Lyu Ming, Yan Chun-Lin, Liu Hai-Xin, Wang Tai-Yi, Shi Xin-Hui, Liu Jin-Ping, Orgah John, Fan Guan-Wei, Han Ji-Hong, Wang Xiao-Ying, Zhu Yan
Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese, Tianjin, China.
Research and development center of TCM, Tianjin International Joint Academy of Biomedicine, Tianjin, China.
Sci Rep. 2017 Nov 13;7(1):15427. doi: 10.1038/s41598-017-14692-3.
Although Danhong injection (DHI) is the most widely prescribed Chinese medicine for both stroke and coronary artery disease (CAD), its underlying common molecular mechanisms remain unclear. An integrated network pharmacology and experimental verification approach was used to decipher common pharmacological mechanisms of DHI on stroke and CAD treatment. A compound-target-disease & function-pathway network was constructed and analyzed, indicating that 37 ingredients derived from DH (Salvia miltiorrhiza Bge., Flos Carthami tinctorii and DHI) modulated 68 common targets shared by stroke and CAD. In-depth network analysis results of the top diseases, functions, pathways and upstream regulators implied that a common underlying mechanism linking DHI's role in stroke and CAD treatment was inflammatory response in the process of atherosclerosis. Experimentally, DHI exerted comprehensive anti-inflammatory effects on LPS, ox-LDL or cholesterol crystal-induced NF-κB, c-jun and p38 activation, as well as IL-1β, TNF-α, and IL-10 secretion in vascular endothelial cells. Ten of 14 predicted ingredients were verified to have significant anti-inflammatory activities on LPS-induced endothelial inflammation. DHI exerts pharmacological efficacies on both stroke and CAD through multi-ingredient, multi-target, multi-function and multi-pathway mode. Anti-endothelial inflammation therapy serves as a common underlying mechanism. This study provides a new understanding of DHI in clinical application on cardiovascular and cerebrovascular diseases.
尽管丹红注射液(DHI)是治疗中风和冠状动脉疾病(CAD)最常用的中药,但其潜在的共同分子机制仍不清楚。本研究采用网络药理学与实验验证相结合的方法,阐释DHI治疗中风和CAD的共同药理机制。构建并分析了化合物-靶点-疾病与功能-通路网络,结果表明,丹红(丹参、红花及DHI)中的37种成分调控了中风和CAD共有的68个靶点。对主要疾病、功能、通路及上游调控因子的深入网络分析结果表明,DHI在中风和CAD治疗中发挥作用的共同潜在机制是动脉粥样硬化过程中的炎症反应。实验表明,DHI对脂多糖(LPS)、氧化型低密度脂蛋白(ox-LDL)或胆固醇晶体诱导的血管内皮细胞中核因子κB(NF-κB)、c-jun和p38激活以及白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)和IL-10分泌具有全面的抗炎作用。14种预测成分中的10种被证实对LPS诱导的内皮炎症具有显著抗炎活性。DHI通过多成分、多靶点、多功能和多通路模式对中风和CAD发挥药理作用。抗内皮炎症治疗是其共同的潜在机制。本研究为DHI在心血管和脑血管疾病临床应用中的作用提供了新认识