wnt1, β-catenin, TCF4, cyclin D1, survivin, VEGF, CTGF, FN1, collagen I/III were decreased. Compared with BLM group, the protein expression levels of GSK3β and DKK1 in the WYHZTL formula and XAV-939-treated group were upregulated, while Wnt1, β-catenin, cyclin D1, survivin, CTGF, FN1, collagen I/III were downregulated. WYHZTL formula and XAV-939 could inhibit expression of Wnt1 and CTGF, but promoted DKK1 in serum. Furthermore, WYHZTL-H seemed more effective than WYHZTL-M and/or XAV-939 on regulating Wnt1, β-catenin, TCF4, GSK3β, DKK1, cyclin D1, survivin, VEGF, CTGF, FN1 and collagen I/III.
This present study demonstrates that WYHZTL formula has anti-fibrosis effect in Bleomycin-induced SSc mouse model in a dosage-dependent manner, and the molecular mechanism may be related to the inhibition of Wnt/β-catenin signaling pathway.
KeywordsWenyang Huazhuo Tongluo formula SSc mouse model Anti-fibrosis Wnt/β-catenin signaling pathway
Wenyang Huazhuo Tongluo formula
connective tissue growth factor
glycogen synthase kinase 3β
T cell factor 4
vascular endothelial growth factor
adenomatous polyposis coli
casein kinase 1
tissue inhibitor of metalloproteinases-1
procollagen III N-terminal peptide
I-collagen carboxyl terminal telopeptide
excessive accumulation of extracellular matrix
forced vital capacity
carbon monoxide diffusing capacity
enzyme-linked immunosorbent assay
reverse transcription-quantitative polymerase chain reaction
Systemic sclerosis (SSc) is an autoimmune disease characterized by fibrosis of the skin and internal organs. Fibrosis is a typical pathological feature of SSc, which is closely related to its prognosis and mortality [1, 2]. So far, there is no drug that can completely inhibit or reverse the progress of SSc, neither the plasma exchange treatment indicating by clinical score . Encouragingly, hematopoietic stem cell transplantation shows a certain effect on the treatment of SSc, but needs a long way for clinical applications .
Studies have shown that the occurrence, development and prognosis of SSc fibrosis depends on the “net effect” of the synthesis and degradation processes of extracellular matrix (ECM). Fibrosis occurs when collagen fibers are excessively synthesized and relatively less degraded [5, 6]. Wnt signal pathway plays an important role in regulating the adhesion, migration, epithelial transformation and growth of cells, and maintaining the stability of tissues and organs [7, 8]. When the Wnt/β-catenin signaling pathway, the classical Wnt signaling pathway, is inactive, Axin, APC, GSK3β and CK1 in the cytoplasm form a degraded complex that binds to β-catenin, leading β-catenin degraded by proteasomes. On the other hand, when the Wnt protein binds to the receptors of Frizzled family on the cell membrane, the Wnt/β-catenin signaling pathway is activated, causing the accumulation of β-catenin in the cytoplasm to promote the translocation of β-catenin to the nucleus to form transcriptional activation complex with TCF/LEF family proteins, followed by the upregulation of a series of target genes, such as c-myc and cyclin D1 and so on [9, 10].
Previous studies showed that Wnt/β-catenin signaling pathway was closely related to fibrosis in skin, lung, liver and kidney [11, 12, 13, 14, 15], which played an important role in the pathogenesis of SSc fibrosis. In the process of SSc fibrosis, Wnt/β-catenin signaling pathway was overactive, and the expression level of target genes, such as cyclinD1, VEGF, CTGF and ET-1 are abnormal [16, 17]. Compared with normal subjects, the accumulation of β-catenin in the SSc skin fibroblasts was increased, which resulted in higher transcription level of the target genes. At the same time, the expression levels of Wnt-1 and Wnt-10b were increased in the fibrotic skin and lung tissue . In the Bleomycin-induced fibrosis model or Tsk mice, Wnt/β-catenin signaling pathway was also overactivated [18, 19, 20]. Similarly, Liu et al.  found that the expression level of cyclin D1 and TGF-β in pulmonary fibrosis were elevated in the Bleomycin-induced animal model. On the contrary, Dkk1 inhibited Wnt/β-catenin signaling pathway by binding to LRP5 and LRP6, the Wnt receptor complex . Akhmetshina et al. [23, 24] found that DKK1 expression was absent in SSc dermal fibroblasts and also significantly reduced in pulmonary fibrosis. The animal experiments showed that DKK1 overexpression inhibited Bleomycin-induced fibrosis . By injecting DKK siRNA into mouse ears, scientists found that expression level of DKK was decreased, and dermal was thickening, which accompanied by increased fibroblast growth and β-catenin expression . All the results showed that DKK1 deletion was one of the causes of Wnt/β-catenin signaling pathway overactivation and played an important role in the pathogenesis of SSc.
The current western medicine treatment of SSc is not satisfactory, so it is essential to explore another treatment option. In the traditional Chinese medicine treatment of SSc, Wenyangchubi formula and Yiqihuoxue formula were representative examples. Studies have shown that Wenyangchubi formula could reduce the expression of connective tissue growth factor (CTGF) and collagen I, improve the skin fibrosis of SSc mouse model . And Yiqihuoxue formula could inhibit the expression of collagen in SSc dermal fibroblasts and TGF-β1-induced NIH/3T3 fibroblasts by regulating TGF-β/smad3 signaling pathway . In 2000, our team invented Wenyang Huazhuo Tongluo formula (WYHZTL formula, Patent No. CN201310351880.2), and applied to the treatment of SSc. Our previous studies have shown that WYHZTL formula could effectively improve the skin score of SSc patients, Renault phenomenon and nail fold microcirculation, reduce plasma endothelin, FVC, DLco and other indicators . In vitro, WYHZTL formula could inhibit the expression of cyclin D1, survivin, TGF-β1 and collagen I/III in skin fibroblasts of SSc patients [29, 30]. WYHZTL formula promoted MMP-9 secretion, inhibited TIMP-1 production, regulated MMP-9/TIMP-1 imbalance, and reduced the serum PIIINP levels while upregulated ICTP levels in SSc patients, thereby reducing fibrosis . However, the mechanism of WYHZTL formula in the treatment of SSc fibrosis based on Wnt/β-catenin signaling pathway has not been reported.
The aim of this study was to further explore the molecular mechanism of anti-SSc fibrosis of WYHZTL formula, and investigate the effect of WYHZTL formula on Wnt/β-catenin signaling pathway in SSc mouse model.
The Minimum Standards of Reporting Checklist contains details of the experimental design, and resources used in this study (Additional file 1).
Composition and preparation of Wenyang Huazhuo Tongluo formula
WYHZTL formula contains Herba Epimedii, Radix Astragali membranacei, Herba Glechomae longitubae, Ramulus Cinnamomi cassiae, Radix Dioscoreae oppositae, Semen Sinapis lbae, Radix Codonopsitis pilosulae, Fasciculus vascularis Luffae, Radix Rehmanniae praeparata and Capparis zeylanica Linn. The preparation procedure of WYHZTL was performed as our previous protocol . The ingredients of WYHZTL formula were purchased from the First Affiliated Hospital of Nanyang Institute of Technology.
The establishment of Bleomycin-induced systemic sclerosis mouse model
Specific pathogen-free (SPF) C57BL/6 mice were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. (Beijing, China). By local injection of Bleomycin in 7-week-old female mice for 3 weeks, the skin fibrosis was induced. Briefly, Bleomycin dissolved in sterile saline to a concentration of 200 μg/ml, and subcutaneous injection of 100 μl of Bleomycin to the restricted area of the upper back each day . 100 μl of phosphate buffer saline (PBS) was subcutaneously injected as controls. All the animal protocols were approved by Zhang Zhongjing College of Chinese Medicine, Nanyang Institute of Technology, China.
The experimental group and drug treatment regimens
Eight mice on a C57BL/6 background were randomly selected as normal groups. Then, the Bleomycin-induced SSc mouse models were randomly divided into five groups, and each group has eight mice. The five groups were named as Bleomycin group (BLM), WYHZTL formula low-dosage group (BLM + WHHZTL-L), WYHZTL formula medium-dosage group (BLM + WYHZTL-M), WYHZTL formula high-dosage group (BLM + WYHZTL-H), and XAV-939 group (BLM + XAV-939), respectively. The PBS group (PBS) received PBS administered daily by subcutaneous injection into defined areas of upper back of normal C57BL/6 mouse, while the normal group (Normal) didn’t receive any administration. Normal, PBS, and BLM group received saline (1 ml/day) administered daily by intragastric administration, while BLM + WYHZTL-L group, BLM + WYHZTL-M group, BLM + WYHZTL-H group received low-dosage of WYHZTL formula (11.75 g/kg/d), medium-dosage of WYHZTL formula (23.50 g/kg/day), high-dosage of WYHZTL formula (47.00 g/kg/day) administered daily by intragastric administration of Bleomycin-induced SSc mouse models, respectively. BLM + XAV-939 group received XAV-939 (10 mg/kg/day) administered daily by intraperitoneal injection of Bleomycin-induced SSc mouse models. All the treatments lasted for 4 weeks, then the mice of each group were anaesthetized and then euthanized, and skin tissues were harvested, stored at − 80 °C, to analyze expression levels of target genes and proteins.
Morphometric dermal measurements
The measurement of skin thickness, skinfold (pinch) thickness and breaking strength of skin were performed as previously described protocol . Briefly, skin thickness was measured using a skin caliper on 12-mm punch biopsy samples obtained from the upper back, away from previous sites of drug injection. A skin caliper was used to measure skinfold (pinch) thickness at the same area of the upper back of the mouse. The measurement of breaking strength of skin was performed by a tensiometer, with a forceps clamped to one side of the 12-mm skin tissue sample and coupled to another forceps clamped to the furthermost extreme of the tissue sample. The value of maximal stress was recorded before tearing of the tissue sample . All measurements were undertaken in a blinded manner.
Skin tissue samples were fixed with 4% paraformaldehyde, and embedded in paraffin, then cutted into 3 μm-thick sample sections for hematoxylin/eosin staining . For hematoxylin/eosin stained tissue samples, a SCN400 Digital Slide Scanner (Leica Microsystems, Wetzlar, Germany) was used to examine and acquire images to identify histopathological changes. The diagnosis was performed by two independent examiners in a blinded manner.
Western blotting analysis
The effects of the WYHZTL formula on Wnt/β-catenin signaling pathway was analyzed by Western blotting as previously described protocol . Briefly, 1 day after WYHZTL formula and XAV-939 administration, the mice were killed to obtain skin tissues. Then the skin tissues were emulsified by ultrasound in RIPA lysis buffer (Beyotime Biotechnology, China). The protein concentrations were detected by BCA assay (Beyotime Biotechnology, China). 40 μg of protein was electrophoresed via sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE), and transferred onto polyvinylidene fluoride (PVDF) membranes (Millipore, USA). Then the membranes were blocked using 5% skimmed milk powder at room temperature for 1 h. After blocking, membranes were incubated with specific antibodies against Wnt1 (1:500 dilution; abcam, UK), β-catenin, TCF4, DKK1, GSK3β, cyclin D1, survivin, CTGF, VEGF, Fibronectin, Collagen I, Collagen III (1:1000 dilution; Proteintech, USA), and GAPDH (1:5000 dilution; Proteintech, USA) overnight. After washing membranes with TBST buffer, membranes were incubated with corresponding horseradish peroxidase (HRP)-conjugated secondary antibody at a 1:5000 dilution for 1 h at 37 °C. Finally, the membranes were washed with TBST three times and developed using an BeyoECL Plus Kit by automated chemiluminescence system (Tanon, China) according to the manufacturer’s instructions. The optical density of immunoreactive bands was measured with a computer-assisted imaging analysis system (Tanon, China) and the relative protein expression levels were normalized to optical density of GAPDH.
Sequences of oligonucleotide primers and products size of RT-qPCR
Primers (5′ → 3′)
Product size (bp)
Enzyme-linked immunosorbent assay (ELISA) analysis
One day after WYHZTL formula and XAV-939 administration, the animals were sacrificed. Collecting blood sample and standing to clot for 2 h at room temperature. Then centrifugation at 1000×g for 10 min, and obtain upper serum carefully to assay immediately. ELISA analysis was performed using enzyme-linked immunosorbent assay kit (Cusabio Technology, China) on a SpectraMax iD3 microplate reader instrument (Molecular Devices, USA). Reagents, and samples or standards were prepared, and experiments were performed according to the manufacturer’s instructions. Briefly, standard or sample were added to each well separately, and incubated at 37 °C for 2 h. Then standards or samples were removed without washing. Add Biotin-antibody to each well, and incubate at 37 °C for 1 h. Remove liquid of each well and wash. Add HRP-avidin to each well, and incubate at 37 °C for 1 h. Remove liquid of each well and wash. Add TMB Substrate to each well, and incubate at 37 °C for 20 min. Add Stop Solution to each well, and immediately detect the optical density of each well by a SpectraMax iD3 microplate reader instrument set to 450 nm. At last, the concentration of target protein was calculated according to standard curve. Each experiment was performed three times independently.
Results were represented as mean ± SD. Data were analyzed by one-way analysis of variance, as appropriate, followed by Bonferroni post hoc test if F achieved P < 0.05 and there was no significant variance in homogeneity. All statistical analyses were performed with Graphpad Prism 6.0 Software. P < 0.05 was considered to indicate a statistically significant difference. All data and statistical analysis complied with the recommendations on experimental design and analysis in pathology.
WYHZTL formula could ameliorate skin fibrosis in Bleomycin-induced SSc mouse model
Effect of WYHZTL formula on Wnt/β-catenin signal pathway in SSc mouse model
In order to determine whether the therapeutic effect of WYHZTL formula on SSc mouse model was related to Wnt/β-catenin signaling pathway, we collected the skin tissues of mice in each group, and detected the components of Wnt/β-catenin signal pathway using RT-qPCR and Western blotting.
As shown in Fig. 3a, c, the expression level of DKK1 and GSK3β protein in BLM + WYHZTL-H and BLM + XAV-939 group were significantly higher than that in BLM group (P < 0.001, P < 0.01, respectively), while BLM + WYHZTL-L and BLM + WYHZTL-M group didn’t have significant difference with BLM group (P > 0.05). And the expression level of DKK1 and GSK3β protein in BLM + WYHZTL-H were all higher than BLM + WYHZTL-M group (P < 0.001, P < 0.01, respectively), but not BLM + XAV-939 group (P > 0.05).
The effect of WYHZTL formula on target genes of Wnt/β-catenin signaling pathway and fibrosis marker
In order to further study on regulating SSc fibrosis by WYHZTL formula via Wnt/β-catenin signaling pathway, we investigated the expression level of target genes of Wnt/β-catenin signaling pathway and fibrosis markers in the skin tissues of each mouse model by RT-qPCR and Western blotting.
The results of RT-qPCR showed that compared with the BLM group, the mRNA expression levels of cyclin D1, FN1 and collagen III in BLM + WYHZTL-M, BLM + WYHZTL-H and BLM + XAV-939 group were downregulated (P < 0.05, P < 0.01, P < 0.01; all P < 0.01; all P < 0.01, respectively), while BLM + WYHZTL-L group didn’t significantly change (P > 0.05) (Fig. 2f, j and l). Compared with the BLM group, the mRNA expression levels of survivin and VEGF in BLM + WYHZTL-H and BLM + XAV-939 group were downregulated (all P < 0.01), while BLM + WYHZTL-L and BLM + WYHZTL-M group didn’t significantly change (P > 0.05) (Fig. 2i). The mRNA expression levels of CTGF and collagen I in BLM + WYHZTL-L, BLM + WYHZTL-M, BLM + WYHZTL-H and BLM + XAV-939 group were all lower than BLM group (P < 0.05, P < 0.01, P < 0.01, P < 0.01; P < 0.05, P < 0.01, P < 0.001, P < 0.001, respectively) (Fig. 2h, k).
In addition, the mRNA expression levels of survivin, VEGF and collagen III in BLM + WYHZTL-H group were even lower than BLM + WYHZTL-M group (P < 0.01, P < 0.01, P < 0.05, respectively), while the mRNA expression levels of FN1, collagen I in BLM + WYHZTL-H group were even lower than BLM + XAV-939 group (P < 0.05, P < 0.01, respectively) (Fig. 2g, i–l). Besides that, the mRNA expression levels of cyclin D1 and collagen III in BLM + XAV-939 group were lower than BLM + WYHZTL-H group (P < 0.01, P < 0.05, respectively) (Fig. 2f, l).
Furthermore, compared to Normal and PBS group, we found that VEGF was upregulated in BLM group (P < 0.001), but there was no significant difference among BLM, BLM + WYHZTL-L, BLM + WYHZTL-M, BLM + WYHZTL-H and BLM + XAV-939 group (P > 0.05).
Effect of WYHZTL formula on the protein level of Wnt-1, DKK1 and CTGF in serum of SSc mouse model
In order to further identify the regulation of Wnt/β-catenin signaling pathway by WYHZTL formula, we collected the serum of each group of mouse model and detected the protein level of Wnt1, DKK1 and CTGF in serum by ELISA.
Wnt/β-catenin signaling pathway could induce fibrosis. Wnt1 and human skin fibroblasts were co-incubated to significantly stimulate the expression of α-SMA and type II collagen, which meant that Wnt1 could induce the transformation of resting fibroblasts to myofibroblasts, and stimulate collagen release [18, 37]. Previous works exhibited that Wnt signal overactivates in SSc patients which played an important role in myofibroblast differentiation and fibroblast proliferation, and also inducing adipose precursor cells transform to fibroblasts by DNA chip analysis and immunohistochemistry technology [38, 39]. At the same time, overexpressing Wnt-10b in normal fibroblasts could upregulate the expression level of fibrosis-related genes [19, 40]. In vivo experiments had also shown that Wnt-10b transgenic mice appear skin fibrosis, progressive subcutaneous fat loss, collagen accumulation, fibroblast activation, myofibroblast aggregation and other phenomena, while Wnt/β-catenin signaling pathway was overactivated in skin fibroblasts [19, 41], which further confirmed that activation of Wnt/β-catenin signaling pathway could induce fibrosis. In the present study, we also found that Wnt/β-catenin signaling pathway was overactivated in the BLM-induced SSc mouse model, suggesting that Wnt/β-catenin signaling pathway indeed played an important role in the pathogenesis of SSc. More importantly, WYHZTL formula could significantly improve skin fibrosis in SSc mouse model. Further study found that WYHZTL formula could inhibit the Wnt/β-catenin signaling pathway. These results suggested that WYHZTL formula may exert anti-SSc fibrosis effect by inhibiting Wnt/β-catenin signaling pathway.
Fibrosis, atrophy and vascular occlusive vasculitis of connective tissue were basic pathological changes of SSc . Fibrosis may involve multiple visceral systems, such as the gastrointestinal tract, lung, kidney, heart, blood vessels, skeletal muscle system, causing dysfunction of corresponding organs . Among them, the skin tissue fibrosis and dermal thickening were the most important and common pathological features of SSc. Yamamoto and colleagues  used the Bleomycin (BLM) treatment to establish a new mouse model of SSc: subcutaneous injection of BLM can induce dermal and pulmonary fibrosis, autoantibody production and skin inflammatory infiltration, which was one of the best animal models for studying on systemic sclerosis. In this study, we used Bleomycin-induced mice on a C57BL/6 background to construct systemic sclerosis model. We identified Bleomycin-induced mouse skin tissue by HE staining, showing that fibrosis, dermal thickening, inflammatory cell infiltration and other pathological changes, suggesting that Bleomycin-induced systemic sclerosis mouse model was successfully constructed. Then we treated the SSc mouse model with WYHZTL formula and XAV-939, respectively. The result of HE staining showed that compared with the model group, the thickening degree of skin of the SSc mouse model was significantly thinner in WYHZTL formula and XAV-939 group, moreover, we found that the effect of WYHZTL formula was more significant than XAV-939.
The overexpression of target genes of Wnt/β-catenin signaling pathway were closely related to SSc fibrosis. The target genes include c-myc, cyclin D1, survivin, vascular endothelial growth factor (VEGF), transforming growth factor-β (TGF-β), connective tissue growth factor (CTGF), endothelin-1 (ET-1), and extracellular matrix components, such as fibronectin (FN) . Therefore, Wnt/β-catenin signaling pathway may be acted as an important target for the treatment of SSc fibrosis. It may be one of effective ways to treat SSc fibrosis by regulating Wnt/β-catenin signaling pathway and its target genes . In our previous study, we had found WYHZTL formula could inhibit the expression of cyclin D1 and survivin in skin fibroblasts of SSc patients . The results of this study showed that WYHZTL formula could upregulate the mRNA expression of GSK3β and DKK1, while downregulated Wnt1, β-catenin, TCF4, cyclin D1, survivin, VEGF, CTGF, FN1, Type I/III collagen. More importantly, after treatment of WYHZTL formula, the protein expression level of DKK1 was increased, while the protein expression levels of Wnt1, β-catenin, cyclin D1, survivin, CTGF, FN1, collagen I/III were decreased. In addition, it was interesting that we also found that the regulation of Wnt/β-catenin signaling pathway and fibrotic-related protein by WYHZTL formula was in a dosage-dependent manner, which was to say, high-dosage of WYHZTL formula seemed more effective than low-dosage or medium-dosage. This discovery prompted us to consider the impact of dosage when we applied WYHZTL formula to the SSc treatment. These results suggested that WYHZTL formula could inhibit fibrosis in SSc by regulating Wnt/β-catenin signaling pathway, which was consistent with our previous findings in SSc fibroblasts .
In addition, considering that Wnt1, DKK1 and CTGF are secreted proteins, we detected the protein expression levels of Wnt1, DKK1 and CTGF in serum of mice by ELISA. We found that WYHZTL formula and XAV-939 could significantly reduce the protein level of Wnt1 and CTGF, while increase the protein level of DKK1 in serum, which was consistent with the results in the study of skin tissue, suggesting that WYHZTL formula could indeed inhibit the development of fibrosis by regulating Wnt/β-catenin signal pathway.
XAV-939 was widely used as an inhibitor of Wnt/β-catenin signaling pathway . Our previous studies  also demonstrated that XAV-939 inhibit expression of cyclin D1 and survivin, target genes of Wnt/β-catenin signaling pathway, in SSc fibroblasts. In this study, we firstly applied XAV-939 to the SSc mouse model. The results showed that XAV-939 could significantly inhibit Wnt/β-catenin signaling pathway and fibrotic-related protein in vivo. More importantly, our results suggested that WYHZTL formula was more effective than XAV-939, that was to say, WYHZTL formula could inhibit Wnt/β-catenin signal pathway as XAV-939 worked in treatment of SSc mouse model, but WYHZTL formula may have another mechanism of anti-fibrosis except Wnt/β-catenin signal pathway. As was known to all, in addition to the Wnt/β-catenin signaling pathway, there was another signaling pathway that also played an important role in the pathogenesis of SSc, such as the TGF-β/smad signaling pathway . In our previous study, we had found that WYHZTL formula could inhibit TGF-β/smad signaling pathway, thereby inhibiting collagen expression in SSc skin fibroblasts and exerting anti-fibrosis effect . So this may explain that in our study, although the effect of low-dosage of WYHZTL formula on Wnt/β-catenin signaling pathway was not obvious, it may exert anti-SSc fibrosis through other mechanisms, such as TGF-β/smad signaling pathway. In addition, autoimmune abnormality was also an important marker of SSc and play a key role in the development of SSc . The level of IL-17A expression was positively correlated with skin and lung inflammation scores and skin fibrosis in BLM-induced mice model. IL-17A could significantly enhance the proliferation of lung fibroblasts in vitro . And Th17 cells in peripheral blood, skin and lung tissue of SSc mouse model were significantly increased, and were closely related to the inflammation and fibrosis of skin and lung tissue . In our previous study, we had found WYHZTL formula could achieve its therapeutic effect on SSc patients by regulating Th17/Treg imbalance and inhibit the expression of IL-17 . All of these results showed that WYHZTL formula worked by many mechanisms, except for regulating Wnt/β-catenin signaling pathway, suggesting that the effect of WYHZTL formula in SSc treatment should be multi-mechanism and multi-level.
QW and WZ carried out the molecular biology assay and drafted the manuscript. HB provided the WYHZTL formula, designed the study and helped to draft the manuscript. CZ (Chaoyun Zhang) and JO performed the statistical analysis, YB participated in the study design, LY and LH constructed mouse model, SY and CZ (Cuiyue Zhang) helped the in vivo study. All authors read and approved the final manuscript.
The authors declare no potential conflict of interest. Dr. Hua Bian holds a patent on the tested WYHZTL formula (No. CN201310351880.2).
Availability of data and materials
All data generated or analysed during this study are included in this published article.
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Ethics approval and consent to participate
All the animal protocols were approved by Zhang Zhongjing College of Chinese Medicine, Nanyang Institute of Technology, China.
The present study was supported by the National Natural Science Foundation of China (Grant Nos. 81373627, 81774300), the science and technology research project of Henan province (Grant No. 182102310595), and the Open Project Fund of Henan Key Laboratory of Zhang Zhongjing Formulae and Herbs for Immunoregulation (Grant No. kfkt201703).
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- 4.Burt RK, Shah SJ, Dill K, Grant T, Gheorghiade M, Schroeder J, Craig R, Hirano I, Marshall K, Ruderman E, et al. Autologous non-myeloablative haemopoietic stem-cell transplantation compared with pulse cyclophosphamide once per month for systemic sclerosis (ASSIST): an open-label, randomised phase 2 trial. Lancet. 2011;378(9790):498–506.CrossRefPubMedGoogle Scholar
- 5.Adigun R, Bhimji S: Systemic sclerosis (CREST syndrome). In: StatPearls, edn. Treasure Island (FL); 2017.Google Scholar
- 12.Blyszczuk P, Muller-Edenborn B, Valenta T, Osto E, Stellato M, Behnke S, Glatz K, Basler K, Luscher TF, Distler O, et al. Transforming growth factor-beta-dependent Wnt secretion controls myofibroblast formation and myocardial fibrosis progression in experimental autoimmune myocarditis. Eur Heart J. 2017;38(18):1413–25.PubMedGoogle Scholar
- 14.Arellanes-Robledo J, Reyes-Gordillo K, Shah R, Dominguez-Rosales JA, Hernandez-Nazara ZH, Ramirez F, Rojkind M, Lakshman MR. Fibrogenic actions of acetaldehyde are beta-catenin dependent but Wingless independent: a critical role of nucleoredoxin and reactive oxygen species in human hepatic stellate cells. Free Radic Biol Med. 2013;65:1487–96.CrossRefPubMedGoogle Scholar
- 16.Serrati S, Chilla A, Laurenzana A, Margheri F, Giannoni E, Magnelli L, Chiarugi P, Dotor J, Feijoo E, Bazzichi L, et al. Systemic sclerosis endothelial cells recruit and activate dermal fibroblasts by induction of a connective tissue growth factor (CCN2)/transforming growth factor beta-dependent mesenchymal-to-mesenchymal transition. Arthritis Rheum. 2013;65(1):258–69.CrossRefPubMedGoogle Scholar
- 17.Riccieri V, Stefanantoni K, Vasile M, Macri V, Sciarra I, Iannace N, Alessandri C, Valesini G. Abnormal plasma levels of different angiogenic molecules are associated with different clinical manifestations in patients with systemic sclerosis. Clin Exp Rheumatol. 2011;29(2 Suppl 65):S46–52.PubMedGoogle Scholar
- 24.Daoussis D, Tsamandas A, Antonopoulos I, Filippopoulou A, Papachristou DJ, Papachristou NI, Andonopoulos AP, Liossis SN. B cell depletion therapy upregulates Dkk-1 skin expression in patients with systemic sclerosis: association with enhanced resolution of skin fibrosis. Arthritis Res Ther. 2016;18(1):118.CrossRefPubMedPubMedCentralGoogle Scholar
- 27.Wu T, Chu H, Tu W, Song M, Chen D, Yuan J, Yu L, Ma Y, Liu Q, Jin L, et al. Dissection of the mechanism of traditional Chinese medical prescription-Yiqihuoxue formula as an effective anti-fibrotic treatment for systemic sclerosis. BMC complement Altern Med. 2014;14:224.CrossRefPubMedPubMedCentralGoogle Scholar
- 29.Han L, Bian H, Ouyang J, Bi Y, Yang L, Ye S. Wenyang Huazhuo Tongluo formula, a Chinese herbal decoction, improves skin fibrosis by promoting apoptosis and inhibiting proliferation through down-regulation of survivin and cyclin D1 in systemic sclerosis. BMC complement Altern Med. 2016;16:69.CrossRefPubMedPubMedCentralGoogle Scholar
- 33.Chan ES, Fernandez P, Merchant AA, Montesinos MC, Trzaska S, Desai A, Tung CF, Khoa DN, Pillinger MH, Reiss AB, et al. Adenosine A2A receptors in diffuse dermal fibrosis: pathogenic role in human dermal fibroblasts and in a murine model of scleroderma. Arthritis Rheum. 2006;54(8):2632–42.CrossRefPubMedGoogle Scholar
- 37.Wei J, Fang F, Lam AP, Sargent JL, Hamburg E, Hinchcliff ME, Gottardi CJ, Atit R, Whitfield ML, Varga J. Wnt/beta-catenin signaling is hyperactivated in systemic sclerosis and induces Smad-dependent fibrotic responses in mesenchymal cells. Arthritis Rheum. 2012;64(8):2734–45.CrossRefPubMedPubMedCentralGoogle Scholar
- 38.Lam AP, Flozak AS, Russell S, Wei J, Jain M, Mutlu GM, Budinger GR, Feghali-Bostwick CA, Varga J, Gottardi CJ. Nuclear beta-catenin is increased in systemic sclerosis pulmonary fibrosis and promotes lung fibroblast migration and proliferation. Am J Respir Cell Mol Biol. 2011;45(5):915–22.CrossRefPubMedPubMedCentralGoogle Scholar
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