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Therapeutic role of Wuda granule in gastrointestinal motility disorder through promoting gastrointestinal motility and decreasing inflammatory level.

作者信息

Jiang Zhi, Zou Qiuping, Chen Qicheng, Zhang Junhong, Tang Hailin, Chen Jingbao, Qin You, Yang Liming, Chen Zhiqiang, Cao Lixing

机构信息

Department of Perioperative Research Centre of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Emergency Department, Dongguan People's Hospital, Dongguan, China.

出版信息

Front Pharmacol. 2023 Aug 21;14:1237686. doi: 10.3389/fphar.2023.1237686. eCollection 2023.


DOI:10.3389/fphar.2023.1237686
PMID:37670946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10476622/
Abstract

Previous studies indicated that Wuda Granule (WDG) has been applied in the treatment of gastrointestinal motility disorder (GMD), but the effect and underlying mechanisms is yet to be elucidated. This study aimed to explore the mechanism and pharmacological effect of WDG for GMD via network analysis, verification of animal experiments and clinical experiments. The chemical components of WDG were identified from the Traditional Chinese Medicine Systems Pharmacology Database (TCMSP, http://lsp.nwu.edu.cn/index.php), and the Encyclopedia of Traditional Chinese Medicine (ETCM, http://www.tcmip.cn/ETCM/index.php/Home/Index/) according to oral bioavailability (OB) ≥ 20% and drug-likeness (DL) ≥ 0.10. The targets of WDG compounds were retrieved from the Swiss Target Prediction database (http://www.swisstargetprediction.ch/) and targets related to GMD were retrieved from GeneCards database (https://www.genecards.org/). Network analysis were performed to screen the key active compounds of WDG and its hub targets. Then the pharmacological effect of WDG were verified via vivo experiments in rats and clinical experiments. The results showed that 117 effective active compounds of WDG were screened and 494 targets of WDG compounds targeting GMD were selected. These targets were involved in the biological process of inflammatory regulation and the regulation of gastrointestinal motility. The mechanism was mainly involved in the regulation of PI3K-Akt signaling pathway and Rap1 signaling pathway. In addition, molecular docking analysis suggested that eight key active compounds of WDG may be mainly responsible for the effect of WDG on GMD by targeting HARS, AKT, and PIK3CA, respectively. Animal experiments and clinical trials both suggested that WDG could exert therapeutical effect on GMD via inhibiting inflammation and promoting gastrointestinal motility, it could also improve digestive function of patients with laparoscopic colorectal cancer after surgery. This study was the first to demonstrate that WDG improved GMD mainly via inhibiting inflammatory level and promoting gastrointestinal motility, providing new insights for the understanding of WDG for GMD, inspiration for future research and reference for clinical strategy in terms of the treatment of GMD.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/54e4a0220e5c/fphar-14-1237686-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/69a7ed467487/fphar-14-1237686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/0689259c23ba/fphar-14-1237686-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/f432d4ec62c1/fphar-14-1237686-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/49450366afec/fphar-14-1237686-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/c426e918c476/fphar-14-1237686-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/5ebdfda28db0/fphar-14-1237686-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/5cd2fbb347f7/fphar-14-1237686-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/54e4a0220e5c/fphar-14-1237686-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/69a7ed467487/fphar-14-1237686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/0689259c23ba/fphar-14-1237686-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/f432d4ec62c1/fphar-14-1237686-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/49450366afec/fphar-14-1237686-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/c426e918c476/fphar-14-1237686-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/5ebdfda28db0/fphar-14-1237686-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/5cd2fbb347f7/fphar-14-1237686-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5531/10476622/54e4a0220e5c/fphar-14-1237686-g008.jpg

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[4]
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J Exp Clin Cancer Res. 2024-8-17

[5]
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[2]
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[3]
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Front Public Health. 2022

[4]
Patchouli alcohol improved diarrhea-predominant irritable bowel syndrome by regulating excitatory neurotransmission in the myenteric plexus of rats.

Front Pharmacol. 2022-11-14

[5]
-Terminally Lipidated Sialorphin Analogs-Synthesis, Molecular Modeling, In Vitro Effect on Enkephalins Degradation by NEP and Treatment of Intestinal Inflammation in Mice.

Int J Mol Sci. 2022-11-21

[6]
When you are living and dying at the same time: A qualitative exploration of living with gastrointestinal motility disorders.

J Hum Nutr Diet. 2023-6

[7]
[Analysis on the gastrointestinal motility disorder of gastroesophageal reflux disease and the mechanism of acupuncture-moxibustion from the perspective of autonomic nervous system].

Zhongguo Zhen Jiu. 2022-11-12

[8]
Gut microbiota: a new avenue to reveal pathological mechanisms of constipation.

Appl Microbiol Biotechnol. 2022-11

[9]
Ji-Chuan decoction ameliorates slow transit constipation regulation of intestinal glial cell apoptosis.

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[10]
Involvement of nitrergic neurons in colonic motility in a rat model of ulcerative colitis.

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