基于网络药理学和动物实验探讨肾衰1 号方灌肠治疗慢性肾脏病的作用机制
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R285

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浙江省中医药科技项目(2024AR164);温州市基础性科研项目(Y2023249)


Mechanism of Shenshuai No. 1 Formula Administered by Enema in Treating Chronic Kidney Disease:A Study Based on Network Pharmacology and Animal Experiments
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    摘要:

    目的:基于网络药理学、分子对接技术和动物实验探讨肾衰1号方灌肠治疗慢性肾脏病(CKD)的作用机制。方法:通过TCMSP、HERB、BATMAN、TCMID 数据库筛选有效活性成分;利用GeneCards、OMIM、DisGeNET、CTD数据库筛选CKD疾病靶点;交集分析获得共同作用靶点,构建“成分-靶点”网络和蛋白互作(PPI) 网络,并进行基因本体(GO) 功能和京都基因与基因组百科全书(KEGG) 通路富集分析。使用AutoDock Vina进行药物成分与疾病靶点的分子对接验证。动物实验中,使用40 mg/(kg·d) 的腺嘌呤灌胃诱导小鼠CKD模型,设置正常对照组(CTL)、慢性肾脏病模型组(CKD) 和肾衰1号方灌肠组(SSY)。采用全自动生化分析仪检测肾功能;采用肾组织病理染色评估肾脏病理改变;采用蛋白质印迹法检测肾脏组织中Ⅰ型胶原蛋白(Collagen Ⅰ)、Ⅲ型胶原蛋白(Collagen Ⅲ)、转化生长因子-β1 (TGF-β1)、波形蛋白(Vimentin) 及磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/AKT) 通路关键蛋白的表达水平。结果:筛选出肾衰1号方治疗CKD的潜在靶点212个。筛选出主要活性成分为槲皮素、木犀草素、汉黄芩素等。经PPI网络分析筛选得到核心靶点为肿瘤蛋白p53(TP53)、信号转导与转录激活因子3(STAT3)、蛋白激酶B1(AKT1)、SRC原癌基因非受体酪氨酸激酶(SRC)、磷脂酰肌醇-4,5-二磷酸3-激酶催化亚基α(PIK3CA)。KEGG富集分析提示PI3K/AKT 信号通路是潜在作用通路。分子对接验证表明槲皮素、木犀草素、汉黄芩素可与AKT1、PIK3CA两种蛋白活性口袋稳定结合。动物实验结果显示,肾衰1号方能降低CKD小鼠血清肌酐(SCr) 及血尿素氮(BUN) 水平,下调肾组织中纤维化相关蛋白Collagen Ⅰ、Collagen Ⅲ、TGF-β1、Vimentin的表达。进一步机制研究表明肾衰1号方能抑制CKD小鼠肾组织中PI3K和AKT的磷酸化水平,降低p-PI3K/PI3K和p-AKT/AKT比值。结论:肾衰1号方可能通过抑制PI3K/AKT通路过度活化减轻肾脏纤维化,从而治疗CKD。

    Abstract:

    Abstract: Objective: To investigate the mechanism of Shenshuai No.1 Formula administered by enema in the treatment of chronic kidney disease (CKD) based on network pharmacology, molecular docking, and animal experiments. Methods:Active components were screened from TCMSP,HERB,BATMAN,and TCMID databases.Disease targets of CKD were obtained from GeneCards,OMIM,DisGeNET,and CTD databases. Common targets were identified by intersection analysis. A component-target network and a protein-protein interaction (PPI) network were constructed, followed by Gene Ontology (GO) functional enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses. Molecular docking was performed using AutoDock Vina to verify the binding between key components and core targets. In vivo, CKD mouse models were established by intragastric administration of adenine at 40 mg/kg per day. Mice were divided into the normal control group (CTL),the CKD model group (CKD), and the Shenshuai No.1 Formula administered by enema group (SSY). Renal function was detected using an automatic biochemical analyzer; renal pathological changes were evaluated by histopathological staining; Western blotting was applied to detect the expression levels of typeⅠcollagen (CollagenⅠ),typeⅢcollagen (Collagen Ⅲ), transforming growth factor-β1 (TGF-β1), vimentin, and key proteins involved in the phosphatidylinositol 3-kinase/protein kinase B( PI3K/AKT) signaling pathway in renal tissues. Results:A total of 212 potential therapeutic targets of Shenshuai No. 1 Formula against CKD were identified. Quercetin,luteolin,and wogonin were identified as major active components. Core targets screened out by PPI network analysis were tumor protein p53 (TP53), signal transducer and activator of transcription 3 (STAT3) , AKT1, SRC proto-oncogene non-receptor tyrosine kinase (SRC), and phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA). KEGG enrichment indicated that the PI3K/AKT signaling pathway was a potential key pathway. Molecular docking confirmed that quercetin, luteolin, and wogonin could stably bind to the active pockets of AKT1 and PIK3CA. Animal experiments demonstrated that Shenshuai No.1 Formula significantly reduced serum creatinine (SCr) and blood urea nitrogen (BUN) levels in CKD mice,and downregulated the expression of CollagenⅠ,CollagenⅢ,TGF-β1,and vimentin in renal tissues. Further mechanistic studies revealed that Shenshuai No. 1 Formula inhibited the phosphorylation of PI3K and AKT, and decreased the p-PI3K/PI3K and p-AKT/AKT ratios in renal tissues of CKD mice. Conclusion:Shenshuai No. 1 Formula may alleviate renal fibrosis by suppressing the overactivation of the PI3K/ AKT pathway,thereby exerting a renal protective effect in the treatment of CKD.

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木林洁,陈宇.基于网络药理学和动物实验探讨肾衰1 号方灌肠治疗慢性肾脏病的作用机制[J].新中医,2026,58(19):225-234

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  • 在线发布日期: 2026-10-16
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