基于网络药理学和分子对接分析化湿醒鼾汤治疗慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停低通气综合征作用机制
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R285

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浙江省中医药科技计划项目(2024ZR040)


Analysis of Mechanism of Huashi Xinghan Decoction in the Treatment of Chronic Obstructive Pulmonary Disease Complicated by Obstructive Sleep Apnea-Hypopnea Syndrome Based on Network Pharmacology and Molecular Docking
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    目的:基于网络药理学和分子对接技术分析化湿醒鼾汤治疗慢性阻塞性肺疾病(COPD) 合并阻塞 性睡眠呼吸暂停低通气综合征(OSAHS) 作用机制。方法:基于中药系统药理学数据库与分析平台(TCMSP) 筛选化湿醒鼾汤各药物的有效成分和作用靶点;利用人类基因综合分析数据库(GeneCards)、在线人类孟德尔 遗传数据系统(OMIM)、治疗靶标数据库(TTD) 和药物靶标数据库(DrugBank) 检索COPD合并OSAHS的疾 病靶点;取化湿醒鼾汤有效成分与疾病靶点交集,绘制“中药-疾病”交集靶点韦恩图。利用STRING数据库 构建蛋白质互作(PPI) 网络,采用CytoScape3.9.1软件可视化;通过DAVID 数据库对交集靶点进行基因本 体(GO) 功能和京都基因与基因组百科全书(KEGG) 通路富集分析,通过CytoScape3.9.1软件构建“ 中药- 活性成分-靶点” 网络图; 最后通过分子对接技术验证核心靶点与主要活性成分的结合活性。结果: 共筛选出化湿醒鼾汤活性成分152个,作用靶点256个,COPD和OSAHS的疾病靶点分别为2 133个和954个, 交集靶点为31个。“药物-活性成分-靶点”网络显示槲皮素、β-谷甾醇、山奈酚等为化湿醒鼾汤治疗COPD合 并OSAHS的主要活性成分。PPI网络分析确定了白细胞介素(IL) -1β、IL-6、肿瘤坏死因子(TNF)、细胞间 黏附分子1(ICAM1) 等10个核心靶点。GO富集分析显示,化湿醒鼾汤的作用涉及基因表达调控、血管生成、 炎症反应等生物过程;KEGG 通路分析表明其主要通过脂质和动脉粥样硬化、TNF、核因子(NF) -κB、 IL-17、低氧诱导因子-1(HIF-1) 等信号通路发挥作用。分子对接验证表明,核心靶点与主要活性成分结合 能均<-5 kcal/mol。结论:网络药理学分析结果显示化湿醒鼾汤治疗COPD合并OSAHS主要通过槲皮素、β-谷 甾醇、山奈酚、7-甲氧基-2-甲基异黄酮、豆甾醇等多种成分,作用于IL-1β、IL-6、TNF、ICAM1等靶点,调 控脂质与动脉粥样硬化、TNF、NF-κB、IL-17等信号通路发挥治疗作用。

    Abstract:

    Abstract: Objective: To analyze the mechanism of Huashi Xinghan Decoction in the treatment of chronic obstructive pulmonary disease (COPD) complicated by obstructive sleep apnea-hypopnea syndrome (OSAHS) based on network pharmacology and molecular docking technology. Methods: Active components and targets of the herbs in Huashi Xinghan Decoction were screened using the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP). Disease targets for COPD complicated by OSAHS were retrieved from The Human Gene Database (GeneCards),Online Mendelian Inheritance in Man (OMIM),Therapeutic Target Database (TTD),and DrugBank databases. Overlapping targets between the active components of Huashi Xinghan Decoction and the diseases were identified, and a "Chinese medicine-diseases" Venn diagram was constructed to identify overlapping targets. A protein-protein interaction (PPI) network was constructed using the Search Tool for the Retrieval of Interacting Genes/ Proteins (STRING) database and visualized with Cytoscape 3.9.1 software. Gene Ontology (GO) functional enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed on the overlapping targets using the Database for Annotation,Visualization,and Integrated Discovery (DAVID). A "Chinese medicine-active components-targets" network was constructed using Cytoscape 3.9.1. Finally, molecular docking technology was employed to verify the binding affinity between core targets and corresponding compounds. Results:A total of 152 active components and 256 action targets of Huashi Xinghan Decoction were screened. There were 2 133 and 954 disease-related targets for COPD and OSAHS,respectively,with 31 overlapping targets. The "Chinese medicineactive components-targets" network revealed that quercetin,β-sitosterol,and kaempferol were the core compounds of Huashi Xinghan Decoction in the treatment of COPD complicated by OSAHS. PPI network analysis identified 10 core targets, such as interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor (TNF), and intercellular adhesion molecule 1 (ICAM1). GO enrichment analysis indicated that the effects of Huashi Xinghan Decoction involve biological processes such as gene expression regulation, angiogenesis, and inflammatory response. KEGG pathway analysis showed that it primarily functions through signaling pathways such as lipid and atherosclerosis,TNF, nuclear factor kappa B (NF- κB), interleukin-17 (IL-17), and hypoxia-inducible factor 1 (HIF-1). Molecular docking verification demonstrated that the binding energies between core targets and active components were all less than -5 kcal/mol. Conclusion: Huashi Xinghan Decoction for COPD complicated by OSAHS mainly through multiple components such as quercetin,β-sitosterol,kaempferol,7-methoxy-2-methyl isoflavone,and stigmasterol,acting on targets including IL-1β, IL-6, TNF, and ICAM1, and regulating signaling pathways such as lipid and atherosclerosis,TNF,NF-κB,and IL-17 to exert therapeutic effects.

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杨晓明,刘忠达,李权,刘笑静,黄晖,何媚燕.基于网络药理学和分子对接分析化湿醒鼾汤治疗慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停低通气综合征作用机制[J].新中医,2026,58(5):158-165

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