College of Pharmacy, Anhui University of Chinese Medicine, Hefei, China.
College of Pharmacy, Anhui University of Chinese Medicine, Hefei, China; Anhui Province Key Laboratory of Research & Development of Chinese Medicine, Anhui University of Chinese Medicine, Hefei, China; Anhui Province Key Laboratory of Chinese Medicinal Formula, Anhui University of Chinese Medicine, Hefei, China; Institute for the Evaluation of the Efficacy and Safety of Chinese Medicines, Anhui Academy of Chinese Medicine, Hefei, China.
J Ethnopharmacol. 2023 Aug 10;312:116507. doi: 10.1016/j.jep.2023.116507. Epub 2023 Apr 18.
ETHNOPHARMACOLOGICAL RELEVANCE: Huangxiong Formula (HXF) is composed of four herbs: Rheum palmatum L., Ligusticum striatum DC., Curcuma aromatica Salisb., and Acorus gramineus Aiton. HXF is clinically used for the treatment of ischemic stroke (IS). However, its molecular mechanism remains unclear. AIM OF THE STUDY: A network pharmacology-based strategy combined with experimental study in vivo and in vitro to were used to investigate the bioactive components, potential targets, and molecular mechanisms of HXF in the treatment of IS. MATERIALS AND METHODS: The components of HXF were detected by ultra-performance liquid chromatography (UPLC). The potential active ingredients of HXF were acquired from the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP) and literature, and corresponding targets were discerned through the Swiss TargetPrediction database. IS-related targets were obtained from Genecards, Online Mendelian Inheritance in Man (OMIM), Therapeutic Target Database (TTD), and DisGeNET. The intersection of ingredient and disease targets was screened, and a herbal-compound-target network was constructed. A protein-protein interaction (PPI) network was created, and Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were performed. Based on these analyses, we established a compound-target-pathway (C-T-P) network. A cerebral ischemia-reperfusion (I/R) animal model was established, and the cerebral protective effect of HXF was assessed. The accuracy of the predicted targets was verified by real-time quantitative polymerase chain reaction (RT-qPCR). Hippocampal neuronal injury cell model induced by oxygen-glucose deprivation and reperfusion (OGD/R) was used to evaluate the protective effect of α-Asarone. Furthermore, molecular docking, drug affinity responsive target stability (DARTS) assay, and cellular thermal shift assay (CETSA) were performed to verify whether α-Asarone can bind to PI3K. RESULTS: A total of 44 active ingredients and 795 gene targets were identified through network pharmacology. Network analysis showed that naringenin, eupatin, kaempferol, and α-Asarone were possible drug candidates. SRC, AKT1, TP53, MAPK3, STAT3, HRAS, CTNNB1, EGFR, VEGFA, PIK3R1 could serve as potential drug targets. KEGG analysis implied that the PI3K/AKT signaling pathway might play an important role in treating IS by HXF. Moreover, HXF significantly reduced neurological impairment, cerebral infarct volume, brain index, and brain histopathological damage in I/R rats. The mRNA expression of the top 10 potential targets was verified in the brain tissue. The C-T-P network and UPLC analysis suggested that α-Asarone might be an important component of HXF and can inhibit oxidative stress and apoptosis in HT22 cells by activating the PI3K/AKT signaling pathway. Molecular docking, DARTS, and CETSA assay analysis confirmed that there were direct interactions between α-Asarone and PI3K. CONCLUSION: HXF had a therapeutic effect in IS with multi-component, multi-target, and multi-approach features. α-Asarone, identified as one of the major active components of HXF, could alleviate oxidative stress and apoptosis by targeting PI3K/AKT pathway.
民族药理学相关性:黄胸方(HXF)由四种草药组成:大黄、川芎、莪术和菖蒲。HXF 临床上用于治疗缺血性中风(IS)。然而,其分子机制尚不清楚。
研究目的:采用网络药理学结合体内和体外实验研究,探讨 HXF 治疗 IS 的生物活性成分、潜在靶点和分子机制。
材料和方法:采用超高效液相色谱法(UPLC)检测 HXF 的成分。从中药系统药理学数据库和分析平台(TCMSP)和文献中获取 HXF 的潜在活性成分,并通过瑞士靶点预测数据库识别相应的靶点。从 Genecards、在线孟德尔遗传(OMIM)、治疗靶点数据库(TTD)和 DisGeNET 中获得 IS 相关靶点。筛选成分和疾病靶点的交集,构建草药-化合物-靶点网络。建立蛋白质-蛋白质相互作用(PPI)网络,并进行基因本体论(GO)和京都基因与基因组百科全书(KEGG)通路富集分析。在此基础上,建立了化合物-靶点-通路(C-T-P)网络。建立脑缺血再灌注(I/R)动物模型,评估 HXF 的脑保护作用。通过实时定量聚合酶链反应(RT-qPCR)验证预测靶点的准确性。利用氧葡萄糖剥夺和再灌注(OGD/R)诱导的海马神经元损伤细胞模型评价α-细辛醚的保护作用。进一步进行分子对接、药物亲和反应靶标稳定性(DARTS)试验和细胞热转移试验(CETSA),验证α-细辛醚是否能与 PI3K 结合。
结果:通过网络药理学共鉴定出 44 种活性成分和 795 个基因靶点。网络分析表明,柚皮苷、吴茱萸素、山奈酚和α-细辛醚可能是潜在的药物候选物。SRC、AKT1、TP53、MAPK3、STAT3、HRAS、CTNNB1、EGFR、VEGFA、PI3KR1 可能是潜在的药物靶点。KEGG 分析表明,PI3K/AKT 信号通路可能在 HXF 治疗 IS 中发挥重要作用。此外,HXF 可显著减轻 I/R 大鼠的神经损伤、脑梗死体积、脑指数和脑组织病理学损伤。在脑组织中验证了前 10 个潜在靶点的 mRNA 表达。C-T-P 网络和 UPLC 分析表明,α-细辛醚可能是 HXF 的重要成分之一,通过激活 PI3K/AKT 信号通路,可抑制 HT22 细胞的氧化应激和细胞凋亡。分子对接、DARTS 和 CETSA 分析证实了α-细辛醚与 PI3K 之间存在直接相互作用。
结论:HXF 对 IS 具有多成分、多靶点、多途径的治疗作用。作为 HXF 的主要活性成分之一的α-细辛醚,通过靶向 PI3K/AKT 通路,可减轻氧化应激和细胞凋亡。
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