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论著·基础研究 | 更新时间:2025-11-26
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基于网络药理学及动物实验探讨实脾饮治疗肝硬化的作用机制
Mechanism of Shipi Yin for the treatment of liver cirrhosis based on network pharmacology and animal experiments

广西医学 页码:1621-1631

作者机构:王建超,硕士,主治医师,研究方向为中西医结合防治消化系统疾病。

基金信息:国家自然科学基金(82160882);广西壮族自治区中医药管理局自筹经费科研课题(GXZYB20230494)

DOI:10.11675/j.issn.0253⁃4304.2025.11.13

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  • 参考文献

目的 基于网络药理学探讨实脾饮治疗肝硬化的作用机制,并通过分子对接技术和动物实验进行验证。方法 (1)检索中药系统药理学数据库与分析平台获得实脾饮的有效活性成分及作用靶点,检索GeneCards ®数据库、OMIM ®数据库获得肝硬化相关靶点,获取两者的交集靶点。运用Cytoscape软件构建“药物⁃成分⁃作用靶点”网络。针对交集靶点,进行蛋白⁃蛋白相互作用网络分析(得到核心靶点)、基因本体论功能富集分析、京都基因与基因组百科全书通路富集分析。对有效活性成分与核心靶点蛋白进行分子对接验证。(2)将32只大鼠随机分为空白组和造模组,空白组大鼠给予正常饲养,造模组大鼠采用复合因素法进行肝硬化造模。把建模成功后的肝硬化大鼠模型随机分为模型组、治疗组,治疗组大鼠给予实脾饮药液灌胃治疗,空白组、模型组大鼠给予等量生理盐水灌胃治疗,共4周。采用ELISA检测大鼠血清肝纤维化四项指标[透明质酸酶(HA)、Ⅲ型前胶原(PC⁃Ⅲ)、Ⅳ型胶原(Ⅳ⁃C)、层粘连蛋白(LN)]、炎症因子[白细胞介素(IL)⁃6、IL⁃1β、肿瘤坏死因子(TNF)⁃α]及肝组织氧化应激因子[超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH⁃Px)]水平;采用实时荧光定量PCR 检测大鼠肝组织IL⁃6、IL⁃1β、丝氨酸/苏氨酸蛋白激酶1(AKT1)、TNF⁃α mRNA表达水平。结果 (1)实脾饮的有效活性成分共118个,对应的作用靶点共197个,肝硬化相关靶点6 483个,两者交集靶点158个。实脾饮治疗肝硬化的有效活性成分包括槲皮素、山柰酚、柚皮素、芒柄花黄素、7⁃甲氧基⁃2⁃甲基异黄酮等。实脾饮治疗肝硬化的核心靶点包括IL⁃6、AKT1、IL⁃1β、TNF、TP53、STAT3、EGFR、JUN、MYC、Caspase⁃3。实脾饮治疗肝硬化涉及基因表达的正向调节、凋亡过程的负调控、细胞增殖的正向调节、炎症应答等生物过程,涉及胞液、核、细胞质、质膜、核浆等细胞组分,涉及蛋白结合、相同蛋白结合、酶结合、DNA结合、蛋白质同二聚活性等分子功能,涉及脂质与动脉粥样硬化、癌症的途径、糖尿病并发症中的晚期糖基化终末产物-晚期糖基化终末产物受体信号通路、乙型肝炎等信号通路。有效活性成分槲皮素、山柰酚、柚皮素、芒柄花黄素、7⁃甲氧基⁃2⁃甲基异黄酮与核心靶点蛋白IL⁃6、AKT1、IL⁃1β、TNF的结合活性良好。(2)与模型组比较,治疗组大鼠血清HA、PC⁃Ⅲ、Ⅳ⁃C、LN、IL⁃6、IL⁃1β、TNF⁃α水平降低,肝组织SOD、GSH⁃Px水平升高,肝组织IL⁃6、IL⁃1β、AKT1、TNF⁃α mRNA表达下调(P<0.05)。结论 实脾饮治疗肝硬化具有多成分⁃多靶点⁃多通路⁃多环节的特点,可能通过调控炎症、氧化应激、铁死亡、细胞凋亡及细胞自噬等过程发挥作用。

Objective To explore the mechanism of Shipi Yin for the treatment of liver cirrhosis based on network pharmacology, and to validate it through molecular docking technology and animal experiments. Methods (1) The effective active components and effect targets of Shipi Yin were obtained from the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform, and liver cirrhosis⁃related targets were retrieved from the GeneCards® and OMIM® databases to identify intersection targets of the two. Cytoscape software was adopted to construct a “drug⁃component⁃effect target” network. For the intersection targets, protein⁃protein interaction network analysis (acquiring the core targets), Gene Ontology functional enrichment analysis, and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis were performed. Molecular docking validation was conducted between the effective active components and core target proteins. (2) Thirty⁃two rats were randomly divided into blank group or modeling group. The blank group received normal feeding, while the modeling group underwent liver cirrhosis modeling using a composite factor method. Successfully modeled cirrhotic rats models were randomly assigned to model group or treatment group. The treatment group received intragastric administration of Shipi Yin, while the blank and model groups received intragastric administration of equivalent normal saline, for a 4⁃week administration in total. Serum levels of four liver fibrosis indicators with respect to hyaluronidase (HA), type Ⅲ procollagen (PC⁃Ⅲ), type Ⅳ collagen (Ⅳ⁃C), laminin (LN), inflammatory factors in terms of interleukin (IL)⁃6, IL⁃1β, tumor necrosis factor (TNF)⁃α, and liver tissue oxidative stress factors including superoxide dismutase (SOD), glutathione peroxidase (GSH⁃Px) in liver tissues of rats were detected by ELISA. Real⁃time fluorescent quatitative PCR was used to measure the mRNA expressions of IL⁃6, IL⁃1β, AKT serine/threonine kinase 1 (AKT1), and TNF⁃α in liver tissues of rats. Results (1) A total of 118 effective active components and 197 corresponding effect targets were identified for Shipi Yin, along with 6483 liver cirrhosis⁃related targets, resulting in 158 intersection targets. The effective active components of Shipi Yin against liver cirrhosis included quercetin, kaempferol, naringenin, formononetin, 7⁃methoxy⁃2⁃methyl isoflavone, etc. The core targets of Shipi Yin for treating liver cirrhosis included IL⁃6, AKT1, IL⁃1β, TNF, TP53, STAT3, EGFR, JUN, MYC, Caspase⁃3. Shipi Yin against liver cirrhosis involved in biological processes such as positive regulation of gene expression, negative regulation of apoptotic process, positive regulation of cell proliferation, and inflammatory response, in cellular components including cytosol, nucleus, cytoplasm, plasma membrane, nucleoplasm, in molecular functions such as protein binding, identical protein binding, enzyme binding, DNA binding, protein homodimerization activity, and in signaling pathways like lipid and atherosclerosis, pathways in cancer, advanced glycation end product⁃receptor for advanced glycation end product signaling pathway in diabetic complications, and hepatitis B. A favorable binding activity was identified between the effective active components (quercetin, kaempferol, naringenin, formononetin, 7⁃methoxy⁃2⁃methyl isoflavone) and the core target proteins (IL⁃6, AKT1, IL⁃1β, TNF). (2) Compared with the model group, the treatment group exhibited decreased serum levels of HA, PC⁃Ⅲ, Ⅳ⁃C, LN, IL⁃6, IL⁃1β, TNF⁃α, whereas increased levels of SOD and GSH⁃Px in liver tissues, and downregulated mRNA expressions of IL⁃6, IL⁃1β, AKT1, and TNF⁃α in liver tissues (P<0.05). Conclusion Shipi Yin treats liver cirrhosis through multiple components, targets, pathways, and links, potentially by regulating processes such as inflammation, oxidative stress, ferroptosis, apoptosis, and autophagy.

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