基于数据挖掘及网络药理学技术研究中医药治疗风湿性心脏病用药规律及作用机制
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R285.5;R259

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Exploration of Medication Rules of Chinese Medicine in the Treatment of Rheumatic Heart Disease Based on Data Mining and Network Pharmacology Techniques and Its Mechanisms of Action
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    摘要:

    目的:运用数据挖掘及网络药理学技术探究中医药治疗风湿性心脏病(RHD) 的用药规律及作用 机制。方法:收集中国知网、万方、维普及中国生物医学文献服务系统数据库中治疗RHD的相关文献,构建 处方数据库;应用R语言进行药物频次、性味归经统计及关联规则分析,获取核心药物组合。应用中药系统药 理学数据库(TCMSP)、Swiss Target Prediction 平台获取核心药物活性成分及作用靶点,利用GeneCards、 OMIM、DisGeNET 网站获得RHD 相关靶点;利用String 平台和Cytoscape 3.10.0 软件分析并构建蛋白质互 作(PPI) 网络、进行拓扑分析并筛选核心靶点;利用David平台对核心靶点进行基因本体(GO) 功能和京都 基因与基因组百科全书(KEGG) 通路富集分析;运用分子对接技术验证关键活性成分与核心靶点。结果:筛 选出99首处方,涉及189味中药,药物主要为温性,甘味,归肺、脾、心经。关联规则分析得出茯苓-桂枝- 白术-附子-丹参为核心药物组合。网络药理学分析共筛选得到核心药物组合的有效活性成分77个,潜在靶点 846个与获得的2 025个RHD相关靶点取交集,获得237个交集靶点。经PPI网络拓扑分析获得TNF、AKT1 等47个核心靶点。GO富集分析得到1 050个条目,KEGG富集分析得到170条信号通路。分子对接结果显示关 键活性成分与关键核心靶点对接良好。结论:中医药治疗RHD的组方用药多以健脾益气、温阳利水、活血祛 瘀为主,核心药组为茯苓-桂枝-白术-附子-丹参,可通过去氧穿心莲内酯、丹参醇A、木犀草素等关键活性成 分作用于TNF、AKT1、EGFR、MMP9、STAT3等靶点,调节动脉粥样硬化、TNF信号通路等发挥抑制氧化应 激、抑制炎症反应、保护心肌细胞的作用。

    Abstract:

    Abstract: Objective: To investigate the herbal medication rules and therapeutic mechanisms of Chinese medicine in the treatment of rheumatic heart disease (RHD) using data mining and network pharmacology techniques. Methods: Literature on RHD treatment was retrieved from databases including China National Knowledge Infrastructure(CNKI), Wanfang Data Knowledge Service Platform, China Science and Technology Journal Database (VIP), and China Biology Medicine disc (CBMdisc) to establish a prescription database. R language was employed to analyze Chinese herbal medicine using frequency,nature,flavor,channel entry,and association rules to identify core herbal combinations. Active components and targets of core Chinese herbal medicines were obtained from Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP) and Swiss Target Prediction platforms. RHD-related targets were collected from The Human Gene Database (GeneCards), Online Mendelian Inheritance in Man (OMIM),and DisGeNET. A protein-protein interaction (PPI) network was constructed and analyzed using STRING and Cytoscape 3.10.0, followed by topological analysis to screen core targets. Functional enrichment analysis of Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways was performed using DAVID. Molecular docking was conducted to validate interactions between key active components and core targets. Results:A total of 99 prescriptions involving 189 Chinese herbal medicines were included. The Chinese herbal medicines are predominantly warm in property,sweet in flavor,and attributed to the lung,spleen,and heart meridians. Association rules revealed a core herbal combination: Poria-Cinnamomi Ramulus-Atractylodis Macrocephalae Rhizoma-Aconiti Lateralis Radix Praeparata -Salviae Miltiorrhizae Radix et Rhizoma. Network pharmacology identified 77 active components and 846 potential targets from the core herbal combination. Venn analysis revealed 237 overlapping targets between the 846 potential targets and 2 025 RHD-associated targets. Topological analysis of the PPI network highlighted 47 core targets, such as tumor necrosis factor (TNF), AKT serine/threonine kinase 1 (AKT1), etc. GO enrichment yielded 1 050 terms, and KEGG analysis revealed 170 signaling pathways. Molecular docking confirmed strong binding between key components and core targets. Conclusion:Chinese medicine in the treatment of RHD primarily follows the principles of invigorating the spleen and replenishing qi,warming yang to promote diuresis, as well as activating blood circulation to eliminate stasis. The core herbal combination of Poria- Cinnamomi Ramulus-Atractylodis Macrocephalae Rhizoma-Aconiti Lateralis Radix Praeparata -Salviae Miltiorrhizae Radix et Rhizoma exerts therapeutic effects of inhibiting oxidative stress, suppressing inflammation responses, and protecting cardiomyocytes by regulating atherosclerosis and TNF signaling pathways. The regulating effects are achieved through the action of key active components such as Deoxyandrographolide, Danshenol A, and Luteolin on targets including TNF,AKT1,epidermal growth factor receptor (EGFR),matrix metalloproteinase 9 (MMP9),and signal transducer and activator of transcription 3( STAT3)

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罗芳玲,卢虹谕,张溪娟,毛丽,谢咏雪,贺青军.基于数据挖掘及网络药理学技术研究中医药治疗风湿性心脏病用药规律及作用机制[J].新中医,2025,57(15):18-26

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