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Journal of Traditional Chinese Medicine >

2025 , Vol. 45 >Issue 5: 963 - 969

DOI: https://doi.org/10.19852/j.cnki.jtcm.2025.05.003

Original Articles

Shisiwei Jianzhong decoction (十四味建中汤) inhibits the adipogenic differentiation of bone marrow mesenchymal stem cells by downregulating nuclear factor of activated T cells, cytoplasmic 4 in non-severe aplastic anemia

  • Jun WANG ,
  • Bo WANG ,
  • Yun ZHANG ,
  • Shengyun LIN ,
  • Liqiang WU
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  • Department of Hematology, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou 310006, China

Received date: 2024-05-12

  Accepted date: 2024-12-23

  Online published: 2025-09-15

Supported by

Zhejiang Province Traditional Chinese Medicine Science and Technology Plan Project: Research on the Mechanism of Shisiwei Jianzhong Decoction in Treating Non-severe Aplastic Anemia with Kidney Yang Deficiency Based on the C Vactivated T Nuclear Factor (NFATc4)(2020ZB086);Zhejiang Province Traditional Chinese Medicine Science and Technology Youth Talent Plan Project: Study on the Academic thought and Clinical Application of Professor Zhou Yuhong in the Treatment of Chronic Aplastic Anemia(2021ZQ029)

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Abstract

OBJECTIVE: To investigate the effect of Shisiwei Jianzhong decoction (十四味建中汤, SJD) on non-severe aplastic anemia (NSAA).

METHODS: Bone marrow mesenchymal stem cells (BMSCs) were isolated from bone marrow samples of 15 NSAA patients and 3 healthy controls. Cells were treated with gradient concentrations of SJD, and a portion was transfected with a vector overexpressing the nuclear factor of activated T cells, cytoplasmic 4 (NFATC4). Cell viability and apoptosis were detected by cell counting kit-8 and flow cytometry, respectively. After adipogenic differentiation induction, lipid droplet formation in BMSCs was examined by Oil Red O staining. The expression of NFATC4, peroxisome proliferator-activated receptor gamma (PPARG), fatty acid-binding protein 4 (FABP4), peroxisome proliferator-activated receptor-gamma coactivator (PGC-1α), and acetylated PGC-1α was measured by quantitative real-time polymerase chain reaction or Western blot.

RESULTS: SJD significantly increased the viability and decreased the apoptosis of NSAA-derived BMSCs. It also dose-dependently inhibited lipid droplet formation and decreased the expression of PPARG and FABP4 in NSAA-derived BMSCs. NFATC4 expression was higher in patients with NSAA than in healthy controls, and SJD downregulated its expression. NFATC4 overexpression reversed the inhibitory effect of SJD on adipogenic differentiation. Additionally, SJD promoted the deacetylation of PGC-1α in NSAA-derived BMSCs, which was also partially eliminated by NFATC4 overexpression.

CONCLUSIONS: SJD inhibits adipogenic differentiation of BMSCs through downregulating NFATC4, thereby contributing to the remission of NSAA.

Key words： NFATC transcription factors; aplastic anemia; adipogenic differentiation; bone marrow stem cells; Shisiwei Jianzhong decoction

Cite this article

Jun WANG , Bo WANG , Yun ZHANG , Shengyun LIN , Liqiang WU . Shisiwei Jianzhong decoction (十四味建中汤) inhibits the adipogenic differentiation of bone marrow mesenchymal stem cells by downregulating nuclear factor of activated T cells, cytoplasmic 4 in non-severe aplastic anemia[J]. Journal of Traditional Chinese Medicine, 2025 , 45(5) : 963 -969 . DOI: 10.19852/j.cnki.jtcm.2025.05.003

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