College of Traditional Chinese Medicine and Food Engineering, Shanxi University of Chinese Medicine, Taiyuan, China.
Shanxi Key Laboratory of Innovative Drug for the Treatment of Serious Diseases Basing on the Chronic Inflammation, College of Traditional Chinese Medicine and Food Engineering, Shanxi University of Chinese Medicine, Taiyuan, China.
Animal Model Exp Med. 2024 Jun;7(3):234-258. doi: 10.1002/ame2.12434. Epub 2024 Jun 11.
BACKGROUND: According to traditional Chinese medicine (TCM), drugs supplementing the vital energy, Qi, can eliminate tumors by restoring host immunity. The objective of this study is to investigate the underlying immune mechanisms of anti-tumor activity associated with Qi-supplementing herbs, specifically the paired use of Huangqi and Danggui. METHODS: Analysis of compatibility regularity was conducted to screen the combination of Qi-supplementing TCMs. Using the MTT assay and a transplanted tumor mice model, the anti-tumor effects of combination TCMs were investigated in vitro and in vivo. High content analysis and flow cytometry were then used to evaluate cellular immunity, followed by network pharmacology and molecular docking to dissect the significant active compounds and potential mechanisms. Finally, the anti-tumor activity and the mechanism of the active ingredients were verified by molecular experiments. RESULTS: There is an optimal combination of Huangqi and Danggui that, administered as an aqueous extract, can activate immunity to suppress tumor and is more effective than each drug on its own in vitro and in vivo. Based on network pharmacology analysis, PIK3R1 is the core target for the anti-tumor immunity activity of combined Huangqi and Danggui. Molecular docking analysis shows 6 components of the combined Danggui and Huangqi extract (quercetin, jaranol, isorhamnetin, kaempferol, calycosin, and suchilactone) that bind to PIK3R1. Jaranol is the most important component against breast cancer. The suchilactone/jaranol combination and, especially, the suchilactone/kaempferol combination are key for immunity enhancement and the anti-tumor effects of the extract. CONCLUSIONS: The combination of Huangqi and Danggui can activate immunity to suppress breast cancer and is more effective than the individual drugs alone.
背景:根据中医理论,补气药可以通过恢复机体免疫力来消除肿瘤。本研究旨在探讨与补气药相关的抗肿瘤活性的潜在免疫机制,特别是黄芪和当归的配对使用。
方法:通过分析配伍规律筛选补气中药的组合。采用 MTT 法和移植瘤小鼠模型,在体外和体内研究了中药组合的抗肿瘤作用。然后采用高内涵分析和流式细胞术评估细胞免疫,再采用网络药理学和分子对接技术剖析其显著的活性化合物和潜在机制。最后通过分子实验验证了抗肿瘤活性及其有效成分的作用机制。
结果:黄芪和当归的最佳组合以水提物形式给药,可激活免疫抑制肿瘤,其在体外和体内的抗肿瘤作用均优于单独用药。基于网络药理学分析,PI3KR1 是黄芪当归联合抗肿瘤免疫活性的核心靶点。分子对接分析显示,当归和黄芪提取物中的 6 种成分(槲皮素、鸦胆子醇、异鼠李素、山奈酚、芹菜素和蛇床子素)与 PIK3R1 结合。鸦胆子醇是针对乳腺癌最重要的成分。蛇床子素/鸦胆子醇组合,尤其是蛇床子素/山奈酚组合,是增强免疫和提取物抗肿瘤作用的关键。
结论:黄芪和当归的组合可以激活免疫抑制乳腺癌,其效果优于单独使用这两种药物。
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