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Vitiligo is an acquired pigmentation disorder with a complex pathogenesis and a number of etiological factors. It is mainly manifested by limited or generalized depigmentation spots (1,2). Epidemiological investigations show that its incidence accounts for 1–2% of the total population and the total number of vitiligo patients in China is estimated to be 10–20 million. The incidence rate is increasing year on year and the average age of onset is decreasing (3). The etiology of vitiligo is complex and hypotheses have been proposed from various perspectives (4,5), including genetics, autoimmunity, oxidative stress, cytotoxicity and microenvironmental disorders. Currently, no single hypothesis fully explains the pathogenesis of vitiligo. However, it is clear that the final link in these hypotheses is the apoptosis or dysfunction of melanocytes (6).
The main treatments for vitiligo are non-pharmacological and pharmacological. Non-pharmacological treatments include melanocyte transplantation, iontophoresis and laser therapy, which have great limitations and are not a feasible treatment option for patients in the developmental stage and with large skin lesions (7). Pharmacological treatments for vitiligo mostly use high-dose glucocorticoids or immunosuppressants, which have significant side effects and produce unsatisfactory results. By contrast, in traditional Chinese medicine (TCM) the use of Psoralea corylifolia (P. corylifolia) is believed to tonify the kidneys, strengthen yang, and invigorate the spleen and stomach and it is widely used to treat psoriasis, vitiligo and a number of other dermatological conditions. P. corylifolia tincture is commonly used in the clinical treatment of vitiligo (8). However, further research is needed to elucidate its active ingredients, molecular targets and mechanisms of action.
Microarray analysis is a high-throughput method commonly used to explore the pathogenesis of human diseases. Bioinformatics are employed to analyze online microarray databases and identify key genes involved in disease development (9). The present study used bioinformatics to analyze the GSE75819 vitiligo-related microarray dataset in the Gene Expression Omnibus (GEO) database. The aim was to explore the core genes involved in vitiligo occurrence and development and to provide a reference index for evaluating the therapeutic efficacy of P. corylifolia in vitiligo treatment. Network pharmacology is a new approach that can systematically and comprehensively analyze the mechanisms of drug action on disease by examining the interactions between active ingredients in TCM and disease targets (10), which can systematically and comprehensively explore the mechanisms of drug action on disease and coincides with the holistic and systematic view of TCM in treating diseases (11,12). Molecular docking technology, which is based on the principles of molecular mechanics and quantum mechanics, is used to predict the binding affinity of drugs and targets by calculating the energy changes between drug molecules and target proteins. In the present study, bioinformatics, network pharmacology and molecular docking were used to screen the main active ingredients of P. corylifolia, analyze the action targets and mechanisms of active ingredients and verify them through zebrafish and cell experiments. It not only provided theoretical foundation for the clinical application of P. corylifolia in the therapy of vitiligo, but also served as references for its further scientific research.
The components of P. corylifolia that enter the bloodstream were obtained as potential active ingredients using the SymMap database (http://www.symmap.org/). The non-hemolytic constituents of psoralen were meticulously investigated within the TCMSP database (https://old.tcmsp-e.com/tcmsp.php) using the criteria of druglikeness ≥0.18 and oral bioavailability ≥30% as the selection parameters. The active ingredients obtained were searched for in the PubChem database (https://pubchem.ncbi.nlm.nih.gov/) to determine their chemical formulae. The Swiss Target Prediction tool (http://swisstargetprediction.ch/) was then used to determine the target of the active ingredient.
The GSE75819 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=gse75819) transcriptome data (13), downloaded from the GEO database (http://www.ncbi.nlm.nih.gov/geo/), contains data from 15 vitiligo patients and 15 healthy individuals. Differential analysis was conducted using the ‘limma’ package (https://bioconductor.org/packages/release/bioc/html/limma.html) in the R programming language. Differential genes were identified using a significance level of P<0.05 and |log2FC|>1 as the criteria. The findings were then depicted via volcano plots and heat maps to provide a comprehensive visualization. The differential genes and vitiligo genes from the GeneCards (https://www.genecards.org/) and DisGeNET databases (https://disgenet.com/) were brought together as vitiligo target genes using a Venn diagram (http://www.bioinformatics.com.cn). With the help of the online tool Venny 2.1.0 (http://liuxiaoyuyuan.cn/gongju/weientu.html), the vitiligo targets were intersected with the targets of the P. corylifolia active ingredient and the intersecting targets were identified as potential vitiligo interventions.
Network and tape files consisting of P. corylifolia and its common targets with vitiligo were produced. These files were then be imported into Cytoscape 3.10.1 (https://apps.cytoscape.org/) application to construct the active ingredient-target-disease network.
The possible targets of P. corylifolia for vitiligo were searched for in the STRING database (https://cn.string-db.org). Free nodes were eliminated and the resulting TSV files were downloaded, visualized and analyzed using Cytoscape 3.10.1.
GO and KEGG pathway data obtained from the intersecting genes of P. corylifolia and vitiligo were retrieved and downloaded with the help of the DAVID database (https://david.ncifcrf.gov). GO and KEGG enrichment analyses were conducted to investigate the biological pathways and potential functions of the intersecting genes, with the aim of analyzing their biological processes and metabolic pathways. Finally, the data were visualized using the MicroBioInformatics online tool (https://www.bioinformatics.com.cn).
The 3D crystalline structure of the target protein was retrieved from the Protein Data Bank (PDB; http://www.rcsb.org/). It was then downloaded and processed for dehydration and hydrogenation using AutoDockTools (https://vina.scripps.edu/). This structure was ultimately selected as the receptor and preserved in the PDBqt file format. Active constituents were retrieved from the TCMSP database, hydrogenated using AutoDockTools and selected as ligands before being exported in the PDBQT file format. Molecular docking simulations were then performed using AutoDock Vina to determine the binding affinity of each compound to the target protein. Subsequent analysis of these affinities was conducted using the ‘pheatmap’ (https://cran.r-project.org/web/packages/pheatmap/index.html) and ‘circlize’ R packages (https://cran.r-project.org/web/packages/circlize/index.html), complemented by visualization in PyMOL (http://www.pymol.org/pymol).
P. corylifolia (10 g) was crushed and added to 100 ml of distilled water/75% ethanol. The mixture was left to soak for 1 h and then subjected to water bath heating extraction for a further 1 h. The extract was filtered and collected. Add a further 100 ml of distilled water/75% ethanol and perform a water bath heating extraction for a further 30 min. Filter and collect the extract, then combine the two extracts and concentrate them.
AB wild-type zebrafish (Shanghai FishBio Co., Ltd.), B16F10 cells (Wuhan Pricella Biotechnology Co., Ltd.; Elabscience Bionovation Inc.), 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; MTT; tetrazolium salt), N-phenylthiourea (PTU), levodopa (L-DOPA), laboratory biochemical incubator (Tianjin Laboratory Instrumentation Co., Ltd.), K-400L stereo microscope (Motic Incorporation, Ltd.), SpectraMax iD3 multifunctional enzyme labeler (Molecular Devices, LLC.).
The aqueous and ethanol extracts of P. corylifolia were subjected to UPLC-Q-TOF/MS analysis to ascertain the total ion mobility map, in compliance with the chromatographic and mass spectrometric parameters as detailed in Tables SI and SII. Drawing upon the multistage mass spectrometric data derived from the samples, subsequent processing and comprehensive analysis were conducted in synergy with the high-resolution mass spectrometry database for natural products and pertinent scholarly literature.
Preliminary experiments determined that 200 µM PTU would be used to generate a pigment-deficient zebrafish model. Zebrafish embryos were cultured in a constant-temperature incubator at 28°C for 24 h, designated as 24hpf/1dpf. PTU-induced modeling was then performed for 48 h, at which point the embryos were designated as 72hpf/3dpf. Drug administration commenced immediately afterward for 72 h, with the final time point designated as 144hpf/6dpf. Experimental groups and procedures are detailed below: At 1 dpf, healthy zebrafish embryos were selected and placed into 6-well plates at 15 zebrafish embryos per well. Groups included: Blank control group cultured in fresh culture water; modelling group cultured in fresh culture water containing 200 µM PTU; and groups with different concentrations of aqueous and ethanol extracts (1, 2.5 and 5 µg/ml). Following drug administration, anesthesia was induced using 0.016% MS-222 until zebrafish ceased swimming or exhibited ventral positioning (flipping onto their backs), indicating full anesthesia (14). Anesthetized zebrafish were observed under a microscope within 5 min to assess pigment development, with images captured for documentation. After the experiment, zebrafish were immersed in a high-concentration 0.08% MS-222 solution (typically 5X) until gill movement ceased (~5 min). Anesthesia was maintained for an additional 10–15 min to ensure the mortality of experimental fish (15). Finally, they were placed in a −20°C freezer for centralized disposal of all experimental animals (16). All zebrafish experiments were reviewed and approved by the Animal Ethics Committee of Bozhou University, with ethics approval number DFDW/BZUU-2025-ZF-031.
B16F10 melanocytes in the exponential growth phase were carefully selected and inoculated into 96-well plates at a concentration of 5×104 cells/ml in 180 µl of volume per well. Following inoculation, the cells were placed in a 5% CO2 incubator at 37°C and allowed to proliferate for 24 h. Subsequently, the cells were treated with aqueous and ethanol extracts of P. corylifolia at concentrations of 0.01, 0.1, 1, 10 and 100 µg/ml, followed by an incubation at 37°C period of 48 h. The solution was then evacuated and discarded. Then, 30 µl of MTT reagent was added to each well and the reaction was carried out at 37°C for 4 h. DMSO (150 µl) was added to each well and the solution was vigorously agitated for 10 min. After a 48-h incubation period, 30 µl of MTT reagent was added to each well. The reaction was then conducted at 37°C for 4 h. Then, 150 µl of DMSO was added to each well and shaken for 10 min to facilitate the reaction. Absorbance readings for each well were taken at a wavelength of 570 nm to evaluate the effect of aqueous and alcoholic extracts derived from tonic acid on melanocyte viability and functional integrity.
B16F10 melanocytes were cultured according to the procedure in the aforementioned Measurement of melanocyte viability. After 24 h, 0.01, 0.1, 1 and 10 µg/ml concentrations of the aqueous and ethanol extracts of P. corylifolia were added. After 72 h of incubation at 37°C, the cells were washed twice with PBS, following which 100 µl of a non-denaturing lysis buffer containing 1 nM PMSF were added. The cells were lysed at 4°C for a duration of 20 min, following which they were collected. Upon reaching 72 h of culture at 37°C, the cells underwent a washing process with PBS, repeated twice. Thereafter, a volume of 100 µl of non-denaturing lysate, which contained 1 nM PMSF, was introduced. The cells were subsequently lysed once again at 4°C for 20 min and then collected. The collected cells were centrifuged at 4°C for 10 min at 21,756 × g. The resulting supernatant was used to determine the protein content via the BCA assay and the protein concentration was subsequently calculated. The volume of the supernatant containing 10 µg of total protein was measured and transferred to a 96-well plate. The volume was then brought up to 100 µl using PBS (0.1 M, pH 6.8). Then, 100 µl of a 0.01% L-DOPA solution was added and the plate was incubated at 37°C in the dark for 3 h. OD475 was used to evaluate the catalytic activity of tyrosinase. The melanin precipitate pellet was then suspended in a 100 µl NaOH solution containing 10% DMSO to ensure full solubilization of the melanin within each experimental group. The melanin precipitate with the lower concentration was supplemented with 100 µl of a NaOH solution containing 10% DMSO. Then, 100 µl of the melanin solution was pipetted into each well of a 96-well plate. OD405 was determined to assess melanocyte content.
Data were analyzed exclusively using GraphPad Prism 5 software (Dotmatics), employing one-way analysis of variance (followed by Tukey's post hoc test) and two-tailed paired t-tests. P<0.05 was considered to indicate a statistically significant difference.
Searching the SymMap and TCMSP databases, the present study obtained nine constituents of P. corylifolia, including isobavachin, bavachin, stigmasterol, bavachalcone, bakuchiol, psoralidin and angelicin (Table I).
A total of 259 effective targets of the nine active components of P. corylifolia were obtained through the Swiss Target Prediction database. The GeneCards and DisGeNET databases screened 1,357 and 395 potential vitiligo targets, respectively. Microarray data from GSE75819 detected a total of 25,402 genes, including 691 upregulated and 220 downregulated genes (Fig. 1A and B). Using Venny, the intersection between the microarray differential genes related to vitiligo and the active ingredient targets of P. corylifolia, were identified obtaining a total of 70 intersecting genes (Fig. 1C). These included TNF, AKT1, PPARG, PTGS2, HSP90AA1, ESR1, BCL2, NFKB1, MTOR, GSK3B, PARP1, MDM2, MAPK1 and PIK3CA.
The Cytoscape 3.10.1 application was used to create the ‘active ingredient-target-disease’ network illustrated in Fig. 2A, comprising 80 nodes and 140 edges. The Network Analyzer, an integral component of the software, was used to calculate the degree value for each node. A higher degree value indicates a stronger association between the active components of P. corylifolia and vitiligo-related targets. The active ingredients of P. corylifolia based on degree value were isobavachin, bavachin, stigmasterol, bavachalcone, bakuchiol, isobavachalcone, psoralidin and angelicin, with degree values of 29, 26, 16, 16, 16, 13, 10 and 8, respectively. It suggested that these constituents may be crucial in the psoralen treatment of vitiligo.
The curated list of 70 intersecting genes was seamlessly integrated into the STRING database, giving rise to a sophisticated PPI network, specifically curated under the criterion of ‘Homo sapiens’. This intricate network encompasses a total of 70 nodes interconnected by 461 edges, exhibiting an average node degree of 13.2, as illustrated in Fig. 2B. The derived protein interaction data were meticulously integrated into the Cytoscape 3.10.1 software suite, wherein subsequent manipulation via the Analyze Network module facilitated the generation of an exhaustive network visualization. This visualization underscored the pivotal targets of P. corylifolia in the context of vitiligo therapeutic intervention, as depicted in Fig. 2B. In the figure the size of the circular node indicates the degree value, the larger node degree value, the redder node indicates that the target is more critical, the closer the relationship between the active ingredient of P. corylifolia and the target of vitiligo. The top 15 target proteins are TNF, AKT1, PPARG, PTGS2, HSP90AA1, ESR1, BCL2, NFKB1, MTOR, GSK3B, PARP1, MDM2, MAPK1, PIK3CA and MAPK14, with degree values of 86, 84, 80, 72, 68, 66, 66, 64, 54, 54, 50, 48, 46, 44, 44, respectively. The top 15 targets were further calculated by applying the MCC algorithm using the cytoHubba plug-in in Cytoscape software (Fig. 2C) and the intersection of the targets calculated by the MCC algorithm and Degree was taken to obtain a total of AKT1, HSP90AA1, BCL2, MTOR, NFKB1, MAPK1, ESR1, GSK3B, TNF, PTGS2 ten key targets. The identified targets may represent the principal therapeutic targets of P. corylifolia in the context of vitiligo treatment and they are concurrently the focus of molecular docking validation as presented in the present study.
The 70 overlapping genes were uploaded to the DAVID database for enrichment analysis, yielding results for 272 biological processes (BP), 41 cellular components (CC) and 66 molecular functions (MF). Following rigorous screening, the top ten candidates in each category were selected based on their P-values: BP, CC and MF. These selections were then depicted graphically via bar charts to facilitate a comprehensive visual comparison. The results showed that BP was mainly enriched in the regulation of apoptosis, protein phosphorylation and the inflammatory response; CC was mainly enriched in the mitochondria, the cytoplasm and the phosphatidylinositol 3-kinase complex; and MF was mainly enriched in homodimeric protein binding, enzyme binding and protein serine/threonine kinase activity, as shown in Fig. 3.
The 70 intersecting genes obtained were imported into the DAVID database for enrichment analysis. The results of the enrichment analysis revealed 140 KEGG pathways and a KEGG functional enrichment bar graph was drawn according to the results of the top 20 P-values (Fig. 3B). The KEGG pathway enrichment results were categorized (Fig. 3C). The enrichment outcomes indicate that the genes are predominantly associated with multiple facets of the PI3K-Akt signaling pathway and oncogenic pathways, as well as pathways relevant to hepatitis.
The eight active ingredients of P. corylifolia obtained (Isobavachin, Bavachin, Stigmasterol, Bavachalcone, Bakuchiol, Isobavachalcone, Psoralidin and Angelicin) and the 10 key targets (AKT1, HSP90AA1, BCL2, MTOR, NFKB1, MAPK1, ESR1, GSK3B, TNF and PTGS2) were molecularly docked (Table II and Fig. 4A). The binding energy, measured in kilocalories per mole (kcal/mol), was found to be <-5.0 kcal/mol, indicating a strong and stable interaction between the drug components and the key target proteins. It should be noted that a more negative binding energy denotes a stronger and more stable binding effect. The binding energy was found to be <-5.0 kcal/mol for all components, signifying robust and stable interactions with the key target proteins. The resultant binding energies for each constituent with respect to the target were visualized using a clustered heatmap generated via the ‘pheatmap’ R package (Fig. 4B).
UPLC-Q-TOF/MS analysis was employed to detect and comprehensively analyze the main components of the aqueous and ethanol extracts of P. corylifolia. UPLC-Q-TOF/MS technology was employed to detect and analyze the extracts and the results indicated that the main constituents in the aqueous and ethanolic extracts of P. corylifolia were angelicin, psoralidin, stigmasterol, bavachin and bakuchiol, among others (Fig. S1; Table III).
Compared with the control group, the aqueous and ethanol extracts of P. corylifolia markedly affected pigment synthesis in depigmented zebrafish, with increased melanin synthesis as the administered drug concentration increased (Fig. 5).
Compared with the control group, the results revealed that 0.01–1 µg/ml of the aqueous and ethanol extracts of P. corylifolia had no effect on cell viability, 10 µg/ml promoted cell viability and 100 µg/ml markedly inhibited cell viability (Fig. 6A and D). Therefore, 0.01–1 µg/ml of the aqueous and ethanol extracts of P. corylifolia were selected for subsequent experiments on melanin synthesis and tyrosinase activity. Compared with the control group, 0.01–10 µg/ml of the aqueous extracts of P. corylifolia markedly promoted melanin synthesis, with the effect becoming more pronounced at concentrations of 0.01–1 µg/ml (Fig. 6B). Compared with the control group, 0.01 µg/ml of the ethanol extract of P. corylifolia had no significant effect on melanocyte synthesis, 0.1–10 µg/ml markedly promoted melanocyte melanin synthesis (Fig. 6E). Compared with the control group, 0.1–10 µg/ml of the aqueous extract markedly increased tyrosinase activity, with a more pronounced effect at higher concentrations (Fig. 6C and F).
A thorough search of the SymMap and TCMSP databases in the current investigation revealed that the primary active constituents of P. corylifolia that are effective in the treatment of vitiligo potentially include isobavachin, bavachin, stigmasterol, bavachalcone, bakuchiol, psoralidin and angelicin. Principal component analysis using UPLC-Q-TOF/MS showed that the aqueous and ethanol extracts of P. corylifolia contain these active ingredients. The phytochemicals isobavachin, bavachin, angelicin and stigmasterol have pharmacological properties including anti-inflammatory and antioxidant effects (17,18). Bavachalcone has the ability to modulate the NF-κB signaling pathway, effectively suppressing the synthesis of pro-inflammatory cytokines and demonstrating its anti-inflammatory properties (19). Melanocyte damage caused by free radicals induced by ultraviolet light and sunlight exposure is one of the main causes of vitiligo exacerbation, so antioxidant and free radical scavenging properties are important for curing vitiligo. Bakuchiol can scavenge oxidized free radicals and inhibit the production of interleukin-6 in various cell lines, exhibiting antioxidant and anti-inflammatory properties (20). It has been demonstrated that psoralidin activates tyrosinase, the rate-limiting enzyme in melanogenesis, conferring therapeutic efficacy against vitiligo (21). This suggests that the treatment of vitiligo with P. corylifolia is due to the combined effect of its active ingredients.
The establishment of the PPI network and the outcomes of the topological analysis conducted in the present study revealed that the key targets of P. corylifolia in its anti-vitiligo effects include AKT1, HSP90AA1, BCL2, MTOR, NFKB1, MAPK1, ESR1, GSK3B, TNF and PTGS2. AKT serves as a critical junction within the signaling cascade of protein kinase B and also plays a pivotal role in the organism's protein metabolic processes (22). At the same time, activated AKT1 mainly induces downstream signaling cascades by phosphorylating substrate proteins and participates in regulating various cellular activities (23,24), thereby adjusting the decline in autoimmune function due to vitiligo disease. TNF is a large group of cytokines that can directly cause tumor cell death. The present study identifies TNF-α, primarily produced by monocyte macrophages, as a key pro-inflammatory and immunomodulatory factor. Not only does it suppress the proliferation and differentiation of hematopoietic cells, inducing apoptosis, it also mitigates skin inflammation associated with vitiligo and enhances the immune response of the body (25). PTGS2, also known as cyclooxygenase, is a key prostaglandin endoperoxide synthase. It is a key enzyme in the metabolism of arachidonic acid to generate prostaglandins and is widely distributed in the body. When cells are stimulated, the expression of PTGS2 is increased and it catalyzes the production of various prostaglandins from arachidonic acid. These prostaglandins produce therapeutic effects such as pain relief, an anti-inflammatory response and anti-fibrosis. Prostaglandins are produced by keratinocyte-forming cells under ultraviolet irradiation and can promote melanocyte proliferation, dendrite growth and melanin production. This can treat skin melanin loss caused by vitiligo (26) and suggests that treating vitiligo with P. corylifolia is effective.
The findings of the present study suggested that the therapeutic mechanisms of P. corylifolia in the treatment of vitiligo involved the PI3K/AKT signaling pathway, oncological pathways and hepatitis-associated pathways. Vitiligo, cancer and hepatitis exhibit significant commonalities at the molecular pathway level, with their core mechanisms converging in three areas: Immune dysregulation, abnormal activation of key signaling pathways and oxidative stress damage. Research indicates that all three conditions rely on CD8+ T cell-mediated cytotoxic responses, whereby perforin and granzyme are released to disrupt the membrane integrity of target cells (melanocytes, hepatocytes or tumor cells), thereby inducing cellular dysfunction or death (27–29).
Concurrently, sustained activation of the IFN-γ/JAK-STAT pathway serves as a central pro-inflammatory driver. By binding to IFNGR1/2 receptors, it induces STAT1 phosphorylation and nuclear translocation, thereby regulating hundreds of pro-inflammatory genes and exacerbating tissue damage. This pathway promotes melanocyte clearance in vitiligo, amplifies antiviral inflammatory responses in hepatitis and plays dual roles in antitumor immune responses and immune editing in cancer (30–32). Shared signaling networks (such as NF-κB, PI3K-AKT and MAPK) further link the pathologies of these three conditions. NF-κB forms a positive feedback inflammatory loop via TLR/IL-1R activation, driving the release of proinflammatory factors (TNF-α and IL-6); the PI3K-AKT pathway suppresses melanocyte survival signaling in vitiligo, but promotes tumor metabolic reprogramming in cancer (33); and MAPK mediates neuropeptide (CGRP)-induced immune activation in vitiligo and proinflammatory signaling from viral proteins (such as HBx) in hepatitis (34). The synergistic effects of oxidative stress create a vicious ‘inflammation-oxidative stress’ cycle through the excessive accumulation of reactive oxygen species. Sources include melanin synthesis by-products (vitiligo), mitochondrial dysfunction (cancer) and viral protein-induced endoplasmic reticulum stress (hepatitis), ultimately leading to cellular dysfunction or malignant transformation (35).
Zebrafish have a number of advantages in melanin-related studies (36,37): i) Their transparent embryos enable real-time visualization of melanocyte development and migration; ii) their melanogenesis pathways are highly conserved with those of mammals; iii) they enable high-throughput screening for genetic and pharmacological interventions; and iv) they provide a more cost-effective alternative to mammalian models while maintaining biological relevance. In addition, the B16F10 cell line is a melanoma cell line that is also widely used and recognized in research related to pigmentation, including melanin formation, melanocyte biology and studies on potential interventions for pigmentary disorders such as vitiligo (38,39). The experimental results of the present study show that the aqueous and ethanol extracts of P. corylifolia can increase melanin production in zebrafish and B16 melanocytes. Within a certain range, the higher the concentration, the greater the melanin synthesis, which plays a role in curing vitiligo. This is because P. corylifolia can effectively enhance the proliferation rate of melanocytes and keratinocytes, promote melanocytes to enter the S and G2 phases of the cell cycle and increase their division and proliferation. It can also enhance the activity of tyrosinase, a key enzyme in vitiligo treatment, ultimately leading to a significant increase in melanin synthesis (40). Further investigations have revealed that isobavachin acts as an anti-inflammatory modulator that effectively inhibits inflammatory responses in vitro and in vivo by modulating the MAPK and NF-κB signaling pathways. This suggests that isobavachin may exert therapeutic efficacy against vitiligo via its anti-inflammatory properties (16). Stigmasterol is a novel inhibitor of Nrf2, a ‘master regulator’ of the antioxidant response which reduces Nrf2 protein levels (41). The compromised Nrf2 pathway in melanocytes from vitiligo patients reduces the activation of the antioxidant enzyme system, resulting in dysregulated cellular autophagy. This, in turn, increases the sensitivity of vitiligo melanocytes to oxidative stress, thereby facilitating the onset and progression of vitiligo (42). Therefore, it was hypothesized that P. corylifolia exerts its therapeutic effects on vitiligo through multiple active ingredients acting on key targets along multiple pathways. Further refinement of quantitative assays for melanin production in zebrafish remains necessary. Additionally, validation of the targets and pathways implicated in the present study should be conducted in primary melanocytes and vitiligo animal models using approaches such as target fishing and gene silencing (short interfering/small hairpin RNA).
P. corylifolia may exert its effects through active ingredients such as isobavachin, bavachin and stigmasterol, which act on core targets such as AKT1, BCL2 and MAPK1 and affect signaling pathways such as PI3K/AKT, thereby treating vitiligo. The current study provided a conceptual basis for the use of P. corylifolia in the prophylaxis and therapy of vitiligo, although the intricacies of its pharmacodynamic mechanism require further investigation.
Not applicable.
The present study was supported by 2023 Anhui Province Higher Education Science Research Project (grant nos. 2023AH052279 and 2023AH052272) and 2024 Bozhou College Horizontal Project (grant nos. BYH202485, BYH2025016 and BYH2025098).
The data generated in the present study may be requested from the corresponding author.
MZ and CZ conceived and supervised the project and designed the experiments. CZ, MZ, XZ, MW, ZW, ZC and YY collected the data. CZ, ZW and XZ analyzed the data. CZ drafted the manuscript. XZ and CZ confirm the authenticity of all the raw data. All authors contributed to manuscript revision. All authors have read and approved the final manuscript.
All zebrafish experiments were reviewed and approved by the Animal Ethics Committee of Bozhou University, with ethics approval number DFDW/BZUU-2025-ZF-031.
Not applicable.
The authors declare that they have no competing interests.
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