基于数据挖掘及网络药理学分析徐洪波从阳论治脾肾阳虚型慢性肾小球肾炎用药规律及作用机制
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Analysis of Medication Rules and Mechanism of XU Hongbo in Treating Chronic Glomerulonephritis of Spleen-Kidney Yang Deficiency Type from the Perspective of Yang-Tonifying Based on Data Mining and Network Pharmacology
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    摘要:

    目的:基于数据挖掘及网络药理学分析徐洪波从阳论治脾肾阳虚型慢性肾小球肾炎(CGN) 的用 药规律和作用机制。方法:收集徐洪波2020年1月—2024年12月门诊治疗脾肾阳虚型CGN的病案,应用中医 传承辅助平台进行分析,总结核心组方,并运用网络药理学方法分析其作用机制。结果:纳入288首处方,涉 及中药194味,用药总频次达4 018次。用药多归脾、肾、肺经,药性多温、平、热,药味多甘、辛、苦;用 药多在补虚的基础上,同时兼顾收涩、解表、温里活血化瘀等功效。经关联规则及聚类分析得出核心组方由附 子、黄芪、桂枝、川芎、金樱子、芡实、蒲黄、五灵脂组成。通过网络药理学分析得出核心组方药物有效活性 成分80个,对应靶点229个,疾病靶点1 734个,交集靶点127个。其核心靶点主要为白细胞介素(IL) -6、 苏氨酸蛋白激酶1(AKT1)、表皮生长因子受体(EGFR)、基质金属蛋白酶9(MMP9)、血清白蛋白(ALB); 主要活性成分为山奈酚、β-谷甾醇、谷甾醇、槲皮素、脂肪酸、异鼠李素、亚油酸乙酯等。GO分析结果显示 其细胞组分主要是膜筏、血浆脂蛋白颗粒、蛋白激酶复合物、受体复合体、细胞体等,生物过程主要涉及对细 胞氧化应激的反应、对活性氧的反应、对营养水平的反应、对生长因子的反应等,分子功能主要涉及DNA结 合转录因子、细胞因子受体结合、氧化还原酶活性、蛋白激酶结合蛋白等。KEGG富集分析显示主要信号通路 为糖尿病并发症中的晚期糖基化终末产物及其受体(AGE-RAGE)、脂质和动脉粥样硬化、IL-17、血管内皮生 长因子(VEGF)、叉头框蛋白O(FoxO) 和低氧诱导因子-1(HIF-1) 等。分子对接结果显示主要活性成分与 核心靶点均能实现有效对接,相互作用稳定,推测核心组方在CGN治疗上具备潜在疗效。结论:徐洪波治疗 CGN主张温补肾阳,核心组方通过山奈酚、β-谷甾醇、谷甾醇、槲皮素、脂肪酸、异鼠李素、亚油酸乙酯等 主要成分,作用于IL-6、AKT1、EGFR、MMP9、ALB 等靶点,调控AGE-RAGE、脂质和动脉粥样硬化、 IL-17、VEGF、FoxO、HIF-1等信号通路,发挥抑制肾小球系膜细胞增生、减轻肾脏炎症反应,防治肾纤维化 的作用,从而治疗脾肾阳虚型CGN。

    Abstract:

    Abstract: Objective: To analyze the medication rules and mechanism of XU Hongbo in treating chronic glomerulonephritis (CGN) of spleen-kidney yang deficiency type from the perspective of yang-tonifying based on data mining and network pharmacology. Methods: Medical records of patients with CGN of spleen-kidney yang deficiency type treated by XU Hongbo in outpatient clinics from January 2020 to December 2024 were collected. The Traditional Chinese Medicine Inheritance Support System (TCMISS) was used for data analysis to summarize the core prescription. Network pharmacology methods were then employed to analyze its mechanism of action. Results:A total of 288 prescriptions involving 194 distinct herbs were included, with a cumulative herb application frequency of 4 018 times. The herbs primarily entered the spleen,kidney,and lung meridians;their properties were mostly warm, neutral,and heat;and their flavors were predominantly sweet,pungent,and bitter. The prescriptions have the primary actions of deficiency-tonifying,and also have the auxiliary effect on astringent,exterior-releasing,interior-warming, blood circulation-activating and stasis eliminating. Association rule and cluster analyses revealed the core prescription consisting of Aconiti Lateralis Radix Praeparata, Astragali Radix, Cinnamomi Ramulus, Chuanxiong Rhizoma, Rosae Laevigatae Fructus,Euryales Semen,Typhae Pollen,and Faeces Trogopterori. Network pharmacology analysis identified 80 active components and 229 corresponding targets from the core prescription,1 734 disease-related targets, and 127 overlapping targets. The core targets mainly included interleukin-6 (IL-6), AKT serine/threonine kinase 1 (AKT1), epidermal growth factor receptor (EGFR), matrix metallopeptidase 9 (MMP9), and serum albumin (ALB). The core components mainly included kaempferol, β-sitosterol, sitosterol, quercetin, fatty acids, isorhamnetin, and mandenol. GO enrichment analysis indicated that the cellular components primarily involved membrane rafts, plasma lipoprotein particles, protein kinase complexes, receptor complexes, and cell bodies. The biological processes mainly involved response to oxidative stress, response to reactive oxygen species, response to nutrient levels, and response to growth factors. The molecular functions mainly involved DNA-binding transcription factor, cytokine receptor binding, oxidoreductase activity, and protein kinase binding proteins. KEGG enrichment analysis revealed that the primary signaling pathways included the AGE-RAGE signaling pathway in diabetic complications, lipid and atherosclerosis signaling pathway, IL-17 signaling pathway, VEGF signaling pathway, FoxO signaling pathway,and HIF-1 signaling pathway. Molecular docking results showed that the core components and core targets could achieve effective docking with stable interactions, suggesting the core prescription has potential therapeutic efficacy for CGN. Conclusion: XU Hongbo's treatments of CGN advocates warming and tonifying kidney yang. The core prescription,through main components such as kaempferol,β-sitosterol,sitosterol,quercetin,fatty acids,isorhamnetin,and mandenol,acts on targets including IL-6,AKT1,EGFR,MMP9,and ALB. It regulates signaling pathways such as AGE-RAGE, lipid and atherosclerosis, IL-17, VEGF, FoxO, and HIF-1, thereby inhibiting glomerular mesangial cell proliferation, alleviating renal inflammatory response, and preventing renal fibrosis in CGN of spleen-kidney yang deficiency type.

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郑君,徐洪波,曹吴冰,祝国宁,吴欢.基于数据挖掘及网络药理学分析徐洪波从阳论治脾肾阳虚型慢性肾小球肾炎用药规律及作用机制[J].新中医,2026,58(5):139-147

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  • 在线发布日期: 2026-03-12
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