Ding Jing, Zhang Bin, Wang Pei-Ji, He Guo-Nong, Wei Dong-Mei, Ding Jia-Lu, Wang Bang-Cai
Department of Gastroenterology,Ningbo Hospital of Traditional Chinese Medicine Ningbo 315012,China.
Science and Education Department,Ningbo Hospital of Traditional Chinese Medicine Ningbo 315012,China.
Zhongguo Zhong Yao Za Zhi. 2019 Apr;44(8):1689-1695. doi: 10.19540/j.cnki.cjcmm.20190110.001.
To explore the medication rules of herbal prescriptions for nonalcoholic fatty liver disease,and analyze the possible drug targets and interactions,in order to explore the mechanisms of the herbs. Randomized controlled trials of herbal prescriptions for treating nonalcoholic fatty liver disease were collected from CNKI,Wan Fang,VIP,Sino Med and PubMed databases. The properties,flavors and meridian tropism of herbs were analyzed by using systematic cluster analysis method with SPSS 19. 0 software. Subsequently,the association rules of herbs were analyzed by using Clementine 12. 0 software. Finally,the interactions between targets and relevant signaling pathways were analyzed by Traditional Chinese Medicine Systems Pharmacology Database(TCMSP),Search Tool for the Retrieval of Interacting Genes/Proteins(STRING) and Kyoto Encyclopedia of Genes and Genomes(KEGG). In the 88 prescriptions screened out,the commonly used herbs were Salvia miltiorrhiza,Bupleurum chinense,Alisma orientale,and Crataegus pinnatifida,and the potential signaling pathways were PPAR signaling pathway and calcium signaling pathway. The results showed that the main effects of herbal prescriptions were to improve blood flow/clear blood stasis,clear heatiness/dampness,promote digestion and strengthen spleen. And its mechanism of action may be achieved through the regulation of PPAR signaling pathway and calcium signaling pathway.
探索非酒精性脂肪性肝病中药方剂的用药规律,分析其可能的药物靶点及相互作用,以探讨中药作用机制。从中国知网、万方、维普、中国生物医学文献数据库及PubMed数据库收集治疗非酒精性脂肪性肝病的中药方剂随机对照试验。运用SPSS 19.0软件的系统聚类分析法分析中药的性味归经。随后,运用Clementine 12.0软件分析中药的关联规则。最后,通过中药系统药理学数据库(TCMSP)、搜索相互作用基因/蛋白质的工具(STRING)和京都基因与基因组百科全书(KEGG)分析靶点与相关信号通路之间的相互作用。在所筛选出的88首方剂中,常用中药有丹参、柴胡、泽泻、山楂,潜在信号通路为PPAR信号通路和钙信号通路。结果表明,中药方剂的主要作用为活血化瘀、清热利湿、消食健脾,其作用机制可能是通过调节PPAR信号通路和钙信号通路来实现的。