Zhu Junfeng, Yi Xiaojiao, Zhang Yiwen, Pan Zongfu, Zhong Like, Huang Ping
Laboratory of Clinical Pharmacy, Zhejiang Cancer Hospital, Hangzhou 310022, China.
College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.
Evid Based Complement Alternat Med. 2019 Feb 4;2019:1056708. doi: 10.1155/2019/1056708. eCollection 2019.
To provide evidence for the better clinical use of traditional Chinese medicine preparations (TCMPs), comparison of the pharmacological mechanisms between TCMPs with similar therapeutic effect is necessary. However, methodology for dealing with this issue is still scarce. Danhong injection (DHI) and Naoxintong capsule (NXT) are representative TCMPs for ischemic stroke (IS) treatment, which are also frequently used in combination. Here they were employed as research objects to demonstrate the feasibility of systems pharmacology approach in elucidation of the independent and combined effect of TCMPs. By incorporating chemical screening, target prediction, and network construction, a feasible systems pharmacology model has been established to systematically uncover the underlying action mechanisms of DHI, NXT, or their pair in IS treatment. Systematic analysis of the created TCMP-Compound-Target-Disease network revealed that DHI and NXT shared common targets such as PTGS2, F2, ADRB1, IL6, ALDH2, and CCL2, which were involved in the vasomotor system regulation, blood-brain barrier disruption, redox imbalance, neurotrophin activity, and brain inflammation. In comparative mechanism study, the merged DHI/NXT-IS PPI network and pathway enrichment analysis indicated that DHI and NXT exerted the therapeutic effects mainly through immune system and VEGF signaling pathways. Meanwhile, they had their own unique pathways, e.g., calcium signaling pathway for DHI and gap junction for NXT. While for their synergistic mechanism, DHI and NXT participated in chemokine signaling pathway, T cell receptor signaling pathway, VEGF signaling pathway, gap junction, and so on. Our study provided an optimized strategy for dissecting the different and combined effect of TCMPs with similar actions.
为了给中药制剂(TCMPs)更好的临床应用提供证据,比较具有相似治疗效果的中药制剂之间的药理机制是必要的。然而,处理这个问题的方法仍然很少。丹红注射液(DHI)和脑心通胶囊(NXT)是治疗缺血性中风(IS)的代表性中药制剂,它们也经常联合使用。在此,将它们作为研究对象,以证明系统药理学方法在阐明中药制剂的独立和联合作用方面的可行性。通过整合化学筛选、靶点预测和网络构建,建立了一个可行的系统药理学模型,以系统地揭示DHI、NXT或它们的组合在IS治疗中的潜在作用机制。对所构建的中药制剂-化合物-靶点-疾病网络进行系统分析发现,DHI和NXT共享共同靶点,如PTGS2、F2、ADRB1、IL6、ALDH2和CCL2,这些靶点参与血管运动系统调节、血脑屏障破坏、氧化还原失衡、神经营养活性和脑部炎症。在比较机制研究中,合并的DHI/NXT-IS蛋白质-蛋白质相互作用(PPI)网络和通路富集分析表明,DHI和NXT主要通过免疫系统和血管内皮生长因子(VEGF)信号通路发挥治疗作用。同时,它们有各自独特的通路,例如DHI的钙信号通路和NXT的缝隙连接。而对于它们的协同机制,DHI和NXT参与趋化因子信号通路、T细胞受体信号通路、VEGF信号通路、缝隙连接等。我们的研究为剖析具有相似作用的中药制剂的不同和联合作用提供了一种优化策略。