Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway

Abstract Zhilong Huoxue Tongyu capsule (ZL) is wildly used as a Chinese patent medicine for the treatment of cardiovascular diseases. Clinical studies have found that it can significantly improve hypertension and heart failure. However, its precise molecular mechanisms remain incompletely understood...

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Main Authors: Qiuyu Liu, Dingshan Zhang, Raoqiong Wang, Shihan Sun, Yuanyuan Li, Zhenxun Wan, Yumei Qian, Xinrui Yang, Gang Luo, Mingtai Chen, Mengnan Liu
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-10631-9
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author Qiuyu Liu
Dingshan Zhang
Raoqiong Wang
Shihan Sun
Yuanyuan Li
Zhenxun Wan
Yumei Qian
Xinrui Yang
Gang Luo
Mingtai Chen
Mengnan Liu
author_facet Qiuyu Liu
Dingshan Zhang
Raoqiong Wang
Shihan Sun
Yuanyuan Li
Zhenxun Wan
Yumei Qian
Xinrui Yang
Gang Luo
Mingtai Chen
Mengnan Liu
author_sort Qiuyu Liu
collection DOAJ
description Abstract Zhilong Huoxue Tongyu capsule (ZL) is wildly used as a Chinese patent medicine for the treatment of cardiovascular diseases. Clinical studies have found that it can significantly improve hypertension and heart failure. However, its precise molecular mechanisms remain incompletely understood. The aim of this study was to investigate the effect of ZL on myocardial fibrosis (MF) in in vivo and its potential mechanisms. We established a hypertensive MF model by subcutaneous pumping of angiotensin II (Ang II) into mice, and validated in vivo whether ZL can reduce systolic blood pressure (SBP) and inhibit MF, including the use of echocardiography and various pathological staining techniques. Mechanistically, Western blot, qRT-PCR, and various immunostaining techniques were used to verify whether ZL can regulate TGF-β1/Smad3/Erbb4-IR/miR-29b pathway, and in vivo overexpression of Erbb4-IR was used to clarify whether it plays a key role in this pathway. ZL significantly reduced SBP in hypertensive MF mice, improved cardiac function and MF. Deposition of various collagen, expression of inflammatory factors, and activation of TGF-β1/Smad3 pathway is inhibited due to the intervention of ZL. In addition, ZL significantly reduced expression of Erbb4-IR and increased the expression of miR-29b. Mechanistically, after overexpression of Erbb4-IR in vivo, the regulatory effect of ZL on TGF-β1/Smad3/Erbb4-IR/miR-29b was reversed. Our results initially demonstrated ZL could exert cardioprotective effects in hypertensive MF mice. The pharmacological mechanism of ZL may be related to its regulation on TGF-β1/Smad3/Erbb4-IR/miR-29b pathway.
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spelling doaj-art-a6485a441cd54734bf6d0d5a1b5ce5ea2025-08-20T04:01:49ZengNature PortfolioScientific Reports2045-23222025-07-0115111410.1038/s41598-025-10631-9Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathwayQiuyu Liu0Dingshan Zhang1Raoqiong Wang2Shihan Sun3Yuanyuan Li4Zhenxun Wan5Yumei Qian6Xinrui Yang7Gang Luo8Mingtai Chen9Mengnan Liu10School of Pharmacy, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityA Chinese Medicine Guangdong Laboratory (Hengqin Laboratory)Affiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Cardiovascular Disease, Shenzhen Traditional Chinese Medicine HospitalAffiliated Traditional Chinese Medicine Hospital, Southwest Medical UniversityAbstract Zhilong Huoxue Tongyu capsule (ZL) is wildly used as a Chinese patent medicine for the treatment of cardiovascular diseases. Clinical studies have found that it can significantly improve hypertension and heart failure. However, its precise molecular mechanisms remain incompletely understood. The aim of this study was to investigate the effect of ZL on myocardial fibrosis (MF) in in vivo and its potential mechanisms. We established a hypertensive MF model by subcutaneous pumping of angiotensin II (Ang II) into mice, and validated in vivo whether ZL can reduce systolic blood pressure (SBP) and inhibit MF, including the use of echocardiography and various pathological staining techniques. Mechanistically, Western blot, qRT-PCR, and various immunostaining techniques were used to verify whether ZL can regulate TGF-β1/Smad3/Erbb4-IR/miR-29b pathway, and in vivo overexpression of Erbb4-IR was used to clarify whether it plays a key role in this pathway. ZL significantly reduced SBP in hypertensive MF mice, improved cardiac function and MF. Deposition of various collagen, expression of inflammatory factors, and activation of TGF-β1/Smad3 pathway is inhibited due to the intervention of ZL. In addition, ZL significantly reduced expression of Erbb4-IR and increased the expression of miR-29b. Mechanistically, after overexpression of Erbb4-IR in vivo, the regulatory effect of ZL on TGF-β1/Smad3/Erbb4-IR/miR-29b was reversed. Our results initially demonstrated ZL could exert cardioprotective effects in hypertensive MF mice. The pharmacological mechanism of ZL may be related to its regulation on TGF-β1/Smad3/Erbb4-IR/miR-29b pathway.https://doi.org/10.1038/s41598-025-10631-9Zhilong Huoxue Tongyu capsuleHypertensiveHeart failureMyocardial fibrosisTGF-β1/Smad3/Erbb4-IR/miR-29b pathway
spellingShingle Qiuyu Liu
Dingshan Zhang
Raoqiong Wang
Shihan Sun
Yuanyuan Li
Zhenxun Wan
Yumei Qian
Xinrui Yang
Gang Luo
Mingtai Chen
Mengnan Liu
Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
Scientific Reports
Zhilong Huoxue Tongyu capsule
Hypertensive
Heart failure
Myocardial fibrosis
TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title_full Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title_fullStr Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title_full_unstemmed Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title_short Zhilong Huoxue Tongyu capsule inhibits hypertensive myocardial fibrosis via balancing TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
title_sort zhilong huoxue tongyu capsule inhibits hypertensive myocardial fibrosis via balancing tgf β1 smad3 erbb4 ir mir 29b pathway
topic Zhilong Huoxue Tongyu capsule
Hypertensive
Heart failure
Myocardial fibrosis
TGF-β1/Smad3/Erbb4-IR/miR-29b pathway
url https://doi.org/10.1038/s41598-025-10631-9
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