Introduction/Overview
Sepsis is a life-threatening organ dysfunction syndrome caused by an imbalance in the host's response to infection. Its pathophysiological processes involve uncontrolled inflammatory responses, immune disorders, coagulation dysfunction, and tissue damage, and it is one of the leading causes of death in intensive care unit patients worldwide. Despite the continuous advancement of anti infective therapy and life support technology, the mortality rate of sepsis remains high, and the development of new, efficient, and multi-target therapeutic drugs is an urgent need in current research. In this context, exploring active natural products with anti sepsis potential from traditional medicinal plants has become an important strategy for drug development. Heart piercing lotus(Andrographis paniculata)As a herbaceous plant widely used in traditional Asian medicine systems, its main active diterpenoid component Andrographolide has been extensively studied for its anti-inflammatory and immunomodulatory effects. 14 Deoxyandrographolide (14-DAG, CAS number: 4176-97-0), as a structural analogue of andrographolide, has attracted increasing attention from the pharmacological community in recent years due to its unique pharmacological activity, particularly in anti-inflammatory, immune regulation, and organ protection, especially in sepsis related models where it exhibits multi-target intervention potential. This article aims to systematically review the chemical properties, plant sources, and pharmacological activities of 14 deoxyandrographolide, with a focus on its key targets and signaling pathways involved in the treatment of sepsis. The mechanism of action is explored in depth, and its pharmacological properties are evaluated, in order to provide comprehensive scientific basis for the in-depth research and clinical translation of this compound.
Chemical structure and physicochemical properties
14 Deoxyandrographolide is a diterpenoid lactone compound of the Laodan lipid type. Its molecular formula is C20H30O4 and its molecular weight is 334.4560. Its core structure is similar to that of Chuanxinlian lactone, both having a decahydronaphthalene skeleton, an alpha, beta unsaturated gamma lactone ring, and multiple hydroxyl substituents. The most significant structural difference between it and Chuanxinlian lactone is the lack of hydroxyl (- OH) substitution at the C-14 position, hence the name "14 deoxy". This structural modification has had a profound impact on the polarity, spatial conformation, and interaction with target proteins of its molecules.
In terms of physicochemical properties, the lipid water partition coefficient (LogP) of 14 deoxyandrographolide is 2.5335, indicating its moderate lipophilicity, which is beneficial for transmembrane transport and bioavailability. Its topological polar surface area (TPSA) is 66.7600 Å ², which is relatively low, further confirming its good membrane permeability. The water solubility parameter is 0.1424, which belongs to the category of slightly soluble to poorly soluble. This suggests that in the development of formulations, it may be necessary to improve their solubility through techniques such as salt formation, cyclodextrin inclusion, or nanomaterialization. It is worth noting that its blood-brain barrier (BBB) penetration is predicted to be "high", indicating its potential for treating central nervous system related complications such as sepsis related encephalopathy. In early safety screening, the compound did not show hERG potassium channel inhibitory activity (hERG inhibition: No), reducing the risk of causing QT interval prolongation and apical torsion type ventricular tachycardia; The Ames test result is 0.0, indicating that it has no mutagenicity and providing preliminary support for its safety.
Plant sources and extraction methods
14 Deoxyandrographolide is mainly derived from the Euphorbiaceae plant Andrographis paniculata(Andrographis paniculata The whole grass of Burm. f. Nees. Chuanxinlian, also known as "bitter gallbladder herb" in traditional Chinese medicine, has a cold nature and a bitter taste. It has the effects of clearing heat, detoxifying, cooling blood, and reducing swelling. It is commonly used to treat symptoms such as colds, fever, sore throat, and abscesses. Its pharmacological basis is closely related to the various diterpenoid lactones it contains.
In the plant of Andrographis paniculata, 14 deoxyandrographolide usually coexists with andrographolide, neoandrographolide, dehydrated andrographolide, etc., but its content is relatively low. The extraction and separation method of this compound is similar to other paeoniflorin compounds, and the main process is as follows: first, the dried paeoniflorin whole plant is crushed, and polar solvents such as methanol, ethanol, or aqueous ethanol are used for reflux extraction or ultrasound assisted extraction. After vacuum concentration, the crude extract obtained was subjected to liquid-liquid extraction using solvents such as petroleum ether and ethyl acetate to preliminarily enrich diterpenoid components. Further purification is often carried out using column chromatography, with silica gel as the stationary phase and gradient elution using chloroform methanol or petroleum ether ethyl acetate mixed solvents in different ratios. Collect the fractions containing the target components by combining thin layer chromatography (TLC) or high-performance liquid chromatography (HPLC) monitoring. To obtain high-purity monomers, repeated column chromatography or preparative high-performance liquid chromatography (pre HPLC) is often required for final purification. Modern separation techniques such as high-speed countercurrent chromatography (HSCCC) have also been applied to the separation of such compounds due to their high efficiency and avoidance of adsorption losses. The optimization of extraction processes, such as solvent selection, temperature, time, and the combination of enzymatic hydrolysis or microwave-assisted extraction, aims to improve the yield and purity of the target compound.
Pharmacological activity research
14 Deoxyandrographolide exhibits broad and significant pharmacological activities, and its research focus has expanded from early smooth muscle effects to complex anti-inflammatory, immune regulatory, and cell protective fields.
- Cardiovascular and smooth muscle system activity Early studies have found that this compound has calcium channel blocking activity and can relax uterine smooth muscle, providing a mechanism explanation for its antispasmodic effect. Subsequent research suggests that it may also have a similar effect on vascular smooth muscle, which may be beneficial for improving microcirculation disorders.
- Anti inflammatory and immune regulatory activity This is the core pharmacological characteristic of 14 deoxyandrographolide. In various animal models of acute and chronic inflammation, such as carrageenan induced rat foot swelling, acetic acid induced increased intra-abdominal capillary permeability in mice, and cotton ball granuloma model, it exhibits strong anti-inflammatory effects. Its anti-inflammatory effect is not limited to inhibiting edema and inflammatory exudation, but is also reflected in its strong inhibition of key inflammatory mediators such as TNF - α, IL-1 β, IL-6, NO, PGE2.
- Anti sepsis activity In mouse models of sepsis induced by cecal ligation and puncture (CLP) or lipopolysaccharide (LPS), pretreatment or treatment with 14 deoxyandrographolide can significantly improve animal survival, alleviate systemic inflammatory response syndrome (SIRS), improve histopathological damage in multiple organs (such as lungs, liver, and kidneys), and reduce plasma levels of inflammatory cytokine storm. Its protective effect is closely related to regulating the function of immune cells (such as macrophages and neutrophils) and inhibiting excessive inflammatory reactions.
- Liver protective activity Research has shown that 14 deoxyandrographolide can induce the release of tumor necrosis factor receptor 1 (TNFRSF1A, TNFR1), leading to a desensitization of liver cells to TNF - α - mediated apoptosis. This unique mechanism makes it potentially valuable for the treatment of liver damage caused by excessive production of TNF - α, such as sepsis induced liver injury and acute liver failure.
- Regulation of endothelial function This compound can stimulate human endothelial cells to release nitric oxide (NO). NO is an important endogenous vasodilator and anti-inflammatory mediator, whose release helps maintain vascular tone, inhibit platelet aggregation and leukocyte adhesion, and has a positive significance for the repair of endothelial dysfunction in sepsis.
Mechanism of action and molecular targets
The anti sepsis and multi organ protective effects of 14 deoxyandrographolide stem from its networked regulation of multiple key signaling pathways. Based on the provided target information, its core mechanism of action can be summarized as follows:
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Inhibition of TLR4/NF - κ B classical inflammatory pathway The key step in initiating sepsis is the recognition of Toll like receptor 4 (TLR4) by pathogen associated molecular patterns (such as LPS). 14 Deoxyandrographolide has been shown to interfere with the activation or downstream signal transduction of TLR4, thereby inhibiting the activation of nuclear factor kappa B (NF - κ B, encoded by NFKB1). NF - κ B is a core transcription factor in the inflammatory response, and its inhibition leads to downregulation of gene expression of numerous downstream pro-inflammatory factors (TNF, IL-1 β, IL-6), inducible nitric oxide synthase (NOS2), and cyclooxygenase-2 (PTGS2/COX-2), thus suppressing the "cytokine storm" from the source.
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Regulating the MAPK and PI3K/Akt signaling pathways The mitogen activated protein kinase (MAPK, such as MAPK1/ERK) and phosphatidylinositol 3-kinase/protein kinase B (PI3K/Akt, involving PIK3CA and AKT1) pathways are important signaling branches downstream of TLR4, jointly regulating inflammation, cell survival, and apoptosis. 14 Deoxyandrographolide can regulate the phosphorylation levels of these pathways. On the one hand, inhibiting excessive activation of MAPK to reduce the production of pro-inflammatory mediators; On the other hand, it may exert anti apoptotic and cell protective effects, especially in organ parenchymal cells, by activating the PI3K/Akt pathway.
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Intervention in cell pyroptosis and apoptosis In sepsis, pyroptosis (a pro-inflammatory programmed cell death) is mediated by inflammasome activated caspase-1 (CASP1). 14 Deoxyandrographolide has been reported to inhibit the activation of CASP1, thereby reducing the maturation and release of IL-1 β and IL-18, and alleviating tissue damage associated with cell apoptosis. Meanwhile, as mentioned earlier, by upregulating the soluble form of TNFR1, neutralizing TNF - α or interfering with death signaling, liver cells and other cells are desensitized to TNF - α - induced apoptosis.
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Regulating GSK-3 β activity Glycogen synthase kinase-3 β (GSK3B) is a multifunctional serine/threonine kinase involved in the regulation of inflammation, apoptosis, and mitochondrial function. In sepsis, increased GSK-3 β activity typically promotes inflammation and apoptosis. Research has shown that 14 deoxyandrographolide may exert anti-inflammatory and organ protective effects by inhibiting the activity of GSK-3 β or promoting its inhibitory phosphorylation, which may be related to Akt's regulation of GSK-3 β.
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Multi target synergistic effect In summary, 14 deoxyandrographolide does not act on a single target, but simultaneously acts on a complex signaling network composed of TLR4, NF - κ B, MAPK, PI3K/Akt, CASP1, GSK-3 β, and others. This multi-target characteristic enables it to systematically intervene in the pathological process of sepsis from multiple levels such as pathogen recognition, signal transduction, transcriptional activation, mediator release to cell death, which is in line with the current trend of developing multi-target treatment strategies for complex diseases.
Evaluation of drug properties and pharmacokinetics
Based on its physicochemical parameters and preliminary biological data, 14 deoxyandrographolide has shown certain potential as a drug, but also faces challenges.
Advantage aspects:
- Good membrane permeability and BBB permeability Moderate LogP and lower TPSA indicate that oral absorption may be better, and high BBB penetration provides unique advantages for its treatment of neuroinflammatory related diseases.
- Preliminary safety is good The absence of hERG inhibition and Ames mutagenicity alert laid the foundation for its preclinical safety studies.
- Clear in vitro activity and multi-target mechanism At the cellular and molecular levels, it has clear activity concentrations and targets of action, and the mechanism research is relatively in-depth.
Challenge aspect:
- Poor water solubility This is the main obstacle facing its formulation development. It is necessary to explore suitable drug delivery systems, such as solid dispersions, liposomes, nanoparticles, or prodrug strategies, to improve their dissolution and bioavailability.
- Lack of pharmacokinetic data Currently, there are relatively few publicly reported studies on the systematic pharmacokinetics of 14 deoxyandrographolide, including absorption, distribution, metabolism, excretion, and ADME. Key parameters such as metabolic pathways, major metabolites, half-life, and tissue distribution characteristics (although BBB penetration prediction is high) urgently need to be elucidated. Related studies on andrographolide have shown that diterpenoid lactones are metabolized rapidly in the body and may have first pass effects, while 14 deoxyandrographolide may face similar problems.
- Potential Metabolism and Interactions It is necessary to investigate whether it is a substrate, inducer, or inhibitor of the cytochrome P450 enzyme system to assess potential drug drug interaction risks.
Future drug efficacy optimization work should focus on: 1) conducting systematic preclinical pharmacokinetic studies; 2) Developing new formulations to enhance their bioavailability; 3) Conduct a comprehensive toxicological evaluation, including long-term toxicity, reproductive toxicity, etc.
Clinical application prospects and prospects
The clinical application prospects of 14 deoxyandrographolide mainly focus on the prevention and treatment of sepsis and its complications, and may be extended to other excessive inflammation related diseases.
- Sepsis and septic shock As a candidate drug with multi-target anti-inflammatory, immune regulatory, and organ protective properties, it is expected to become an adjuvant therapy for sepsis, combined with antibiotics, fluid resuscitation, and other methods, aiming to control excessive inflammation, protect organ function, and reduce mortality. Its ability to inhibit cell apoptosis and resist apoptosis is particularly attractive.
- Acute respiratory distress syndrome (ARDS) and multiple organ dysfunction syndrome (MODS)As a common and serious complication of sepsis, 14 deoxyandrographolide has shown lung, liver, and kidney protective effects in experimental models, providing a basis for its use in the prevention and treatment of ARDS and MODS.
- Autoimmune and chronic inflammatory diseases Its role in regulating T cell response and inhibiting pro-inflammatory cytokines suggests that it may have potential applications in diseases such as rheumatoid arthritis and inflammatory bowel disease.
- cardiovascular disease Based on its characteristics of blocking calcium channels and promoting NO release, it may have a positive impact on hypertension, atherosclerosis and other diseases with endothelial dysfunction.
- Inflammatory diseases of the nervous system Its high BBB penetration makes it a potential candidate molecule for treating neuroinflammatory diseases such as sepsis related encephalopathy, cerebral ischemia-reperfusion injury, Alzheimer's disease, etc.
Looking ahead to the future, research on 14 deoxyandrographolide should be conducted in the following areas:
- Deep exploration of mechanisms Using chemical biology methods such as affinity fishing, molecular docking, and kinetic simulation to accurately identify its direct target proteins and draw a clearer pharmacological action network map.
- structural optimization Using it as a lead compound, structural modification and structure-activity relationship studies are conducted with the aim of enhancing activity, improving water solubility and pharmacokinetic properties, and developing better derivatives or prodrugs.
- Preclinical development Complete pharmacological, pharmacokinetic, and toxicological evaluations that comply with the preclinical research guidelines for new drugs, and provide a complete data package for their application for clinical trials.
- Combination therapy research Explore its combination therapy with existing anti infective drugs, immunosuppressants, or other targeted drugs in order to generate synergistic effects, improve efficacy, and potentially reduce individual doses and side effects.
Conclusion
14 Deoxyandrographolide, as a natural diterpenoid derived from the traditional medicinal plant Andrographis paniculata, has shown great potential in the fields of anti-inflammatory, immune regulation, and organ protection due to its unique chemical structure and multi-target pharmacological activity. Especially in addressing sepsis, a major global health challenge, it provides new intervention ideas and candidate molecules. It inhibits cell apoptosis and pyroptosis by regulating key signaling pathways such as TLR4/NF - κ B, MAPK, PI3K/Akt, and GSK-3 β, and addresses the complex pathological process of sepsis from multiple perspectives. Despite facing challenges such as water solubility in drug development, its excellent membrane permeability, BBB permeability, and preliminary safety characteristics have laid a solid foundation for its further development. Future research needs to focus on overcoming its pharmaceutical shortcomings, elucidating systemic pharmacokinetic behavior, and promoting standardized preclinical and clinical studies. With the continuous deepening of research, 14 deoxyandrographolide is expected to move from the laboratory to clinical practice, providing a new treatment option for major diseases such as sepsis that is naturally derived and has a clear mechanism of action, demonstrating the scientific value of modernization and internationalization of traditional Chinese medicine.