Guizhi Fuling Capsule ameliorates endometrial hyperplasia through promoting p62-Keap1-NRF2-mediated ferroptosis

桂枝茯苓胶囊通过促进 p62-Keap1-NRF2 介导的铁死亡改善子宫内膜增生

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作者:Minyi Zhang, Tao Zhang, Chenglin Song, Jiao Qu, Yanpin Gu, Songjun Liu, Haibo Li, Wei Xiao, Lingdong Kong, Yang Sun, Wen Lv

Aim of the study

This study evaluated whether GFC protects against endometrial hyperplasia and its potential mechanism in mice.

Conclusions

GFC may attenuate estrogen-induced endometrial hyperplasia in mice through triggering ferroptosis via inhibiting p62-Keap1-NRF2 pathway. These findings suggest that GFC might act as a promising traditional Chinese medicine to treat endometrial hyperplasia.

Results

The degree of ferroptosis in endometrial tissue of patients with endometrial hyperplasia was lower than normal endometrial tissue. In addition, ferroptosis inducer imidazole ketone erastin could improve endometrial hyperplasia in mice. Interestingly, GFC significantly alleviated endometrial hyperplasia through triggering ferroptosis. Furthermore, GFC inhibited p62-Keap1-NRF2 pathway in estradiol-induced endometrial hyperplasia model. Conclusions: GFC may attenuate estrogen-induced endometrial hyperplasia in mice through triggering ferroptosis via inhibiting p62-Keap1-NRF2 pathway. These findings suggest that GFC might act as a promising traditional Chinese medicine to treat endometrial hyperplasia.

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