Abstract
The roots of Polygonum multiflorum Thunberg (Polygonaceae) are used as a crude drug Kashu that is considered to improve blood deficiency based on a Kampo concept. Kashu has been included in Kampo formulas, such as Tokiinshi, which is used to treat eczema and dermatitis with itchiness by inhibiting inflammation and facilitating blood circulation in the skin. However, the effects of P. multiflorum roots on erythropoiesis are unclear. Previously, we isolated six phenolic constituents from an ethyl acetate (EtOAc)-soluble fraction of P. multiflorum root extract and identified them as (E)-2,3,5,4'-tetrahydroxystilbene-2-O-β-D-glucopyranoside [(E)-THSG], emodin, emodin-8-O-β-D-glucopyranoside, physcion, physcion-8-O-β-D-glucopyranoside, and catechin. To examine whether P. multiflorum roots facilitate erythropoiesis, the EtOAc-soluble fraction was orally administered to healthy ICR mice. When compared with mice fed a standard diet alone (Controls), the mice fed a diet including the EtOAc-soluble fraction exhibited significantly higher serum erythropoietin (Epo) levels. The renal Epo mRNA levels in EtOAc-soluble fraction-administered mice were significantly higher than those in the control mice. Then, we administered roxadustat, which is a drug to treat the patient suffering with renal anemia by specifically inhibiting hypoxia-inducible factor prolyl hydroxylases. Roxadustat slightly increased renal Epo mRNA levels in healthy mice. Administration of (E)-THSG, a major constituent, significantly increased serum Epo levels. It is likely that (E)-THSG may facilitate the process to convert inactive renal Epo-producing cells to active Epo-producing cells. Collectively, it is implied that (E)-THSG in the EtOAc-soluble fraction of P. multiflorum roots may primarily improve blood deficiency of Kampo concept by promoting erythropoiesis.
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Abbreviations
- EtOAc:
-
Ethyl acetate
- THSG:
-
2,3,5,4'-Tetrahydroxystilbene-2-O-β-D-glucopyranoside
- Epo:
-
Erythropoietin
- REP:
-
Renal erythropoietin-producing
- HIF:
-
Hypoxia-inducible factor
- PHD2:
-
Prolyl hydroxylase domain protein 2
- pVHL:
-
Von Hippel‒Lindau protein
- RBC:
-
Red blood cell
- ELISA:
-
Enzyme-linked immunosorbent assay
- RT‒PCR:
-
Reverse transcription–polymerase chain reaction
- EF:
-
Elongation factor 1α
- SD:
-
Standard deviation
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Acknowledgements
We thank Ms. Noriko Kanazawa for her secretarial assistance and Springer Nature Author Services (https://authorservices.springernature.com) for editing a draft of this manuscript. S.M.U. performed this study as an affiliate assistant professor under support from the Asia-Japan Research Institute, Ritsumeikan University. Y.N. was supported by the JSPS Research Fellowships for Young Scientists. This work was partly supported by the Asia-Japan Research Institute, Ritsumeikan Asia-Japan Research Organization.
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Shirako, S., Ulfa, S.M., Nishidono, Y. et al. Hydrophobic constituents of Polygonum multiflorum roots promote renal erythropoietin expression in healthy mice. J Nat Med 77, 880–890 (2023). https://doi.org/10.1007/s11418-023-01737-3
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DOI: https://doi.org/10.1007/s11418-023-01737-3