J Ethnopharmacol. 2025 Nov 26. pii: S0378-8741(25)01660-5. [Epub ahead of print] 120968
ETHNOPHARMACOLOGICAL RELEVANCE: Traditional Chinese medicine has garnered increasing attention for its efficacy in alleviating stress-induced myelosuppression. Angelica sinensis (Oliv.) Diels root, a crucial traditional medicinal material, was widely utilized for its blood-invigorating effects in conditions such as menstrual disorder, stress-induced anemia, and myelosuppression. Angelica sinensis polysaccharides (ASP), a key natural active ingredient of Angelica sinensis, exhibited a significant potential in antagonizing 5-fluorouracil (5-FU)-induced stress-related oxidative damage to bone marrow cells; however, the underlying mechanism remains to be fully elucidated.
AIM OF THE STUDY: To explore the protective effect and underlying mechanism of ASP on the regulatory axis involving endoplasmic reticulum (ER) stress, mitochondrial dysfunction, apoptosis, and adaptive metabolism, under hematopoietic stress conditions.
MATERIALS AND METHODS: Comprehensive approaches combining network pharmacology, RNA-sequencing, in vivo experimental validation including electron microscopy, Western Blot, qRT-PCR techniques, and mitochondrial function assays were performed on marrow cells in C57BL/6J mice.
RESULTS: ASP significantly preserved the morphology and function of ER and mitochondria under 5-FU stress, alleviating 5-FU-induced apoptosis. Mechanistically, ASP ameliorated ER stress via downregulating signals of unfolded protein response including GRP78, IRE1, ATF6, CHOP and inflammatory factor NF-ĸB, reducing ER-released Ca2+ and Ca2+/ROS positive feedback cascade reaction. ASP maintained IP3R-GRP75-VDAC1 calcium channel of mitochondria-associated-membranes (MAMs), invigorating mitochondrial functional proteins, and inhibiting Cytochrome C release. Strikingly, ASP enhanced glycolytic-related genetic and protein expression via PI3K/AKT /HIF pathway.
CONCLUSIONS: These findings elucidate a novel protective mechanism of ASP against hematopoietic stress caused by chemotherapeutic drug, and identify its multi-target regulation of ER-MAMs-mitochondria and an coincident adaptive metabolism of glycolysis for marrow cell to survive, outlining the prospects for its clinical application in hematopoietic stress.
Keywords: 5-Fluorouracil; Angelica sinensis polysaccharides; ER stress; Mitochondria-associated-membranes; Mitochondrion; Oxidative stress