已发表论文

Tellimagrandin II 通过导致 3-氨基丙醛的积累来刺激炎性小体,这会促进子宫内膜异位症细胞的凋亡,同时抑制其侵袭。

 

Authors Fan W , Zhang Y, Zhao R

Received 4 August 2025

Accepted for publication 9 December 2025

Published 29 December 2025 Volume 2025:18 Pages 18181—18192

DOI https://doi.org/10.2147/JIR.S558146

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Alberto Caminero

Weisen Fan,* Yongjia Zhang,* Ruihua Zhao

Gynecology Department, Guang ‘anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China

*These authors contributed equally to this work

Correspondence: Ruihua Zhao, Email zhaoruihua2825@gamyy.cn

Background: Endometriosis is frequently treated with Paeoniae Radix. It contains Tellimagrandin II, which has the role of modulating immunity and anti-tumor. Therefore, we will explore the effects of Tellimagrandin II on the apoptosis and invasion/migration of ectopic endometrial cells (EECs).
Methods: Tellimagrandin II was used to treat EECs, and transcriptomics and bioinformatics techniques were used to identify its main pathways and targets of Tellimagrandin II. Western blotting was used to confirm the expression of essential targets. Flow cytometry was applied, the impact of tellimagrandin II on EECs apoptosis was identified. Transwell assays were conducted the effects of Tellimagrandin II on EECs invasion and migration. Finally, the binding of tellimagrandin II to key targets was confirmed using molecular docking techniques.
Results: Tellimagrandin II may inhibit pathways like beta-alanine metabolism and ECM-receptor interaction while activating JAK-STAT, NF-κB, and apoptotic pathways, according to transcriptomics and GSEA enrichment analysis. Tellimagrandin II can inhibit ALDH7A1 expression in EECs as well as increase SMOX expression, which may facilitate the accumulation of 3-Aminopropanal. This action becomes more pronounced as the dosage is increased. By upregulating the expression of NLRP3, TIMP-1, Caspase-3, BAX, and Caspase-1 in EECs while decreasing the expression of β-catenin and MMP2, tellimagrandin II can prevent EECs invasion and migration and encourage EECs apoptosis. Tellimagrandin II exhibited good docking with ALDH7A1 and SMOX, according to molecular docking.
Conclusion: Tellimagrandin II may stimulate inflammasomes by encouraging 3-aminopropanal accumulation within EECs. The increase in inflammasomes may promote EECs apoptosis and inhibit EECs invasion and migration. However, its in vivo inhibitory effects on endometriosis require further investigation.

Keywords: tellimagrandin II, 3-aminopropanal, inflammasome, endometriosis apoptosis, invasion