Hoxb4 upregulation by Xuan Bi Tong Yu Fang confers cardioprotection via repression of the Wnt/β-catenin pathway in myocardial ischemia-reperfusion injury - Summary - MDSpire

Hoxb4 upregulation by Xuan Bi Tong Yu Fang confers cardioprotection via repression of the Wnt/β-catenin pathway in myocardial ischemia-reperfusion injury

  • By

  • Peng-fei Li

  • Han-ying Xu

  • Tian-ying Liu

  • Xiao-hui Li

  • Hong-yu Li

  • Guang-yu Cheng

  • Ai-dong Liu

  • Shuang-di Li

  • May 7, 2026

  • 0 min

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Objective:

To investigate the cardioprotective mechanisms of Xuan Bi Tong Yu Fang (XBTYF) in myocardial ischemia-reperfusion injury (MIRI).

Key Findings:
  • XBTYF significantly reduced myocardial enzyme levels and infarct size in the MIRI model.
  • Histopathological analysis showed improved myocardial architecture and reduced fibrosis.
  • RNA sequencing identified Hoxb4 as a key gene upregulated by XBTYF, with a notable inhibition of the Wnt/β-catenin pathway.
  • Molecular docking revealed strong binding of ginsenoside Rg3 to Hoxb4.
  • In vitro, XBTYF increased Hoxb4 levels, promoting cell proliferation and reducing apoptosis.
Interpretation:

XBTYF exerts cardioprotective effects in MIRI by enhancing Hoxb4 expression and inhibiting the Wnt/β-catenin signaling pathway, leading to reduced apoptosis in cardiomyocytes.

Limitations:
  • The study was conducted in a rodent model, which may not fully replicate human responses.
  • Long-term effects and potential side effects of XBTYF were not evaluated.
Conclusion:

XBTYF shows promise as an adjunctive therapy for myocardial ischemia-reperfusion injury by modulating Hoxb4 and the Wnt/β-catenin pathway, warranting further clinical investigation.

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