Poria cocos acid A: a natural anti fibrotic product derived from traditional Chinese medicine Poria cocos
1. Overview
Poricoic acid A is a traditional medicinal fungus derived from Poria cocos(Wolfiporia extensa)Natural triterpenoid compounds isolated from the middle. Its CAS number is 137551-38-3, molecular formula is C31H46O5, and molecular weight is approximately 498.70 g/mol. As a secondary metabolite, Poria cocos acid A is classified as a tricyclic triterpenoid compound in terms of chemical structure, and has structural characteristics of both secondary alcohols and dicarboxylic acids. In recent years, with the deepening of research on the pharmacological activity of natural products, Poria cocos acid A has attracted much attention due to its significant anti fibrotic activity, especially in the field of kidney disease where breakthrough progress has been made. Existing research suggests that it is not only a potential oral anti-tumor drug, but more importantly, it plays a key protective role in the transition from acute kidney injury to chronic kidney disease by regulating the Gas6/Axl NF κ B/Nrf2 signaling axis, activating AMPK, inhibiting Smad3, and other multiple mechanisms, and can effectively alleviate renal fibrosis. This transforms it from a traditional fungal metabolite into a modern drug lead compound with clear molecular targets and mechanisms of action, providing new ideas and candidate molecules for the treatment of fibrosis related diseases.
2. Chemical structure and physicochemical properties
The molecular structure of Poria cocos acid A is complex, and its SMILES string (C=C (CC))C@@H[C@H]1C@HC[C@@]2(C)C3=CCC@@HC@(CCC (=O) O) C3=CC [C @] 12C) C (C) C) reveals its core tricyclic triterpenoid skeleton, as well as key functional groups such as carboxyl, hydroxyl, and vinyl bonds connected to it. These functional groups are not only the basis of their biological activity, but also profoundly affect their physicochemical properties.
From the analysis of the provided pharmacological parameters:
- Molecular weight (MW):498.70 g/mol, Slightly higher than the recommended upper limit of 500 Da in Lipinski's Five Rules, but as a natural product, this deviation is within an acceptable range and usually does not pose an absolute barrier to oral absorption.
- Lipid water partition coefficient (LogP)The calculated value is 5.43, indicating that the compound has high lipophilicity. However, it LogD (apparent partition coefficient at pH 7.4)It is 2.01, significantly lower than LogP. This difference is mainly attributed to the possible dissociation of two carboxylic acid groups in the molecule at physiological pH, forming charged species that greatly increase the hydrophilicity of the molecule. This explains the huge gap between its LogP and LogD.
- Topological Polarity Surface Area (TPSA): 94.83 Å ², which reflects the total surface area of polar atoms (oxygen atoms) in the molecule. Generally, TPSA<140 Å ² is beneficial for the cell membrane permeation and oral absorption of compounds. The TPSA value of Poria cocos acid A is within a favorable range.
- Water solubility The predicted value is 0.0158 mg/mL, which belongs to slight solubility. This is consistent with its larger molecular weight and partially lipophilic structure, but the dissociative carboxyl group provides a certain water-soluble basis for it, which may be beneficial for formulation development.
- Permeability The predicted permeability value (Peff) of Caco-2 cells is 3.33 cm/s × 10 ⁻⁴, indicating moderate permeability. The permeability value of Caco-2 is 6.76, indicating its good intestinal absorption potential. However, it Blood-brain barrier (BBB) penetrability The prediction is' low ', which is mainly related to its higher polar surface area and molecular weight, meaning that it may not easily enter the central nervous system. This may actually reduce the risk of central side effects for treating fibrotic diseases in peripheral organs such as the kidneys and liver.
- Plasma protein binding rate (PPB)As high as 91.62%, it indicates that the vast majority of it binds to plasma proteins (mainly albumin) after entering the bloodstream. High protein binding rate can affect the free concentration, distribution volume, and clearance rate of drugs, which need to be carefully considered in drug efficacy and pharmacokinetic design.
In summary, Poria cocos acid A is a medium-sized molecule with amphiphilicity (both lipophilic skeleton and hydrophilic carboxyl group). Its physical and chemical properties generally meet most of the requirements for oral drugs, but high protein binding rate and moderate to low water solubility may be areas that need to be optimized in its subsequent development.
3. Plant sources and traditional applications
Fuling New Acid A is derived from the traditional Chinese medicine Fuling. Poria cocos is a fungus in the family Poriferae(Wolfiporia extensa)Dry sclerotia. This fungus usually parasitizes the roots of pine trees, and its sclerotia are spherical, elliptical, or irregularly shaped. The outer skin is light brown to black brown, and the interior is white or light red. Fuling has a medicinal history of more than two thousand years in China. It was first recorded in the "Shennong Bencao Jing" and is classified as a top-grade herb. It is said to "have the ability to suppress qi in the chest and abdomen, cause worry, shock, evil fear, and palpitations, cause pain in the heart and lower abdomen, be full of cold and heat, cough and reflux, dry mouth and tongue, and promote urination. Long term consumption can calm the soul and nourish the spirit, prevent hunger and prolong life
In traditional Chinese medicine theory, Poria cocos has a sweet, mild, and flat nature, and belongs to the heart, lungs, spleen, and kidney meridians. It has Promote diuresis and dampness, strengthen the spleen and calm the heart The efficacy. Widely used in clinical practice to treat conditions such as edema, oliguria, phlegm retention and dizziness, spleen deficiency and food deficiency, loose stools and diarrhea, restlessness, palpitations and insomnia. Famous traditional Chinese medicine formulas such as Sijunzi Tang (Jianpi), Wuling San (Lishui), Guipi Tang (Anshen), etc. are mainly composed of Poria cocos.
The modern chemical composition research of Poria cocos shows that its main active ingredients include polysaccharides (such as Poria cocos polysaccharides), triterpenoids (such as Poria cocos acid, Turmeric acid, dehydroTurmeric acid, and Poria cocos neoacid A in this article), and sterols. Among them, triterpenoids are considered as important material basis for the pharmacological effects of Poria cocos, such as diuresis, anti-inflammatory, and anti-tumor. The discovery of Poria cocos acid A is the result of using modern separation and identification techniques to deeply explore Poria cocos, a treasure of "medicinal and edible origin". It combines the traditional efficacy of Poria cocos in "promoting water and dampness" (especially in treating edema) at the molecular level with Anti renal fibrosis and protection of renal function The modern pharmacological effects are linked together, providing a model for the modernization and scientific interpretation of traditional Chinese medicine.
4. Pharmacological activity and mechanism of action
The pharmacological research focus of Poria cocos acid A is currently highly concentrated on Anti organ fibrosis Especially in the field of renal fibrosis. Fibrosis is a common pathological endpoint of various chronic diseases, such as chronic kidney disease, cirrhosis, and pulmonary fibrosis. It is characterized by excessive activation and proliferation of fibroblasts, as well as the secretion of a large amount of extracellular matrix (ECM), leading to the replacement of normal tissues by scar tissue and the loss of organ function. Fuling Xin Acid A exhibits multi-target and multi pathway effects by intervening in multiple key stages of fibrosis process.
Analysis of the core mechanism of action:
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Regulating the Gas6/Axl NF κ B/Nrf2 axis to inhibit inflammation and oxidative stress:
Continuous inflammation and oxidative stress are key driving factors in the transition from acute kidney injury (AKI) to chronic kidney disease (CKD). Research has shown that Poria cocos acid A can enhance the inhibitory effect of melatonin on AKI-CKD transformation. The mechanism involves regulating the Gas6/Axl signal axis. Gas6 is a vitamin K-dependent protein that, when bound to its receptor Axl, can activate the downstream NF - κ B pathway and promote the expression of inflammatory factors. Meanwhile, oxidative stress can disrupt the redox balance within cells. Fuling Xinsuan A, in conjunction with melatonin, can inhibit the activation of NF - κ B, thereby reducing inflammatory reactions; On the other hand, it can also activate the Nrf2 (nuclear factor E2 related factor 2) pathway. Nrf2 is the main regulator of cellular antioxidant response, which can upregulate the gene expression of various antioxidant enzymes and phase II detoxifying enzymes. By using a dual approach of "anti-inflammatory (NF - κ B)" and "antioxidant (Nrf2)", Poria cocos acid A effectively blocks the vicious cycle of inflammation oxidative stress after AKI, protects renal tubular epithelial cells, and delays fibrosis initiation.
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Activation of AMPK, inhibition of TGF - β 1/Smad3 pathway, anti fibrotic core mechanism:
This is the most direct and core mechanism of Poria cocos acid A in anti fibrosis. Transforming growth factor - β 1 (TGF - β 1) is widely recognized as the strongest pro fibrotic factor, and its downstream is mainly transmitted through the Smad2/3 signaling pathway.
- Target TGFB1 Poria cocos acid A can inhibit the expression or activity of TGF - β 1, reducing pro fibrotic signals from the source.
- Target Smad3 More importantly, it can directly inhibit the phosphorylation (activation) or nuclear translocation of Smad3, blocking downstream signaling of TGF - β 1.
- Activate AMPK Adenosine activated protein kinase (AMPK) is an energy receptor in cells, and its activation has anti fibrotic effects. Poria cocos acid A can activate AMPK. Activated AMPK not only phosphorylates and inhibits Smad3, but also suppresses the activity of its upstream TGF - β 1 receptor, forming a dual inhibition of the TGF - β 1/Smad3 pathway.
- Regulating ECM metabolic targets The effect of Poria cocos acid A is further reflected in its regulation of the balance between extracellular matrix synthesis and degradation
- Inhibit synthesis It is lowered ACTA2(α - smooth muscle actin, a marker of myofibroblast activation) and COL1A1 The expression of type I collagen, which is the main ECM component in fibrotic scars, directly reduces the activation of myofibroblasts and excessive deposition of collagen.
- Promote degradation It can also be lowered TIMP1(Metalloproteinase tissue inhibitor 1), and may indirectly affect MMP2(Matrix metalloproteinase 2). In fibrosis, overexpression of TIMP1 inhibits the activity of MMPs, leading to insufficient degradation of ECM. By adjusting the balance of TIMP1/MPs, Poria cocos acid A is beneficial for promoting ECM degradation caused by abnormal deposition.
Association with related diseases:
- kidney disease The above mechanism has been validated in animal models such as renal ischemia-reperfusion injury (IRI) and unilateral ureteral obstruction (UUO). The combination of Poria cocos acid A and melatonin can significantly reduce serum creatinine and urea nitrogen levels in model rats, alleviate glomerular podocyte damage, and improve tubulointerstitial fibrosis.
- Liver cirrhosis The database suggests that Poria cocos acid A is associated with liver cirrhosis. The core pathological mechanisms of liver fibrosis/cirrhosis are also hepatic stellate cell activation, excessive activation of TGF - β 1/Smad signaling pathway, and ECM metabolic imbalance. Although there are relatively few direct research reports on the anti fibrotic effects of Poria cocos acid A, its clear anti fibrotic targets (TGFB1, ACTA2, COL1A1, TIMP1, MMP2) highly overlap with the occurrence and development of liver fibrosis. Therefore, it has great potential to be developed for the treatment of liver fibrosis and cirrhosis, which may be one of its important research directions in the future.
5. Evaluation of drug properties
Based on the provided pharmacological parameters and classic rules of medicinal chemistry, we evaluate the potential of Poria cocos acid A as an oral medication:
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Lipinski's Rule of Five This is an empirical rule for evaluating the oral absorption potential of compounds.
- Molecular weight<500 Da:498.70(Compliant).
- LogP<5: Calculate LogP as 5.43(Slightly higher than 5, minor violation); But the more relevant LogD (pH 7.4) is 2.01(Fully compliant). Considering its dissociation state under physiological conditions, its lipophilicity is actually suitable.
- The number of hydrogen bond donors (OH+NH) is less than 5: there is 1 hydroxyl group and 2 carboxyl groups in the molecule (which can provide H), but carboxyl groups may dissociate at physiological pH, and the number of hydrogen bond donors is not significantly exceeded in form.
- Hydrogen bond acceptors (O+N)<10: there are 5 oxygen atoms in the molecule(Comply with)。
Overall, Poria cocos acid A generally conforms to or slightly deviates from Lipinski's rules and is still considered to have good oral absorption potential. Many successful oral medications also have minor violations.
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Penetration and absorption:
- TPSA (94.83 Ų) and Caco-2 permeability data All support its good intestinal membrane permeability, indicating that its oral bioavailability may be at a moderate or above level.
- Water solubility (0.0158 mg/mL) Low is a challenge that needs to be overcome in the development of formulations. The solubility can be improved by techniques such as making salts (utilizing their carboxyl groups), nanocrystals, solid dispersions, or cyclodextrin inclusion complexes.
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Distribution and Metabolism:
- BBB penetration is low For the treatment of peripheral organ diseases, reducing central nervous system side effects is a beneficial characteristic.
- The plasma protein binding rate (PPB) is as high as 91.62%This means that only about 8.38% of drugs exist in free form and exert pharmacological effects. High PPB may result in a higher total dose required for onset, and fluctuations in blood drug concentration are greatly affected by protein binding competition, but it can also act as a "reservoir" and prolong half-life. Comprehensive consideration is necessary in drug design.
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Preliminary Safety Assessment:
- Genotoxicity The results of Ames test (0.0) and chromosome aberration test (none) were both negative, indicating no risk of mutation and good safety.
- cardiotoxicity The hERG inhibition test is negative, indicating a low risk of inducing QT interval prolongation in the heart, which is an important indicator of drug cardiovascular safety.
- Other toxicities The data shows potential Skin sensitization(Skid_Sens: Yes) Be cautious when developing topical preparations.Elevated serum AST(Yes) suggests a potential risk of liver cell damage, and close monitoring of liver function is necessary in preclinical and clinical studies.
- Reproductive toxicity, phototoxicity and other indicators did not show positive signals in this data.
Summary Poria cocos acid A has a good chemical basis to become an oral anti fibrotic drug. Its main advantages lie in clear pharmacological targets, multi-channel mechanisms of action, good permeability, and preliminary genetic and cardiac safety. The development difficulty lies in Improve water solubility, manage the impact of high protein binding rates, and confirm risks such as liver toxicity through more comprehensive preclinical toxicology studies。
6. Research Status and Application Prospects
Research status:
At present, research on Poria cocos acid A is still mainly in progress Preclinical stage Focus on in-depth exploration of the mechanism of action and validation of drug efficacy in animal models. The existing research has clearly depicted the molecular blueprint of its protective effect in renal fibrosis models through core pathways such as AMPK/TGF - β 1/Smad3 and NF - κ B/Nrf2. The study of its synergistic effect with melatonin provides ideas for the development of compound preparations. However, its independent pharmacokinetic characteristics (absorption, distribution, metabolism, excretion), long-term toxicity, and efficacy in fibrosis models of other organs (such as liver and lung) still require systematic research to fill the gap.
Application Prospects:
1. As an innovative lead compound for the treatment of chronic kidney disease (CKD)In response to the current lack of drugs that can effectively reverse fibrosis in CKD, the multi-target anti fibrotic mechanism of Poria cocos acid A has shown unique advantages. In the future, structural optimization can be carried out around it to improve its solubility and pharmacokinetic properties, and develop it into a new type of anti renal fibrosis drug.
2. Expand to other fibrotic diseases Given the universality of its target, its potential applications in fields such as liver fibrosis/cirrhosis, pulmonary fibrosis, and myocardial fibrosis are enormous and worth exploring as a new direction.
3. Examples of Modernization and Precision Treatment of Traditional Chinese Medicine The research on Poria cocos acid A successfully connects the traditional efficacy of Poria cocos in "promoting diuresis" with the scientific connotation of "anti renal fibrosis" in modern medicine. It inspires us to systematically isolate and identify active ingredients from traditional Chinese medicine, and elucidate their modern pharmacological mechanisms, which is an effective path for discovering new drugs and achieving precise treatment with traditional Chinese medicine.
4. Developing drug combination strategies Current research suggests that its combination with melatonin has a synergistic effect. In the future, it is possible to explore its combination therapy with other anti-inflammatory, antioxidant, or anti fibrotic drugs in order to achieve better therapeutic effects and reduce their respective doses and side effects.
In short, Poria cocos acid A is a pearl discovered from the treasure trove of traditional Chinese medicine. Its unique chemical structure and multi-target anti fibrotic mechanism bring new hope for the treatment of chronic fibrotic diseases that plague the world. Although clinical application still faces a series of pharmaceutical and toxicological challenges, its enormous potential undoubtedly makes it a highly valuable candidate molecule in the field of natural product drug development, and future research results are highly anticipated.