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基于网络药理学、分子模拟和实验验证探究山奈酚治疗类风湿性关节炎的药理机制

Exploration of Pharmacological Mechanism of Kaempferol in Treating Rheumatoid Arthritis based on Network Pharmacology, Molecular Modelling, and Experimental Validation.

作者信息

Wei Zhenquan, Liu Yi, Du Yanyi, Lu Hanqi, Yang Haixin, Zhu Yongyan, Diao Jianxin, Xu Qiang, Jiang Cuiping, Li Nan, Pan Dongmei

机构信息

Department of Traditional Chinese Medicine, Shenzhen Bao'an Authentic TCM Therapy Hospital, Shenzhen, Guangdong, China.

School of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.

出版信息

Curr Pharm Des. 2025 Jun 30. doi: 10.2174/0113816128357060250611173717.


DOI:10.2174/0113816128357060250611173717
PMID:40598731
Abstract

BACKGROUND: The autoimmune inflammatory disease known as rheumatoid arthritis (RA) has a complicated and poorly understood etiology. Fibroblast-like synoviocytes (FLSs) have tumor-like characteristics in RA, including aggressive growth and heightened activation that leads to the release of proinflammatory factors. These processes are essential for the gradual deterioration of joint tissues. Kaempferol, with the chemical formula 3,5,7-trihydroxy-2-(4-hydroxyphenyl)-4H-1-benzopyran-4-one, is found in many different types of plants and plant families. The pharmacological effects of this substance have been welldocumented. The benefits of this substance encompass protection for the heart and brain, as well as fighting inflammation, bacteria, cancer, osteoporosis, and allergies. It also has properties that can help with anxiety, pain relief, and hormonal balance. However, its precise function in the management of RA is still unclear. OBJECTIVE: To investigate the effect of kaempferol on apoptosis in RA FLSs and elucidate the underlying mechanisms. METHODS: We used the CCK-8 assay to assess the effects of different kaempferol concentrations on RA FLSs. We also used flow cytometry with Annexin V-FITC/PI staining to analyse cell cycle distribution and quantify apoptotic cells. To verify apoptosis, the TUNEL test was employed. Important proteins associated with apoptosis were verified to be expressed using western blotting. Finally, network pharmacology analysis was used to identify potential kaempferol targets, and their interactions with AKT1, PIK3R1, and HSP90AA1 proteins were studied using molecular docking and molecular dynamics simulations. RESULTS: Kaempferol treatment significantly increased apoptosis in RA FLSs, up-regulating the pro-apoptotic protein Bax and down-regulating the anti-apoptotic protein Bcl-2. Specifically, kaempferol at 100 and 200 μM increased the apoptosis index to 29.77 ± 6.02% and 55.63 ± 11.05%, respectively, compared to the control. The induction of caspase-9 and caspase-3 cleavage was observed, indicating the activation of the mitochondrial pathway. Kaempferol also inhibited the phosphorylation of PI3K and Akt, with a significant reduction in their activation. Molecular docking studies demonstrated that kaempferol interacted with AKT1, PIK3R1, and HSP90AA1 proteins, with binding energies of -6.51, -4.26, and -6.51 kcal/mol, respectively, suggesting a strong affinity and potential direct impact on these proteins. CONCLUSION: Kaempferol induces apoptosis in RA FLSs by inhibiting phosphorylation of the PI3K/Akt signaling pathway, increasing levels of pro-apoptotic proteins, and decreasing levels of anti-apoptotic proteins. Thus, kaempferol, a naturally occurring flavonoid, has great promise in the management of RA.

摘要

背景:类风湿性关节炎(RA)作为一种自身免疫性炎症疾病,其病因复杂且了解甚少。成纤维样滑膜细胞(FLSs)在类风湿性关节炎中具有肿瘤样特征,包括侵袭性生长和激活增强,从而导致促炎因子的释放。这些过程对于关节组织的逐渐恶化至关重要。山奈酚的化学式为3,5,7 - 三羟基 - 2 -(4 - 羟基苯基)- 4H - 1 - 苯并吡喃 - 4 - 酮,存在于许多不同类型的植物和植物科中。这种物质的药理作用已有充分记载。该物质的益处包括对心脏和大脑的保护,以及抗炎、抗菌、抗癌、抗骨质疏松和抗过敏。它还具有有助于缓解焦虑、减轻疼痛和调节激素平衡的特性。然而,其在类风湿性关节炎治疗中的具体作用仍不清楚。 目的:研究山奈酚对类风湿性关节炎成纤维样滑膜细胞凋亡的影响,并阐明其潜在机制。 方法:我们使用CCK - 8法评估不同浓度山奈酚对类风湿性关节炎成纤维样滑膜细胞的影响。我们还使用Annexin V - FITC/PI染色的流式细胞术分析细胞周期分布并定量凋亡细胞。为了验证凋亡,采用了TUNEL检测。使用蛋白质印迹法验证与凋亡相关的重要蛋白质的表达。最后,利用网络药理学分析确定潜在的山奈酚靶点,并使用分子对接和分子动力学模拟研究它们与AKT1、PIK3R1和HSP90AA1蛋白的相互作用。 结果:山奈酚处理显著增加了类风湿性关节炎成纤维样滑膜细胞的凋亡,上调促凋亡蛋白Bax并下调抗凋亡蛋白Bcl - 2。具体而言,与对照组相比,100μM和200μM的山奈酚分别将凋亡指数提高到29.77±6.02%和55.63±11.05%。观察到caspase - 9和caspase - 3的切割诱导,表明线粒体途径的激活。山奈酚还抑制了PI3K和Akt的磷酸化,其激活显著降低。分子对接研究表明,山奈酚与AKT1、PIK3R1和HSP90AA1蛋白相互作用,结合能分别为 - 6.51、 - 4.26和 - 6.51kcal/mol,表明对这些蛋白具有强亲和力和潜在的直接影响。 结论:山奈酚通过抑制PI3K/Akt信号通路的磷酸化、增加促凋亡蛋白水平和降低抗凋亡蛋白水平来诱导类风湿性关节炎成纤维样滑膜细胞凋亡。因此,天然存在的黄酮类化合物山奈酚在类风湿性关节炎的治疗中具有很大的前景。

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