Zhangjiagang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Zhejiang Chinese Medical University, Hangzhou, China.
Medicine (Baltimore). 2022 Aug 12;101(32):e29534. doi: 10.1097/MD.0000000000029534.
Buyang Huanwu decoction (BYHWD), as one of the traditional Chinese medicine formulas, is widely used in the clinical treatment of lumbar disc herniation (LDH) with curative effect. It has the characteristics of multi-component, multi-target, and mutual synergy, but the mechanism of action is often unclear. It needs some research to explore the molecular mechanism of BYHWD in the treatment of LDH based on network pharmacology and molecular docking. Screen the active compounds of BYHWD and predict drug-related gene/protein targets, which could determine the specific target of BYHWD in the treatment of LDH. Construct the "Drugs-Compounds-Targets" network and search for the core targets. Use Gene Ontology functional enrichment analysis, Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis, and molecular docking verification to explore the possible molecular mechanism. Eighty-two effective compounds and 666 targets of BYHWD, 187 targets for LDH treatment, and 20 core candidate targets were excavated. A total of 3414 entries were identified by Gene Ontology enrichment analysis, 173 related signal pathways were identified by Kyoto Encyclopedia of Genes and Genomes enrichment analysis, and 5 core compounds were identified by molecular docking, which had a good affinity with core genes STAT3, JUN, AKT1, MAPK1, RELA, and PIK3CA. BYHWD may play the role of analgesic and improving function by synergistic anti-inflammatory and analgesic compounds, regulating cell metabolic differentiation, regulating immunity, and anticoagulation. BYHWD in the treatment of LDH may play a role in analgesia and improve function through multiple signaling pathways, including PI3K-Akt, mitogen-activated protein kinase, tumor necrosis factor, and interleukin-17. The PI3K-Akt signaling may be one of the key mechanisms.
补阳还五汤(BYHWD)作为一种中药方剂,广泛应用于腰椎间盘突出症(LDH)的临床治疗,具有多成分、多靶点、协同作用的特点,但作用机制往往不明确。需要进行一些研究,基于网络药理学和分子对接技术探索 BYHWD 治疗 LDH 的分子机制。筛选 BYHWD 的活性化合物并预测药物相关基因/蛋白靶点,可以确定 BYHWD 治疗 LDH 的具体靶点。构建“药物-化合物-靶点”网络,寻找核心靶点。利用基因本体论功能富集分析、京都基因与基因组百科全书通路富集分析和分子对接验证,探讨可能的分子机制。挖掘出 BYHWD 的 82 种有效化合物和 666 个靶点、治疗 LDH 的 187 个靶点和 20 个核心候选靶点。通过基因本体论富集分析共鉴定出 3414 个条目,通过京都基因与基因组百科全书通路富集分析鉴定出 173 个相关信号通路,通过分子对接鉴定出 5 个核心化合物,与核心基因 STAT3、JUN、AKT1、MAPK1、RELA 和 PIK3CA 具有良好的亲和力。BYHWD 可能通过协同抗炎和镇痛化合物调节细胞代谢分化、调节免疫和抗凝作用发挥镇痛和改善功能的作用。BYHWD 治疗 LDH 可能通过包括 PI3K-Akt、丝裂原活化蛋白激酶、肿瘤坏死因子和白细胞介素-17 在内的多条信号通路发挥作用。PI3K-Akt 信号通路可能是其中的关键机制之一。