ORIGINAL RESEARCH article

Front. Pharmacol.

Sec. Inflammation Pharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1557681

Tetramethylpyrazine alleviates acute pancreatitis inflammation by inhibiting pyroptosis via the NRF2 pathway

Provisionally accepted
Huangen  LiHuangen Li1Yi  GaoYi Gao2Minglian  HuangMinglian Huang1Hongling  ZhangHongling Zhang1Qingqing  WuQingqing Wu1Youpei  HuangYoupei Huang1Xiaotong  YeXiaotong Ye3*Weiwen  ChenWeiwen Chen1*
  • 1Quanzhou First Hospital, Fujian Medical University, Quanzhou, China
  • 2Xiamen Changgeng Hospital Affiliated to Huaqiao University, Xiamen, China
  • 3Huaqiao University, Quanzhou, Fujian, China

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

ObjectiveTetramethylpyrazine (TMPZ), an active alkaloid derived from traditional Chinese medicine, has shown anti-inflammatory and anti-pyroptotic properties. However, its role in acute pancreatitis (AP)-induced pyroptosis remains unclear. This study aims to investigate the effects of TMPZ on AP-induced pyroptosis and its potential mechanisms.Materials and methodsA cerulein-induced AP rat model was used to evaluate TMPZ’s protective effects in vivo, and its mechanisms were explored using AR42J cells in vitro. Pancreatic injury was assessed by hematoxylin-eosin staining, TUNEL assay, and serum biochemistry. Transmission electron microscopy, immunofluorescence, Western blotting, and quantitative real-time polymerase chain reaction (RT-qPCR) were conducted to examine pyroptosis and related signaling pathways. Cytotoxicity and apoptosis were measured by CCK-8, LDH assays, and Hoechst 33342/PI staining. The role of NRF2 in TMPZ’s effects was further evaluated using NRF2 siRNA.ResultsTMPZ alleviated pancreatic histopathological damage, reduced apoptosis, and decreased serum amylase levels and pro-inflammatory cytokines (IL-1β, IL-18). TMPZ also suppressed pyroptosis by inhibiting NLRP3 inflammasome activation and downregulating pyroptosis-related proteins (NLRP3, caspase-1, ASC, GSDMD) while upregulating NRF2 and HO-1 expression. NRF2 siRNA attenuated TMPZ’s anti-inflammatory and pyroptosis-inhibitory effects, confirming the involvement of the NRF2 pathway.ConclusionTMPZ mitigates AP-induced inflammation and injury by modulating pyroptosis via the NRF2 signaling pathway. These findings suggest TMPZ’s therapeutic potential for AP.

Keywords: Active alkaloid, anti-inflammatory, Anti-pyroptotic, NLRP3 inflammasome, nuclear factor erythroid 2-related factor 2

Received: 09 Jan 2025; Accepted: 08 Apr 2025.

Copyright: © 2025 Li, Gao, Huang, Zhang, Wu, Huang, Ye and Chen. 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:
Xiaotong Ye, Huaqiao University, Quanzhou, 362021, Fujian, China
Weiwen Chen, Quanzhou First Hospital, Fujian Medical University, Quanzhou, China

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