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Article Abstract

Ethnopharmacological Relevance: Rubia cordifolia L. (RCL) is a traditional herbal medicine with a long history of use. It has been employed to treat conditions such as abnormal uterine bleeding, primary dysmenorrhea, allergic purpura, eczema, and psoriasis. In Uyghur traditional medicine, it is also utilized to manage vitiligo, tinea, skin scars, and inflammatory wounds. However, the precise mechanism through which RCL improves vitiligo is still not fully understood.

Aim Of The Study: This research sought to examine the therapeutic impacts of RCL on vitiligo, determine whether its effects on the progression of vitiligo are facilitated via the CXCL10/CXCL9/STAT1 pathway, and perform an analysis of the chemical composition along with the identification of RCL.

Materials And Methods: Chemical composition identification of RCL extract was performed using UHPLC-QTOF-MS/MS. A mouse model of vitiligo was created to assess the therapeutic effectiveness of RCL by analyzing the expression of CD8 T cells, performing HE staining, conducting melanin staining, evaluating TYR activity, and measuring the levels of inflammatory cytokines. Transcriptomic and metabolomic analyses were conducted to explore the mechanisms underlying RCL-mediated improvement of vitiligo.

Results: A total of 156 compounds were identified in RCL, predominantly including anthraquinones, naphthoquinones, and terpenoids. RCL treatment significantly reduced CD8 T cell expression, downregulated expression of cytokines that promote inflammation, and upregulated TYR activity and melanin production. Transcriptomic and metabolomic analyses identified the CXCL10/CXCL9/STAT1 signaling pathway and the metabolism of lysophosphatidylcholine and leukotriene B4 as key mechanisms underlying RCL's therapeutic effects on vitiligo, indicating that RCL ameliorates vitiligo by modulating autoimmunity and attenuating inflammatory responses. Western blotting and qPCR further validated that RCL inhibits the production of proteins linked to the CXCL10/CXCL9/STAT1 axis, including CXCL10, CXCL9, STAT1, and CXCR3. Additionally, RCL reduced the expression of inflammatory markers such as IL-1RAP, IL-6, IL-17A, KNG1, and PLA2G4E, further supporting its anti-inflammatory and immunoregulatory properties.

Conclusions: Our study demonstrates that RCL ameliorates the progression of vitiligo by modulating autoimmunity and attenuating inflammatory responses. The underlying mechanisms may involve mediating the CXCL10/CXCL9/STAT1 axis and regulating lysophosphatidylcholine and leukotriene B4 metabolism.

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http://dx.doi.org/10.1016/j.jep.2025.120027DOI Listing

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