Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation

Abstract Kawasaki disease (KD) is a severe pediatric vasculitis leading to coronary artery complications. Hydrogen sulfide (H2S), a recognized endogenous gasotransmitter with anti-inflammatory properties, offers potential as a novel treatment for KD through its cardiovascular benefits. However, the...

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Main Authors: Ling Yu, Qianwen Luo, Xiaohui Rao, Xiao Xiao, Pinghan Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-91998-7
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author Ling Yu
Qianwen Luo
Xiaohui Rao
Xiao Xiao
Pinghan Wang
author_facet Ling Yu
Qianwen Luo
Xiaohui Rao
Xiao Xiao
Pinghan Wang
author_sort Ling Yu
collection DOAJ
description Abstract Kawasaki disease (KD) is a severe pediatric vasculitis leading to coronary artery complications. Hydrogen sulfide (H2S), a recognized endogenous gasotransmitter with anti-inflammatory properties, offers potential as a novel treatment for KD through its cardiovascular benefits. However, the specific effects and underlying mechanisms remain unclear. The objective of present study is to investigate the anti-inflammatory and therapeutic effects of exogenous H2S in KD using network pharmacology and experimental validation. By online database searches, a total of 405 pharmacological targets for H2S, 826 KD-related targets, and 107 potential therapeutic targets of H2S for KD were identified. Through PPI analysis and Cytoscape screening, 9 hub genes were filtered, namely TNF, IL6, JUN, AKT1, IL1B, TP53, NFKB1, MAPK1, and RELA. KEGG pathway enrichment indicated that the TLR4/MyD88/NF-κB signaling pathway may play a crucial role in the therapeutic effects of H2S on KD. Additionally, in vivo experiments confirmed that the treatment of sodium hydrosulfide (NaHS), an H2S donor, markedly improved body weight, reduced inflammatory pathology in the coronary arteries, and downregulated levels of inflammatory cytokines TNF-α, IL-1β, and IL-6. Furthermore, WB analysis confirmed that NaHS inhibited the expression of TLR4, MyD88, NF-κB, and p-NF-κB. In brief, it is the first to reveal that exogenous H2S attenuates the inflammatory response in KD via the TLR4/MyD88/NF-κB pathway, highlighting its potential as a novel therapeutic approach for KD. These findings lay a foundation for further development of H2S-based therapies for KD management.
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spelling doaj-art-431363bb4dca4b81a50099d2be7e81bc2025-08-20T03:06:00ZengNature PortfolioScientific Reports2045-23222025-03-0115111410.1038/s41598-025-91998-7Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validationLing Yu0Qianwen Luo1Xiaohui Rao2Xiao Xiao3Pinghan Wang4Key Laboratory of Reproductive Medicine, Center of Reproductive Medicine, Sichuan Provincial Women’s and Children’s Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College, Chengdu Medical CollegeLaboratory Medicine Center, Sichuan Provincial Women’s and Children’s Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College, Chengdu Medical CollegeDepartment of Clinical Research, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaLaboratory Medicine Center, Sichuan Provincial Women’s and Children’s Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College, Chengdu Medical CollegeLaboratory Medicine Center, Sichuan Provincial Women’s and Children’s Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College, Chengdu Medical CollegeAbstract Kawasaki disease (KD) is a severe pediatric vasculitis leading to coronary artery complications. Hydrogen sulfide (H2S), a recognized endogenous gasotransmitter with anti-inflammatory properties, offers potential as a novel treatment for KD through its cardiovascular benefits. However, the specific effects and underlying mechanisms remain unclear. The objective of present study is to investigate the anti-inflammatory and therapeutic effects of exogenous H2S in KD using network pharmacology and experimental validation. By online database searches, a total of 405 pharmacological targets for H2S, 826 KD-related targets, and 107 potential therapeutic targets of H2S for KD were identified. Through PPI analysis and Cytoscape screening, 9 hub genes were filtered, namely TNF, IL6, JUN, AKT1, IL1B, TP53, NFKB1, MAPK1, and RELA. KEGG pathway enrichment indicated that the TLR4/MyD88/NF-κB signaling pathway may play a crucial role in the therapeutic effects of H2S on KD. Additionally, in vivo experiments confirmed that the treatment of sodium hydrosulfide (NaHS), an H2S donor, markedly improved body weight, reduced inflammatory pathology in the coronary arteries, and downregulated levels of inflammatory cytokines TNF-α, IL-1β, and IL-6. Furthermore, WB analysis confirmed that NaHS inhibited the expression of TLR4, MyD88, NF-κB, and p-NF-κB. In brief, it is the first to reveal that exogenous H2S attenuates the inflammatory response in KD via the TLR4/MyD88/NF-κB pathway, highlighting its potential as a novel therapeutic approach for KD. These findings lay a foundation for further development of H2S-based therapies for KD management.https://doi.org/10.1038/s41598-025-91998-7Kawasaki diseaseHydrogen sulfideNetwork pharmacologyInflammationTLR4/MyD88/NF-κB pathway
spellingShingle Ling Yu
Qianwen Luo
Xiaohui Rao
Xiao Xiao
Pinghan Wang
Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
Scientific Reports
Kawasaki disease
Hydrogen sulfide
Network pharmacology
Inflammation
TLR4/MyD88/NF-κB pathway
title Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
title_full Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
title_fullStr Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
title_full_unstemmed Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
title_short Unveiling the anti-inflammatory mechanism of exogenous hydrogen sulfide in Kawasaki disease based on network pharmacology and experimental validation
title_sort unveiling the anti inflammatory mechanism of exogenous hydrogen sulfide in kawasaki disease based on network pharmacology and experimental validation
topic Kawasaki disease
Hydrogen sulfide
Network pharmacology
Inflammation
TLR4/MyD88/NF-κB pathway
url https://doi.org/10.1038/s41598-025-91998-7
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