基于网络药理学探讨交泰调脉方治疗冠心病作用机制
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R285

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第六批全国老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号);江苏省中医药领军人才培养对象资助项目(NO.SLJ0217); 2019年无锡市“太湖人才计划”国际国内顶尖医学团队项目(锡组通[2019]68号)


Discussion on Mechanism of Jiaotai Tiaomai Prescription Treating Coronary Heart Disease Based on Network Pharmacology
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    摘要:

    目的:基于网络药理学探讨交泰调脉方治疗冠心病的潜在作用机制。方法:检索中药系统药理学分析平台(TCMSP) 获得交泰调脉方的成分和靶点,并使用在线人类孟德尔遗传数据库(OMIM)、人类基因数据库(GeneCards)、疾病关联数据库(GAD)、药物靶标数据库(TTD)、疾病相关的基因与突变位点数据库(DisGeNET) 等疾病数据库获得冠心病相关靶点。通过取交集得到交泰调脉方治疗冠心病的潜在作用靶点,导入Cytoscape3.7.2 软件构建“方药-成分-靶点”网络。借助STRING 数据库和Cytoscape3.7.2 软件进行蛋白互作分析,并筛选关键靶点和子模块,最后使用DAVID 数据库进行基因本体论(GO) 和京都基因与基因组百科全书(KEGG) 富集分析,使用Reactome 数据库进行Reactome 富集分析,并制作“药物-成分-靶点-通路”图。结果:共获得交泰调脉方成分405 个,作用于冠心病的潜在靶点146 个,包括6 个子模块和10 个关键靶点。交泰调脉方治疗冠心病的主要成分为槲皮素、甘氨酸、β-谷甾醇、(R) -氢化小檗碱、芹菜素等,通过调控缺氧诱导因子-1(HIF-1) 信号通路、神经活性配体-受体相互作用、环磷酸鸟苷酸-蛋白激酶G(cGMP-PKG) 信号通路、磷脂酰肌醇3 激酶-蛋白激酶B(PI3K-Akt) 信号通路、血管内皮生长因子(VEGF) 信号通路等发挥治疗作用。结论:交泰调脉方可能通过调控PI3K-Akt 信号通路,以调节心肌细胞凋亡和血管新生等心脏重构过程,改善心肌细胞低氧耐受水平,加强心肌缺血再灌注损伤的心肌保护作用,且降脂、降糖调节内分泌水平,以治疗冠心病。

    Abstract:

    Abstract:Objective:To discuss the potential mechanism of Jiaotai Tiaomai prescription treating coronary heart disease based on network pharmacology. Methods:The components and targets of Jiaotai Tiaomai prescription were obtained from Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP);potential targets in coronary heart disease were obtained by using disease databases which included Online Mendelian Inheritance in Man(OMIM), GeneCards,Genetic Association Database(GAD),Therapeutic Target Database(TTD) and DisGeNET;the potential targets of Jiaotai tiaomai prescription in the treatment of coronary heart disease was obtained by taking the intersection. Cytoscape 3.7.2 software was applied to build "prescription- component- target" network. With the help of STRING database and Cytoscape 3.7.2 software,protein interaction analysis was carried out,and key targets and sub modules were screened out. Finally,DAVID database was used for the gene ontology(GO) and Kyoto encyclopedia of genes and genomes(KEGG) pathway enrichment analysis,and Reactome database was used for Reactome enrichment analysis;the map of “drug-componenttarget- pathway” was made. Results:In Jiaotai Tiaomai prescription,there were 405 components and 146 potential targets for coronary heat disease which included 6 sub modules and 10 key targets. The main components of Jiaotai Tiaomai prescription in the treatment of coronary heart disease were quercetin,glycine,β-Sitosterol,(R)-hydrogenated berberine and apigenin. Jiaotai Tiaomai prescription played a therapeutic role by regulating hypoxia inducible factor- 1(HIF- 1) signaling pathway, neuroactive ligand- receptor interaction, cyclic guanosine monophosphate- protein kinase G(cGMP- PKG) signaling pathway, phosphatidylinositol 3 kinase- protein kinase B(PI3K- Akt) signaling pathway and vascular endothelial growth factor(VEGF) signaling pathway. Conclusion:In order to treat coronary heart disease,Jiaotai tiaomai prescription may regulate PI3K- Akt signaling pathway to regulate cardiac remodeling processes such as cardiomyocyte apoptosis and angiogenesis, improve cardiomyocyte hypoxia tolerance, strengthen myocardial protection against myocardial ischemiareperfusion injury,reduce lipid and glucose,and regulate endocrine level.

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杨嫄,陶国水,吴波,陆曙,孔令豪.基于网络药理学探讨交泰调脉方治疗冠心病作用机制[J].新中医,2022,54(1):25-34

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  • 在线发布日期: 2022-01-10
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