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基于网络药理学和实验验证的木瓜治疗类风湿关节炎的机制

[Mechanism of Chaenomelis Fructus in treatment of rheumatoid arthritis based on network pharmacology and experimental verification].

作者信息

Duan Zhi-Hao, Jin Can, Deng Ying, Liu Jin-Lang, Wang Jie, Li Shi-Gang, Zhou You

机构信息

Department of Orthopedics,Affiliated Renhe Hospital of China Three Gorges University Yichang 443001,China Sports Medicine Research Institute of China Three Gorges University Yichang 443001,China Clinical Medical Research Center of Yichang Sports Injury and Repair Yichang 443001,China Medical College,China Three Gorges University Yichang 443000,China Three-Level Laboratory for Traditional Chinese Pharmacologic (Tumor) Research,China Three Gorges University Yichang 443000,China.

Medical College,China Three Gorges University Yichang 443000,China Three-Level Laboratory for Traditional Chinese Pharmacologic (Tumor) Research,China Three Gorges University Yichang 443000,China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2023 Sep;48(18):4852-4863. doi: 10.19540/j.cnki.cjcmm.20221212.402.

Abstract

The material basis and mechanism of Chaenomelis Fructus in the treatment of rheumatoid arthritis(RA) were explored by network pharmacology, and the potential anti-RA targets of Chaenomelis Fructus were verified by molecular docking and animal experiments. The active components and targets of Chaenomelis Fructus were searched against the Traditional Chinese Medicine System Pharmacology Database and Analysis Platform. GeneCards, DisGeNET, and OMIM were used to obtain RA-related targets. The common targets shared by Chaenomelis Fructus and RA were considered as the potential targets of Chaenomelis Fructus in the treatment of RA. Cytoscape 3.9.0 was employed to establish a "traditional Chinese medicine-active component-common target-disease" network. The protein-protein interaction(PPI) network was established by STRING, and the core genes were visualized by RStudio 4.1.0. DAVID was used for Gene Ontology(GO) annotation and Kyoto Encyclopedia of Genes and Genomes(KEGG) pathway enrichment to predict and visualize the involved signaling pathways. Molecular docking was carried out with the active components screened out as ligands and RA core genes as the targets. Finally, the prediction results were verified by animal experiments. Four main active components of Chaenomelis Fructus were obtained, which corresponded to 137 targets. Chaenomelis Fructus and RA shared 37 common targets. GO annotation yielded 239 terms(P<0.05), and KEGG pathway enrichment analysis screened out 94 signaling pathways(P<0.05), mainly involving interleukin-17(IL-17), tumor necrosis factor, Toll-like receptor, and nuclear factor-kappa B(NF-κB) signaling pathways. Molecular docking results showed that the main active components of Chaenomelis Fructus bound well with the core targets of RA. The results of animal experiments proved that Chaenomelis Fructus can alleviate joint swelling in the mice with RA. The results of ELISA showed that Chaenomelis Fructus lowered the levels of interleukin-6(IL-6) and interleukin-1β(IL-1β). Western blot showed that Chaenomelis Fructus down-regulated the protein level of vascular endothelial growth factor A(VEGFA). Chaenomelis Fructus exerts anti-inflammatory effect and reduces pannus formation by regulating the core targets such as VEGFA, IL-1β, and IL6 in the treatment of RA. The findings of this study provide new ideas for the future treatment of RA with Chaenomelis Fructus.

摘要

通过网络药理学探索木瓜治疗类风湿关节炎(RA)的物质基础和作用机制,并通过分子对接和动物实验验证木瓜潜在的抗RA靶点。在中药系统药理学数据库与分析平台中检索木瓜的活性成分和靶点。利用GeneCards、DisGeNET和OMIM获取RA相关靶点。将木瓜与RA共有的靶点视为木瓜治疗RA的潜在靶点。采用Cytoscape 3.9.0构建“中药-活性成分-共同靶点-疾病”网络。通过STRING建立蛋白质-蛋白质相互作用(PPI)网络,并用RStudio 4.1.0对核心基因进行可视化分析。利用DAVID进行基因本体论(GO)注释和京都基因与基因组百科全书(KEGG)通路富集分析,以预测和可视化所涉及的信号通路。以筛选出的活性成分作为配体、RA核心基因作为靶点进行分子对接。最后,通过动物实验验证预测结果。获得了木瓜的4种主要活性成分,它们对应137个靶点。木瓜与RA共有37个共同靶点。GO注释产生239个条目(P<0.05),KEGG通路富集分析筛选出94条信号通路(P<0.05),主要涉及白细胞介素-17(IL-17)、肿瘤坏死因子、Toll样受体和核因子-κB(NF-κB)信号通路。分子对接结果表明,木瓜的主要活性成分与RA的核心靶点结合良好。动物实验结果证明,木瓜可减轻RA小鼠的关节肿胀。ELISA结果显示,木瓜降低了白细胞介素-6(IL-6)和白细胞介素-1β(IL-1β)的水平。蛋白质免疫印迹法显示,木瓜下调了血管内皮生长因子A(VEGFA)的蛋白水平。木瓜在治疗RA时,通过调节VEGFA、IL-1β和IL-6等核心靶点发挥抗炎作用并减少血管翳形成。本研究结果为木瓜未来治疗RA提供了新思路。

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