Lü Ming, Wang Tai-yi, Tian Xiao-xuan, Shi Xin-hui, Fan Guan-wei, Zhang Yan, Zhu Yan
Yao Xue Xue Bao. 2015 Sep;50(9):1135-41.
Chinese traditional patent medicine for promoting blood circulation and removing blood stasis(PBCRBS) originated from traditional Chinese medicine theory and had approved efficacy and safety standards. However, its compatibility regularity and anti-thrombotic mechanism is not clear. To analyze the compatibility regularity and anti-thrombotic mechanism of Chinese traditional patent medicine for PBCRBS, a statistical and bioinformatics analysis was carried out using traditional Chinese medicine inheritance support system (TICMISS, V2.0) and ingenuity pathway analysis (IPA). The compatibility regularity analysis shows that the most commonly used herb combinations are Danshen (Salvia miltiorrhiza Bge.), Chuanxiong (Ligusticum chuanxiong Hort.) and Honghua (Carthamustinctorius L.). The anti-thrombotic mechanism analysis reveals that 25 ingredients have an effect on 29 thrombosis related molecules which 23 molecules are related to inflammation response. Furthermore, there are 5 inflammation molecules (NOS2, PTGS2, IL6, TNF, IL1β) served as major targets. At the same time, Danshen, Chuangxiong and Honghua mainly used as sovereign herb or minister herb in the application of cardiovascular and cerebrovascular diseases. Therefore, Chinese traditional patent medicine for PBCRBS probably has an effect on anti-thrombotic activity through inhibiting the inflammatory response. In summary, the most commonly used herb combinations of Chinese traditional patent medicine for PBCRBS are Danshen, Chuanxiong and Honghua. Inhibiting inflammatory response, especially inflammation related molecules (NOS2, PTGS2, IL6, TNF and IL1β), is probably a new starting point to clarify the anti-thrombotic mechanism of Chinese patent medicine for PBCRBS.
活血化瘀类中药专利制剂源于中医理论,有认可的疗效和安全性标准。然而,其配伍规律和抗血栓形成机制尚不清楚。为分析活血化瘀类中药专利制剂的配伍规律和抗血栓形成机制,运用中医传承辅助系统(TICMISS,V2.0)和 Ingenuity 通路分析(IPA)进行了统计和生物信息学分析。配伍规律分析表明,最常用的药对组合是丹参、川芎和红花。抗血栓形成机制分析显示,25 种成分作用于 29 个与血栓形成相关的分子,其中 23 个分子与炎症反应相关。此外,有 5 种炎症分子(NOS2、PTGS2、IL6、TNF、IL1β)作为主要靶点。同时,丹参、川芎和红花在心血管和脑血管疾病应用中主要作为君药或臣药。因此,活血化瘀类中药专利制剂可能通过抑制炎症反应而具有抗血栓形成活性。综上所述,活血化瘀类中药专利制剂最常用的药对组合是丹参、川芎和红花。抑制炎症反应,尤其是炎症相关分子(NOS2、PTGS2、IL6、TNF 和 IL1β),可能是阐明活血化瘀类中药专利制剂抗血栓形成机制的一个新切入点。