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ORIGINAL RESEARCH article

Front. Pharmacol.

Sec. Ethnopharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1544932

This article is part of the Research Topic The Vascular System: Effects of Traditional Medicines and Mechanism of Action View all 6 articles

Bletilla striata polysaccharide induces autophagy through PI3K/AKT signaling pathway to promote the survival of cross-boundary flap in rats

Provisionally accepted
Qin Yue Qin Yue Xinyi Zeng Xinyi Zeng *Minlan Yang Minlan Yang Jinhao Chen Jinhao Chen Lin Liu Lin Liu Hui Liu Hui Liu *
  • Yangtze University, Jingzhou, China

The final, formatted version of the article will be published soon.

    Distal flap necrosis is a common problem in flap transplantation. Bletilla striata polysaccharide (BSP) is the main medicinal component of traditional Chinese medicine Bletilla striata. The purpose of this study was to investigate the mechanism of BSP promoting flap survival. The control group, BSP low, medium and high dose groups, BSP + autophagy inhibitor 3-methyladenine (3-MA) group were designed to establish a model of cross-boundary flap in rat back. After 7 days of postoperative administration, the samples were taken. The optimal dose of BSP was determined to be 250 mg/kg/d according to the survival rate of flap, microvessel density, intra-arterial diameter, expression of vascularrelated protein and pharmacological toxicity. By detecting the expression level of autophagy -related proteins, it was found that BSP could activate autophagy. After autophagy was blocked, the therapeutic effect of BSP was reversed. In addition, BSP activated the PI3K/AKT signaling pathway. Studies have shown that BSP induces autophagy by activating PI3K/AKT signaling pathway, thereby promoting angiogenesis and improving survival rate of flap.

    Keywords: Bletilla striata polysaccharide, PI3K/AKT, Autophagy, cross-boundary flap, Angiogenesis

    Received: 13 Dec 2024; Accepted: 17 Feb 2025.

    Copyright: © 2025 Yue, Zeng, Yang, Chen, Liu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Xinyi Zeng, Yangtze University, Jingzhou, China
    Hui Liu, Yangtze University, Jingzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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