Abstract
Avian pathogenic Escherichia coli (APEC) poses a significant threat to the poultry industry due to antibiotic resistance. This study evaluated the therapeutic efficacy of the Chinese herbal formula Sihuangzhili Granule (SHZL) against avian colibacillosis in comparison to treatment with oxytetracycline. Physiological, histopathological, and biochemical analyses revealed that SHZL alleviated APEC-induced diarrhea, restored organ condition (heart, liver, and intestine), and normalized serum metabolic markers more effectively than oxytetracycline. Bioinformatic analysis identified 59 shared targets between SHZL and the disease phenotypes of pericarditis, hepatitis, and diarrhea, primarily in the TLR4, MAPK, and apoptosis pathways. Multi-tissue analyses demonstrated SHZL's superior regulation of inflammatory (IL-6, IL-1β) and apoptotic markers (BCL2, CASP8, CASP3) in the serum, heart, liver, and cecum, with targeted suppression of the TLR4/MYD88/IKKα/IκBα/NF-κB signaling pathway. Molecular docking confirmed high-affinity binding of SHZL components (coptisine, berberine) to core targets (AP-1, ERK1, IKKα). Although SHZL lacked direct antibacterial activity, it enhanced gut microbial diversity and suppressed pro-inflammatory taxa, whereas oxytetracycline exacerbated dysbiosis and sustained pathogenic proliferation. SHZL established its holistic therapeutic effect through multi-functional, multi-organ, multi-composition, and multi-dimensional regulation of the host-gut microbiota axis. The multi-dimensional effects were achieved through anti-inflammatory, immunomodulatory, organ-protective, and microbiota-balancing mechanisms.