PMID- 38464785 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240312 IS - 2214-0883 (Electronic) IS - 2095-1779 (Print) IS - 2214-0883 (Linking) VI - 14 IP - 2 DP - 2024 Feb TI - Tanshinone IIA ameliorates energy metabolism dysfunction of pulmonary fibrosis using (13)C metabolic flux analysis. PG - 244-258 LID - 10.1016/j.jpha.2023.09.008 [doi] AB - Evidence indicates that metabolic reprogramming characterized by the changes in cellular metabolic patterns contributes to the pathogenesis of pulmonary fibrosis (PF). It is considered as a promising therapeutic target anti-PF. The well-documented against PF properties of Tanshinone IIA (Tan IIA) have been primarily attributed to its antioxidant and anti-inflammatory potency. Emerging evidence suggests that Tan IIA may target energy metabolism pathways, including glycolysis and tricarboxylic acid (TCA) cycle. However, the detailed and advanced mechanisms underlying the anti-PF activities remain obscure. In this study, we applied [U-(13)C]-glucose metabolic flux analysis (MFA) to examine metabolism flux disruption and modulation nodes of Tan IIA in PF. We identified that Tan IIA inhibited the glycolysis and TCA flux, thereby suppressing the production of transforming growth factor-beta1 (TGF-beta1)-dependent extracellular matrix and the differentiation and proliferation of myofibroblasts in vitro. We further revealed that Tan IIA inhibited the expression of key metabolic enzyme hexokinase 2 (HK2) by inhibiting phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR)/hypoxia-inducible factor 1alpha (HIF-1alpha) pathway activities, which decreased the accumulation of abnormal metabolites. Notably, we demonstrated that Tan IIA inhibited ATP citrate lyase (ACLY) activity, which reduced the collagen synthesis pathway caused by cytosol citrate consumption. Further, these results were validated in a mouse model of bleomycin-induced PF. This study was novel in exploring the mechanism of the occurrence and development of Tan IIA in treating PF using (13)C-MFA technology. It provided a novel understanding of the mechanism of Tan IIA against PF from the perspective of metabolic reprogramming. CI - (c) 2023 The Author(s). FAU - Shan, Baixi AU - Shan B AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Zhou, Haoyan AU - Zhou H AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Guo, Congying AU - Guo C AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Liu, Xiaolu AU - Liu X AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Wu, Mingyu AU - Wu M AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Zhai, Rao AU - Zhai R AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. FAU - Chen, Jun AU - Chen J AD - State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China. AD - Department of Pharmacognosy, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 210009, China. LA - eng PT - Journal Article DEP - 20230921 PL - China TA - J Pharm Anal JT - Journal of pharmaceutical analysis JID - 101579451 PMC - PMC10921327 OTO - NOTNLM OT - 13C-metabolic flux analysis OT - Metabolic reprogramming OT - Pulmonary fibrosis OT - Tanshinone IIA COIS- The authors declare that there are no conflicts of interest. EDAT- 2024/03/11 06:43 MHDA- 2024/03/11 06:44 PMCR- 2023/09/21 CRDT- 2024/03/11 04:41 PHST- 2023/05/26 00:00 [received] PHST- 2023/09/06 00:00 [revised] PHST- 2023/09/18 00:00 [accepted] PHST- 2024/03/11 06:44 [medline] PHST- 2024/03/11 06:43 [pubmed] PHST- 2024/03/11 04:41 [entrez] PHST- 2023/09/21 00:00 [pmc-release] AID - S2095-1779(23)00246-0 [pii] AID - 10.1016/j.jpha.2023.09.008 [doi] PST - ppublish SO - J Pharm Anal. 2024 Feb;14(2):244-258. doi: 10.1016/j.jpha.2023.09.008. Epub 2023 Sep 21.