基于网络药理学和体外实验分析血必净注射液治疗急性肾损伤作用机制
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R285

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浙江省中医药科技计划项目(2023ZR006)


Analysis of the Mechanism of Xuebijing Injection in Treating Acute Kidney Injury Based on Network Pharmacology and in vitro Experiments
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    摘要:

    目的:基于网络药理学和体外实验预测血必净注射液(XBJ) 治疗急性肾损伤(AKI) 的作用机 制。方法:通过文献和中医药整合药理学研究平台(TCMIP)、中药系统药理学数据库和分析平台(TCMSP)、 中药免疫肿瘤学数据库(TCMIO) 检索XBJ 中5 味中药的活性成分,利用Drugbank、SwissTargetPrediction、 TherapeuticTargetDatabase、GeneCards和OMIM等数据库获取活性成分的作用靶点及与疾病相关的靶点,绘制 韦恩图得到XBJ与AKI的交集靶点;采用DAVID数据库对靶点进行基因本体(GO) 功能和京都基因与基因组百 科全书(KEGG) 通路富集分析并可视化;采用Cytoscap 3.10.0软件和String数据库构建蛋白质互作(PPI) 网络, 筛选关键蛋白质靶点,构建药物-成分-靶点-通路网络图并选出与疾病通路相关性最高的靶点。最后利用体外实 验探讨XBJ对人脐静脉融合细胞(EAhy 926) 增殖及炎症因子表达的影响。结果:共筛选出114 种XBJ活性成 分,941个成分靶点,1 490个AKI相关靶点,252个药物-疾病交集靶点。深度挖掘发现治疗AKI的关键核心靶 点为丝氨酸/苏氨酸激1(AKT1)、非受体酪氨酸激酶(SRC)、雌激素受体1(ESR1)、哺乳动物雷帕霉素靶蛋白 (mTOR)、核转录因子(NF) -κB1、信号转导及转录激活因子3(STAT3)、B淋巴细胞瘤-2基因(BCL2)、肿瘤 坏死因子(TNF) 等。GO富集显示治疗靶点主要集中在蛋白质磷酸化、凋亡过程的负调控、表皮生长因子受体 信号通路、基因表达的正调控等生物功能中,KEGG分析主要涉及磷脂酰肌醇3激酶-蛋白激酶B(PI3K-AKT)、 FoxO、TNF、鞘脂等信号通路。体外实验显示,XBJ可以下调脂多糖(LPS) 诱导的人脐静脉融合细胞(EAhy 926) IL-6的表达。结论:XBJ可能通过多种活性成分共同作用于STAT3、NF-κB1、mTOR等多个靶点,调节 PI3K-AKT、TNF等炎症相关信号通路,起到治疗AKI的作用。

    Abstract:

    Abstract:Objective:To predict the therapeutic mechanism of Xuebijing Injection(XBJ)in acute kidney injury (AKI) based on network pharmacology and in vitro experiments. Methods: Active components of the five herbal medicines in XBJ were retrieved from literature and databases including the Integrative Pharmacology-based Network Computational Research Platform of Traditional Chinese Medicine(TCMIP), Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP),and Traditional Chinese Medicine Immunology and Oncology Database(TCMIO). Drug targets and disease-related targets were obtained from DrugBank, SwissTargetPrediction, Therapeutic Target Database,GeneCards,and OMIM. Venn diagrams were constructed to identify overlapping targets between XBJ and AKI. Gene Ontology(GO)functional annotation and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were performed using the DAVID database and visualized. Protein-protein interaction(PPI) networks were constructed using Cytoscape 3.10.0 and the String database to screen core protein targets. A drug-component-target-pathway network was established to identify targets most relevant to disease pathways. Finally, in vitro experiments were conducted to investigate the effects of XBJ on the proliferation of human umbilical vein endothelial hybrid cells(EAhy926)and the expression of inflammatory factors. Results: A total of 114 active components,941 component targets,and 1 490 AKI-related targets were identified,with 252 overlapping drug-disease targets.Core therapeutic targets forAKIincluded serine/threonine kinase 1(AKT1),non-receptortyrosine kinase(SRC), estrogen receptor 1(ESR1),mammalian target of rapamycin(mTOR),nuclear factor kappa B subunit 1(NF-κB1), signal transducer and activator of transcription 3(STAT3), B-cell lymphoma 2(BCL2), and tumor necrosis factor (TNF). GO enrichment analysis revealed that therapeutic targets were primarily involved in protein phosphorylation, negative regulation of apoptosis, epidermal growth factor receptor signaling pathway, and positive regulation of gene expression. KEGG pathway analysis highlighted key signaling pathways such as phosphatidylinositol 3-kinase-protein kinase B(PI3K-AKT), Forkhead box O(FoxO), TNF, and sphingolipid signaling pathway. In vitro experiments demonstrated that XBJ downregulated interleukin-6(IL-6)expression in lipopolysaccharide(LPS)-induced EAhy926 cells. Conclusion:XBJ may exert therapeutic effects on AKI through multiple active components acting on targets such as STAT3,NF-κB1,and mTOR,modulating inflammatory pathways including PI3K-AKT and TNF signaling pathway.

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周梦月,徐云玲,张美玲,朱婉萍.基于网络药理学和体外实验分析血必净注射液治疗急性肾损伤作用机制[J].新中医,2025,57(19):187-193

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