Kang Tao, Qin Xiao, Chen Yan, Yang Qian
Department of Neurology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
World J Diabetes. 2024 May 15;15(5):945-957. doi: 10.4239/wjd.v15.i5.945.
Diabetic peripheral neuropathy (DPN) is a debilitating complication of diabetes mellitus with limited available treatment options. , a traditional Chinese herb, has shown promise in treating DPN, but its therapeutic mech-anisms have not been systematically investigated.
(Danshen in pinin), a traditional Chinese medicine (TCM), is widely used to treat DPN in China. However, the mechanism through which treats DPN remains unclear. Therefore, we aimed to explore the mechanism of action of against DPN using network pharmacology.
The active ingredients and target genes of were screened using the TCM pharmacology database and analysis platform. The genes associated with DPN were obtained from the Gene Cards and OMIM databases, a drug-com-position-target-disease network was constructed, and a protein-protein inter-action network was subsequently constructed to screen the main targets. Gene Ontology (GO) functional annotation and pathway enrichment analysis were performed the Kyoto Encyclopedia of Genes and Genomes (KEGG) using Bioconductor.
A total of 56 effective components, 108 targets and 4581 DPN-related target genes of were screened. Intervention with for DPN mainly involved 81 target genes. The top 30 major targets were selected for enrichment analysis of GO and KEGG pathways.
These results suggested that could treat DPN by regulating the AGE-RAGE signaling pathway and the PI3K-Akt signaling pathway. Therefore, Danshen may affect DPN by regulating inflammation and apoptosis.
糖尿病周围神经病变(DPN)是糖尿病的一种使人衰弱的并发症,可用的治疗选择有限。丹参,一种传统中药,在治疗DPN方面已显示出前景,但其治疗机制尚未得到系统研究。
丹参在中国被广泛用于治疗DPN。然而,丹参治疗DPN的机制仍不清楚。因此,我们旨在使用网络药理学探索丹参抗DPN的作用机制。
使用中药药理学数据库和分析平台筛选丹参的活性成分和靶基因。从基因卡片和在线人类孟德尔遗传数据库中获取与DPN相关的基因,构建药物-成分-靶标-疾病网络,随后构建蛋白质-蛋白质相互作用网络以筛选主要靶标。使用生物导体在京都基因与基因组百科全书(KEGG)上进行基因本体(GO)功能注释和通路富集分析。
共筛选出丹参的56种有效成分、108个靶标和4581个与DPN相关的靶基因。丹参干预DPN主要涉及81个靶基因。选择前30个主要靶标进行GO和KEGG通路的富集分析。
这些结果表明,丹参可通过调节晚期糖基化终末产物-晚期糖基化终末产物受体(AGE-RAGE)信号通路和磷脂酰肌醇-3激酶-蛋白激酶B(PI3K-Akt)信号通路来治疗DPN。因此,丹参可能通过调节炎症和细胞凋亡来影响DPN。