Metabolomics

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Xiaoyukang Capsules Promote Hematoma Absorption and Alleviate Neuronal Apoptosis via the Sema3A/NRP1-PI3K/AKT Signaling Axis in Rats with Intracerebral Hemorrhage


ABSTRACT:

This study aimed to clarify the pharmacodynamic material basis and molecular mechanisms of Xiaoyukang Capsules (XYKC) in facilitating hematoma absorption and alleviating secondary nerve injury after intracerebral hemorrhage (ICH), and to identify its core therapeutic targets. Methods An ICH rat model was established via type VII collagenase induction. At 24 h after modeling, rats were administrated with medium-dose (324 mg/kg) and high-dose (648 mg/kg) XYKC, as well as edaravone injection serving as the positive control. Hematoma volume, mNSS score, corner turn test and forelimb foot fault test were evaluated on days 3 and 5 post-operation. UHPLC-HRMS was applied to identify blood-absorbed components of XYKC. Cross-combined analysis of network pharmacology and DIA-based proteomics was performed to screen core targets and signaling pathways. Molecular docking and 100 ns molecular dynamics simulations were utilized to evaluate the binding affinity between active ingredients and corresponding targets. Finally, Western blot, qPCR, TUNEL staining and immunofluorescence colocalization assays were conducted to validate the underlying mechanisms at transcriptional, protein and cellular levels. Results Compared with the model group, high-dose XYKC markedly reduced hematoma volume and ameliorated neurological behavioral deficits on days 3 and 5 after ICH (P < 0.01), while relieving neuronal edema and inflammatory infiltration around the hematoma. A total of 37 blood-absorbed ingredients were identified by UHPLC-HRMS, mainly including terpenoids, alkaloids and flavonoids. Cross-omics analysis further identified the PI3K/AKT pathway and its upstream negative regulator Sema3A as the core functional nodes of XYKC. Notably, Sema3A was significantly upregulated after ICH, whereas this trend was reversed following XYKC intervention. Molecular docking and dynamics simulations demonstrated that luteolin, the top-ranked active component, exhibited stable thermodynamic binding with Sema3A and AKT1, with binding energies lower than −7.0 kcal/mol. Mechanistic validation revealed that these regulatory effects were specifically localized in NeuN-positive neurons. XYKC significantly downregulated the mRNA and protein levels of Sema3A and NRP1 (P < 0.01), and restored the phosphorylation levels of p-PI3K and p-AKT (P < 0.001). Additionally, XYKC increased the Bcl-2/Bax ratio, decreased the expression of cleaved caspase-3 and TP53, and reduced the number of TUNEL-positive neurons (P < 0.01). The inflammatory cytokines IL-6 and TNF-alpha were also effectively inhibited simultaneously (P < 0.001). Conclusion This study is the first to demonstrate that the Sema3A/NRP1-PI3K/AKT signaling axis mediates the neuroprotective effects of XYKC in ICH rats. Our findings provide novel molecular evidence for the modern pharmacological interpretation of blood-activating traditional Chinese medicine formulas against ICH, and offer promising therapeutic targets for developing Sema3A/NRP1-targeted strategies for intracerebral hemorrhage treatment.

INSTRUMENT(S): Liquid Chromatography MS - alternating - reverse-phase

PROVIDER: MTBLS15015 | MetaboLights | 2026-07-12

REPOSITORIES: MetaboLights

Dataset's files

Source:
Action DRS
a_MTBLS15015_LC-MS_alternating_reverse-phase.txt Txt
i_Investigation.txt Txt
m_MTBLS15015_LC-MS_alternating_reverse-phase_v2_maf.tsv Tabular
s_MTBLS15015.txt Txt
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