Beijing Key Laboratory of Innovative Drug Discovery of Traditional Chinese Medicine (Natural Medicine) and Translational Medicine, Institute of Medicinal Plant Development, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100193, China.
Key Laboratory of Bioactive Substances and Resource Utilization of Chinese Herbal Medicine, Ministry of Education, Beijing 100193, China.
Molecules. 2018 Apr 17;23(4):940. doi: 10.3390/molecules23040940.
, as traditional Chinese medicine, has a long history of high clinical value, such as anti-inflammatory, anti-oxidation, inhibition of platelet aggregation, regulation of blood glucose and blood pressure, inhibition of neuronal apoptosis, and neuronal protection, and its main ingredients are Panax notoginseng saponins (PNS). Currently, may improve mental function, have anti-insomnia and anti-depression effects, alleviate anxiety, and decrease neural network excitation. However, the underlying effects and the mechanisms of and its containing chemical constituents (PNS) on these depression-related or anxiety-related diseases has not been completely established. This review summarized the antidepressant or anxiolytic effects and mechanisms of PNS and analyzed network targets of antidepressant or anxiolytic actions with network pharmacology tools to provide directions and references for further pharmacological studies and new ideas for clinical treatment of nervous system diseases and drug studies and development. The review showed PNS and its components may exert these effects through regulating neurotransmitter mechanism (5-HT, DA, NE), modulation of the gamma-amino butyric acid (GABA) neurotransmission, glutamatergic system, hypo-thalamus-pituitary-adrenal (HPA) axis, brain-derived neurotrophic factor (BDNF), and its intracellular signaling pathways in the central nervous system; and produce neuronal protection by anti-inflammatory, anti-oxidation, or inhibition of neuronal apoptosis, or platelet aggregation and its intracellular signaling pathways. Network target analysis indicated PNS and its components also may have anti-inflammatory and anti-apoptotic effects, which leads to the preservation of brain nerves, and regulate the activity and secretion of nerve cells, exerting anti-depression and anxiolytic effects, which may provide new directions for further in-depth researches of related mechanisms.
作为传统中药,具有很高的临床价值,如抗炎、抗氧化、抑制血小板聚集、调节血糖和血压、抑制神经元凋亡和神经元保护等,其主要成分是三七总皂苷(PNS)。目前,[药物名称]可能改善精神功能,具有抗失眠和抗抑郁作用,缓解焦虑,降低神经网络兴奋。然而,[药物名称]及其所含化学成分(PNS)对这些与抑郁相关或与焦虑相关的疾病的潜在作用和机制尚未完全确定。本综述总结了 PNS 的抗抑郁或抗焦虑作用及其机制,并通过网络药理学工具分析了抗抑郁或抗焦虑作用的网络靶点,为进一步的药理学研究和神经系统疾病的临床治疗以及药物研究和开发提供了方向和参考。综述表明,PNS 及其成分可能通过调节神经递质机制(5-HT、DA、NE)、调节γ-氨基丁酸(GABA)神经传递、谷氨酸能系统、下丘脑-垂体-肾上腺(HPA)轴、脑源性神经营养因子(BDNF)及其细胞内信号通路在中枢神经系统中发挥这些作用;通过抗炎、抗氧化或抑制神经元凋亡或血小板聚集及其细胞内信号通路产生神经元保护作用。网络靶点分析表明,PNS 及其成分也可能具有抗炎和抗凋亡作用,从而保护脑神经,并调节神经细胞的活性和分泌,发挥抗抑郁和抗焦虑作用,这可能为进一步深入研究相关机制提供新的方向。