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Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway

  • Authors:
    • Xiaoxiao Zhang
    • Shumiao Li
    • Zhenzhen Chen
    • Wei Liang
    • Shuting Pei
    • Feiyue Gou
    • Zhicheng Jia
    • Zhaoyang Geng
    • Xin Gong
  • View Affiliations / Copyright

    Affiliations: The Second Clinical School of Medicine, Beijing University of Chinese Medicine, Beijing 100029, P.R. China, Beijing Key Lab of TCM Collateral Disease Theory Research, School of Traditional Chinese Medicine, Capital Medical University, Beijing 100069, P.R. China, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250013, P.R. China, Department of Rheumatology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, P.R. China, Department of Gynecology, Dong Fang Hospital of Beijing University of Chinese Medicine, Beijing 100078, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 221
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    Published online on: September 29, 2023
       https://doi.org/10.3892/mmr.2023.13108
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Abstract

Endometriosis (EMs) is a common gynecological disorder characterized by abnormal growth of the endometrial stroma and glands outside the uterus. Tanshinone IIA, the active component of Chinese medicine Danshen (Salvia miltiorrhiza Bge.), has a number of pharmacological effects such as anti‑inflammation and anti‑oxidation and serves a significant role in the treatment of EMs. In the present study, network pharmacology and experimental validation were used to elucidate the potential mechanism of tanshinone IIA for treating EMs. Several databases were used to collect information on EMs and tanshinone IIA and cross‑targets for tanshinone IIA and EMs finally obtained. A total of 64 common targets were found between tanshinone IIA and EMs. Subsequently, a protein‑protein interaction network was constructed, a total of 14 core targets were screened for enrichment analysis. Furthermore, Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis were performed. The network pharmacology showed that intercellular adhesion molecule (ICAM)‑1, MMP‑9 and VEGF are the core targets while PI3K/AKT pathway and mTOR pathway are the main signaling pathways through which tanshinone IIA regulates relevant biological processes to intervene in EMs. Finally, the therapeutic role and mechanism of tanshinone IIA on EMs was verified in vivo. Female Sprague‑Dawley rats were treated by autologous transplantation to establish EMs. Serum inflammatory factors were detected by enzyme‑linked immunosorbent assay (ELISA). The expression of ICAM‑1, MMP‑9 and VEGF in ectopic endometrial tissues of rats was determined by immunohistochemical. The expression of PI3K/Akt/mTOR pathway‑related proteins and genes was detected by western blotting and quantitative PCR. It was found that tanshinone IIA treatment significantly decreased the formation of ectopic endometrium by reducing serum levels of TNF‑α and IL‑1β, and down regulating the levels of ICAM‑1, MMP‑9 and VEGF in ectopic uterine tissue. In addition, tanshinone IIA can also block the activation of PI3K/Akt/mTOR signaling pathway by reducing the expression of related proteins and genes. In conclusion, tanshinone IIA can regulate adhesion, invasion and angiogenesis, thereby improving the pathological morphology of ectopic endometrium and inhibiting the formation of ectopic lesions. The PI3K/Akt/mTOR signaling pathway may play a key role in controlling this process.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang X, Li S, Chen Z, Liang W, Pei S, Gou F, Jia Z, Geng Z and Gong X: Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway. Mol Med Rep 28: 221, 2023.
APA
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F. ... Gong, X. (2023). Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway. Molecular Medicine Reports, 28, 221. https://doi.org/10.3892/mmr.2023.13108
MLA
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F., Jia, Z., Geng, Z., Gong, X."Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway". Molecular Medicine Reports 28.5 (2023): 221.
Chicago
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F., Jia, Z., Geng, Z., Gong, X."Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway". Molecular Medicine Reports 28, no. 5 (2023): 221. https://doi.org/10.3892/mmr.2023.13108
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang X, Li S, Chen Z, Liang W, Pei S, Gou F, Jia Z, Geng Z and Gong X: Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway. Mol Med Rep 28: 221, 2023.
APA
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F. ... Gong, X. (2023). Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway. Molecular Medicine Reports, 28, 221. https://doi.org/10.3892/mmr.2023.13108
MLA
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F., Jia, Z., Geng, Z., Gong, X."Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway". Molecular Medicine Reports 28.5 (2023): 221.
Chicago
Zhang, X., Li, S., Chen, Z., Liang, W., Pei, S., Gou, F., Jia, Z., Geng, Z., Gong, X."Tanshinone ⅡA participates in the treatment of endometriosis by regulating adhesion, invasion, angiogenesis and inhibition of PI3K/Akt/mTOR signaling pathway". Molecular Medicine Reports 28, no. 5 (2023): 221. https://doi.org/10.3892/mmr.2023.13108
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