基于网络药理学和体外实验探讨健脾疏肝清化方治疗非酒精性脂肪性肝病的机制
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R575.5

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山东省重点研发计划“重大科技创新工程”项目(2021CXGC010509);国家中医药管理局慢性肝病虚损重点研究室和上海市中医临床重点实验室项目(20DZ2272200);上海市临床重点专科建设项目(shslczdzk01201)


Mechanism of Jianpi Shugan Qinghua Prescription in Treating NAFLD Based on Network Pharmacology and In Vitro Experiments
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    摘要:

    目的:运用网络药理学和体外实验寻找健脾疏肝清化方的主要活性成分及其潜在作用靶点和通路, 初步探讨其治疗非酒精性脂肪性肝病(NAFLD) 的机制。方法:在TCMSP数据库中筛选健脾疏肝清化方中中 药的主要成分和靶点,同时在GeneCards、OMIM、TTD数据库筛选NAFLD相关靶点,两者取交集后得到健脾 疏肝清化方治疗NAFLD的潜在靶点,并通过Cytoscape绘制网络图;String数据库获得蛋白交互作用网络网, 利用Cytoscape寻找核心基因;同时运用R语言clusterProfiler包进行GO、KEGG富集分析;利用AutoDock Tools 进行分子对接模拟靶点蛋白与活性成分的相互作用;运用棕榈酸、油酸构建AML12脂肪变性细胞模型,通过 细胞油红O 染色、细胞内甘油三脂(TG) 测定以及核心靶点的mRNA 相对水平验证健脾疏肝清化方治疗 NAFLD的疗效及机制。结果:①11种中药通过口服利用度(OB) 和类药性(DL) 筛选后,有效活性成分共 210种,其中槲皮素、山柰酚、木犀草素、异鼠李亭、β-谷甾醇及柚皮素为主要活性成分;②健脾疏肝清化方 治疗NAFLD的潜在靶点有119个,其中TNF、AKT1、IL-6、IL-1β、PPARG、TP53为核心靶点;③GO分析显 示活性氧代谢过程的调节(GO: 2000377)、对脂多糖的反应(GO: 0032496)、活性氧代谢过程(GO: 0072593)、对细菌来源分子的反应(GO:0002237)、对药物的反应(GO:0042493) 起关键作用;KEGG富集 分析显示肿瘤坏死因子信号通路、NAFLD、Toll样受体通路、胰岛素抵抗通路等通路可能在治疗中起关键作 用;④分子对接显示槲皮素和IL-1β的结合较好。⑤体外细胞实验表明,健脾疏肝清化方可以降低肝细胞油红 O红染(脂滴) 面积以及细胞内TG水平,同时RT-qPCR表明健脾疏肝清化方能够调控核心靶点的表达。结 论:基于网络药理学和体外实验,健脾疏肝清化方治疗NAFLD可能是槲皮素、山柰酚、木犀草素作用于TNF、 AKT1、IL-6、IL-1β、PPARG、TP53等靶点,通过TNF信号通路、Toll样受体通路、胰岛素抵抗通路发挥作 用,是多组分、多靶点、多通路相互交互的结果。

    Abstract:

    Abstract: Objective: To explore the main active components and potential targets and pathways of Jianpi Shugan Qinghua Prescription by network pharmacology and in vitro experiments,and to preliminarily explore the mechanism of Jianpi Shugan Qinghua Prescription in treating non-alcoholic fatty liver disease (NAFLD). Methods: The main components and targets in Chinese medicinals in Jianpi Shugan Qinghua Prescription were screened in TCMSP database,and NAFLD related targets were screened in GeneCards, OMIM and TTD databases. After the intersection of the above two,the potential targets of Jianpi Shugan Qinghua Prescription in treating NAFLD were obtained,and the network diagram was drawn by Cytoscape. Protein interaction nework diogram was obtained by String database, and core genes were searched by Cytoscape. GO and KEGG enrichment analysis was carried out via the clusterProfiler package of R language. AutoDock Tools was used to simulate the interaction between target proteins and active components. The AML12 steatosis cell model was constructed with palmitic acid and oleic acid. The therapeutic effect and mechanism of Jianpi Shugan Qinghua Prescription in treating NAFLD were verified by cell oil red O staining, intracellular glycerin trilaurate (TG) determination and mRNA relative levels of core targets. Results:1) After oral bioavailability (OB) and drug-likeness (DL) screening, 210 kinds of active components were found in 11 kinds of Chinese medicinals,among which quercetin,kaempferol,luteolin,isorhamnotin,β- sitosterol and naringin were the main active components. 2) There were 119 potential targets in Jianpi Shugan Qinghua Prescription in treating NAFLD,among which TNF,AKT1,IL-6,IL-1β,PPARG and TP53 were the core targets. 3) GO analysis showed that the regulation of reactive oxygen species metabolism (GO: 2000377), response to lipopolysaccharide (GO: 0032496), reactive oxygen species metabolism (GO: 0072593), response to bacteriological molecules (GO: 0002237) and response to drugs (GO: 0042493) played a key role. KEGG enrichment analysis showed that tumor necrosis factor signaling pathway,NAFLD, toll-like receptor pathway, insulin resistance pathway and other pathways might play a key role in treatment. 4) Molecular docking showed that quercetin and IL-1β were well bound. 5) In vitro cell experiments showed that Jianpi Shugan Qinghua Prescription could reduce the area of oil red staining (lipid stain) and intracellular TG levels in liver cells, and RT-qPCR showed that Jianpi Shugan Qinghua Prescription could regulate the expression levels of core targets. Conclusion: Based on network pharmacology and in vitro experiments, the mechanism of Jianpi Shugan Qinghua Prescription in treating NAFLD may be due to the effect of quercetin, kaempferol, luteolin on TNF, AKT1, IL-6, IL-1β, PPARG, TP53 and other targets through TNF signaling pathway, toll-like receptor pathway, and insulin resistance pathway. It is the result of multi-component,multi-target and multi-path interaction.

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惠登城,喻晓凡,孙明瑜.基于网络药理学和体外实验探讨健脾疏肝清化方治疗非酒精性脂肪性肝病的机制[J].新中医,2024,56(21):198-207

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  • 在线发布日期: 2024-11-11
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