Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

Scientific Reports
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. scientific reports
  3. articles
  4. article
Gastroprotective and antioxidant effects of stachydrine against indomethacin-induced gastric injury via ERK, AKT and iNOS signaling pathways
Download PDF
Download PDF
  • Article
  • Open access
  • Published: 02 February 2026

Gastroprotective and antioxidant effects of stachydrine against indomethacin-induced gastric injury via ERK, AKT and iNOS signaling pathways

  • Fu-Chao Liu1 na1,
  • Huang-Ping Yu1 na1,
  • Hung-Chen Lee1,2,
  • Huan-Tang Lin1,2 &
  • …
  • Chia-Chih Liao1,2 

Scientific Reports , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Biochemistry
  • Diseases
  • Drug discovery
  • Gastroenterology
  • Medical research

Abstract

Stachydrine, a major bioactive alkaloid extracted from Leonurus heterophyllus, is a key component of traditional herbal medicine, recognized for its anti-inflammatory and antioxidant properties. In this study, we investigated the gastroprotective effects of stachydrine and its underlying mechanisms in a mouse model of indomethacin (IND)-induced gastric injury. Mice were intragastrically administered IND at a dose of 40 mg/kg, followed 30 min later by treatment with varying doses of stachydrine (0, 5, and 10 mg/kg). Six hours post-IND administration, animals were sacrificed for further analysis. The results demonstrated that stachydrine treatment effectively attenuated IND-induced acute gastric injury, as evidenced by reduced gastric myeloperoxidase activity, and pro-inflammatory cytokine production (TNF-α, IL-6, and IL-1β). Stachydrine also significantly decreased gastric malondialdehyde activity while enhancing superoxide dismutase activity. Furthermore, it suppressed the expression of extracellular signal-regulated kinase (ERK), protein kinase B (AKT), and inducible nitric oxide synthase (iNOS) expressions. These findings indicate that stachydrine confers gastroprotection against IND-induced gastric injury, potentially by suppressing inflammatory and oxidative stress responses, inhibiting the ERK, AKT and iNOS signaling pathways. Thus, stachydrine may serve as a promising candidate for the treatment of IND-induced gastric injury.

Data availability

All data supporting the findings of this study are available within the paper and its Supplementary Information.

References

  1. Kangwan, N., Park, J. M., Kim, E. H. & Hahm, K. B. Quality of healing of gastric ulcers: natural products beyond acid suppression. World J. Gastrointest. Pathophysiol. 5, 40–47. https://doi.org/10.4291/wjgp.v5.i1.40 (2014).

    Google Scholar 

  2. Syam, A. F., Sadikin, M., Wanandi, S. I. & Rani, A. A. Molecular mechanism on healing process of peptic ulcer. Acta Med. Indones. 41, 95–98 (2009).

    Google Scholar 

  3. Sostres, C., Gargallo, C. J. & Lanas, A. Nonsteroidal anti-inflammatory drugs and upper and lower Gastrointestinal mucosal damage. Arthritis Res. Ther. 15 (Suppl 3). https://doi.org/10.1186/ar4175 (2013).

  4. Maziero Alves, G. et al. Sildenafil attenuates nonsteroidal anti-inflammatory-induced gastric ulceration in mice via antioxidant and antigenotoxic mechanisms. Clin. Exp. Pharmacol. Physiol. 48, 401–411. https://doi.org/10.1111/1440-1681.13414 (2021).

    Google Scholar 

  5. Koyyada, A. Long-term use of proton pump inhibitors as a risk factor for various adverse manifestations. Therapie 76, 13–21. https://doi.org/10.1016/j.therap.2020.06.019 (2021).

    Google Scholar 

  6. Yang, Y. X., Lewis, J. D., Epstein, S. & Metz, D. C. Long-term proton pump inhibitor therapy and risk of hip fracture. JAMA 296, 2947–2953. https://doi.org/10.1001/jama.296.24.2947 (2006).

    Google Scholar 

  7. Sherwood, M. W. et al. Individual proton pump inhibitors and outcomes in patients with coronary artery disease on dual antiplatelet therapy: A systematic review. J. Am. Heart Assoc. 4 https://doi.org/10.1161/JAHA.115.002245 (2015).

  8. Brusselaers, N., Wahlin, K., Engstrand, L. & Lagergren, J. Maintenance therapy with proton pump inhibitors and risk of gastric cancer: a nationwide population-based cohort study in Sweden. BMJ Open. 7, e017739. https://doi.org/10.1136/bmjopen-2017-017739 (2017).

    Google Scholar 

  9. Nadatani, Y. et al. Gastric acid inhibitor aggravates indomethacin-induced small intestinal injury via reducing Lactobacillus Johnsonii. Sci. Rep. 9, 17490. https://doi.org/10.1038/s41598-019-53559-7 (2019).

    Google Scholar 

  10. Xia, W. T. et al. Motherwort injection in preventing post-abortion hemorrhage after induced abortion: A multi-center, prospective, randomized controlled trial. Explore (NY). 16, 110–115. https://doi.org/10.1016/j.explore.2019.08.004 (2020).

    Google Scholar 

  11. Hu, Y., Mao, A., Yu, Z. & He, K. Anti-endotoxin and anti-inflammatory effects of Chinese herbal medicinal alkaloid ingredients in vivo. Microb. Pathog. 99, 51–55. https://doi.org/10.1016/j.micpath.2016.08.006 (2016).

    Google Scholar 

  12. Cao, T. T. et al. Stachydrine protects against pressure Overload-Induced cardiac hypertrophy by suppressing autophagy. Cell. Physiol. Biochem. 42, 103–114. https://doi.org/10.1159/000477119 (2017).

    Google Scholar 

  13. Zhao, L. et al. Stachydrine ameliorates isoproterenol-induced cardiac hypertrophy and fibrosis by suppressing inflammation and oxidative stress through inhibiting NF-kappaB and JAK/STAT signaling pathways in rats. Int. Immunopharmacol. 48, 102–109. https://doi.org/10.1016/j.intimp.2017.05.002 (2017).

    Google Scholar 

  14. Wu, H., Zhang, M., Li, W., Zhu, S. & Zhang, D. Stachydrine attenuates IL-1β-induced inflammatory response in osteoarthritis chondrocytes through the NF-κB signaling pathway. Chem. Biol. Interact. 326, 109136. https://doi.org/10.1016/j.cbi.2020.109136 (2020).

    Google Scholar 

  15. Yamagishi, Y., Saiki, R., Yoshimi, T., Kudo, T. & Ito, K. Gastroprotective effect of enteral nutrition formula in mice injected subcutaneously with indomethacin. Nutrients 13 https://doi.org/10.3390/nu13093297 (2021).

  16. Lanas, A., Boers, M. & Nuevo, J. Gastrointestinal events in at-risk patients starting non-steroidal anti-inflammatory drugs (NSAIDs) for rheumatic diseases: the EVIDENCE study of European routine practice. Ann. Rheum. Dis. 74, 675–681. https://doi.org/10.1136/annrheumdis-2013-204155 (2015).

    Google Scholar 

  17. Ko, I. G. et al. Evaluating the mucoprotective effect of polydeoxyribonucleotide against indomethacin-induced gastropathy via the MAPK/NF-kappaB signaling pathway in rats. Eur. J. Pharmacol. 874, 172952. https://doi.org/10.1016/j.ejphar.2020.172952 (2020).

    Google Scholar 

  18. Ahmed, M. A. E., Mohanad, M., Ahmed, A. A. E., Aboulhoda, B. E. & El-Awdan, S. A. Mechanistic insights into the protective effects of chlorogenic acid against indomethacin-induced gastric ulcer in rats: modulation of the cross talk between autophagy and apoptosis signaling. Life Sci. 275, 119370. https://doi.org/10.1016/j.lfs.2021.119370 (2021).

    Google Scholar 

  19. Wei, Y. et al. Zuojin pill ameliorates inflammation in indomethacin-induced gastric injury via Inhibition of MAPK pathway. J. Ethnopharmacol. 275, 114103. https://doi.org/10.1016/j.jep.2021.114103 (2021).

    Google Scholar 

  20. Souza, M. H., Lemos, H. P., Oliveira, R. B. & Cunha, F. Q. Gastric damage and granulocyte infiltration induced by indomethacin in tumour necrosis factor receptor 1 (TNF-R1) or inducible nitric oxide synthase (iNOS) deficient mice. Gut 53, 791–796. https://doi.org/10.1136/gut.2002.012930 (2004).

    Google Scholar 

  21. Musumba, C., Pritchard, D. M. & Pirmohamed, M. Review article: cellular and molecular mechanisms of NSAID-induced peptic ulcers. Aliment. Pharmacol. Ther. 30, 517–531. https://doi.org/10.1111/j.1365-2036.2009.04086.x (2009).

    Google Scholar 

  22. Zhang, J. et al. Stachydrine ameliorates carbon tetrachloride-induced hepatic fibrosis by inhibiting inflammation, oxidative stress and regulating MMPs/TIMPs system in rats. Biomed. Pharmacother. 97, 1586–1594. https://doi.org/10.1016/j.biopha.2017.11.117 (2018).

    Google Scholar 

  23. El-Ashmawy, N. E., Khedr, E. G., El-Bahrawy, H. A. & Selim, H. M. Gastroprotective effect of Garlic in indomethacin induced gastric ulcer in rats. Nutrition 32, 849–854. https://doi.org/10.1016/j.nut.2016.01.010 (2016).

    Google Scholar 

  24. Cicek, B. et al. Artichoke (Cynara Scolymus) methanolic leaf extract alleviates Diethylnitrosamine-Induced toxicity in BALB/c mouse brain: involvement of oxidative stress and apoptotically related Klotho/PPARgamma signaling. J. Pers. Med. 12 https://doi.org/10.3390/jpm12122012 (2022).

  25. Qiu, L. et al. Effect of cuttlebone on healing of Indomethacin-Induced acute gastric mucosal lesions in rats. Evid. Based Complement. Alternat Med. 2020 (9592608). https://doi.org/10.1155/2020/9592608 (2020).

  26. Barboza, K. R. M. et al. Gastroprotective effect of oral Kefir on indomethacin-induced acute gastric lesions in mice: impact on oxidative stress. Life Sci. 209, 370–376. https://doi.org/10.1016/j.lfs.2018.08.035 (2018).

    Google Scholar 

  27. Ugan, R. A. & Un, H. The protective roles of Butein on indomethacin induced gastric ulcer in mice. Eurasian J. Med. 52, 265–270. https://doi.org/10.5152/eurasianjmed.2020.20022 (2020).

    Google Scholar 

  28. Cinelli, M. A., Do, H. T., Miley, G. P. & Silverman, R. B. Inducible nitric oxide synthase: Regulation, structure, and Inhibition. Med. Res. Rev. 40, 158–189. https://doi.org/10.1002/med.21599 (2020).

    Google Scholar 

  29. Mohamed, Y. T. et al. Role of ADMA/DDAH-1 and iNOS/eNOS signaling in the gastroprotective effect of Tadalafil against indomethacin-induced gastric injury. Biomed. Pharmacother. 150, 113026. https://doi.org/10.1016/j.biopha.2022.113026 (2022).

    Google Scholar 

  30. Wu, H., Zhang, M., Li, W., Zhu, S. & Zhang, D. Stachydrine attenuates IL-1beta-induced inflammatory response in osteoarthritis chondrocytes through the NF-kappaB signaling pathway. Chem. Biol. Interact. 326, 109136. https://doi.org/10.1016/j.cbi.2020.109136 (2020).

    Google Scholar 

  31. Akanda, M. R. et al. Anti-Inflammatory and gastroprotective roles of rabdosia inflexa through downregulation of Pro-Inflammatory cytokines and MAPK/NF-kappaB signaling pathways. Int. J. Mol. Sci. 19 https://doi.org/10.3390/ijms19020584 (2018).

  32. Wei, Y. et al. Dehydroevodiamine ameliorates indomethacin-induced gastric injury via Inhibition of ERK and p38 signaling pathway. Phytomedicine 93, 153764. https://doi.org/10.1016/j.phymed.2021.153764 (2021).

    Google Scholar 

  33. Li, W. et al. Anti-inflammatory effect of tetrahydrocoptisine from corydalis impatiens is a function of possible Inhibition of TNF-α, IL-6 and NO production in lipopolysaccharide-stimulated peritoneal macrophages through inhibiting NF-κB activation and MAPK pathway. Eur. J. Pharmacol. 715, 62–71. https://doi.org/10.1016/j.ejphar.2013.06.017 (2013).

    Google Scholar 

  34. Cianciulli, A. et al. PI3k/Akt signalling pathway plays a crucial role in the anti-inflammatory effects of Curcumin in LPS-activated microglia. Int. Immunopharmacol. 36 https://doi.org/10.1016/j.intimp.2016.05.007 (2016).

  35. Williams, D. L., Ozment-Skelton, T. & Li, C. Modulation of the phosphoinositide 3-kinase signaling pathway alters host response to sepsis, inflammation, and ischemia/reperfusion injury. Shock 25, 432–439. https://doi.org/10.1097/01.shk.0000209542.76305.55 (2006).

    Google Scholar 

  36. Yu, N., Hu, S. & Hao, Z. Benificial effect of stachydrine on the traumatic brain injury induced neurodegeneration by attenuating the expressions of Akt/mTOR/PI3K and TLR4/NFkappa-B pathway. Transl Neurosci. 9, 175–182. https://doi.org/10.1515/tnsci-2018-0026 (2018).

    Google Scholar 

  37. Wang, M., Shu, Z. J., Wang, Y. & Peng, W. Stachydrine hydrochloride inhibits proliferation and induces apoptosis of breast cancer cells via Inhibition of Akt and ERK pathways. Am. J. Transl Res. 9, 1834–1844 (2017).

    Google Scholar 

Download references

Funding

This work was supported in part by grants from the National Science Council (MOST 112-2314-B-182 A-137-) and Chang Gung Memorial Hospital (CMRPG3L1661-3, CMRPG3M1631-3) to Fu-Chao Liu, and Chang Gung Memorial Hospital (CMRPG3M1831) to Chia-Chih Liao.

Author information

Author notes
  1. Fu-Chao Liu and Huang-Ping Yu have contributed equally to this work as co-first authors.

Authors and Affiliations

  1. Department of Anesthesiology, Chang Gung Memorial Hospital, No. 5, Fushing 1st Rd, Gueishan, Taoyuan, 33305, Taiwan

    Fu-Chao Liu, Huang-Ping Yu, Hung-Chen Lee, Huan-Tang Lin & Chia-Chih Liao

  2. College of Medicine, Chang Gung University, Taoyuan, Taiwan

    Hung-Chen Lee, Huan-Tang Lin & Chia-Chih Liao

Authors
  1. Fu-Chao Liu
    View author publications

    Search author on:PubMed Google Scholar

  2. Huang-Ping Yu
    View author publications

    Search author on:PubMed Google Scholar

  3. Hung-Chen Lee
    View author publications

    Search author on:PubMed Google Scholar

  4. Huan-Tang Lin
    View author publications

    Search author on:PubMed Google Scholar

  5. Chia-Chih Liao
    View author publications

    Search author on:PubMed Google Scholar

Contributions

L.F.C., Y.H.P. and L.C.C. conceived and designed the experiments; L H.C. and L.H.T. performed the experiments; L.F.C and L.H.C. contributed to the statistical data analysis; L.F.C., Y.H.P, L.H.T. and L.C.C. wrote the manuscript; L.C.C. corrected the manuscript. All authors have read and approved the manuscript for publication.

Corresponding author

Correspondence to Chia-Chih Liao.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethical approval and consent to participate

All animal procedures were reviewed and approved by the Institutional Animal Care and Use Committee of Chang Gung Memorial Hospital (Approval number: 2024120402). The experiments were conducted in strict compliance with the Animal Welfare Act and the National Institutes of Health Guide for the Care and Use of Laboratory Animals, and the study was conducted in accordance with the ARRIVE 2.0 guidelines.

Consent for publication

The paper was read and approved by all writers.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, FC., Yu, HP., Lee, HC. et al. Gastroprotective and antioxidant effects of stachydrine against indomethacin-induced gastric injury via ERK, AKT and iNOS signaling pathways. Sci Rep (2026). https://doi.org/10.1038/s41598-026-38072-y

Download citation

  • Received: 14 August 2025

  • Accepted: 28 January 2026

  • Published: 02 February 2026

  • DOI: https://doi.org/10.1038/s41598-026-38072-y

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Keywords

  • Stachydrine
  • Indomethacin
  • Gastric injury
  • Inflammation
  • ERK
  • AKT
  • iNOS
Download PDF

Advertisement

Explore content

  • Research articles
  • News & Comment
  • Collections
  • Subjects
  • Follow us on Facebook
  • Follow us on Twitter
  • Sign up for alerts
  • RSS feed

About the journal

  • About Scientific Reports
  • Contact
  • Journal policies
  • Guide to referees
  • Calls for Papers
  • Editor's Choice
  • Journal highlights
  • Open Access Fees and Funding

Publish with us

  • For authors
  • Language editing services
  • Open access funding
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

Scientific Reports (Sci Rep)

ISSN 2045-2322 (online)

nature.com sitemap

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2026 Springer Nature Limited

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research