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Journal of Chinese Pharmaceutical Sciences ›› 2026, Vol. 35 ›› Issue (5): 438-453.DOI: 10.5246/jcps.2026.05.031

• Original articles • Previous Articles    

Cyasterone alleviates collagen-induced arthritis in mice by activating autophagy and inhibiting inflammation via the TLR4/MyD88/NF-κB signaling pathway

Xinfang Tan1,#, Yuan Liu2,#, Pengbo Shi3, Jiangtao Ma2, Chengxi Huang4, Zhifang Wu5,*(), Xiaoshen Hu6,*(), Liangliang Xu1,*()   

  1. 1. Laboratory of Orthopedics & Traumatology, Lingnan Medical Research Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China
    2. Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou 450016, Henan, China
    3. Department of Orthopedics and Traumatology, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450099, Henan, China
    4. Culver Academies, 1300 Academy Rd, Culver 46511, Indiana, United States of America
    5. Laboratory of Orthopaedics & Traumatology, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China
    6. School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, Sichuan, China
  • Received:2026-02-16 Revised:2026-03-21 Accepted:2026-04-05 Online:2026-05-31 Published:2026-05-31
  • Contact: Zhifang Wu, Xiaoshen Hu, Liangliang Xu
  • About author:

    # Xinfang Tan and Yuan Liu contributed equally to this work.

  • Supported by:
    The National Natural Science Foundation of China (Grant No. 82205239) and the Natural Science Foundation of Sichuan Province (Grant No. 2025ZNSFSC0636).

Abstract:

Rheumatoid arthritis (RA) is a chronic autoimmune disease. Cyasterone, a phytoecdysteroid, demonstrates anti-inflammatory potential, but its mechanism in RA remains unclear. This study aims to investigate Cyasterone’s therapeutic effect and underlying mechanisms in collagen-induced arthritis (CIA) mice. Cell migration and cell invasion capabilities were measured by the transwell assay. Apoptosis was detected by TUNEL or flow cytometry. Tail vein injection of bovine type II collagen was used to establish the mouse CIA model. The enzyme-linked immunoassay was performed to measure inflammatory factor concentrations. Quantitative real-time PCR or WB analysis was performed to detect gene or protein expression. CIA was assessed by the arthritis index and claw thickness curve, etc. The results demonstrated that Cyasterone had dose-dependent inhibitory effects on the proliferation, migration, and invasion of rheumatoid arthritis-fibroblast like synoviocytes (RA-FLS). Cyasterone increased apoptosis and reduced inflammation in RA-FLS, indicating its protective effects in RA. Cyasterone inhibited TLR4/MyD88/NF-κB pathway and increased autophagy in RA-FLS, as demonstrated by reduced TLR4, MyD88, phosphorylated p65, and p-mTOR levels while increasing Beclin 1 expression and light chain 3 II/I ratio. The in vivo results further confirmed that Cyasterone reduced the arthritis index and paw swelling, significantly reduced the serum levels of inflammatory factors, alleviated synovial hyperplasia and destruction of cartilage structure, demonstrating an anti-cartilage damage effect. In conclusion, Cyasterone protected against CIA through the TLR4/MyD88/NF-κB signaling pathway, which might be a promising candidate for arthritis treatment.

Key words: Arthritis, Cyasterone, Fibroblast-like synoviocytes, TLR4/MyD88/NF-κB signaling pathway, Inflammation

Supporting: /attached/file/20260529/20260529192238_479.pdf