Affiliated Hospital of Nanjing University of Chinese Medicine & Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, China.
Affiliated Hospital of Nanjing University of Chinese Medicine & Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, China; Key laboratory for Metabolic Diseases in Chinese Medicine, First College of Clinical Medicine Nanjing University of Chinese Medicine, Nanjing, 210023, China.
J Ethnopharmacol. 2024 Oct 5;332:118401. doi: 10.1016/j.jep.2024.118401. Epub 2024 May 28.
ETHNOPHARMACOLOGICAL RELEVANCE: Compound Zaoren Granules (CZG), an optimized herbal formulation based on the traditional Chinese medicine prescription Suanzaoren decoction, are designed specifically for insomnia treatment. However, the mechanisms underlying its efficacy in treating insomnia are not yet fully understood. AIM OF THE STUDY: The research investigated the mechanisms of CZG's improvement in insomnia by regulating cAMP/CREB signaling pathway and metabolic profiles. METHODS: The main components of CZG were characterized by liquid chromatography-mass spectrometry (LC-MS). Subsequently, these validated components were applied to network pharmacological analysis to predict signaling pathways associated with insomnia. We evaluated the effect of CZG on BV-2 cells in vitro. We also evaluated the behavioral indexes of CUMS combined with PCPA induced insomnia in rats. HE staining and Nissl staining were used to observe the pathological damage of hippocampus. ELISA was used to detect the levels of various neurotransmitters, orexins, HPA axis, and inflammatory factors in insomnia rats. Then we detected the expression of cAMP/CREB signaling pathway through ELISA, WB, and IHC. Finally, the metabolomics was further analyzed by using UHPLC-QTOF-MS/MS to investigate the changes in the hippocampus of insomnia rats and the possible metabolic pathways were also speculated. RESULTS: The results of CZG in vitro experiments showed that CZG has protective and anti-inflammatory effects on LPS induced BV-2 cells. A total of 161 chemical components were identified in CZG. After conducting network pharmacology analysis through these confirmed components, we select the cAMP/CREB signaling pathway for further investigate. The behavioral research results on insomnia rats showed that CZG significantly prolonged sleep time, mitigated brain tissue pathological damage, and exhibited liver protective properties. CZG treats insomnia by regulating the content of various neurotransmitters, reducing levels of orexin, HPA axis, and inflammatory factors. It can also treat insomnia by upregulating the expression of the cAMP/CREB signaling pathway. Hippocampus metabolomics analysis identified 69 differential metabolites associated with insomnia. The metabolic pathways related to these differential metabolites have also been predicted. CONCLUSION: These results indicate that CZG can significantly prolong sleep time. CZG is used to treat insomnia by regulating various neurotransmitters, HPA axis, inflammatory factors, cAMP/CREB signaling pathways, and metabolic disorders.
民族药理学相关性:基于传统中药方剂酸枣仁汤的复方枣仁颗粒(CZG)是一种专门用于治疗失眠的优化草药配方。然而,其治疗失眠的疗效机制尚不完全清楚。
研究目的:本研究旨在通过调节 cAMP/CREB 信号通路和代谢谱,研究 CZG 改善失眠的机制。
方法:采用液相色谱-质谱联用(LC-MS)对 CZG 的主要成分进行鉴定。然后,将这些经验证的成分应用于网络药理学分析,以预测与失眠相关的信号通路。我们在体外评估了 CZG 对 BV-2 细胞的作用。我们还评估了 CUM 合并 PCPA 诱导的失眠大鼠的行为指标。采用 HE 染色和尼氏染色观察海马的病理损伤。采用 ELISA 法检测失眠大鼠海马中多种神经递质、食欲素、HPA 轴和炎症因子的水平。然后通过 ELISA、WB 和 IHC 检测 cAMP/CREB 信号通路的表达。最后,采用 UHPLC-QTOF-MS/MS 进一步分析代谢组学,研究失眠大鼠海马的变化,并推测可能的代谢途径。
结果:CZG 的体外实验结果表明,CZG 对 LPS 诱导的 BV-2 细胞具有保护和抗炎作用。在 CZG 中鉴定出 161 种化学物质。通过对这些已确认成分进行网络药理学分析,我们选择 cAMP/CREB 信号通路进行进一步研究。失眠大鼠的行为研究结果表明,CZG 能显著延长睡眠时间,减轻脑组织病理损伤,具有肝脏保护作用。CZG 通过调节多种神经递质的含量、降低食欲素、HPA 轴和炎症因子的水平来治疗失眠,还可以通过上调 cAMP/CREB 信号通路来治疗失眠。海马代谢组学分析鉴定出 69 种与失眠相关的差异代谢物。与这些差异代谢物相关的代谢途径也已被预测。
结论:这些结果表明,CZG 能显著延长睡眠时间。CZG 通过调节多种神经递质、HPA 轴、炎症因子、cAMP/CREB 信号通路和代谢紊乱来治疗失眠。
Zhongguo Zhong Yao Za Zhi. 2022-3