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二陈汤合泻白散方对慢性阻塞性肺疾病的药症分析及其作用机制

Herb-symptom analysis of Erchen decoction combined with Xiebai powder formula and its mechanism in the treatment of chronic obstructive pulmonary disease.

作者信息

Ye Hua, He Beibei, Zhang Yujie, Yu Ziwei, Feng Yifan, Wen Chuanbiao, Xi Chongcheng, Feng Quansheng

机构信息

School of Intelligent Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

Front Pharmacol. 2023 May 19;14:1117238. doi: 10.3389/fphar.2023.1117238. eCollection 2023.

Abstract

In recent years, the incidence and mortality rates of chronic obstructive pulmonary disease (COPD) have increased significantly. Erchen Decoction combined with Xiebai Powder (ECXB) formula is mainly used to treat lung diseases in traditional Chinese medicine (TCM). However, the active ingredients of ECXB formula, COPD treatment-related molecular targets, and the mechanisms are still unclear. To reveal its underlying action of mechanism, network pharmacology, molecular docking, and molecular dynamic (MD) simulation approaches were used to predict the active ingredients and potential targets of ECXB formula in treating COPD. As a result, Herb-Symptom analysis showed that the symptoms treated by both TCM and modern medicine of ECXB formula were similar to the symptoms of COPD. Network pharmacology identified 170 active ingredients with 137 targets, and 7,002 COPD targets was obtained. 120 targets were obtained by intersection mapping, among which the core targets include MAPK8, ESR1, TP53, MAPK3, JUN, RELA, MAPK1, and AKT1. Functional enrichment analysis suggested that ECXB formula might exert its treat COPD pharmacological effects in multiple biological processes, such as cell proliferation, apoptosis, inflammatory response, and synaptic connections, and ECXB formula treated COPD of the KEGG potential pathways might be associated with the TNF signaling pathway, cAMP signaling pathway, and VEGF signaling pathway. Molecular docking showed that ECXB formula treatment COPD core active ingredients can bind well to core targets. MD simulations showed that the RELA-beta-sitosterol complex and ESR1-stigmasterol complex exhibited higher conformational stability and lower interaction energy, further confirming the role of ECXB formula in the treatment of COPD through these core components and core targets. Our study analyzed the medication rule of ECXB formula in the treatment of COPD from a new perspective and found that the symptoms treated by both TCM and modern medicine of ECXB formula were similar to the symptoms of COPD. ECXB formula could treat COPD through multi-component, multi-target, and multi-pathway synergistic effects, providing a scientific basis for further study on the mechanism of ECXB formula treatment of COPD. It also provides new ideas for drug development.

摘要

近年来,慢性阻塞性肺疾病(COPD)的发病率和死亡率显著上升。二陈汤合薤白散(ECXB)方剂在中医中主要用于治疗肺部疾病。然而,ECXB方剂的活性成分、COPD治疗相关分子靶点及作用机制仍不清楚。为揭示其潜在作用机制,采用网络药理学、分子对接和分子动力学(MD)模拟方法预测ECXB方剂治疗COPD的活性成分和潜在靶点。结果,中药与现代医学对ECXB方剂治疗症状分析显示,其与COPD症状相似。网络药理学鉴定出170种活性成分,涉及137个靶点,同时获得7002个COPD靶点。通过交集映射得到120个靶点,其中核心靶点包括MAPK8、ESR1、TP53、MAPK3、JUN、RELA、MAPK1和AKT1。功能富集分析表明,ECXB方剂可能在细胞增殖、凋亡、炎症反应和突触连接等多个生物学过程中发挥治疗COPD的药理作用,且ECXB方剂治疗COPD的KEGG潜在通路可能与TNF信号通路、cAMP信号通路和VEGF信号通路相关。分子对接显示,ECXB方剂治疗COPD的核心活性成分能与核心靶点良好结合。MD模拟表明,RELA - β - 谷甾醇复合物和ESR1 - 豆甾醇复合物表现出更高的构象稳定性和更低的相互作用能,进一步证实了ECXB方剂通过这些核心成分和核心靶点治疗COPD的作用。本研究从新的角度分析了ECXB方剂治疗COPD的用药规律,发现中药与现代医学对ECXB方剂治疗症状相似于COPD症状。ECXB方剂可通过多成分、多靶点、多途径协同作用治疗COPD,为进一步研究ECXB方剂治疗COPD的机制提供了科学依据,也为药物研发提供了新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f019/10235815/49b8f04d4786/fphar-14-1117238-g001.jpg

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