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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Oncol. Nov 15, 2026; 18(11): 121010
Published online Nov 15, 2026. doi: 10.4251/wjgo.121010
Angelica sinensis polysaccharide attenuates constipation-associated colorectal carcinogenesis by inhibiting the NLRP3/Caspase-1/IL-1β inflammasome axis
Xi Huang, Wu-Chao-Nan Liu, Ding-Xiang Li
Xi Huang, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
Wu-Chao-Nan Liu, College of Integrated Traditional Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
Ding-Xiang Li, School of Traditional Chinese Medicine, Hunan University of Traditional Chinese Medicine, Changsha 410208, Hunan Province, China
Author contributions: Huang X was responsible for conceptualization, methodology, investigation, data curation, writing original draft; Liu WCN was responsible for formal analysis, visualization, software, writing review and editing; Li DX was responsible for supervision, project administration, funding acquisition, writing review and editing; all authors have read and approved the final version of the manuscript.
AI contribution statement: The authors declare that no AI tools were used in the preparation of this manuscript, including study design, data collection, data analysis, interpretation of results, manuscript writing, or language editing. The authors assume full responsibility and accountability for the integrity, accuracy, originality, and scientific validity of the manuscript and all submitted materials.
Supported by the Natural Science Foundation of Hunan Province (General Program), No. 2025JJ50566.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request. No additional data are available.
Corresponding author: Ding-Xiang Li, School of Traditional Chinese Medicine, Hunan University of Traditional Chinese Medicine, No. 300 Xueshi Road, Xueshi Street, Yuelu District, Changsha 410208, Hunan Province, China. ldxlzy@hotmail.com
Received: April 24, 2026
Revised: June 19, 2026
Accepted: August 14, 2026
Published online: November 15, 2026
Processing time: 184 Days and 9.1 Hours
Core Tip

Core Tip: Chronic constipation has lately been considered a possible risk factor for colorectal cancer due to prolonged colonic transit time and retention of secondary bile acids, e. g., deoxycholic acid, which can lead to persistent epithelial inflammation. Here, we present that a bioactive component of the traditional Chinese medicine Yang-Gui [Angelica sinensis polysaccharide (ASP)] can effectively suppress deoxycholic acid-induced inflammatory processes in human colonic epithelial cells. Mechanistically, ASP is able to inhibit activation of the NOD-like receptor protein 3 inflammasome and its downstream cascades caspase-1/interleukin-1β signaling pathway, thereby reducing the production of several pro-inflammatory mediators in early colorectal carcinogenesis. Our findings give mechanistic support for ASP as a potential natural candidate for preventing inflammation-driven colonic carcinogenesis under chronic constipated condition.

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