基于网络药理学和分子对接技术探讨黄连温胆汤治疗反流性食管炎作用机制
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R285

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浙江省中青年临床名中医项目(浙中医药〔2021〕22号);2023年度国家中医药管理局科技司-浙江省中医药管理局共建项目(国中医 药科技中医便函〔2022〕129号)


Exploration on Action Mechanism of Huanglian Wendan Decoction in the Treatment of Reflux Esophagitis Based on Network Pharmacology and Molecular Docking Techniques
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    摘要:

    目的:基于网络药理学和分子对接技术探讨黄连温胆汤治疗反流性食管炎(RE) 的作用机制。方 法:运用中药系统药理数据库和分析平台(TCMSP)、中医药百科全书数据库(ETCM) 筛选黄连温胆汤的有 效成分和作用靶点;运用GeneCards、OMIM数据库获取RE疾病靶点;用微生信工具取中药与疾病的交集靶 点,将交集靶点导入STRING数据库构建蛋白质互作(PPI) 网络图;利用Cytoscape3.10.0软件可视化并筛选关 键靶点,构建中药-活性成分-靶点网络图,筛选主要活性成分;运用DAVID数据库对药物-疾病交集靶点进行 基因本体(GO) 功能分析以及京都基因与基因组百科全书(KEGG) 通路富集分析;利用AutoDock、Pymol等 软件对主要活性成分与靶点进行分子对接。结果:共获得黄连温胆汤活性成分128种,作用靶点970个,获得 RE疾病靶点1 294个。黄连温胆汤治疗RE的关键靶点有丝氨酸/苏氨酸激酶1(AKT1)、信号传导及转录激活 蛋白3(STAT3)、表皮生长因子受体(EGFR)、肿瘤坏死因子(TNF) 和B淋巴细胞瘤-2基因(BCL2) 等。主 要活性成分有柚皮素、槲皮素、橙皮素。GO富集分析得到生物过程(BP) 987条、细胞组成(CC) 115条、 分子功能(MF) 209条,KEGG通路富集分析得到癌症通路、磷脂酰肌醇3-激酶(PI3K) /AKT信号通路、癌 症中的蛋白多糖及EGFR酪氨酸激酶抑制剂耐药性等174条通路;分子对接发现关键靶点(AKT1、STAT3、 EGFR、TNF、BCL2) 与主要活性成分(柚皮素、槲皮素、橙皮素) 之间具有较好的结合活性。结论:黄连温 胆汤通过柚皮素、槲皮素、橙皮素等成分作用于AKT1、STAT3、EGFR、TNF、BCL2等靶点,调控癌症通路、 PI3K-AKT信号通路、癌症中的蛋白多糖通路等治疗RE。

    Abstract:

    Abstract:Objective:To explore the action mechanism of Huanglian Wendan Decoction in the treatment of reflux esophagitis (RE) based on network pharmacology and molecular docking techniques. Methods:The active ingredients Pharmacology Database and Analysis Platform (TCMSP) and the Encyclopedia of Traditional Chinese Medicine (ETCM). RE disease targets were obtained from the GeneCards and OMIM databases. The intersection targets of the Chinese medicine and disease were identified using bioinformatics tools and imported into the STRING database to construct a protein-protein interaction (PPI) network. Key targets were visualized and screened using Cytoscape 3.10.0 software,and a Chinese medicine-active ingredient-target network was constructed to identify major active ingredients. Gene Ontology (GO) functional analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed on the Chinese medicine-disease intersection targets using the DAVID database. Molecular docking of major active ingredients with key targets was conducted using AutoDock and Pymol software. Results: A total of 128 active ingredients and 970 targets of Huanglian Wendan Decoction were identified, along with 1 294 RE disease targets. Key targets for Huanglian Wendan Decoction in the treatment of RE included AKT serine/threonine kinase 1 (AKT1) , signal transducer and activator of transcription 3 (STAT3) , epidermal growth factor receptor (EGFR),tumor necrosis factor (TNF),and B-cell lymphoma 2 (BCL2). Major active ingredients included naringenin, quercetin, and 5,7-dihydroxy-2-(3-hydroxy-4-methoxyphenyl)chroman-4-one. GO enrichment analysis identified 987 biological processes (BP),115 cellular components (CC),and 209 molecular functions (MF). KEGG pathway enrichment analysis identified 174 pathways, including cancer pathways, PI3K/AKT signaling pathway,proteoglycans in cancer signaling pathway,and EGFR tyrosine kinase inhibitor resistance signaling pathway. Molecular docking revealed good binding activity between key targets (AKT1, STAT3, EGFR, TNF, BCL2) and major active ingredients [naringenin, quercetin, 5,7-dihydroxy-2-(3-hydroxy-4-methoxyphenyl)chroman-4-one]. Conclusion: Huanglian Wendan Decoction exerts its therapeutic effects on RE through active ingredients such as naringenin, quercetin, and 5,7-dihydroxy-2-(3-hydroxy-4-methoxyphenyl)chroman-4-one, targeting AKT1, STAT3,EGFR,TNF,and BCL2,and regulating pathways such as cancer pathways,PI3K/AKT signaling pathway, and proteoglycans in cancer pathway.

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谢雨婷,蔡利军,黄立权.基于网络药理学和分子对接技术探讨黄连温胆汤治疗反流性食管炎作用机制[J].新中医,2025,57(11):39-47

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  • 在线发布日期: 2025-06-13
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