Romanian Society of Pharmaceutical Sciences

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EFFECT OF RHIZOMA SMILACIS GLABRAE EXTRACT IN IMPROVEMENT OF SKIN LESIONS AND INFLAMMATION IN MICE WITH PSORIASIS AND HYPERURICEMIA

FANG YAO 1, HONGSHENG DING 1, BIN DU 1, JING MA 1, MENGZHU JIN 2*

¹ Department of Rheumatology, Jiaxing Hospital of Traditional Chinese Medicine/Jiaxing Hospital Affiliated to Zhejiang
Chinese Medical University, 314001, China
2 Department of Dermatology, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University, Jiaxing, 314001, China

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This study investigated the mechanisms by which Rhizoma Smilacis Glabrae extract (RSGE) alleviates psoriasis associated with hyperuricemia (HUA) in a murine model. Fifty male mice were allocated to five groups: control, IMQ-induced psoriasis, HUA, HUA + IMQ, and HUA + IMQ treated with RSGE. Clinical severity (PASI score), serum biochemical parameters, histopathological changes, inflammatory cytokine expression, and MAPK signaling pathway activation were evaluated. IMQ- induced psoriasis increased PASI scores, lesion thickness, epidermal hyperplasia, inflammatory cytokine expression (IL-6, IL- 17, IL-23, TNF-α), and MAPK pathway activation. HUA elevated serum uric acid (UA), creatinine (Cr), and blood urea nitro- gen (BUN) levels. Coexistence of psoriasis and HUA further aggravated both cutaneous lesions and systemic biochemical abnormalities, accompanied by enhanced inflammatory responses and MAPK signaling activation (p < 0.05). Treatment with RSGE significantly reduced PASI scores, improved histopathological alterations, decreased UA, Cr, and BUN levels, and suppressed inflammatory cytokine expression and MAPK pathway activation compared with the HUA + IMQ group. These findings suggest that RSGE effectively attenuates psoriasis complicated by hyperuricemia, likely through modulation of in- flammatory responses and inhibition of the MAPK signaling pathway.