Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer

Abstract This research aims to investigate the impact of Didang decoction (DD) on the formation of neutrophil extracellular traps (NETs) and cancer‐associated thrombosis in lung cancer. BALB/c nude mice were used to establish xenograft models for inducing deep vein thrombosis. Tumor growth and throm...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoyan Zeng, Jiuxi Li, Liyuan Pei, Yaping Yang, Ya Chen, Xuejing Wang, Ting Zhang, Ting Zhou
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Pulmonary Circulation
Subjects:
Online Access:https://doi.org/10.1002/pul2.12454
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846106891285954560
author Xiaoyan Zeng
Jiuxi Li
Liyuan Pei
Yaping Yang
Ya Chen
Xuejing Wang
Ting Zhang
Ting Zhou
author_facet Xiaoyan Zeng
Jiuxi Li
Liyuan Pei
Yaping Yang
Ya Chen
Xuejing Wang
Ting Zhang
Ting Zhou
author_sort Xiaoyan Zeng
collection DOAJ
description Abstract This research aims to investigate the impact of Didang decoction (DD) on the formation of neutrophil extracellular traps (NETs) and cancer‐associated thrombosis in lung cancer. BALB/c nude mice were used to establish xenograft models for inducing deep vein thrombosis. Tumor growth and thrombus length were assessed. The impact of DD on NET generation was analyzed using enzyme‐linked immunosorbent assay, immunofluorescence staining, quantitative real‐time PCR, and western blot analysis, both in vivo and in vitro. CI‐amidine, a PAD4 inhibitor, was employed to evaluate the role of PAD4 in the generation of NETs. In vivo studies demonstrated that treatment with DD reduced tumor growth, inhibited thrombus formation, and decreased the levels of NET markers in the serum, tumor tissues, neutrophils, and thrombus tissues of mice. Additional data indicated that DD could suppress neutrophil counts, the release of tissue factor (TF), and the activation of thrombin‐activated platelets, all of which contributed to increased formation of NETs in mouse models. In vitro, following incubation with conditioned medium (CM) derived from Lewis lung carcinoma cells, the expression of NET markers in neutrophils was significantly elevated, and an extracellular fibrous network structure was observed. Nevertheless, these NET‐associated changes were partially counteracted by DD. Additionally, CI‐amidine reduced the expression of NET markers in CM‐treated neutrophils, consistent with the effects of DD. Collectively, DD inhibits cancer‐associated thrombosis in lung cancer by decreasing PAD4‐dependent NET formation through the regulation of TF‐mediated thrombin‐platelet activation. This presents a promising therapeutic strategy for preventing and treating venous thromboembolism in lung cancer.
format Article
id doaj-art-f3e3a393f19a4b49b5dafc2bb0b8c749
institution Kabale University
issn 2045-8940
language English
publishDate 2024-10-01
publisher Wiley
record_format Article
series Pulmonary Circulation
spelling doaj-art-f3e3a393f19a4b49b5dafc2bb0b8c7492024-12-27T05:54:34ZengWileyPulmonary Circulation2045-89402024-10-01144n/an/a10.1002/pul2.12454Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancerXiaoyan Zeng0Jiuxi Li1Liyuan Pei2Yaping Yang3Ya Chen4Xuejing Wang5Ting Zhang6Ting Zhou7Department of Clinical Chinese Pharmacy, College of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaCollege of Acupuncture, Massage and Rehabilitation Hunan University of Chinese Medicine Changsha Hunan ChinaCollege of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaCollege of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaCollege of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaCollege of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaCardiovascular Department Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine Changsha Hunan ChinaDepartment of Clinical Chinese Pharmacy, College of Pharmacy Hunan University of Chinese Medicine Changsha Hunan ChinaAbstract This research aims to investigate the impact of Didang decoction (DD) on the formation of neutrophil extracellular traps (NETs) and cancer‐associated thrombosis in lung cancer. BALB/c nude mice were used to establish xenograft models for inducing deep vein thrombosis. Tumor growth and thrombus length were assessed. The impact of DD on NET generation was analyzed using enzyme‐linked immunosorbent assay, immunofluorescence staining, quantitative real‐time PCR, and western blot analysis, both in vivo and in vitro. CI‐amidine, a PAD4 inhibitor, was employed to evaluate the role of PAD4 in the generation of NETs. In vivo studies demonstrated that treatment with DD reduced tumor growth, inhibited thrombus formation, and decreased the levels of NET markers in the serum, tumor tissues, neutrophils, and thrombus tissues of mice. Additional data indicated that DD could suppress neutrophil counts, the release of tissue factor (TF), and the activation of thrombin‐activated platelets, all of which contributed to increased formation of NETs in mouse models. In vitro, following incubation with conditioned medium (CM) derived from Lewis lung carcinoma cells, the expression of NET markers in neutrophils was significantly elevated, and an extracellular fibrous network structure was observed. Nevertheless, these NET‐associated changes were partially counteracted by DD. Additionally, CI‐amidine reduced the expression of NET markers in CM‐treated neutrophils, consistent with the effects of DD. Collectively, DD inhibits cancer‐associated thrombosis in lung cancer by decreasing PAD4‐dependent NET formation through the regulation of TF‐mediated thrombin‐platelet activation. This presents a promising therapeutic strategy for preventing and treating venous thromboembolism in lung cancer.https://doi.org/10.1002/pul2.12454Didang decoctionlung cancerneutrophil extracellular trapsthrombosis
spellingShingle Xiaoyan Zeng
Jiuxi Li
Liyuan Pei
Yaping Yang
Ya Chen
Xuejing Wang
Ting Zhang
Ting Zhou
Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
Pulmonary Circulation
Didang decoction
lung cancer
neutrophil extracellular traps
thrombosis
title Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
title_full Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
title_fullStr Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
title_full_unstemmed Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
title_short Didang decoction attenuates cancer‐associated thrombosis by inhibiting PAD4‐dependent NET formation in lung cancer
title_sort didang decoction attenuates cancer associated thrombosis by inhibiting pad4 dependent net formation in lung cancer
topic Didang decoction
lung cancer
neutrophil extracellular traps
thrombosis
url https://doi.org/10.1002/pul2.12454
work_keys_str_mv AT xiaoyanzeng didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT jiuxili didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT liyuanpei didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT yapingyang didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT yachen didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT xuejingwang didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT tingzhang didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer
AT tingzhou didangdecoctionattenuatescancerassociatedthrombosisbyinhibitingpad4dependentnetformationinlungcancer