Xiao Wenyu, Sun Weibing, Lian Hui, Shen Juexin
Department of Orthopaedics, Shanghai Tenth People's Hospital Chongming Branch, School of Medicine, Tongji University, Shanghai 202157, China.
Evid Based Complement Alternat Med. 2020 Nov 2;2020:7275057. doi: 10.1155/2020/7275057. eCollection 2020.
Osteoarthritis (OA) is currently the most common joint disorder worldwide. In last decades, herbal remedies have achieved a significant advancement in the treatment of OA. Duhuo Jisheng Decoction (DHJS), an herbal formula consisting of 15 medicinal herbs, has a long-time practice in OA therapy in China. However, its therapeutic mechanisms have not been comprehensively elucidated. In the present work, integrated network and experimental pharmacology were performed for investigating the therapeutic substances and mechanisms of DHJS. Based on network analysis, the contribution of each herb to OA therapy was evaluated. Furthermore, a series of potential targets and signaling pathways were enriched, which could be involved in the therapeutic effects and mechanisms of DHJS. Further experimental results indicated that DHJS attenuated TNF, IL-6, MMP-1, MMP-9, MMP-13, and ADAMTs-5 expression, inhibited NF-B and p38 MAPK signaling pathway, activated AMPK-SIRT1 signaling pathway, and suppressed chondrocyte apoptosis, which synergistically contributed to OA therapy. Our work demonstrated that DHJS could be very promising for OA therapy through synergistically acting on multitargets and multipathways.
骨关节炎(OA)是目前全球最常见的关节疾病。在过去几十年中,草药疗法在OA治疗方面取得了显著进展。独活寄生汤(DHJS)是一种由15味草药组成的中药方剂,在中国OA治疗中有着长期应用。然而,其治疗机制尚未得到全面阐明。在本研究中,采用整合网络和实验药理学方法来研究DHJS的治疗物质和机制。基于网络分析,评估了每种草药对OA治疗的贡献。此外,富集了一系列可能参与DHJS治疗作用和机制的潜在靶点和信号通路。进一步的实验结果表明,DHJS可降低TNF、IL-6、MMP-1、MMP-9、MMP-13和ADAMTs-5的表达,抑制NF-κB和p38 MAPK信号通路,激活AMPK-SIRT1信号通路,并抑制软骨细胞凋亡,这些协同作用有助于OA治疗。我们的研究表明,DHJS通过多靶点和多途径协同作用,在OA治疗方面具有很大潜力。