College of Integrated Traditional Chinese Medicine and Western Medicine, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, PR China.
Eur Rev Med Pharmacol Sci. 2022 Nov;26(21):7797-7812. doi: 10.26355/eurrev_202211_30129.
Obesity is characterized by excess fat accumulation and closely associated with insulin resistance and type 2 diabetes. We aimed at exploring the potential effect and mechanism of escin for the treatment of obesity using network pharmacology, and to verify the effect of escin on obese mice.
Escin targets were predicted by DrugBank and SwissTarget database. Potential targets for the treatment of obesity were identified based on the DisGeNET database. Comparative analysis was used to investigate the overlapping genes between escin targets and obesity treatment-related targets. Using STRING database and Cytoscape to analyze interactions among overlapping genes, hub genes were identified. Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis were conducted in DAVID. High-fat diet (HFD) -induced obese mice were used to observe the anti-obesity effects of escin. The body weight, relevant biochemical markers and HE staining of fat and liver tissues were determined after escin was administered for 18 weeks.
We screened 53 overlapping genes for escin and obesity. The mechanism of intervention of escin in treating obesity may involve 10 hub targets (STAT3, MTOR, NR3C1, IKBKB, PTGS2, MMP9, PRKCA, PRKCD, AR, CYP3A4). The screening and enrichment analysis revealed that the treatment of obesity using escin primarily involved 10 GO enriched terms and 13 related pathways. In vivo, escin can reduce the body weight of obese mice induced by HFD and improve lipid metabolism through lowering triglycerides (TG), total cholesterol (TC), and density lipoprotein (LDL) levels and increasing high density lipoprotein (HDL) levels and decreasing leptin level and increasing adiponectin (ADPN) level. Escin can regulate glucose metabolism caused by obesity through decreasing fasting glucose, postprandial blood glucose and regulating the level of insulin. These obese mice induced by HFD displayed the increased insulin resistance that was associated with the increased inflammatory cytokines, including interleukin 6 (IL-6), tumor necrosis factor α (TNF-α), and monocyte chemoattractant protein-1 (MCP-1). Escin may antagonize the increase of MCP-1 and partially antagonize the low-grade inflammation caused by obesity. From the morphological changes of fat and liver tissues stained by HE stain, escin could decrease the size of adipocytes and improve liver necrosis and fatty degeneration in obese mice fed by HFD.
The network pharmacology of escin in treating obesity may involve 10 hub targets (STAT3, MTOR, NR3C1, IKBKB, PTGS2, MMP9, PRKCA, PRKCD, AR, CYP3A4), 10 GO enriched terms and 13 related pathways. In vivo, escin can be potentially used to prevent or treat obesity through reducing the weight, improving glucose and lipid metabolism, partially antagonizing the low-grade inflammation, and improved insulin resistance.
肥胖的特征是脂肪积累过多,与胰岛素抵抗和 2 型糖尿病密切相关。本研究旨在采用网络药理学方法探索秦皮乙素治疗肥胖的潜在作用和机制,并验证秦皮乙素对肥胖小鼠的作用。
通过 DrugBank 和 SwissTarget 数据库预测秦皮乙素的靶点。根据 DisGeNET 数据库确定治疗肥胖的潜在靶点。采用比较分析方法,研究秦皮乙素靶点与肥胖治疗相关靶点之间的重叠基因。利用 STRING 数据库和 Cytoscape 分析重叠基因之间的相互作用,确定关键基因。在 DAVID 中进行基因本体(GO)功能和京都基因与基因组百科全书(KEGG)富集分析。使用高脂肪饮食(HFD)诱导肥胖小鼠观察秦皮乙素的抗肥胖作用。在给予秦皮乙素 18 周后,测定体重、相关生化标志物以及脂肪和肝脏组织的 HE 染色。
我们筛选出 53 个秦皮乙素与肥胖相关的重叠基因。秦皮乙素干预治疗肥胖的机制可能涉及 10 个关键靶点(STAT3、MTOR、NR3C1、IKBKB、PTGS2、MMP9、PRKCA、PRKCD、AR、CYP3A4)。筛选和富集分析表明,秦皮乙素治疗肥胖主要涉及 10 个 GO 富集术语和 13 个相关途径。在体内,秦皮乙素可降低 HFD 诱导的肥胖小鼠的体重,通过降低甘油三酯(TG)、总胆固醇(TC)和密度脂蛋白(LDL)水平以及增加高密度脂蛋白(HDL)水平和降低瘦素水平并增加脂联素(ADPN)水平来改善脂质代谢。秦皮乙素可通过降低空腹血糖、餐后血糖和调节胰岛素水平来调节肥胖引起的葡萄糖代谢。这些由 HFD 诱导的肥胖小鼠表现出的胰岛素抵抗与炎症因子的增加有关,包括白细胞介素 6(IL-6)、肿瘤坏死因子-α(TNF-α)和单核细胞趋化蛋白-1(MCP-1)。秦皮乙素可能拮抗 MCP-1 的增加,并部分拮抗肥胖引起的低度炎症。从 HFD 喂养肥胖小鼠脂肪和肝脏组织的 HE 染色形态变化来看,秦皮乙素可以减小脂肪细胞的大小,并改善肥胖小鼠的肝坏死和脂肪变性。
秦皮乙素治疗肥胖的网络药理学可能涉及 10 个关键靶点(STAT3、MTOR、NR3C1、IKBKB、PTGS2、MMP9、PRKCA、PRKCD、AR、CYP3A4)、10 个 GO 富集术语和 13 个相关途径。在体内,秦皮乙素可能通过降低体重、改善葡萄糖和脂质代谢、部分拮抗低度炎症和改善胰岛素抵抗来预防或治疗肥胖。