基于网络药理学探讨甘草泻心汤治疗2 型糖尿病皮肤损伤作用机制
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R587.2

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2022年度广东省基础与应用基础研究基金联合基金(粤惠) -地区培育项目(2022A1515140135);2023年度广东省中医药局科研项目(20231353);2022年度广东省中医药局科研项目(20221401)


Mechanism of Gancao Xiexin Decoction in Treating Type 2 Diabetes Mellitus Skin Injury Based on Network Pharmacology
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    摘要:

    目的:基于网络药理学探讨甘草泻心汤治疗2型糖尿病(T2DM) 皮肤损伤的作用机制。方法:通 过中药系统药理学数据库与分析平台、有机小分子生物活性数据库、化合物靶标预测平台、蛋白质数据库筛选 甘草泻心汤中各药物的活性成分和靶点基因;利用人类基因(GeneCards)、比较毒理基因组学(CTD) 和人类 在线孟德尔遗传(OMIM) 数据库检索T2DM疾病靶点;利用GeneCards、OMIM数据库检索皮肤损伤疾病靶点, 三者靶点取交集,获得甘草泻心汤-T2DM皮肤损伤交集靶点,制作药物-疾病靶点交集韦恩图。应用Cytoscape 3.9.1 软件绘制甘草泻心汤活性成分-T2DM 皮肤损伤交集靶点网络图, 在蛋白质相互作用(PPI) 关 系(STRING) 数据库中构建PPI网络,再运用Cytoscape 3.9.1软件筛选PPI网络的核心靶点。利用DAVID数据 库进行基因本体(GO) 功能富集分析和京都基因与基因组百科全书(KEGG) 通路富集分析。结果:获得甘草 泻心汤活性成分靶点1 080个,T2DM疾病靶点3 001个,皮肤损伤疾病靶点617个,甘草泻心汤-T2DM皮肤损 伤交集靶点47个。甘草泻心汤活性成分-T2DM皮肤损伤交集靶点网络图显示槲皮素、山柰酚、异鼠李素、光 甘草定、甘草异黄酮是甘草泻心汤治疗T2DM皮肤损伤的重要活性成分;PPI网络分析提示表皮生长因子受 体(EGFR)、肿瘤蛋白53(TP53)、血管内皮细胞生长因子(VEGF)A、连环蛋白β1、基质金属蛋白酶9、表皮生 长因子、张力蛋白同源物、细胞间黏附分子1、转化生长因子β1是甘草泻心汤治疗T2DM皮肤损伤的核心靶 点。GO功能富集分析结果显示甘草泻心汤治疗T2DM皮肤损伤可能通过影响VEGF受体信号通路、对胰岛素的 反应、丝裂原活化蛋白激酶(MAPK) 活性的正向调节、炎症反应、凋亡等生物过程发挥作用。KEGG通路富 集分析结果显示胰腺癌、晚期糖基化终产物及其受体(AGE-RAGE) 信号通路、局灶性黏附、MAPK信号通 路、癌症通路、磷脂酰肌醇3激酶-蛋白激酶B(PI3K-Akt) 等信号通路是甘草泻心汤治疗T2DM皮肤损伤的重 要信号通路。结论:甘草泻心汤中的槲皮素、山柰酚、光甘草定等成分可通过EGFR、MMP9、TP53等多靶点 调控AGE-RAGE、MAPK、PI3K-Akt等信号通路治疗T2DM皮肤损伤。

    Abstract:

    Abstract:Objective:To explore the mechanism of Gancao Xiexin Decoction in treating type 2 diabetes mellitus (T2DM) skin injury based on network pharmacology. Methods: The active ingredients and target genes of each Chinese medicinal of Gancao Xiexin Decoction were screened through TCMSP, Pubchem database, Swiss Target Prediction and Uniprot database; the disease targets of T2DM were retrieved through GeneCards, CTD and OMIM databases, and the disease targets of skin injury were retrieved through GeneCards and OMIM databases. The cross-targets of Gancao Xiexin Decoction and T2DM skin injury were obtained by intersection of the above three groups of targets, and the Venn diagram of medicinal-disease cross-targets was made. Cytoscape 3.9.1 software was used to construct the active ingredients of Gancao Xiexin Decoction-T2DM skin injury cross-targets network graph. The protein-protein interaction (PPI) network was constructed through STRING database,and the core targets of PPI network were screened by Cytoscape 3.9.1 software. The Gene Ontology (GO) function analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were carried out through DAVID database. Results:A total of 1 080 active medicinal targets,3 001 T2DM disease targets,617 skin injury disease targets, and 47 cross-targets of Gancao Xiexin Decoction-T2DM skin injury were obtained. The Gancao Xiexin Decoction-T2DM skin injury cross-targets network graph revealed that quercetin, kaempferol,isorhamnetin glabridin,and licoisoflavone were important active ingredients of Gancao Xiexin Decoction in treating T2DM skin injury. The PPI network analysis revealed that epidermal growth factor receptor (EGFR), tumor protein 53 (TP53), vascular endothelial growth factor A (VEGFA), Catenin β1, matrix metalloproteinase-9, epidermal growth factor, phosphatase and tensin homolog, intercellular adhesion moleclar-1 and transforming growth factor β1 were core targets of Gancao Xiexin Decoction in treating T2DM skin injury. The GO functional enrichment analysis revealed that Gancao Xiexin Decoction in treating T2DM skin injury may play a role by affecting VEGF receptor signaling pathway,response to insulin, positive regulation of mitogen-activated protein kinase (MAPK) activity,inflammatory response,apoptosis and other biological processes. The KEGG pathway enrichment analysis revealed that Gancao Xiexin Decoction may treat T2DM skin injury through pancreatic cancer, advanced glycation end productsreceptor for advanced glycation end product (AGE-RAGE) signaling pathway, focal adhesion, MAPK signaling pathway, pathways in cancer, PI3K-Akt signaling pathway and other important signaling pathways. Conclusion: Quercetin, kaempferol, glabridin and other constituents in Gancao Xiexin Decoction can regulate AGE-RAGE, MAPK, PI3K-Akt and other signaling pathways through EGFR, MMP9,TP53 and other targets in treating T2DM skin injury.

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刘艺芬,陈俊贤,谭宏韬.基于网络药理学探讨甘草泻心汤治疗2 型糖尿病皮肤损伤作用机制[J].新中医,2024,56(21):17-26

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  • 在线发布日期: 2024-11-11
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