Combination of Ferulic Acid, Ligustrazine and Tetrahydropalmatine attenuates Epithelial-mesenchymal Transformation via Wnt/β-catenin Pathway in Endometriosis

Int J Biol Sci. 2021 Jun 11;17(10):2449-2460. doi: 10.7150/ijbs.60167. eCollection 2021.

Abstract

Previously the potential therapeutic action of ferulic acid, ligustrazine and tetrahydropalmatine (FLT) are discovered with unclear mechanism in rat autograft endometriosis. However, the effect of FLT on endometrial cells and allograft endometriosis is still unclear. This study is designed to elucidate the influence of FLT on epithelial-mesenchymal transformation in allograft endometriosis and endometrium cells. In vivo, fluorescent xenogeneic endometriosis model was established. In vitro, invasion and metastasis were analyzed after treating FLT. Epithelial-mesenchymal transformation and Wnt/β-catenin pathway were inspected in vitro and in vivo. Activator or inhibitor of Wnt/β-catenin signaling was performed to inspect mechanism of epithelial-mesenchymal transformation. In vivo, FLT not only decreased fluorescent intensity and volume of ectopic lesion, but also ameliorated pathological morphology. E2 and PROG levels in serum were reduced by FLT. In endometrial cells, FLT significantly inhibited the invasion and metastasis. Meantime, epithelial-mesenchymal transformation was reversed, accompanied by suppression of Wnt/β-catenin pathway. In-depth study, activation of Wnt/β-catenin pathway lead to promotion of epithelial-mesenchymal transformation, which was reversed by FLT. FLT prevented fluorescent allograft endometriosis and endometrium cells, which was related to suppress epithelial-mesenchymal transformation through inactivating Wnt/β-catenin pathway. The findings disclose molecular mechanism of epithelial-mesenchymal transformation in endometriosis by FLT, and contribute to further application.

Keywords: Allograft endometriosis; Epithelial-mesenchymal transformation; Ferulic acid; Ligustrazine; Tetrahydropalmatine; Wnt/β-catenin pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Berberine Alkaloids / therapeutic use*
  • Coumaric Acids / therapeutic use*
  • Disease Models, Animal
  • Drug Therapy, Combination
  • Endometriosis / blood
  • Endometriosis / drug therapy*
  • Endometriosis / metabolism
  • Endometrium / drug effects
  • Endometrium / growth & development
  • Endometrium / metabolism
  • Epithelial-Mesenchymal Transition / drug effects*
  • Estrogens / blood
  • Female
  • Heterografts
  • Mice
  • Mice, Inbred C3H
  • Mice, Nude
  • Progesterone / blood
  • Pyrazines / therapeutic use*
  • Wnt Signaling Pathway / drug effects
  • beta Catenin / metabolism

Substances

  • Berberine Alkaloids
  • Coumaric Acids
  • Estrogens
  • Pyrazines
  • beta Catenin
  • tetrahydropalmatine
  • Progesterone
  • ferulic acid
  • tetramethylpyrazine