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采用网络药理学方法探讨冠心病的针对性治疗机制。

Exploration of the mechanism of pattern-specific treatments in coronary heart disease with network pharmacology approach.

机构信息

School of Chinese Pharmacy, Beijing University of Chinese Medicine, No. 6, Zhonghuan Southern Rd., Wangjing, Chaoyang District, Beijing 100102, China.

School of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi 830011, China.

出版信息

Comput Biol Med. 2014 Aug;51:198-204. doi: 10.1016/j.compbiomed.2014.05.003. Epub 2014 May 15.

Abstract

Traditional Chinese medicine (TCM) pattern is a valuable classification method in the treatment of complex disease such as coronary heart disease (CHD). In accordance to TCM patterns, our ancestors created many pertinent TCM formulae, which have been used in China for thousands of years and are still playing an important role in China today. However, the biological mechanism of TCM pattern-specific formulae remains elusive. In this paper, we chose CHD patterns (Qi-stagnation induced blood-stasis syndrome, abbreviated as QSB; Qi-deficiency induced blood-stasis syndrome, abbreviated as QDB) as examples to illustrate the mechanism of their pattern-specific formulae. Using entity grammar systems (EGS) formalism, we built two pharmacologic networks of the formulae and obtained the intersection and difference networks by network comparison. Then we analyzed their common and different mechanisms for treating CHD by GO enrichment analysis. The results indicate that QDB-specific formula takes more special molecular paths to treat CHD, which contribute to more severe pathological changes in comparison with QSB. In this paper, we achieved a better understanding of the pharmacological characteristics of CHD patterns-specific formulae, which is beneficial to explore different therapies for a disease to enhance the effectiveness and pertinence of treatment.

摘要

中医模式是治疗冠心病等复杂疾病的一种有价值的分类方法。根据中医模式,我们的祖先创造了许多相关的中医方剂,这些方剂在中国已经使用了几千年,至今仍在中国发挥着重要作用。然而,中医模式特异性方剂的生物学机制仍难以捉摸。在本文中,我们选择冠心病模式(气滞血瘀证,简称 QSB;气虚血瘀证,简称 QDB)为例,说明其模式特异性方剂的作用机制。我们使用实体语法系统(EGS)形式主义,构建了两个方剂的药理网络,并通过网络比较得到了交集和差异网络。然后,我们通过 GO 富集分析,分析了它们共同和不同的治疗冠心病的机制。结果表明,QDB 特异性方剂通过更特殊的分子途径治疗冠心病,与 QSB 相比,其病理变化更为严重。本文加深了对冠心病模式特异性方剂的药理特性的认识,有利于探索针对疾病的不同治疗方法,提高治疗的有效性和针对性。

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