基于数据挖掘和网络药理学分析中医药治疗侵袭性肺真菌病用药规律及作用机制
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R519

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佛山市自筹经费类科技创新项目(2320001006800)


Analysis of Medication Patterns and Mechanism of Traditional Chinese Medicine in Treating Invasive Pulmonary Fungal Disease Based on Data Mining and Network Pharmacology
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    摘要:

    目的:分析中医药治疗侵袭性肺真菌病(IPFD) 的用药规律及作用机制。方法:从中国知网等数 据库中收集中医药治疗IPFD的相关临床文献,对用药规律进行分析,选择置信度最高的药对作为核心药对进 行机制探讨。通过TCMSP等数据库及SwissTargetPrediction筛选中药成分及靶点,在Genecard等数据库筛选疾 病靶基因,从而得到药物-疾病交集靶点,绘制“药物-活性成分-交集靶点”网络图;通过STRING网站获得 蛋白互作网络(PPI) 信息,运用Metascape数据库进行GO功能及KEGG通路富集分析,最后进行分子对接验 证。结果:获得文献46篇,中药方51首,涉及中药111味,用药寒温并行,苦、甘、辛多见,主归肺、脾、 胃经;关联规则及聚类分析得到12个药对及3个核心组合,其中置信度最高的药对为“甘草-苦杏仁”。对核心 药对“甘草-苦杏仁”进行机制探究,得到药物-疾病交集靶点144个。GO功能富集1 593条,KEGG富集通路 165条。主要活性成分有槲皮素、异鼠李素和异甘草素等,作用于AKT1、EGFR和SRC等靶点,通过调节癌症 通路及PI3K-AKT信号通路等关键通路实现,分子对接显示活性成分与靶点结合稳定。结论:本研究发现中医 药治疗IPFD清补兼施,针对不同证型有所侧重。对核心药治疗IPFD进行进一步机制探究,发现“甘草-苦杏 仁”药对可能通过槲皮素、异鼠李素、异甘草素、α-三羟基粪甾烷酸等活性成分作用于癌症通路、PI3K-AKT 信号通路等相关通路,调节AKT1、EGFR、SRC、STAT3等靶点来治疗IPFD。

    Abstract:

    Abstract: Objective: To analyze the medication patterns and mechanism of traditional Chinese medicine (TCM)in treating invasive pulmonary fungal disease(IPFD). Methods:Clinical literature on TCM treatment of IPFD was collected from databases including CNKI. Medication patterns were analyzed, and the herb pair with the highest confidence was selected as the core combination for mechanism investigation. TCM components and targets were screened through TCMSP and Swiss Target Prediction databases, screening disease target genes from GeneCards to obtain herb disease intersection targets. A "herb-active component-intersection target" network was constructed. Protein-protein interaction(PPI)networks were obtained from STRING,followed by GO functional and KEGG pathway enrichmentanalysisusingMetascape.Moleculardockingvalidationwasperformed.Results:A totalof46articles involving 51 Chinese herbal medicine prescriptions and 111 herbs were included. Herbs exhibited balanced cold-warm properties, predominantly bitter,sweet,and acrid flavors,mainly acting on lung,spleen,and stomach meridians. Association rule and cluster analysis identified 12 herb pairs and 3 core combinations, with "Glycyrrhizae Radix et Rhizoma- Armeniacae Semen Amarum" showing the highest confidence. Investigation of this core pair revealed 144 herb-disease intersectiontargets,1593GOterms,and165KEGGpathways.Keyactivecomponentsincludedquercetin,isorhamnetin, and isoliquiritigenin,acting on targets like AKT1,EGFR,and SRC through cancer pathways and PI3K-AKT signaling pathway. Molecular docking confirmed stable binding between active components and targets. Conclusion:This study found that TCM treatment of IPFD combines clearing and tonifying strategies,with emphasis varying by syndrome type. Furthermechanisticexplorationofthecoreherbpairsuggests"GlycyrrhizaeRadixetRhizoma-ArmeniacaeSemen Amarum" may treat IPFD through active components like quercetin,isorhamnetin,isoliquiritigenin,and α-trihydroxy coprostanic acid modulating cancer pathways and PI3K-AKT signaling pathways,targeting AKT1,EGFR,SRC,and STAT3.

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崔亚培,戚振红,邹鹏,戚园园,樊哲安.基于数据挖掘和网络药理学分析中医药治疗侵袭性肺真菌病用药规律及作用机制[J].新中医,2025,57(19):212-222

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