基于网络药理学和分子对接探讨左金丸治疗胃食管反流病作用机制
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R285

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国家自然科学基金项目(82204994)


Exploring Mechanism of Action of Zuojin Pills in the Treatment of Gastroesophageal Reflux Disease Based on Network Pharmacology and Molecular Docking
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    摘要:

    目的:基于网络药理学和分子对接探讨左金丸治疗胃食管反流病(GERD) 的作用机制,并预测 潜在治疗中药。方法:在中药系统药理学分析平台筛选左金丸的有效成分及靶点,在GeneCards、OMIM、 PharmGkb、TTD 和DrugBank 数据库筛选GERD 疾病靶点,进而得到左金丸治疗GERD 的潜在靶点;运用 Cytoscape构建“有效成分-潜在靶点”调控网络,筛选关键化合物;通过STRING数据库构建潜在靶点的蛋白 质互作(PPI) 网络,并在Cytoscape软件筛选核心靶点;对潜在靶点进行基因本体(GO) 功能和京都基因与基 因组百科全书(KEGG) 通路富集分析;运用AutoDockTools对关键化合物与核心靶点分子对接;通过Coremine Medical预测潜在治疗中药,通过中医传承计算平台进行四气、五味、归经和功效分类统计。结果:筛选出关 键化合物有槲皮素、异鼠李素、吴茱萸碱、β-谷甾醇、氢化小蘖碱和非洲防己碱,核心靶点有肿瘤蛋白 53(TP53)、雌激素受体1(ESR1)、丝氨酸/苏氨酸蛋白激酶1(AKT1)、肿瘤坏死因子(TNF),核心靶点主 要涉及对异源生物刺激、细菌来源分子、脂多糖的反应等生物学过程,主要富集在脂质与动脉粥样硬化、流体 剪切应力和动脉粥样硬化、白细胞介素-17(IL-17)、前列腺癌、糖尿病并发症的晚期糖基化终末产物-受体信 号通路上。关键化合物与核心靶点有良好的亲和力。茯苓、人参等中药有较大的潜在治疗价值,潜在治疗中药 多为苦寒清热药,多归肝经。结论:左金丸的多种有效成分能够作用于多个潜在靶点并通过多条途径发挥治疗 GERD的作用,茯苓、人参等中药具有潜在治疗价值。

    Abstract:

    Abstract: Objective: To explore the mechanism of action of Zuojin Pills in the treatment of gastroesophageal reflux disease (GERD) based on network pharmacology and molecular docking, and to predict potential therapeutic Chinese medicines. Methods: Effective components and targets of Zuojin Pills were screened using the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform. The GERD disease targets were identified through GeneCards,OMIM,PharmGkb,TTD,and DrugBank databases to obtain potential targets for Zuojin Pills in treating GERD. A "active component-potential target" regulatory network was constructed using Cytoscape to screen key compounds. A protein-protein interaction (PPI) network of potential targets was built using the STRING database,and core targets were identified using Cytoscape software. The Gene Ontology (GO) functional and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were performed on potential targets. Molecular docking of key compounds with core targets was conducted using AutoDockTools. Potential therapeutic Chinese medicinals were predicted using Coremine Medical,and the Traditional Chinese Medicine Inheritance Computing Platform was used for classification statistics on the four natures, five flavors, meridian tropism, and therapeutic effects. Results: Key compounds identified included quercetin,isorhamnetin,evodiamine,β-sitosterol,berberine,and palmatine. Core targets included tumor protein 53 (TP53), estrogen receptor 1 (ESR1), serine/threonine kinase 1 (AKT1), and tumor necrosis factor (TNF). Core targets were mainly involved in biological processes such as response to xenobiotic stimulus,bacterial-derived molecules,and lipopolysaccharides,and were primarily enriched in pathways related to lipid and atherosclerosis, fluid shear stress and atherosclerosis, interleukin-17 (IL-17), prostate cancer, and advanced glycation end products-receptor signaling pathways in diabetic complications. Key compounds showed good affinity for core targets. Poria and Ginseng Radix et Rhizoma, among other Chinese medicinals, have significant potential therapeutic value. Potential therapeutic Chinese medicinals are mostly bitter and cold heat-clearing herbs, primarily entering the liver meridian. Conclusion: Multiple effective components of Zuojin Pills can act on various potential targets and exert therapeutic effects on GERD through multiple pathways. Chinese medicinals such as Poria and Ginseng Radix et Rhizoma have potential therapeutic value in the treatment of GERD.

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曾思慧,吴钰淇,姜小艳,许琳,郭绍举.基于网络药理学和分子对接探讨左金丸治疗胃食管反流病作用机制[J].新中医,2025,57(13):201-210

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  • 在线发布日期: 2025-07-14
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