Chinese Journal of Tissue Engineering Research ›› 2026, Vol. 30 ›› Issue (36): 9429-9436.doi: 10.12307/2026.907

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Effects of icariin-containing serum active ingredients on inflammatory chondrocytes: a metabolomics analysis

Chen Weinan, Li Yusheng, Li Linzhen, Jiao Hongzhuo, Zhang Mingzhe, Wang Jianlong, Zhang Juntao   

  1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300380, China
  • Received:2025-10-29 Revised:2026-03-12 Online:2026-12-28 Published:2026-05-21
  • Contact: Zhang Juntao, PhD, Chief physician, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300380, China
  • About author:Chen Weinan, MS candidate, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300380, China
  • Supported by:
    the National Natural Science Foundation of China (General Program), Nos. 82575103 and 82074470 (both to ZJT)

Abstract: BACKGROUND:  Icariin, the main active component of the herb Epimedium, has been confirmed to possess cartilage-protective effects, but its in vivo metabolic transformation and mechanisms remain incompletely elucidated. In recent years, metabolomics technology has provided new tools for analyzing the complex in vivo metabolic processes of traditional Chinese medicine (TCM), while studies on medicated serum offer a more realistic reflection of the pharmacodynamic material basis of TCM. 
OBJECTIVE: To analyze the pharmacodynamic material basis of icariin-containing serum using untargeted metabolomics.
METHODS: Untargeted metabolomics was employed to compare differential metabolites and related signaling pathways between icariin-containing serum and blank serum. The cell counting kit-8 assay was used to evaluate the effect of gentisic acid on the viability of C57BL/6J mouse chondrocytes and determine the optimal concentration. A lipopolysaccharide-induced inflammatory chondrocyte model was established. After 24 hours of intervention with 75 μmol/L gentisic acid, mitochondrial membrane potential and mRNA expression of ATP5F1A and ATP5F1B mRNA were detected.
RESULTS AND CONCLUSION: (1) Untargeted metabolomics revealed that the effects of icariin-containing serum might be associated with taurine and hypotaurine metabolism pathways, with the key metabolite gentisic acid influencing chondrocyte energy metabolism by regulating mitochondrial ATP synthase (ATP5F1A/ATP5F1B). (2) Gentisic acid promoted chondrocyte proliferation and restored mitochondrial membrane potential in inflammation-induced chondrocytes. (3) Gentisic acid significantly increased the expression levels of ATP5F1A and ATP5F1B in lipopolysaccharide-treated chondrocytes. These findings indicate that icariin-containing serum has a defined metabolic material basis for promoting cartilage repair, with the taurine and hypotaurine metabolism pathways serving as its core mechanism. This may involve promoting L-cysteine expression and modulating these metabolic pathways to exert anti-inflammatory effects, thereby maintaining cartilage homeostasis and facilitating repair. Gentisic acid may interact with ATP5F1A/ATP5F1B proteins to regulate chondrocyte energy metabolism, contributing to cartilage repair, and holds promise as a potential therapeutic agent for knee osteoarthritis.


Key words: icariin-containing serum, osteoarthritis, chondrocytes, inflammatory response, untargeted metabolomics, taurine, gentisic acid

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