School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, No.232 Waihuandong Rd, Guangzhou Higher Education Mega Center, Guangzhou, 510006, China.
School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, No.232 Waihuandong Rd, Guangzhou Higher Education Mega Center, Guangzhou, 510006, China.
J Ethnopharmacol. 2021 Apr 24;270:113816. doi: 10.1016/j.jep.2021.113816. Epub 2021 Jan 12.
ETHNOPHARMACOLOGICAL RELEVANCE: The well-known Chinese prescription, Xiaoyan Lidan Formula (XYLDF), possesses efficiency of heat-clearing, dampness-eliminating and jaundice-removing. It has long been used clinically for the treatment of hepatobiliary diseases due to intrahepatic cholestasis (IHC). However, the mechanism of XYLDF for its therapeutic effects remains elusive. AIM OF THE STUDY: The study aimed to explore the potential targets for liver protective mechanism of XYLDF based on network pharmacology and experimental assays in ANIT-induced cholestatic hepatic injury (CHI) in rats. MATERIALS AND METHODS: On the basis of the 29 serum migrant compounds of XYLDF elucidated by UPLC-TOF-MS/MS, a network pharmacology approach was applied for the mechanism prediction. Systematic networks were constructed to identify potential molecular targets, biological processes, and signaling pathways. And the interactions between significantly potential targets and active compounds were simulated by molecular docking. For the mechanism validation, an ANIT-induced rat model was used to evaluate the effects of XYLDF on CHI according to serum biochemistry, bile flow rates, histopathological examination, and the gene and protein expression including enzymes related to synthesis, export, and import of bile acid in liver and ileum, and those of inflammatory cytokines, analyzed by RT-qPCR and WB. RESULTS: The results of network pharmacology research indicated TNF (TNF-α), RELA (NF-κB), NR1H4 (FXR), and ICAM1 (ICAM-1) to be the important potential targets of XYLDF for cholestatic liver injury, which are related to bile metabolism and NF-κB-mediated inflammatory signaling. And the molecular docking had pre-validated the prediction of network pharmacology, as the core active compounds of XYLDF had shown strong simulation binding affinity with FXR, followed by NF-κB, TNF-α, and ICAM-1. Meanwhile, the effects of XYLDF after oral administration on ANIT-induced CHI in rats exhibited the decreased levels of transaminases (ALT and AST), TBA, and TBIL in serum, raised bile flow rates, and markedly improved hepatic histopathology. Furthermore, consistent to the above targets prediction and molecular docking, XYLDF significantly up-regulated the expression of FXR, SHP, BSEP, and MRP2, and down-regulated CYP7A1 and NTCP in liver, and promoted expression of IBABP and OSTα/β in ileum, suggesting the activation of FXR-mediated pathway referring to bile acid synthesis, transportation, and reabsorption. Moreover, the lower levels of TNF-α in plasma and liver, as well as the reduced hepatic gene and protein expression of NF-κB, TNF-α, and ICAM-1 after XYLDF treatment revealed the suppression of NF-κB-mediated inflammatory signaling pathway, as evidenced by the inhibition of nuclear translocation of NF-κB. CONCLUSIONS: XYLDF exhibited an ameliorative liver protective effect on ANIT-induced cholestatic hepatic injury. The present study has confirmed its mechanism as activating the FXR-regulated bile acid pathway and inhibiting inflammation via the NF-κB signaling pathway.
民族药理学相关性:著名的中药方剂小柴胡汤(XYLDF)具有清热、祛湿、退黄的功效。由于肝内胆汁淤积(IHC),它长期以来一直被临床用于治疗肝胆疾病。然而,XYLDF 治疗效果的机制仍不清楚。
研究目的:本研究旨在基于网络药理学和 ANIT 诱导的胆汁淤积性肝损伤(CHI)大鼠实验研究,探讨 XYLDF 肝保护机制的潜在靶点。
材料与方法:根据 UPLC-TOF-MS/MS 阐明的 XYLDF 的 29 种血清移行化合物,应用网络药理学方法进行机制预测。系统网络的构建用于识别潜在的分子靶标、生物过程和信号通路。通过分子对接模拟显著潜在靶标与活性化合物之间的相互作用。为了验证机制,采用 ANIT 诱导的大鼠模型,根据血清生化、胆汁流量、组织病理学检查以及与胆汁酸合成、输出和摄取相关的酶在肝和回肠中的基因和蛋白表达,以及炎症细胞因子的表达,用 RT-qPCR 和 WB 进行分析,评价 XYLDF 对 CHI 的作用。
结果:网络药理学研究结果表明,TNF(TNF-α)、RELA(NF-κB)、NR1H4(FXR)和 ICAM1(ICAM-1)是 XYLDF 治疗胆汁淤积性肝损伤的重要潜在靶点,与胆汁代谢和 NF-κB 介导的炎症信号有关。分子对接预先验证了网络药理学的预测,因为 XYLDF 的核心活性化合物与 FXR 表现出很强的模拟结合亲和力,其次是 NF-κB、TNF-α和 ICAM-1。同时,口服 XYLDF 对 ANIT 诱导的 CHI 大鼠的影响显示,血清中转氨酶(ALT 和 AST)、TBA 和 TBIL 水平降低,胆汁流量增加,肝组织病理学明显改善。此外,与上述靶点预测和分子对接一致,XYLDF 显著上调了 FXR、SHP、BSEP 和 MRP2 的表达,下调了肝内 CYP7A1 和 NTCP 的表达,并促进了回肠中 IBABP 和 OSTα/β 的表达,提示 FXR 介导的途径激活与胆汁酸合成、转运和重吸收有关。此外,经 XYLDF 治疗后,血浆和肝脏中 TNF-α水平降低,NF-κB、TNF-α和 ICAM-1 的肝基因和蛋白表达减少,表明 NF-κB 介导的炎症信号通路被抑制,NF-κB 的核转位受到抑制。
结论:XYLDF 对 ANIT 诱导的胆汁淤积性肝损伤具有改善肝脏保护作用。本研究证实了其通过激活 FXR 调节的胆汁酸途径和抑制 NF-κB 信号通路来抑制炎症的机制。
Front Pharmacol. 2024-6-24