吴天宇, 张铭, 何晓宇, 张妍, 夏天, 杨依清, 唐承志, 陈永杰, 丁子夏, 陈莉秋, 张小楠. 基于网络药理学探究加味甘草附子汤治疗类风湿关节炎的作用机制J. 药学学报, 2023, 58(6): 1441-1451. DOI: 10.16438/j.0513-4870.2023-0052
引用本文: 吴天宇, 张铭, 何晓宇, 张妍, 夏天, 杨依清, 唐承志, 陈永杰, 丁子夏, 陈莉秋, 张小楠. 基于网络药理学探究加味甘草附子汤治疗类风湿关节炎的作用机制J. 药学学报, 2023, 58(6): 1441-1451. DOI: 10.16438/j.0513-4870.2023-0052
WU Tian-yu, ZHANG Ming, HE Xiao-yu, ZHANG Yan, XIA Tian, YANG Yi-qing, TANG Cheng-zhi, CHEN Yong-jie, DING Zi-xia, CHEN Li-qiu, ZHANG Xiao-nan. The mechanism of modified Gan Cao Fu Zi Decoction in the treatment of rheumatoid arthritis based on network pharmacology and experimental validationJ. Acta Pharmaceutica Sinica, 2023, 58(6): 1441-1451. DOI: 10.16438/j.0513-4870.2023-0052
Citation: WU Tian-yu, ZHANG Ming, HE Xiao-yu, ZHANG Yan, XIA Tian, YANG Yi-qing, TANG Cheng-zhi, CHEN Yong-jie, DING Zi-xia, CHEN Li-qiu, ZHANG Xiao-nan. The mechanism of modified Gan Cao Fu Zi Decoction in the treatment of rheumatoid arthritis based on network pharmacology and experimental validationJ. Acta Pharmaceutica Sinica, 2023, 58(6): 1441-1451. DOI: 10.16438/j.0513-4870.2023-0052

基于网络药理学探究加味甘草附子汤治疗类风湿关节炎的作用机制

The mechanism of modified Gan Cao Fu Zi Decoction in the treatment of rheumatoid arthritis based on network pharmacology and experimental validation

  • 摘要: 利用网络药理学方法预测加味甘草附子汤(modified Gan Cao Fu Zi Decoction, GCFZ) 治疗类风湿关节炎(rheumatoid arthritis, RA) 的作用机制, 通过动物实验验证分析结果并探讨GCFZ的药效学效果。首先利用TCMID、SymMap、HERB、STITCH和GEO数据库获取GCFZ治疗RA的靶基因, 共筛选得到RA差异表达基因1 250个, GCFZ靶点基因534个, 交集基因83个。随后通过GO和KEGG数据库对交集基因进行功能富集分析, 发现GCFZ及其活性成分主要通过细胞因子通路发挥作用, 其中趋化因子信号通路、肿瘤坏死因子(tumor necrosis factor, TNF) 信号通路富集基因数较多。接着使用Cytoscape3.8.0软件构建药物-靶点-疾病网络并筛选到TNF、趋化因子8 (C-X-C chemokine ligand 8, CXCL8)、趋化因子10 (C-X-C chemokine ligand 10, CXCL10)、趋化因子配体5 (C-C chemokine ligand 5, CCL5)、趋化因子2 (C-X-C chemokine ligand 2, CXCL2)、趋化因子受体4 (C-X-C chemokine receptor type 4, CXCR4) 等6个核心蛋白, 并通过分子对接技术验证GCFZ主要活性成分与核心蛋白结合能力。通过构建胶原诱导性关节炎(collagen-induced arthritis, CIA) 大鼠模型探讨GCFZ低、中、高(4、8、16 g·kg-1) 剂量组的治疗效果, X射线影像学方法、HE染色、番红O-固绿染色结果显示, GCFZ干预能显著改善CIA大鼠骨质破坏、滑膜增生和软骨损伤, 免疫荧光结果显示GCFZ治疗能够调节TNF、CXCL8、CCL5的表达。综上, 本研究结果表明GCFZ含有多种小分子药效物质, 能够通过多靶点、多通路发挥治疗作用, 明显减轻CIA大鼠的关节炎症状。本研究动物实验获得蚌埠医学院实验动物管理和伦理委员会批准。

     

    Abstract: We used network pharmacology to predict the mechanism in the treatment of rheumatoid arthritis (RA) via modified Gan Cao Fu Zi Decoction (GCFZ), and validated the results of the analysis and explored the pharmacodynamic effects of GCFZ through animal experiments. Firstly, TCMID, SymMap, HERB, STITCH and GEO databases were utilized to obtain the target genes of GCFZ for the treatment of RA, which yielded a total of 1 250 differentially expressed genes for RA, 534 genes for GCFZ targets and 83 intersecting genes. Then functional enrichment analysis of the intersecting genes was performed through GO and KEGG databases, and the results revealed that GCFZ and its active ingredients mainly functioned through cytokine pathways, where chemokine signaling pathway and tumor necrosis factor (TNF) signaling pathway were enriched with a high number of genes. Cytoscape 3.8.0 software was used to construct the drug-target-disease network and screen key proteins, which included TNF, C-X-C chemokine ligand 8 (CXCL8), C-X-C chemokine ligand 10 (CXCL10), C-C chemokine ligand 5 (CCL5), C-X-C chemokine ligand 2 (CXCL2) and C-X-C chemokine receptor type 4 (CXCR4). The molecular docking technology was used to confirm the binding ability of the main active ingredients of GCFZ to the core proteins. Additionally, the therapeutic effects of GCFZ in low (4 g·kg-1), medium (8 g·kg-1) and high (16 g·kg-1) dose groups were investigated by constructing the collagen-induced arthritis (CIA) rat model. X-ray imaging approach, HE staining and Safranin O-Fast Green staining showed that GCFZ treatment significantly improved bone destruction, synovial hyperplasia and cartilage damage in CIA rats, while immunofluorescence results showed that GCFZ treatment could regulate the expression of TNF, CXCL8 and CCL5. In summary, our results indicate that GCFZ contains a variety of small molecule pharmacodynamic substances, which can exert therapeutic effects via multiple targets and pathways, and obviously reduce the symptoms of arthritis in CIA rats. This animal experiment of our research was approved by the Experimental Animal Management and Ethics Committee of Bengbu Medical College.

     

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