三芪口服液改善内瘘成熟障碍网络药理学研究
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R692.5

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广东省中医药局科研项目(20225003)


Study on Sanqi Oral Liquid for Improving Arteriovenous Fistula Maturation Failure Based on Network Pharmacology
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    摘要:

    目的:通过网络药理学及分子对接分析三芪口服液治疗内瘘成熟障碍的潜在有效成分及其作用机 制。方法:通过网络药理学方法从三芪口服液中筛选出25 个活性成分,利用GEO 数据库中GSE119296、 GSE233264、GSE220796数据集筛选出内瘘成熟障碍的差异基因,并从GeneCards、OMIM、PharmGKB数据库 获取疾病靶点,使用机器学习筛选出核心疾病靶点,采用Cytoscape3.8.0软件构建“药物活性成分-靶点”网 络,借助R3.6.4软件的ggplot2包及clusterProfiler将关键靶点进行GO和KEGG富集分析。对活性成分与预测疾 病靶点进行分子对接验证。结果:筛选获得25个三芪口服液治疗内瘘成熟障碍的潜在有效成分,以及2个关键 靶点。其中5个核心有效成分,即槲皮素、异鼠李素、β-谷甾醇、刺芒柄花素、山柰酚。2个核心靶点:KDR、 MMP2。GO分析结果包括伤口愈合、炎症反应调节、异物刺激应答、氧化应激应答等。KEGG分析主要富集在 流体剪切应力与动脉粥样硬化、AGE-RAGE信号通路、HIF-1信号通路、IL-17信号通路等。分子对接结果表 明,槲皮素、异鼠李素、β-谷甾醇、刺芒柄花素、山柰酚与KDR、MMP2具有较高亲和力。结论:三芪口服 液可能通过槲皮素、异鼠李素等成分作用于KDR、MMP2靶点,介导流体剪切应力与动脉粥样硬化、AGE-RAGE、 PI3K-AKT等信号通路,进而干预内瘘成熟障碍。

    Abstract:

    Abstract:Objective:To analyze the potential effective components of Sanqi Oral Liquid for arteriovenous fistula maturation failure and its mechanism through network pharmacology and molecular docking. Methods: A total of 25 active components were screened from Sanqi Oral Liquid by network pharmacology analysis. The data sets of GSE119296, GSE233264 and GSE220796 in GEO database were used to screen out the differential genes of arteriovenous fistula maturation failure. Disease targets were obtained from databases of GeneCards, OMIM and PharmGKB. Machine learning was used to screen out core disease targets. Cytoscape 3.8.0 software was used to construct a “drug active components-targets” network. Gene Ontology (GO) function enrichment analysis and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis of key targets were performed using the ggplot2 package and clusterProfiler of R3.6.4 software. Molecular docking verification was performed on the active components and predicted disease targets. Results:A total of 25 potential active components and two key targets from Sanqi Oral Liquid for arteriovenous fistula maturation failure were screened out. Among them, there were five core active components, namely quercetin, isorhamnetin, β - sitosterol, formononetin and kaempferol, and two core targets,namely KDR and MMP2. The results of GO function enrichment analysis covered wound healing,regulation of inflammatory response,response to xenobiotic stimulus,response to oxidative stress,etc. KEGG analysis was mainly enriched in fluid shear stress and atherosclerosis, AGE-RAGE signaling pathway in diabetic complications, HIF-1 signaling pathway, IL-17 signaling pathway, etc. Molecular docking results showed that quercetin, isorhamnetin, β-sitosterol, formononetin and kaempferol had high affinity with KDR and MMP2. Conclusion: Sanqi Oral Liquid may mediate fluid shear stress and atherosclerosis,AGE-RAGE,PI3K-AKT and other signaling pathways through the binding of quercetin and isorhamnetin with the main core targets of KDR and MMP2, and further intervene in arteriovenous fistula maturation failure.

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马文倩,王永生,林嘉荣,麦建玲,方堃洋,梁晖.三芪口服液改善内瘘成熟障碍网络药理学研究[J].新中医,2025,57(21):211-220

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  • 在线发布日期: 2025-11-11
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