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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. May 7, 2026; 32(17): 116590
Published online May 7, 2026. doi: 10.3748/wjg.v32.i17.116590
Niu Huang mitigates dextran sulfate sodium-induced colitis by modulating farnesoid X receptor activation and the complement 3/NLRP3 signaling pathway
Juan Shi, Chong-Yang Ma, Xiao-Hui Zhang, Kun-Jing Liu, Jin-Ying Liu, Qing-Guo Wang, Xue-Qian Wang, Fa-Feng Cheng, Tian Xu
Juan Shi, Tian Xu, Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Juan Shi, Chong-Yang Ma, Xiao-Hui Zhang, School of Traditional Chinese Medicine, Capital Medical University, Beijing 100069, China
Kun-Jing Liu, Qing-Guo Wang, Xue-Qian Wang, Fa-Feng Cheng, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
Jin-Ying Liu, College of Traditional Chinese Medicine, Chengde Medical University, Chengde, Chengde 067000, Hebei Province, China
Co-first authors: Juan Shi and Chong-Yang Ma.
Co-corresponding authors: Fa-Feng Cheng and Tian Xu.
Author contributions: Shi J and Ma CY performed the research and wrote the original draft, they contributed equally to this article, they are the co-first authors of this manuscript; Zhang XH, Liu KJ, and Liu JY acquired and analyzed the data; Wang QG and Wang XQ developed methodology; Ma CY, Liu JY, and Xu T acquired funding; Cheng FF and Xu T designed the research study, participated in review and editing, they contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 82374165, No. 82405050, and No. 82004327; Fundamental Research Funds for the Central Universities, China, No. 3332024017; and Research Project of Hebei Provincial Administration of Traditional Chinese Medicine, No. 2025086.
Institutional animal care and use committee statement: All procedures involving animals were reviewed and approved by the Institutional Animal Care and Use Committee of Capital Medical University, approval No. AEEI-2024-007.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
ARRIVE guidelines statement: The authors have read the ARRIVE guidelines, and the manuscript was prepared and revised according to the ARRIVE guidelines.
Data sharing statement: All data in the research will be made available on request.
Corresponding author: Tian Xu, Postdoc, Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China. xutian@pumch.cn
Received: November 18, 2025
Revised: January 7, 2026
Accepted: February 12, 2026
Published online: May 7, 2026
Processing time: 160 Days and 18.4 Hours
Abstract
BACKGROUND

Ulcerative colitis (UC) is a chronic inflammatory bowel disease for which effective therapies are lacking. Niu Huang (NH) is a traditional Chinese medicine used for inflammatory disorders. However, its protective effect on UC and its underlying mechanisms are unknown.

AIM

To uncover the mechanisms underlying the anti-colitis effects of the NH.

METHODS

Network pharmacology was applied to predict the active ingredients and targets of NH. Experimental validation was conducted in a dextran sulfate sodium-induced murine colitis model. The therapeutic efficacy was assessed using symptoms, histopathology, quantitative polymerase chain reaction, western blotting, immunohistochemistry and enzyme linked immunosorbent assay, while the underlying mechanism was investigated through integrated transcriptomic and proteomic analyses. In addition, the critical role of farnesoid X receptor (FXR) in mediating the effects of NH was validated using the FXR inhibitor guggulsterone and Fxr-/- mouse models.

RESULTS

Network pharmacology revealed that the bioactive component of NH is bile acid. Our animal experiments demonstrated that NH treatment significantly alleviated colitis symptoms and pathological damage. NH preserved intestinal mucosal integrity by upregulating occludin, claudin3, E-cadherin and leucine rich repeat containing G protein-coupled receptor 5 expression. Transcriptomic and proteomic analyses revealed that bile secretion, the nuclear factor kappa B signaling pathway and the complement and coagulation cascade pathway are key targets of NH. Western blotting confirmed that NH increased FXR levels and reduced P65, complement component 3 (C3) and NOD-like receptor family pyrin domain containing 3 (NLRP3) expression. Furthermore, experiments using Fxr-/- mice and the FXR antagonist revealed that FXR is a pivotal target through which NH attenuates UC. Mechanistic analysis revealed that the effects of NH on UC are mediated by the modulation of targets involved in the activation of FXR and the subsequent inhibition of C3/NLRP3 activation.

CONCLUSION

This study demonstrates the therapeutic effects of NH on UC. Mechanistically, NH acts by activating FXR, which subsequently inhibits the nuclear factor kappa B pathway to reduce C3 accumulation and suppress excessive NLRP3 inflammasome activation in colon tissue.

Keywords: Niu Huang; Ulcerative colitis; Network pharmacology; Farnesoid X receptor; Complement component 3/NOD-like receptor family pyrin domain containing 3 signaling pathway; Inflammation

Core Tip: This study demonstrates that Niu Huang effectively alleviates ulcerative colitis. By identifying its active components and employing transcriptomic and proteomic sequencing to predict mechanisms, this study reveals that this drug exerts anti-colitis effects by activating the farnesoid X receptor (FXR), which subsequently inhibits nuclear factor kappa B transcription. This inhibition reduces the accumulation of complement component 3 and suppresses excessive activation of the NOD-like receptor family pyrin domain containing 3 inflammasome in colon tissue, alleviating intestinal inflammation. The critical role of FXR was conclusively validated using both FXR antagonist guggulsterone and Fxr-knockout mouse models.