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September 15, 2026BiomedicinesOpen Access

Responses to Nei-Xiao-Luo-Li-San in Toledo Diffuse Large B-Cell Lymphoma Cells: Potential Involvement of ATF5- and HDAC-Associated Epigenetic Changes

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Authors

KZKaixuan ZouJKJong Hyuk KimSASahana Arunasalam

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Overview

In vitro study demonstrates that Nei-Xiao-Luo-Li-San suppresses Toledo diffuse large B-cell lymphoma progression, indicating ATF5 and HDAC modulation as key therapeutic mechanisms.

Key Points

  • To evaluate the biological actions of Nei-Xiao-Luo-Li-San (NXLLS) on Toledo diffuse large B-cell lymphoma cells and characterize the molecular and epigenetic mechanisms driving its effects.
  • Characterized NXLLS chemically using liquid chromatography–mass spectrometry (LC–MS) and high-performance liquid chromatography (HPLC) to identify representative compounds.
  • Assessed cell viability, migration, invasion, and cell-cycle distribution in Toledo DLBCL cells exposed to NXLLS.
  • Profiled transcriptional and epigenetic responses using RNA sequencing, network pharmacology, ELISA, and lentiviral ATF5 overexpression and knockdown assays.
  • NXLLS decreased cell viability, migration, and invasion in Toledo DLBCL cells, while inducing G1-phase cell-cycle accumulation and lowering VEGF levels.
  • Transcriptomic profiling revealed downregulation of histone deacetylase (HDAC) pathways, accompanied by decreased HDAC expression and increased Ac-H3K9 and Ac-H3K27 levels.
  • Knockdown of ATF5 recapitulated the cellular and epigenetic alterations caused by NXLLS, identifying ATF5 as a candidate downstream mediator of the herbal formulation.

Cite This Study

Zou et al. (2026) studied this question.

synapsesocial.com/papers/6aa913ba9013453be30a1c3chttps://doi.org/10.3390/biomedicines14092052
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