Publications by authors named "Hong-Lian Wang"

Background: Esophageal stricture ranks among the most significant complications following endoscopic submucosal dissection (ESD). Excessive fibrotic repair is a typical pathological feature leading to stenosis after ESD.

Aim: To examine the effectiveness and underlying mechanism of Kangfuxin solution (KFX) in mitigating excessive fibrotic repair of the esophagus post-ESD.

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Intestinal mucosal barrier injury represents a critical complication of severe acute pancreatitis (SAP) without effective treatment. This study investigated the efficacy, underlying mechanism, and responsible active compounds of the traditional Chinese medicinal prescription Chaihuang Qingyi Huoxue granule (CHQY) in treating SAP-induced intestinal mucosal barrier injury. SAP was established in Sprague-Dawley rats via intra-pancreaticobiliary duct infusion of sodium taurocholate, followed by oral CHQY administration (3.

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  • Renal fibrosis is a key feature of chronic kidney disease, and Smad3 is a crucial factor in the pro-fibrosis signaling pathway activated by TGF-β, which promotes fibrosis in the kidneys.* -
  • The study found that Biochanin A (BCA), a natural compound, can significantly inhibit TGF-β signaling and reduce fibrotic gene expression, specifically targeting Smad3 while leaving another factor, Smad2, unaffected.* -
  • Research revealed that Klf6, a transcription factor that promotes Smad3 expression, is downregulated by BCA, which prevents the fibrotic effects mediated by TGF-β in renal fibrosis models.*
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Renal fibrosis represents a pivotal characteristic of chronic kidney disease (CKD), for which effective interventions are currently lacking. The Src kinase activates the phosphatidylinositol-3 kinases (PI3K)/Akt1 pathway to promote renal fibrosis, casting a promising target for anti-fibrosis treatment. Chaihuang-Yishen formula (CHYS), a traditional Chinese medicinal prescription, has a validated efficacy in the treatment of CKD, however, with the underlying mechanism unresolved.

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Background: Inflammatory macrophage infiltration plays a critical role in acute kidney disease induced by ischemia-reperfusion (IRI-AKI). Calycosin is a natural flavone with multiple bioactivities. This study aimed to investigate the therapeutic role of calycosin in IRI-AKI and its underlying mechanism.

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Podocyte injury plays a critical role in the progression of focal segmental glomerulosclerosis (FSGS). Here, it is reported that B-cell translocation gene 2 (Btg2) promotes Adriamycin (ADR)-induced FSGS via Smad3-dependent podocyte-mesenchymal transition. It is found that in FSGS patients and animal models, Btg2 is markedly upregulated by podocytes and correlated with progressive renal injury.

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  • TGF-β/Smad3 is critical in cardiac fibrosis related to hypertension, and the long non-coding RNA (lncRNA) Erbb4-IR is identified as a Smad3-dependent mediator of kidney fibrosis, warranting investigation in hypertensive heart disease.
  • A study using ultrasound-microbubble technology to silence cardiac Erbb4-IR in hypertensive mice showed that this knockdown improved cardiac function and reduced fibrosis markers, despite unchanged blood pressure.
  • The findings suggest that Erbb4-IR contributes to cardiac remodeling in response to angiotensin II and targeting it could lead to new treatments for hypertension-related heart issues.
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  • Neuropeptide Y (NPY) is a nerve system-produced peptide that plays a role in kidney health, showing protective effects in acute kidney injury (AKI) in both humans and animal models.
  • In cases of cisplatin-induced AKI, NPY levels were found to be reduced, and mice lacking NPY experienced worse kidney inflammation and damage.
  • The study suggests that NPY protects kidneys by inhibiting the inflammatory response of M1 macrophages through a specific signaling pathway, indicating its potential as a new treatment for kidney injuries.
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Excessive intrahepatocellular lipid accumulation or steatosis is caused by abnormal lipid metabolism and a common character of nonalcoholic fatty liver disease (NAFLD), which may progress into cirrhosis and hepatocellular cancer. Andrographolide (Andro) is the primary active ingredient extracted from Andrographis paniculata, showing a protective role against dietary steatosis with the mechanism not fully understood. In this study, we showed that administration of Andro (50, 100, and 200 mg/kg/day for 8 weeks, respectively) attenuated obesity and metabolic syndrome in high-fat diet (HFD)-fed mice with improved glucose tolerance, insulin sensitivity, and reduced hyperinsulinemia, hyperglycemia, and hyperlipidemia.

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Renal fibrosis is a common feature of all types of chronic kidney disease (CKD) and is tightly regulated by the TGF-β/Smad3 pathway. Let-7i-5p belongs to the let-7 microRNA family with diverse biological functions. It has been reported that let-7i-5p suppresses fibrotic disease in the heart, lungs, and blood vessels, while the role of let-7i-5p in renal fibrosis remains limited.

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Beta (β) cell dysfunction or loss is the common pathological feature in all types of diabetes mellitus (diabetes). Resolving the underlying mechanism may facilitate the treatment of diabetes by preserving the β cell population and function. It is known that TGF-β signaling plays diverse roles in β cell development, function, proliferation, apoptosis, and dedifferentiation.

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  • Poor β cell proliferation limits the effectiveness of islet cell replacement therapy in diabetes, with Smad3 being a key factor that inhibits this proliferation.
  • Researchers tested the hypothesis that Smad3-deficient (KO) islets could be a better therapy by transplanting them into diabetic mouse models and found that they significantly reduced blood glucose levels and kidney damage compared to wild type (WT) islets.
  • RNA sequencing revealed that the enhanced effectiveness of Smad3KO islets is linked to increased β cell proliferation through an E2F3-dependent mechanism, making it a potential new approach for diabetes treatment.
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Diabetic nephropathy (DN) is one of the most common complications in diabetes mellitus and the leading cause of end-stage renal disease. TGF-β is a pleiotropic cytokine and has been recognized as a key mediator of DN. However, anti-TGF-β treatment for DN remains controversial due to the diverse role of TGF-β1 in DN.

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Chronic kidney disease (CKD) has become a global health issue, and there is increasing evidence showing the beneficial roles of traditional Chinese medicine (TCM) in CKD treatment. Here, we studied the renoprotective role of Mahuang decoction, a famous TCM prescription, in a rat CKD model induced with the combination of doxorubicin and adenine. Our data showed that intragastric administration of Mahuang decoction inhibited the loss of bodyweight and attenuated proteinuria, serum creatinine, and blood urea nitrogen in CKD rats.

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  • Diabetic cardiomyopathy (DCM) is a serious complication in diabetes, leading to heart problems such as myocardial fibrosis and chronic heart failure, with Smad3 protein playing a crucial role in this process.
  • Researchers found that mice genetically modified to lack the Smad3 gene (Smad3KO-db/db) showed protection from DCM, maintaining normal heart function and low levels of heart inflammation and fibrosis, unlike their Smad3 intact counterparts.
  • The study suggests that Smad3 contributes to DCM development by facilitating harmful cardiac inflammation and fibrosis, indicating that targeting Smad3 could be a promising new treatment strategy for DCM in diabetic patients.
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  • The study investigates the role of Smad3 signaling in beta cell function and type 2 diabetes by using genetically modified mice with Smad3 deletion.
  • The research found that Smad3 deficiency prevents diabetes-induced beta cell loss and dysfunction, identifying over 8,000 genes that are differentially expressed in response to Smad3.
  • The preservation of Pax6, a crucial mediator for beta cell development, due to Smad3 deficiency enhances both beta cell proliferation and insulin secretion, suggesting Smad3 as a potential therapeutic target for type 2 diabetes.
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  • Decursin, a coumarin compound, shows potential anti-tumor properties, particularly against cervical cancer, despite limited prior research.
  • In experiments with HeLa cells, decursin was found to induce apoptosis and reduce cell proliferation and migration.
  • Decursin may inhibit tumor growth by regulating Akt activation, suggesting it could be explored as a new treatment option for cervical cancer.
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Background: Acute kidney injury (AKI) is a common kidney disease with a high risk of death and can develop into chronic kidney disease (CKD) and renal failure eventually. Curcumin, an herbal supplement, has been reported exhibiting a renoprotective role in AKI. However, the underlying mechanism is largely unclear.

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Increasing evidences have shown that Helicobacter pylori (Hp) is a pathogen closely related to extra-gastric disorders. Our previous in vitro studies had demonstrated that Hp infection, at least via cytotoxin-associated gene A protein (CagA), might play an important role in the pathogenesis of IgA nephropathy (IgAN) by stimulating proliferation and ectopic synthesis of aberrantly glycosylated IgA1 of B cells. However, the relevant clinical evidence of IgAN resulted from Hp infection remain to be elucidated.

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Cytotoxin-associated antigen A (CagA), a major virulence factor of Helicobacter pylori (Hp), is associated with the pathogenesis of peptic ulcer and gastric cancer. Recent researches demonstrated that Hp exists in palatine tonsil in all studied IgA nephropathy (IgAN) patients, most of which were CagA-positive, suggesting that CagA may be a causative pathogenic factor of IgAN. However, the underlying molecular mechanisms and signaling pathway are still largely unclear.

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Aldosterone is a steroid hormone secreted from the adrenal cortex, which regulates blood pressure. Higher concentrations of aldosterone can cause several diseases, including hypertension, diabetic nephropathy and chronic kidney disease. Previous reports have demonstrated that aldosterone has a pathogenic role in renal injury via reactive oxygen species (ROS), which involves the regulation of autophagy.

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  • The study focuses on developing a method for gene manipulation in ex vivo cultures of embryonic kidneys, which is crucial for understanding renal development.
  • Researchers compared eight serotypes of self-complementary adenoassociated viruses (scAAVs) to determine their effectiveness in delivering genes to cultured embryonic kidneys, finding serotypes 2 and 8 to be the most efficient.
  • The successful use of scAAV for gene delivery not only aids the study of kidney development but also opens the door for its application in other organ models for organogenesis research.
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Autosomal recessive polycystic kidney disease (ARPKD), characterized by ectatic collecting duct, is an infantile form of PKD occurring in 1 in 20 000 births. Despite having been studied for many years, little is known about the underlying mechanisms. In the current study, we employed, for the first time, a MS-based comparative proteomics approach to investigate the differently expressed proteins between kidney tissue samples of four ARPKD and five control individuals.

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