Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats

Exertional heat stroke (EHS) is a life-threatening condition characterized by hyperthermia and multi-organ dysfunction, often associated with intestinal barrier disruption. This study evaluated the protective effects of Huoxiang Zhengqi Dropping Pills (HXZQD) against EHS in a rat model. HXZQD was ad...

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Main Authors: Lei Li, Jun Ma, Zeshi Li, Juelin Chen, Jiawei Zhou, Yawei Wang, Yankun Pei, Yitong Gong, Jianyao You, Yangyang Cao, Man Wang, Jikuai Chen, Wenjun Chang, Weiyi Ma, Hanyu Zhu, Chuhan Xiang, Shuogui Xu, Qing Song
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2024.1534713/full
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author Lei Li
Lei Li
Lei Li
Jun Ma
Jun Ma
Zeshi Li
Zeshi Li
Juelin Chen
Jiawei Zhou
Yawei Wang
Yankun Pei
Yitong Gong
Jianyao You
Yangyang Cao
Man Wang
Jikuai Chen
Wenjun Chang
Weiyi Ma
Hanyu Zhu
Chuhan Xiang
Shuogui Xu
Qing Song
Qing Song
author_facet Lei Li
Lei Li
Lei Li
Jun Ma
Jun Ma
Zeshi Li
Zeshi Li
Juelin Chen
Jiawei Zhou
Yawei Wang
Yankun Pei
Yitong Gong
Jianyao You
Yangyang Cao
Man Wang
Jikuai Chen
Wenjun Chang
Weiyi Ma
Hanyu Zhu
Chuhan Xiang
Shuogui Xu
Qing Song
Qing Song
author_sort Lei Li
collection DOAJ
description Exertional heat stroke (EHS) is a life-threatening condition characterized by hyperthermia and multi-organ dysfunction, often associated with intestinal barrier disruption. This study evaluated the protective effects of Huoxiang Zhengqi Dropping Pills (HXZQD) against EHS in a rat model. HXZQD was administered via oral gavage at low, medium, and high doses, followed by EHS induction through exercise under high-temperature and high-humidity conditions. The findings revealed that high-dose HXZQD significantly delayed the onset of EHS, reduced core body temperature elevations, and mitigated multi-organ injury, as evidenced by biochemical markers and histopathological examination. This study showed that HXZQD alleviated EHS-induced intestinal damage by preserving barrier proteins (ZO-1, Occludin, and Ecadherin) and maintaining intestinal barrier integrity. Transmission electron microscopy confirmed the preservation of tight junction structures. Further analysis indicated that HXZQD modulated the MAPK/NF-κB signaling pathways, inhibiting heat stress-induced activation and reducing inflammation. Additionally, HXZQD positively regulated gut microbiota, increasing the proportion of beneficial Lactococcus and decreasing harmful Streptococcus. These findings suggest that HXZQD maintains intestinal homeostasis during EHS by preserving barrier function and modulating gut microbiota, offering a promising preventive approach for EHS management.
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publisher Frontiers Media S.A.
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series Frontiers in Pharmacology
spelling doaj-art-194211904f944ce09150f64a5d5658222025-01-07T06:41:05ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011510.3389/fphar.2024.15347131534713Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in ratsLei Li0Lei Li1Lei Li2Jun Ma3Jun Ma4Zeshi Li5Zeshi Li6Juelin Chen7Jiawei Zhou8Yawei Wang9Yankun Pei10Yitong Gong11Jianyao You12Yangyang Cao13Man Wang14Jikuai Chen15Wenjun Chang16Weiyi Ma17Hanyu Zhu18Chuhan Xiang19Shuogui Xu20Qing Song21Qing Song22Heat Stroke Treatment and Research Center of Chinese PLA General Hospital, Sanya, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, The Second Naval Hospital of Southern Theater Command of PLA, Sanya, ChinaHeat Stroke Treatment and Research Center of Chinese PLA General Hospital, Sanya, ChinaDepartment of Critical Care Medicine, Hainan Hospital, Chinese PLA General Hospital, Sanya, ChinaHeat Stroke Treatment and Research Center of Chinese PLA General Hospital, Sanya, ChinaDepartment of Critical Care Medicine, Hainan Hospital, Chinese PLA General Hospital, Sanya, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Emergency, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Rehabilitation and Traditional Chinese Medicine, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, Shanghai, ChinaFaculty of Naval Medicine, Naval Medical University, Shanghai, ChinaDepartment of Emergency, First Medical Center of Chinese PLA General Hospital, Beijing, ChinaNational Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Diseases Research, Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Beijing, China0Department of Cardiology, The Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Critical Care Medicine, Hainan Hospital, Chinese PLA General Hospital, Sanya, ChinaHeat Stroke Treatment and Research Center of Chinese PLA General Hospital, Sanya, ChinaDepartment of Critical Care Medicine, Hainan Hospital, Chinese PLA General Hospital, Sanya, ChinaExertional heat stroke (EHS) is a life-threatening condition characterized by hyperthermia and multi-organ dysfunction, often associated with intestinal barrier disruption. This study evaluated the protective effects of Huoxiang Zhengqi Dropping Pills (HXZQD) against EHS in a rat model. HXZQD was administered via oral gavage at low, medium, and high doses, followed by EHS induction through exercise under high-temperature and high-humidity conditions. The findings revealed that high-dose HXZQD significantly delayed the onset of EHS, reduced core body temperature elevations, and mitigated multi-organ injury, as evidenced by biochemical markers and histopathological examination. This study showed that HXZQD alleviated EHS-induced intestinal damage by preserving barrier proteins (ZO-1, Occludin, and Ecadherin) and maintaining intestinal barrier integrity. Transmission electron microscopy confirmed the preservation of tight junction structures. Further analysis indicated that HXZQD modulated the MAPK/NF-κB signaling pathways, inhibiting heat stress-induced activation and reducing inflammation. Additionally, HXZQD positively regulated gut microbiota, increasing the proportion of beneficial Lactococcus and decreasing harmful Streptococcus. These findings suggest that HXZQD maintains intestinal homeostasis during EHS by preserving barrier function and modulating gut microbiota, offering a promising preventive approach for EHS management.https://www.frontiersin.org/articles/10.3389/fphar.2024.1534713/fullexertional heat strokeheat stressheat tolerancedietary supplementintestinal barriergut microbiota
spellingShingle Lei Li
Lei Li
Lei Li
Jun Ma
Jun Ma
Zeshi Li
Zeshi Li
Juelin Chen
Jiawei Zhou
Yawei Wang
Yankun Pei
Yitong Gong
Jianyao You
Yangyang Cao
Man Wang
Jikuai Chen
Wenjun Chang
Weiyi Ma
Hanyu Zhu
Chuhan Xiang
Shuogui Xu
Qing Song
Qing Song
Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
Frontiers in Pharmacology
exertional heat stroke
heat stress
heat tolerance
dietary supplement
intestinal barrier
gut microbiota
title Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
title_full Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
title_fullStr Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
title_full_unstemmed Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
title_short Huoxiang Zhengqi dropping pills alleviate exertional heat stroke–induced multiple organ injury through sustaining intestinal homeostasis via regulating MAPK/NF-κB pathway and gut microbiota in rats
title_sort huoxiang zhengqi dropping pills alleviate exertional heat stroke induced multiple organ injury through sustaining intestinal homeostasis via regulating mapk nf κb pathway and gut microbiota in rats
topic exertional heat stroke
heat stress
heat tolerance
dietary supplement
intestinal barrier
gut microbiota
url https://www.frontiersin.org/articles/10.3389/fphar.2024.1534713/full
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