ArticleInternational journal of molecular sciences2026
Berberine Prevents and Reverses Gastric Spasmolytic Polypeptide-Expressing Metaplasia by Modulating M2 Macrophage Polarization.
Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Spasmolytic polypeptide-expressing metaplasia (SPEM) is a critical gastric precancerous lesion with no approved pharmacological intervention. Berberine (BBR), a natural isoquinoline alkaloid, exhibits pleiotropic anti-inflammatory and antitumor activities. This study investigated whether berberine prevents and/or reverses tamoxifen-induced SPEM in mice and elucidated the underlying mechanisms. A tamoxifen-induced SPEM mouse model was employed with berberine administered via oral gavage in both preventive and therapeutic regimens. Gastric mucosal pathology was assessed by H&E staining, immunohistochemistry, and immunofluorescence. Transcriptomic profiling, bioinformatic analyses, and single-cell RNA sequencing data integration were performed to identify key molecular targets. Berberine significantly attenuated tamoxifen-induced gastric glandular atrophy, accelerated gland recovery, and reduced the number of TFF2
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