Mechanic evaluation of Wu-Mei-Pill on colitis-associated colorectal cancer: An integrated transcriptomics, metabolomics, and experimental validation study

•Wu-Mei pill (WMP) inhibited tumor progression in CAC mice.•WMP activated the PPAR signaling pathway.•WMP inhibited Wnt signaling pathway-mediated EMT.•WMP limited the inflammatory response and inhibited the CCL3/CCR1 axis. Chronic intestinal inflammatory diseases play a crucial role in the onset of...

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Veröffentlicht in:Phytomedicine (Stuttgart) 2024-06, Vol.128, p.155509-155509, Article 155509
Hauptverfasser: Cui, Huantian, Jin, Yutong, Wang, Ning, Liu, Haizhao, Shu, Rongli, Wang, Jida, Wang, Xiangling, Jia, Beitian, Wang, Yiyang, Bian, Yuhong, Wen, Weibo
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creator Cui, Huantian
Jin, Yutong
Wang, Ning
Liu, Haizhao
Shu, Rongli
Wang, Jida
Wang, Xiangling
Jia, Beitian
Wang, Yiyang
Bian, Yuhong
Wen, Weibo
description •Wu-Mei pill (WMP) inhibited tumor progression in CAC mice.•WMP activated the PPAR signaling pathway.•WMP inhibited Wnt signaling pathway-mediated EMT.•WMP limited the inflammatory response and inhibited the CCL3/CCR1 axis. Chronic intestinal inflammatory diseases play a crucial role in the onset of colorectal cancer (CRC). Effectively impeding the progression of colitis-associated colorectal cancer (CAC) can be instrumental in hindering CRC development. Wu-Mei-Pill (WMP), a formulation comprising various herbal extracts, is clinically employed for CAC treatment, yet the underlying mechanism of WMP's efficacy in CAC remains unclear. Our study firstly demonstrated the effects and mechanisms of WMP on transcriptional and metabolic levels based on integrated transcriptomics and untargeted metabolomics and relative experimental validations. A CAC mouse model was established through a single injection of azoxymethane (AOM) followed by intermittent dextran sodium sulfate (DSS) intervention, with subsequent WMP administration. Initially, the therapeutic impact of WMP on the CAC model was assessed by observing survival rate, body weight change, colon length, tumor number, tumor load, and pathological changes in the colon tissue of CAC mice post-WMP intervention. Subsequently, differential genes and metabolites in the colorectal tissue of CAC mice following WMP intervention were identified through transcriptomics and non-targeted metabolomics. Finally, the influence of WMP on the peroxisome proliferator activated receptor (PPAR) pathway, Wnt pathway, and CC motif chemokine ligand 3 (CCL3)/ CC motif chemokine receptor 1 (CCR1) axis in CAC mice was verified through western blot, immunofluorescence, and ELISA based on the results of transcriptomics and non-targeted metabolomics. WMP intervention enhanced survival, alleviated body weight loss, shortened colon length, tumor occurrence, and pathological changes in the colorectal tissue of CAC mice, such as glandular damage, tumourigenesis, and inflammatory cell infiltration. Transcriptomic and non-targeted metabolomic results revealed that WMP intervention up-regulated the expression of key regulatory mechanisms of fatty acid oxidation PPAR pathway-related genes (Pparg, Ppara, Cpt1a, and Acadm) and metabolites (L-carnitine and L-palmitoylcarnitine). Additionally, it down-regulated Wnt pathway-related genes (Wnt3, Axin2, Tcf7, Mmp7, Lgr5, Wnt5a, Fzd6, Wnt7b, Lef1, and Fzd10 etc.) and pro-inflammatory related genes (Il1b,
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Chronic intestinal inflammatory diseases play a crucial role in the onset of colorectal cancer (CRC). Effectively impeding the progression of colitis-associated colorectal cancer (CAC) can be instrumental in hindering CRC development. Wu-Mei-Pill (WMP), a formulation comprising various herbal extracts, is clinically employed for CAC treatment, yet the underlying mechanism of WMP's efficacy in CAC remains unclear. Our study firstly demonstrated the effects and mechanisms of WMP on transcriptional and metabolic levels based on integrated transcriptomics and untargeted metabolomics and relative experimental validations. A CAC mouse model was established through a single injection of azoxymethane (AOM) followed by intermittent dextran sodium sulfate (DSS) intervention, with subsequent WMP administration. Initially, the therapeutic impact of WMP on the CAC model was assessed by observing survival rate, body weight change, colon length, tumor number, tumor load, and pathological changes in the colon tissue of CAC mice post-WMP intervention. Subsequently, differential genes and metabolites in the colorectal tissue of CAC mice following WMP intervention were identified through transcriptomics and non-targeted metabolomics. Finally, the influence of WMP on the peroxisome proliferator activated receptor (PPAR) pathway, Wnt pathway, and CC motif chemokine ligand 3 (CCL3)/ CC motif chemokine receptor 1 (CCR1) axis in CAC mice was verified through western blot, immunofluorescence, and ELISA based on the results of transcriptomics and non-targeted metabolomics. WMP intervention enhanced survival, alleviated body weight loss, shortened colon length, tumor occurrence, and pathological changes in the colorectal tissue of CAC mice, such as glandular damage, tumourigenesis, and inflammatory cell infiltration. Transcriptomic and non-targeted metabolomic results revealed that WMP intervention up-regulated the expression of key regulatory mechanisms of fatty acid oxidation PPAR pathway-related genes (Pparg, Ppara, Cpt1a, and Acadm) and metabolites (L-carnitine and L-palmitoylcarnitine). Additionally, it down-regulated Wnt pathway-related genes (Wnt3, Axin2, Tcf7, Mmp7, Lgr5, Wnt5a, Fzd6, Wnt7b, Lef1, and Fzd10 etc.) and pro-inflammatory related genes (Il1b, Il6, Il17a, Ccl3, and Ccr1 etc.). Experimental validation demonstrated that WMP up-regulated PPAR pathway-related proteins [PPARγ, PPARα, carnitine palmitoyltransferase 1A (CPT1A), and acyl-CoA dehydrogenase medium chain (ACADM)] in the colorectal tissue of CAC mice. It also down-regulated Wnt pathway-related proteins [β-catenin, T-cell factor (TCF), lymphoid enhancer-binding factor (LEF), and matrix metallopeptidase 7 (MMP7)], inhibited the nuclear translocation of the key transcription factor β-catenin in the Wnt pathway, and suppressed epithelial-to-mesenchymal transition (EMT) activation induced by the Wnt pathway (up-regulated E-cadherin and down-regulated Vimentin). Furthermore, WMP intervention reduced pro-inflammatory factors [interleukin (IL)-6, IL-1β, and IL-17A] and decreased CCL3/CCR1 axis factors, including CCL3 protein levels and diminished F4/80+CCR1+ positive expressed cells. WMP significantly inhibits CAC tumorigenesis by up-regulating PPARα-mediated fatty acid oxidation, inhibiting the Wnt signaling pathway-mediated EMT, and suppressing CCL3/CCR1-mediated inflammatory responses. [Display omitted]</description><identifier>ISSN: 0944-7113</identifier><identifier>EISSN: 1618-095X</identifier><identifier>DOI: 10.1016/j.phymed.2024.155509</identifier><identifier>PMID: 38452403</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>acyl-CoA dehydrogenase ; Animals ; Azoxymethane ; beta oxidation ; body weight changes ; cadherins ; carcinogenesis ; carnitine ; carnitine palmitoyltransferase ; CCL3/CCR1-mediated inflammatory responses ; CCR1 receptor ; chemokines ; Colitis - chemically induced ; Colitis-associated colorectal cancer ; Colitis-Associated Neoplasms ; colon ; Colon - drug effects ; Colon - metabolism ; Colon - pathology ; Colorectal Neoplasms ; dextran ; Dextran Sulfate ; Disease Models, Animal ; Drugs, Chinese Herbal - pharmacology ; fluorescent antibody technique ; interleukin-17 ; interleukin-6 ; ligands ; Male ; metabolites ; Metabolomics ; Mice ; Mice, Inbred C57BL ; Non-targeted metabolomics ; peroxisome proliferator-activated receptor alpha ; peroxisome proliferator-activated receptor gamma ; PPARα-mediated fatty acid oxidation ; sodium sulfate ; survival rate ; T-lymphocytes ; therapeutics ; transcription (genetics) ; Transcriptome ; Transcriptomics ; vimentin ; Western blotting ; wnt proteins ; Wnt signaling pathway-mediated epithelial-to-mesenchymal transition ; Wu-Mei-Pill</subject><ispartof>Phytomedicine (Stuttgart), 2024-06, Vol.128, p.155509-155509, Article 155509</ispartof><rights>2024 Elsevier GmbH</rights><rights>Copyright © 2024 Elsevier GmbH. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c344t-8ba8f486ec6358cdb8a2ab48cc0e6e17c135dab46e754433fb494f580498c7d23</cites><orcidid>0000-0002-9303-7341</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0944711324001739$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38452403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cui, Huantian</creatorcontrib><creatorcontrib>Jin, Yutong</creatorcontrib><creatorcontrib>Wang, Ning</creatorcontrib><creatorcontrib>Liu, Haizhao</creatorcontrib><creatorcontrib>Shu, Rongli</creatorcontrib><creatorcontrib>Wang, Jida</creatorcontrib><creatorcontrib>Wang, Xiangling</creatorcontrib><creatorcontrib>Jia, Beitian</creatorcontrib><creatorcontrib>Wang, Yiyang</creatorcontrib><creatorcontrib>Bian, Yuhong</creatorcontrib><creatorcontrib>Wen, Weibo</creatorcontrib><title>Mechanic evaluation of Wu-Mei-Pill on colitis-associated colorectal cancer: An integrated transcriptomics, metabolomics, and experimental validation study</title><title>Phytomedicine (Stuttgart)</title><addtitle>Phytomedicine</addtitle><description>•Wu-Mei pill (WMP) inhibited tumor progression in CAC mice.•WMP activated the PPAR signaling pathway.•WMP inhibited Wnt signaling pathway-mediated EMT.•WMP limited the inflammatory response and inhibited the CCL3/CCR1 axis. Chronic intestinal inflammatory diseases play a crucial role in the onset of colorectal cancer (CRC). Effectively impeding the progression of colitis-associated colorectal cancer (CAC) can be instrumental in hindering CRC development. Wu-Mei-Pill (WMP), a formulation comprising various herbal extracts, is clinically employed for CAC treatment, yet the underlying mechanism of WMP's efficacy in CAC remains unclear. Our study firstly demonstrated the effects and mechanisms of WMP on transcriptional and metabolic levels based on integrated transcriptomics and untargeted metabolomics and relative experimental validations. A CAC mouse model was established through a single injection of azoxymethane (AOM) followed by intermittent dextran sodium sulfate (DSS) intervention, with subsequent WMP administration. Initially, the therapeutic impact of WMP on the CAC model was assessed by observing survival rate, body weight change, colon length, tumor number, tumor load, and pathological changes in the colon tissue of CAC mice post-WMP intervention. Subsequently, differential genes and metabolites in the colorectal tissue of CAC mice following WMP intervention were identified through transcriptomics and non-targeted metabolomics. Finally, the influence of WMP on the peroxisome proliferator activated receptor (PPAR) pathway, Wnt pathway, and CC motif chemokine ligand 3 (CCL3)/ CC motif chemokine receptor 1 (CCR1) axis in CAC mice was verified through western blot, immunofluorescence, and ELISA based on the results of transcriptomics and non-targeted metabolomics. WMP intervention enhanced survival, alleviated body weight loss, shortened colon length, tumor occurrence, and pathological changes in the colorectal tissue of CAC mice, such as glandular damage, tumourigenesis, and inflammatory cell infiltration. Transcriptomic and non-targeted metabolomic results revealed that WMP intervention up-regulated the expression of key regulatory mechanisms of fatty acid oxidation PPAR pathway-related genes (Pparg, Ppara, Cpt1a, and Acadm) and metabolites (L-carnitine and L-palmitoylcarnitine). Additionally, it down-regulated Wnt pathway-related genes (Wnt3, Axin2, Tcf7, Mmp7, Lgr5, Wnt5a, Fzd6, Wnt7b, Lef1, and Fzd10 etc.) and pro-inflammatory related genes (Il1b, Il6, Il17a, Ccl3, and Ccr1 etc.). Experimental validation demonstrated that WMP up-regulated PPAR pathway-related proteins [PPARγ, PPARα, carnitine palmitoyltransferase 1A (CPT1A), and acyl-CoA dehydrogenase medium chain (ACADM)] in the colorectal tissue of CAC mice. It also down-regulated Wnt pathway-related proteins [β-catenin, T-cell factor (TCF), lymphoid enhancer-binding factor (LEF), and matrix metallopeptidase 7 (MMP7)], inhibited the nuclear translocation of the key transcription factor β-catenin in the Wnt pathway, and suppressed epithelial-to-mesenchymal transition (EMT) activation induced by the Wnt pathway (up-regulated E-cadherin and down-regulated Vimentin). Furthermore, WMP intervention reduced pro-inflammatory factors [interleukin (IL)-6, IL-1β, and IL-17A] and decreased CCL3/CCR1 axis factors, including CCL3 protein levels and diminished F4/80+CCR1+ positive expressed cells. WMP significantly inhibits CAC tumorigenesis by up-regulating PPARα-mediated fatty acid oxidation, inhibiting the Wnt signaling pathway-mediated EMT, and suppressing CCL3/CCR1-mediated inflammatory responses. [Display omitted]</description><subject>acyl-CoA dehydrogenase</subject><subject>Animals</subject><subject>Azoxymethane</subject><subject>beta oxidation</subject><subject>body weight changes</subject><subject>cadherins</subject><subject>carcinogenesis</subject><subject>carnitine</subject><subject>carnitine palmitoyltransferase</subject><subject>CCL3/CCR1-mediated inflammatory responses</subject><subject>CCR1 receptor</subject><subject>chemokines</subject><subject>Colitis - chemically induced</subject><subject>Colitis-associated colorectal cancer</subject><subject>Colitis-Associated Neoplasms</subject><subject>colon</subject><subject>Colon - drug effects</subject><subject>Colon - metabolism</subject><subject>Colon - pathology</subject><subject>Colorectal Neoplasms</subject><subject>dextran</subject><subject>Dextran Sulfate</subject><subject>Disease Models, Animal</subject><subject>Drugs, Chinese Herbal - pharmacology</subject><subject>fluorescent antibody technique</subject><subject>interleukin-17</subject><subject>interleukin-6</subject><subject>ligands</subject><subject>Male</subject><subject>metabolites</subject><subject>Metabolomics</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Non-targeted metabolomics</subject><subject>peroxisome proliferator-activated receptor alpha</subject><subject>peroxisome proliferator-activated receptor gamma</subject><subject>PPARα-mediated fatty acid oxidation</subject><subject>sodium sulfate</subject><subject>survival rate</subject><subject>T-lymphocytes</subject><subject>therapeutics</subject><subject>transcription (genetics)</subject><subject>Transcriptome</subject><subject>Transcriptomics</subject><subject>vimentin</subject><subject>Western blotting</subject><subject>wnt proteins</subject><subject>Wnt signaling pathway-mediated epithelial-to-mesenchymal transition</subject><subject>Wu-Mei-Pill</subject><issn>0944-7113</issn><issn>1618-095X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFuFSEUhonR2NvqGxjD0kXnCgPMgAuTprFq0kYXGt0RBs5YbmaGEZjG-yo-rYzTbnVFOPz_-Q_nQ-gFJXtKaPP6sJ9vjyO4fU1qvqdCCKIeoR1tqKyIEt8fox1RnFctpewEnaZ0IIRy1ZKn6IRJLmpO2A79vgF7ayZvMdyZYTHZhwmHHn9bqhvw1Wc_DLhUbBh89qkyKQXrTQa3lkIEm82ArZksxDf4YsJ-yvAj_hXkaKZko59zGL1N53iEbLri2m5mchh-zRD9CNPapeR7tw2Q8uKOz9CT3gwJnt-fZ-jr1bsvlx-q60_vP15eXFeWcZ4r2RnZc9mAbZiQ1nXS1Kbj0loCDdDWUiZcKTTQCs4Z6zuueC8k4Ura1tXsDL3a-s4x_FwgZT36ZGEYzARhSZpRwYSqaS3_K62V4G2jpBJFyjepjSGlCL2ey09NPGpK9ApQH_QGUK8A9Qaw2F7eJyzd-vZgeiBWBG83AZSV3HmIOlkPZf_OrzS0C_7fCX8ANwSxkA</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Cui, Huantian</creator><creator>Jin, Yutong</creator><creator>Wang, Ning</creator><creator>Liu, Haizhao</creator><creator>Shu, Rongli</creator><creator>Wang, Jida</creator><creator>Wang, Xiangling</creator><creator>Jia, Beitian</creator><creator>Wang, Yiyang</creator><creator>Bian, Yuhong</creator><creator>Wen, Weibo</creator><general>Elsevier GmbH</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0002-9303-7341</orcidid></search><sort><creationdate>20240601</creationdate><title>Mechanic evaluation of Wu-Mei-Pill on colitis-associated colorectal cancer: An integrated transcriptomics, metabolomics, and experimental validation study</title><author>Cui, Huantian ; Jin, Yutong ; Wang, Ning ; Liu, Haizhao ; Shu, Rongli ; Wang, Jida ; Wang, Xiangling ; Jia, Beitian ; Wang, Yiyang ; Bian, Yuhong ; Wen, Weibo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-8ba8f486ec6358cdb8a2ab48cc0e6e17c135dab46e754433fb494f580498c7d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>acyl-CoA dehydrogenase</topic><topic>Animals</topic><topic>Azoxymethane</topic><topic>beta oxidation</topic><topic>body weight changes</topic><topic>cadherins</topic><topic>carcinogenesis</topic><topic>carnitine</topic><topic>carnitine palmitoyltransferase</topic><topic>CCL3/CCR1-mediated inflammatory responses</topic><topic>CCR1 receptor</topic><topic>chemokines</topic><topic>Colitis - chemically induced</topic><topic>Colitis-associated colorectal cancer</topic><topic>Colitis-Associated Neoplasms</topic><topic>colon</topic><topic>Colon - drug effects</topic><topic>Colon - metabolism</topic><topic>Colon - pathology</topic><topic>Colorectal Neoplasms</topic><topic>dextran</topic><topic>Dextran Sulfate</topic><topic>Disease Models, Animal</topic><topic>Drugs, Chinese Herbal - pharmacology</topic><topic>fluorescent antibody technique</topic><topic>interleukin-17</topic><topic>interleukin-6</topic><topic>ligands</topic><topic>Male</topic><topic>metabolites</topic><topic>Metabolomics</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Non-targeted metabolomics</topic><topic>peroxisome proliferator-activated receptor alpha</topic><topic>peroxisome proliferator-activated receptor gamma</topic><topic>PPARα-mediated fatty acid oxidation</topic><topic>sodium sulfate</topic><topic>survival rate</topic><topic>T-lymphocytes</topic><topic>therapeutics</topic><topic>transcription (genetics)</topic><topic>Transcriptome</topic><topic>Transcriptomics</topic><topic>vimentin</topic><topic>Western blotting</topic><topic>wnt proteins</topic><topic>Wnt signaling pathway-mediated epithelial-to-mesenchymal transition</topic><topic>Wu-Mei-Pill</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cui, Huantian</creatorcontrib><creatorcontrib>Jin, Yutong</creatorcontrib><creatorcontrib>Wang, Ning</creatorcontrib><creatorcontrib>Liu, Haizhao</creatorcontrib><creatorcontrib>Shu, Rongli</creatorcontrib><creatorcontrib>Wang, Jida</creatorcontrib><creatorcontrib>Wang, Xiangling</creatorcontrib><creatorcontrib>Jia, Beitian</creatorcontrib><creatorcontrib>Wang, Yiyang</creatorcontrib><creatorcontrib>Bian, Yuhong</creatorcontrib><creatorcontrib>Wen, Weibo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Phytomedicine (Stuttgart)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cui, Huantian</au><au>Jin, Yutong</au><au>Wang, Ning</au><au>Liu, Haizhao</au><au>Shu, Rongli</au><au>Wang, Jida</au><au>Wang, Xiangling</au><au>Jia, Beitian</au><au>Wang, Yiyang</au><au>Bian, Yuhong</au><au>Wen, Weibo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanic evaluation of Wu-Mei-Pill on colitis-associated colorectal cancer: An integrated transcriptomics, metabolomics, and experimental validation study</atitle><jtitle>Phytomedicine (Stuttgart)</jtitle><addtitle>Phytomedicine</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>128</volume><spage>155509</spage><epage>155509</epage><pages>155509-155509</pages><artnum>155509</artnum><issn>0944-7113</issn><eissn>1618-095X</eissn><abstract>•Wu-Mei pill (WMP) inhibited tumor progression in CAC mice.•WMP activated the PPAR signaling pathway.•WMP inhibited Wnt signaling pathway-mediated EMT.•WMP limited the inflammatory response and inhibited the CCL3/CCR1 axis. Chronic intestinal inflammatory diseases play a crucial role in the onset of colorectal cancer (CRC). Effectively impeding the progression of colitis-associated colorectal cancer (CAC) can be instrumental in hindering CRC development. Wu-Mei-Pill (WMP), a formulation comprising various herbal extracts, is clinically employed for CAC treatment, yet the underlying mechanism of WMP's efficacy in CAC remains unclear. Our study firstly demonstrated the effects and mechanisms of WMP on transcriptional and metabolic levels based on integrated transcriptomics and untargeted metabolomics and relative experimental validations. A CAC mouse model was established through a single injection of azoxymethane (AOM) followed by intermittent dextran sodium sulfate (DSS) intervention, with subsequent WMP administration. Initially, the therapeutic impact of WMP on the CAC model was assessed by observing survival rate, body weight change, colon length, tumor number, tumor load, and pathological changes in the colon tissue of CAC mice post-WMP intervention. Subsequently, differential genes and metabolites in the colorectal tissue of CAC mice following WMP intervention were identified through transcriptomics and non-targeted metabolomics. Finally, the influence of WMP on the peroxisome proliferator activated receptor (PPAR) pathway, Wnt pathway, and CC motif chemokine ligand 3 (CCL3)/ CC motif chemokine receptor 1 (CCR1) axis in CAC mice was verified through western blot, immunofluorescence, and ELISA based on the results of transcriptomics and non-targeted metabolomics. WMP intervention enhanced survival, alleviated body weight loss, shortened colon length, tumor occurrence, and pathological changes in the colorectal tissue of CAC mice, such as glandular damage, tumourigenesis, and inflammatory cell infiltration. Transcriptomic and non-targeted metabolomic results revealed that WMP intervention up-regulated the expression of key regulatory mechanisms of fatty acid oxidation PPAR pathway-related genes (Pparg, Ppara, Cpt1a, and Acadm) and metabolites (L-carnitine and L-palmitoylcarnitine). Additionally, it down-regulated Wnt pathway-related genes (Wnt3, Axin2, Tcf7, Mmp7, Lgr5, Wnt5a, Fzd6, Wnt7b, Lef1, and Fzd10 etc.) and pro-inflammatory related genes (Il1b, Il6, Il17a, Ccl3, and Ccr1 etc.). Experimental validation demonstrated that WMP up-regulated PPAR pathway-related proteins [PPARγ, PPARα, carnitine palmitoyltransferase 1A (CPT1A), and acyl-CoA dehydrogenase medium chain (ACADM)] in the colorectal tissue of CAC mice. It also down-regulated Wnt pathway-related proteins [β-catenin, T-cell factor (TCF), lymphoid enhancer-binding factor (LEF), and matrix metallopeptidase 7 (MMP7)], inhibited the nuclear translocation of the key transcription factor β-catenin in the Wnt pathway, and suppressed epithelial-to-mesenchymal transition (EMT) activation induced by the Wnt pathway (up-regulated E-cadherin and down-regulated Vimentin). Furthermore, WMP intervention reduced pro-inflammatory factors [interleukin (IL)-6, IL-1β, and IL-17A] and decreased CCL3/CCR1 axis factors, including CCL3 protein levels and diminished F4/80+CCR1+ positive expressed cells. WMP significantly inhibits CAC tumorigenesis by up-regulating PPARα-mediated fatty acid oxidation, inhibiting the Wnt signaling pathway-mediated EMT, and suppressing CCL3/CCR1-mediated inflammatory responses. [Display omitted]</abstract><cop>Germany</cop><pub>Elsevier GmbH</pub><pmid>38452403</pmid><doi>10.1016/j.phymed.2024.155509</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-9303-7341</orcidid></addata></record>
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identifier ISSN: 0944-7113
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issn 0944-7113
1618-095X
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source MEDLINE; Elsevier ScienceDirect Journals
subjects acyl-CoA dehydrogenase
Animals
Azoxymethane
beta oxidation
body weight changes
cadherins
carcinogenesis
carnitine
carnitine palmitoyltransferase
CCL3/CCR1-mediated inflammatory responses
CCR1 receptor
chemokines
Colitis - chemically induced
Colitis-associated colorectal cancer
Colitis-Associated Neoplasms
colon
Colon - drug effects
Colon - metabolism
Colon - pathology
Colorectal Neoplasms
dextran
Dextran Sulfate
Disease Models, Animal
Drugs, Chinese Herbal - pharmacology
fluorescent antibody technique
interleukin-17
interleukin-6
ligands
Male
metabolites
Metabolomics
Mice
Mice, Inbred C57BL
Non-targeted metabolomics
peroxisome proliferator-activated receptor alpha
peroxisome proliferator-activated receptor gamma
PPARα-mediated fatty acid oxidation
sodium sulfate
survival rate
T-lymphocytes
therapeutics
transcription (genetics)
Transcriptome
Transcriptomics
vimentin
Western blotting
wnt proteins
Wnt signaling pathway-mediated epithelial-to-mesenchymal transition
Wu-Mei-Pill
title Mechanic evaluation of Wu-Mei-Pill on colitis-associated colorectal cancer: An integrated transcriptomics, metabolomics, and experimental validation study
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