Chinese Journal of Pharmacovigilance ›› 2026, Vol. 23 ›› Issue (3): 241-249.
DOI: 10.19803/j.1672-8629.20250638

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Proteomics-Based Analysis of Mechanisma Underlying Celastrol-Induced Fibroblast Transdifferentiation

SUN Yue1,2, ZHANG Yunan2,3△, SUN Yuanbo2,4, LI Gaofu2, YANG Fang1, WANG Ningning2, ZHANG Pengfei2, GAO Yue2#, ZHOU Wei1,2,*   

  1. 1School of Pharmacy, Qinghai University, Xining Qinghai 810016, China;
    2Academy of Military Medical Sciences, Academy of Military Sciences, Beijing 100850, China;
    3School of Life Sciences, Beijing University of Chinese Medicine, Beijing 102488, China;
    4Department of Automation, Tsinghua University, Beijing 100084, China
  • Received:2025-09-09 Online:2026-03-15 Published:2026-03-17

Abstract: Objective To explore the mechanisms of celastrol-induced cardiotoxicity and its potential promotion of fibrosis via proteomic analysis. Methods Primary cardiac fibroblasts were isolated from neonatal mice. The Cell Counting Kit-8 (CCK-8) assay was used to determine the concentration and duration of celastrol treatment. Bright-field microscopy was employed to observe the morphological changes of fibroblasts before and after treatment. Seventy-two hours after treatment with 0.01 μmol·L-1, real-time quantitative PCR (qPCR) was used to measure the expression levels of related pro-fibrotic genes. Enzyme-linked immunosorbent assay (ELISA) was employed to quantify changes in the levels of extracellular matrix (ECM), including tissue inhibitor of metalloproteinases-1 (TIMP-1) and matrix metalloproteinase-2 (MMP-2). Immunofluorescence staining was performed to calculate the expressions of fibrosis-related proteins. Proteomic analysis was used to investigate the potential mechanisms by which celastrol promoted fibrosis. Results 72 hours after treatment with celastrol 0.01μmol·L-1, the morphology of cells in the treatment group changed from spindle-shaped to polygonal or flattened, and the cell volume increased compared with the blank control group. The expression levels of pro-fibrotic genes and proteins were significantly elevated in the celastrol-treated group, along with increased levels of the extracellular matrix proteins TIMP-1 and MMP2. Differential protein enrichment analysis based on proteomics indicated that celastrol affected the expressions of such proteins as fibronectin 1 (Fn1), integrin alpha 11 (Itga11), integrin beta 3 (Itgb3), and transforming growth factor beta 1 induced transcript 1 (Tgfb1i1) in fibroblasts. By activating inflammatory and extracellular matrix-related pathways, celastrol subsequently promoted cardiac fibrosis. Conclusion Short-term administration of celastrol may potentially impact cardiac function, likely by influencing collagen synthesis and disrupting extracellular matrix (ECM) homeostasis, thereby promoting the transformation of cardiac fibroblasts into myofibroblasts and exacerbating the fibrosis process.

Key words: Celastrol, Fibroblast, Transdifferentiation, Fibrosis, Extracellular Matrix (ECM), Poteomics, Neonatal Mice

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