ORIGINAL RESEARCH article

Front. Pharmacol.

Sec. Experimental Pharmacology and Drug Discovery

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1563676

This article is part of the Research TopicGenetics in the Onset and Progression of Urinary System Diseases: Pathological Role and Molecular MechanismView all articles

Wuling capsule alleviates hyperuricaemia and protects UA-injured HK-2 cells by regulating uric acid transporter proteins

Provisionally accepted
Nan  LiNan Li1Hongna  LiuHongna Liu2Zhongxing  SongZhongxing Song1Rui  ZhouRui Zhou1*Zhishu  TangZhishu Tang1Hongbo  XuHongbo Xu1Xinbo  ShiXinbo Shi1Yan-Ru  LiuYan-Ru Liu1Jian  NiJian Ni3
  • 1Shaanxi University of Chinese Medicine, Xianyang, China
  • 2Tsing Hua De Ren Xi'an Happiness Pharmaceutical Co., Ltd., Xi'an, China
  • 3Beijing University of Chinese Medicine, Beijing, Beijing Municipality, China

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

Wuling capsule is a Chinese patent medicine mainly used for the treatment of chronic liver disease in clinical practice. Our previous work has revealed that Wuling capsule could inhibit liver fibrosis by regulating macrophage polarization, and firstly demonstrated its anti-gout effects on monosodium urate (MSU)-induced acute gouty arthritis (AGA) in rats. High uric acid (UA) levels are known to be the primary cause of gout. Therefore, this study investigated the UA lowering, kidney protection effects and underlying mechanisms of Wuling capsule in vivo and in vitro, and also determined its key bioactive constituents. In HUA rats, Wuling capsule significantly reduced the serum UA level and xanthine oxidase (XOD) content in both serum and liver. Furthermore, it improved liver function markers (ALT, AST) and renal injury indicators (Cr, BUN), ameliorated renal tubule dilation and inflammatory infiltration in the kidney, and regulated the mRNA and protein expression of UA related transporters (URAT1, GLUT9, ABCG2 and OAT1). In vitro, the main constituents of Wuling capsule (saikosaponin A, tanshinone IIA, schisandrol B and ganoderic acid A) improved cell viability and inhibited cell apoptosis in UA-injured HK-2 cells. Subsequently, its four serum constituents also significantly regulated the mRNA and protein expression of URAT1, GLUT9, and ABCG2 selectively. This work demonstrated the therapeutic effect of Wuling capsule on HUA by protecting liver and kidney function and regulating UA related transporters. These findings provide novel support for the further clinical application of Wuling capsule.

Keywords: Wuling capsule, Hyperuricaemia, Urate transporter, HK-2 cells, apoptosis 1

Received: 20 Jan 2025; Accepted: 08 Apr 2025.

Copyright: © 2025 Li, Liu, Song, Zhou, Tang, Xu, Shi, Liu and Ni. 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: Rui Zhou, Shaanxi University of Chinese Medicine, Xianyang, China

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