Erxian Decoction (EXD), a traditional Chinese herbal formula, has been used to treat menopausal symptoms and other aging diseases for several decades. Recently, our laboratory found that EXD could inhibit the proliferation of breast cancer cells. This activity may be mediated by anti-angiogenic action. To investigate the anti-angiogenic activity of EXD, its inhibitory effect on blood vessel formation was evaluated using both wild type and transgenic zebrafish embryos with fluorescent vasculature in vivo. Both semi-quantitative and real-time quantitative polymerase chain reaction (qPCR) were carried out to evaluate the effect of EXD on the expression of several genes closely associated with angiogenesis in zebrafish. EXD was found to inhibit vessel formation in zebrafish embryos in a dose-and time-dependent manner. Furthermore, it reduced the mRNA expression of vascular endothelial growth factor A (VEGF-A) and the protein level of hypoxia inducible factor 1α (HIF-1α) in the embryos, suggesting the involvement of HIF-1 mediated VEGF-A signaling pathway in the anti-angiogenic action of EXD. The anti-angiogenic activity of EXD provides new insights to its clinical application and may in the future lead to the development of potential drugs for treating various cancers, especially in menopausal period.Key words angiogenesis; zebrafish; Erxian Decoction; vascular endothelial growth factor A; hypoxia inducible factor 1αErxian Decoction (EXD), a traditional Chinese herbal formula, consists of six Chinese herbs: Epimedium sagittatum (SIEB. et ZUCC) MAXIM. (Berberidaceae, whole herb), Curculigo orchioides GAERTN. (Hypoxidaceae, rhizome), Morinda officinalis HOW (Rubiaceae, root), Angelica sinensis (OLIV.) DIELS (Umbelliferae, root), Phellodendron chinense SCHNEID. (Rutaceae, bark) and Anemarrhena asphodeloides BUNGE (Anthericaceae, rhizome). It has been used to treat osteoporotic disorders, 1) menopausal symptoms 2,3) and other aging diseases 4) in elderly patients for several decades.Angiogenesis is the formation of new blood vessels from existing ones. This complex process involves an extensive interplay between cells, soluble factors, and the extracellular matrix (ECM), which includes the proliferation and migration of endothelial cells. 5) Under particular conditions which include wound healing, embryonic development and tissue or organ regeneration, angiogenesis occurs at specific moments, which are regulated by stimulatory and inhibitory factors.
6,7)However, under certain pathological conditions such as the growth of solid tumors, tumor metastasis, rheumatoid arthritis and diabetic retinopathy, the angiogenic process takes place in a poorly controlled manner. 5,8,9) Plenty of traditional Chinese medicinal herbs are rich sources of compounds with anti-inflammatory and anti-carcinogenic properties. There are prominent evidences suggesting the co-dependence of chronic inflammation and angiogenesis. Both of them associate with the increase of cellular infiltration and proliferation, and are influenced by regulatory gro...