College of Ethnic Medicine, Yunnan University of Chinese Medicine, Yunnan, Kunming, 650500, China.
College of Chinese Medicine, Yunnan University of Chinese Medicine, Yunnan, Kunming, 650500, China.
J Ethnopharmacol. 2024 Nov 15;334:118553. doi: 10.1016/j.jep.2024.118553. Epub 2024 Jul 10.
ETHNOPHARMACOLOGICAL RELEVANCE: Functional dyspepsia (FD) is a prevalent gastrointestinal disorder characterised by high incidence and recurrence rates, posing significant health risks. Erpixing Granules (EPX), approved by the National Food and Drug Administration in 2002, are known for their spleen and stomach invigorating properties, effectively treating FD. However, its mechanism of action remains unclear. AIM OF THE STUDY: This study aims to elucidate EPX's mechanism of treating FD through network pharmacology, and experimental validation using FD animal models. METHODS: In this study, the chemical composition of EPX in positive and negative ion modes was analyzed by UHPLC-Q-TOF MS. The mass spectral data were processed and analyzed using MS-DIAL software to automatically match compound fragment information and identify the known components with the compound database to obtain the active components of EPX. SwissTargetPrediction was used to obtain EPX targets, while FD-related targets were sourced from GeneCards, OMIM and DisGeNET databases. A protein-protein interaction (PPI) network was constructed using the STRING platform, and potential signalling pathways of EPX were determined through Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. Finally, an FD model was established in rates by administering a 0.1% iodoacetamide sucrose solution, followed by tail clamp stimulation to experimentally validate the network pharmacology findings. RESULTS: Our results revealed 139 effective ingredients in EPX, targeting 60 core FD-related genes. PPI network analysis identified EGFR, CTNNB1 and NFκB1 as core target genes. The KEGG pathway analysis indicated that EPX can modulate FD progression through the PI3K/AKT signalling pathway. Animal experiments demonstrated EPX's capacity to increase body mass, food intake and food utilisation efficiency in FD rats, alongside increased gastric juice secretion, pepsin activity, trypsin activity, cholesterol, bile acid and bilirubin activity. HE examination revealed that EPX improved the inflammatory infiltration of gastric mucosal cells in rats. Furthermore, EPX also promoted gastric emptying and intestinal propulsion in mice. These results suggest that EPX improves spleen and stomach function, enhances the protective effect on the spleen and stomach and promotes food digestion and absorption. Immunofluorescence studies revealed upregulated expression of PI3K, AKT and ANO1 proteins in gastric tissue following EPX administration, while Western blotting indicated increased expression of SCF and C-kit proteins. CONCLUSION: Suggesting EPX's anti-FD effect may involve the regulation of the SCF/C-kit signalling pathway and activation of downstream PI3K/AKT signalling pathway, thereby promoting gastrointestinal motility and improving FD symptoms.
民族药理学相关性:功能性消化不良(FD)是一种常见的胃肠道疾病,其发病率和复发率较高,对健康构成重大威胁。尔平心颗粒(EPX)于 2002 年获国家食品药品监督管理局批准,具有健脾和胃的功效,能有效治疗 FD,但作用机制尚不清楚。
研究目的:本研究旨在通过网络药理学和 FD 动物模型实验验证,阐明 EPX 治疗 FD 的作用机制。
方法:本研究采用 UHPLC-Q-TOF-MS 分析 EPX 在正、负离子模式下的化学成分,运用 MS-DIAL 软件对质谱数据进行处理和分析,自动匹配化合物碎片信息,与化合物数据库进行匹配,鉴定 EPX 的已知成分,获得 EPX 的活性成分。利用 SwissTargetPrediction 获得 EPX 靶点,FD 相关靶点则来源于 GeneCards、OMIM 和 DisGeNET 数据库。利用 STRING 平台构建蛋白质-蛋白质相互作用(PPI)网络,通过基因本体(GO)和京都基因与基因组百科全书(KEGG)富集分析确定 EPX 的潜在信号通路。最后,通过给予 0.1%碘乙酰胺蔗糖溶液并进行尾巴夹刺激建立 FD 大鼠模型,实验验证网络药理学研究结果。
结果:本研究发现 EPX 中有 139 种有效成分,靶向 60 个核心 FD 相关基因。PPI 网络分析发现 EGFR、CTNNB1 和 NFκB1 是核心靶基因。KEGG 通路分析表明,EPX 可通过 PI3K/AKT 信号通路调节 FD 的进展。动物实验表明,EPX 可增加 FD 大鼠的体重、食物摄入量和食物利用效率,同时增加胃液分泌、胃蛋白酶活性、胰蛋白酶活性、胆固醇、胆汁酸和胆红素活性。HE 检查显示,EPX 可改善大鼠胃黏膜细胞的炎症浸润。此外,EPX 还可促进小鼠的胃排空和肠道推进。这些结果表明,EPX 可改善脾胃功能,增强对脾胃的保护作用,促进食物消化吸收。免疫荧光研究显示,EPX 给药后胃组织中 PI3K、AKT 和 ANO1 蛋白表达上调,Western blot 分析显示 SCF 和 C-kit 蛋白表达增加。
结论:提示 EPX 的抗 FD 作用可能涉及调节 SCF/C-kit 信号通路和激活下游 PI3K/AKT 信号通路,从而促进胃肠动力,改善 FD 症状。
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