陶瑾, 姜民, 陈露莹, 侯媛媛, 张德芹, 邱峰, 白钢. 基于中药性味理论和网络药理学方法的治疗消渴方药作用机制研究J. 药学学报, 2017,52(2): 236-244. doi: 10.16438/j.0513-4870.2016-0978
引用本文: 陶瑾, 姜民, 陈露莹, 侯媛媛, 张德芹, 邱峰, 白钢. 基于中药性味理论和网络药理学方法的治疗消渴方药作用机制研究J. 药学学报, 2017,52(2): 236-244. doi: 10.16438/j.0513-4870.2016-0978
TAO Jin, JIANG Min, CHEN Lu-ying, HOU Yuan-yuan, ZHANG De-qin, QIU Feng, BAI Gang. Mechanism study of prescription to treat Xiaoke based on the property and flavor theory of Chinese medicine and network pharmacologyJ. Acta Pharmaceutica Sinica, 2017,52(2): 236-244. doi: 10.16438/j.0513-4870.2016-0978
Citation: TAO Jin, JIANG Min, CHEN Lu-ying, HOU Yuan-yuan, ZHANG De-qin, QIU Feng, BAI Gang. Mechanism study of prescription to treat Xiaoke based on the property and flavor theory of Chinese medicine and network pharmacologyJ. Acta Pharmaceutica Sinica, 2017,52(2): 236-244. doi: 10.16438/j.0513-4870.2016-0978

基于中药性味理论和网络药理学方法的治疗消渴方药作用机制研究

Mechanism study of prescription to treat Xiaoke based on the property and flavor theory of Chinese medicine and network pharmacology

  • 摘要: 中药性味理论是中医治疗的核心,但其化学及生物学的表征研究甚少。本研究采用网络药理学的思路,利用中医传承辅助系统,分析消渴病药方的用药规律;选出核心药对,利用ChEMBL、CTD、Kyoto Encyclopediaof Genes and Genomes(KEGG)等数据库,从“药材-化合物-靶点-通路-功能”的相互关联入手,探究药味成分在治疗消渴方面的用药规律和作用机制。本研究发现消渴病常用药味以苦甘为主。通过对“知母-黄柏”和“黄芪-葛根”药对中活性结构的靶点和通路预测,得到甘味中的皂苷类成分主要作用于胰岛素、胰岛素及胰腺分泌等通路,刺激胰岛素分泌,改善胰岛素抵抗,促进葡萄糖利用;苦味中的黄酮和生物碱等成分主要作用于丝裂原活化蛋白激酶(MAPK)、磷脂酰肌醇3-激酶(PI3K)-Akt、过氧化物酶体增殖物激活型受体(PPAR)等通路,参与调控炎症因子,促进糖异生,改善内分泌,调节糖脂代谢等生理过程。针对“上消、中消、下消”的病症,中药通过抗炎、调节免疫,调节糖脂代谢,提高胰岛素利用,改善并发症等多通路进行“清热去燥,补肾固涩”的综合干预。本研究为探索糖尿病的综合治疗方案提供新的研究方法和策略。

     

    Abstract: Property and flavor theory of traditional Chinese medicine (TCM) is the core base for clinical treatment of diseases. However, few research about its chemical and biological characterization was performed. In this paper, network pharmacology was adopted to review patterns around the theory of TCM. "Xiaoke" prescription database, which combinations of herb medicines for diabetes therapy, was firstly built to explore prescription regularity and screen core paired-components. The prescription regularity and molecular mechanism of flavor composition were explored through the relationship of "drug-compound-target-pathway-function" by ChEMBL, CTD and KEGG datebase. As a result, the tastes of "Gan" (sweetish taste) and "Ku" (bitter taste) were the popular therapeutic flavor to regulate the disorder of glucose and lipid metabolisms. The mechanism of Xiaoke was summarized from representative traditional Chinese medicine partner "Zhimu-Huangbai" and "Huangqi-Gegen". The key components of "Gan", including saponins stimulated insulin secretion, improve insulin resistance and promote glucose utilization. The components of "Ku", including flavonoids and alkaloids regulate inflammatory cytokines, promoted the utilization of glucose, improve endocrine and metabolism through MAPK, PI3K-Akt, PPAR signal pathway. The TCM therapeutic mechanism about "Xiaoke" was preliminarily summarized to clear "heat" by anti-inflammation and immunoregulation, to regulate glucolipid metabolism for removing the satiation of digestion, and to improve the utilization of insulin and diabetes complications for endocrine adjusting. The results demonstrate that therapeutic principle of TCM for "Xiaoke" is comprehensive via multi pathway. This study provides a new research method and strategy for exploring the mechanism of TCM for diabetes therapy.

     

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