The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis

Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease with limited treatment options. This study investigates the therapeutic potential of chitosan oligosaccharides (COS), a natural carbohydrate with antioxidant properties, in comparison to the FDA-approved drug pirfenidone (PFD). B...

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Main Authors: Huan He, Youtao Xu, Xinru Chen, Jiawen Wu, Xianpeng Zhong, Xiyu Li, Jing Qiao
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Carbohydrate Polymer Technologies and Applications
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666893925001203
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author Huan He
Youtao Xu
Xinru Chen
Jiawen Wu
Xianpeng Zhong
Xiyu Li
Jing Qiao
author_facet Huan He
Youtao Xu
Xinru Chen
Jiawen Wu
Xianpeng Zhong
Xiyu Li
Jing Qiao
author_sort Huan He
collection DOAJ
description Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease with limited treatment options. This study investigates the therapeutic potential of chitosan oligosaccharides (COS), a natural carbohydrate with antioxidant properties, in comparison to the FDA-approved drug pirfenidone (PFD). Both in vivo and in vitro, COS effectively alleviates IPF progression by inhibiting epithelial-mesenchymal transition and fibroblast-myofibroblast transition through a dual antioxidant mechanism. This mechanism combines direct reactive oxygen species (ROS) scavenging with nuclear factor erythroid 2-related factor 2 (Nrf2)-mediated enhancement of endogenous defenses, disrupting the ROS-TGF-β1 feedback loop and preserving mitochondrial function. In bleomycin-induced IPF mice, COS significantly reduces collagen deposition by 73.33 % and restores superoxide dismutase activity to 65.30 % of control levels, outperforming PFD in mitigating oxidative stress. Importantly, COS exhibits no cytotoxicity at concentrations up to 3000 μg/mL, contrasting sharply with PFD's toxicity. These findings highlight COS's superior safety profile and therapeutic efficacy, positioning it as a promising candidate for clinical development. Future studies should explore its potential in other fibrotic diseases and investigate combinatorial therapies to maximize clinical impact. This work not only advances our understanding of COS's antifibrotic mechanisms but also lays the foundation for a new class of carbohydrate-based therapeutics targeting the root causes of fibrosis.
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spelling doaj-art-66ee7572da9a4625a1e1ff73efc5a0e62025-08-20T02:07:39ZengElsevierCarbohydrate Polymer Technologies and Applications2666-89392025-06-011010078210.1016/j.carpta.2025.100782The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosisHuan He0Youtao Xu1Xinru Chen2Jiawen Wu3Xianpeng Zhong4Xiyu Li5Jing Qiao6College of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCollege of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCollege of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCollege of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCollege of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCollege of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaCorresponding author at: Anhui Medical University, Meishan Road No. 81, Hefei City, Anhui Province 230000, PR China.; College of Life Sciences, Anhui Medical University, Hefei City, Anhui Province, PR ChinaIdiopathic pulmonary fibrosis (IPF) is a progressive and fatal disease with limited treatment options. This study investigates the therapeutic potential of chitosan oligosaccharides (COS), a natural carbohydrate with antioxidant properties, in comparison to the FDA-approved drug pirfenidone (PFD). Both in vivo and in vitro, COS effectively alleviates IPF progression by inhibiting epithelial-mesenchymal transition and fibroblast-myofibroblast transition through a dual antioxidant mechanism. This mechanism combines direct reactive oxygen species (ROS) scavenging with nuclear factor erythroid 2-related factor 2 (Nrf2)-mediated enhancement of endogenous defenses, disrupting the ROS-TGF-β1 feedback loop and preserving mitochondrial function. In bleomycin-induced IPF mice, COS significantly reduces collagen deposition by 73.33 % and restores superoxide dismutase activity to 65.30 % of control levels, outperforming PFD in mitigating oxidative stress. Importantly, COS exhibits no cytotoxicity at concentrations up to 3000 μg/mL, contrasting sharply with PFD's toxicity. These findings highlight COS's superior safety profile and therapeutic efficacy, positioning it as a promising candidate for clinical development. Future studies should explore its potential in other fibrotic diseases and investigate combinatorial therapies to maximize clinical impact. This work not only advances our understanding of COS's antifibrotic mechanisms but also lays the foundation for a new class of carbohydrate-based therapeutics targeting the root causes of fibrosis.http://www.sciencedirect.com/science/article/pii/S2666893925001203Idiopathic pulmonary fibrosisChitosan oligosaccharidesEpithelial‒mesenchymal transition;, Fibroblast‒myofibroblast transitionOxidative stress
spellingShingle Huan He
Youtao Xu
Xinru Chen
Jiawen Wu
Xianpeng Zhong
Xiyu Li
Jing Qiao
The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
Carbohydrate Polymer Technologies and Applications
Idiopathic pulmonary fibrosis
Chitosan oligosaccharides
Epithelial‒mesenchymal transition;, Fibroblast‒myofibroblast transition
Oxidative stress
title The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
title_full The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
title_fullStr The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
title_full_unstemmed The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
title_short The dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
title_sort dual antioxidant chitosan oligosaccharides regulate the transdifferentiation of lung effector cells in the management of idiopathic pulmonary fibrosis
topic Idiopathic pulmonary fibrosis
Chitosan oligosaccharides
Epithelial‒mesenchymal transition;, Fibroblast‒myofibroblast transition
Oxidative stress
url http://www.sciencedirect.com/science/article/pii/S2666893925001203
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