Chin Herb Med. 2026 Oct;18(4):
1022-1033
Objective: To decipher the anti-fibrosis effects and mechanisms of alkaloid extract of Chuanxiong Rhizoma (CXAL) by modulating endoplasmic reticulum (ER) and mitochondrial disorders through combination of network pharmacological methods with molecular biology.
Methods: After identifying the components of CXAL through UHPLC-HRMS, a bile duct ligation (BDL)-induced liver fibrosis mouse model was established and CXAL was administered in a dose gradient as 5, 10 and 20 mg/kg. Then, liver serum level, expression analysis of liver fibrosis-related genes, pathological staining and immunofluorescence (IF) staining were performed to detect the efficacy of CXAL. Based on target sets from open online databases, network pharmacology and cell type enrichment analysis were performed to locate the pathways and the cell type targeted by CXAL. Furthermore, qPCR, immunofluorescence, ROS-related assays, Mito-SOX, mitochondrial-associated ER membrane (MAM) identification, and calcium ion (Ca2+) flux detection techniques were applied in vitro to evaluate the efficacy of CXAL on the ER, mitochondria, and MAMs in AML12 cells following DCA treatment.
Results: Serological and hepatic histopathological findings indicated the administration of CXAL significantly reduced BDL-increased plasma hyaluronic acid (HA), laminin (LN), total bile acids (TBA) and alkaline phosphatase (ALP) levels, pro-fibrotic markers and liver histopathological changes during liver fibrosis. A total of 57 common targets between the 206 targets of represented CXAL components from TCMSP Database/DrugBank Database and 500 targets associated wtih liver fibrosis from the Gene Cards database were enriched in ER/mitochondrial-related pathways and were specifically localized to hepatocytes in liver. Further in vivo and in vitro investigations revealed that CXAL ameliorated ER stress, mitochondrial dysfunction, MAMs structural damage and aberrant Ca2+ flux. Mechanistically, as MAMs serve as a bridge for Ca2+ communication between the ER and the mitochondria, it found that CXAL might inhibit Ca2+ flux from the ER to the mitochondria through the MAM-associated component, inositol 1,4,5-trisphosphate receptor type 1 (ITPR1). Meanwhile, CXAL upregulated mitofusin 2 (MFN2) to promote the retrieval of Ca2+ from the mitochondria into the ER, thus reducing the accumulation of Ca2+ in the mitochondria.
Conclusion: The administration of CXAL exhibits notable anti-fibrotic properties in the BDL-induced mouse model. The protective effects of CXAL on the ER stress and mitochondrial dysfunction can be attributed to the restoration of Ca2+ influx between the ER and the mitochondrial, mediated by MAM proteins ITPR1 and MFN2.
Keywords: Chuanxiong Rhizoma; calcium ion; endoplasmic reticulum stress; hepatocyte; liver fibrosis; mitochondrial