Pedunculoside promotes oral ulcer healing in mice by upregulating STAT3 and Smad3

Background Pedunculoside (PE) is a pentacyclic triterpenoid saponin found in the dried barks of the Ilex rotunda Thunb. In traditional Chinese medicine, the juice extracted from various Ilex species is commonly used for treating inflammatory diseases. Objective This study aims to investigate the potential of PE in promoting the healing of oral ulcers in mice and to explore its possible mechanism. Materials and Methods A mouse model of oral ulcer was established to evaluate the healing promotion effects of PE, and an in-vitro inflammatory cell model was established by using primary fibroblasts isolated from mouse oral mucosal tissue. Gene transcription and protein expression related to cell proliferation, migration, and collagen synthesis were measured. Results PE showed the highest cure rate of 85.7% for oral ulcers in mice within 7-days treatment. It significantly promoted cell proliferation and collagen secretion in fibroblast in-vitro model. PE also upregulated the gene transcription of Smad3, Col1a1 and Col3a1. Furthermore, PE antagonized the inhibitory effect of WP1066 on STAT3activation, but did not affect cell migration. Conclusion This study demonstrates that PE has potential therapeutic effects in promoting oral ulcer healing in mice. The improvement was achieved by the increasing collagen synthesis through the upregulation of STAT3 and Smad3 in mucosa fibroblasts. These results provide a preliminary pharmacological work for developing PE as a potential treatment agent for oral ulcers.