基于网络药理学探讨温胆汤加减治疗慢性肾衰竭的作用机制
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洪钦国全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号);广东省省级科技计划项目(2017A020213033);广州中医药大学第一附属医院“创新强院”工程系列项目(2017TD07)


Action Mechanism of Wendan Decoction in the Treatment of Chronic Renal Failure Based on Network Pharmacology
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    目的:基于网络药理学探讨洪钦国教授运用温胆汤加减治疗慢性肾衰竭的潜在药理作用机制。方法:通过中药系统药理学数据库与分析平台(TCMSP)获取温胆汤加减的化学成分、蛋白靶点;在GeneCards数据库上检索慢性肾衰竭相关疾病靶点。将药物所得靶点和疾病相关靶点进行映射交集,初步获得温胆汤加减治疗慢性肾衰竭的潜在作用靶点。运用String平台绘制温胆汤加减治疗慢性肾衰竭的蛋白质-蛋白质相互作用(PPI)网络图,最后在Metascape数据库平台进行基因本体(GO)富集分析和京都基因和基因组百科全书(KEGG)富集分析。结果:经过筛选,从温胆汤加减中可得到活性化合物54种,涉及与慢性肾衰竭相关的靶点81个,药物主要活性成分有β-谷甾醇(Beta-sitosterol)、槲皮素(Quercetin)、大黄酸(Rhein),关键核心靶点包含TNF、JUN、AKT1、IL6、RELA、TP53、MAPK1、VEGFA等。KEGG通路主要有AGE-RAGE、JAK-STAT、NF-κB、IL-17、HIF-1等信号通路。结论:洪钦国教授的经验方温胆汤加减通过多成分、多靶点、多通路发挥对慢性肾衰竭的治疗作用,其潜在机制可能涉及抗炎、抗肾纤维化等通路。

    Abstract:

    To explore the potential mechanism of Professor HONG Qinguo's Wendan Decoction in the treatment of chronic renal failure based on network pharmacology.Methods:We obtained the chemical components and protein targets of Wendan Decoction through the Traditional Chinese Medicine System Pharmacology Database and Analysis Platform (TCMSP); we searched for chronic renal failure-related disease targets on the GeneCards database.The drug targets and disease-related targets were mapped and intersected,and the potential targets of Wendan Decoction for the treatment of chronic renal failure were initially obtained.We used the String platform to draw a protein-protein interaction (PPI) network diagram for the treatment of chronic renal failure with Wendan Decoction,and finally performed gene ontology (GO) enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment on the Metascape database platform.Results:A total of 54 active compounds can be obtained from modified Wendan Decoction,and 81 targets that may be related to chronic renal failure were screened,of which the main active ingredients were β-sitosterol,quercetin,rhein,and the core targets included TNF,JUN,AKT1,IL6,RELA,TP53,MAPK1,VEGFA,etc.KEGG pathway mainly included AGE-RAGE,JAK-STAT、NF-κB,IL-17,HIF-1 etc.and other pathways Conclusion:Professor HONG Qinguo's empirical formula Wendan Decoction has a therapeutic effect on chronic renal failure through multiple components,targets and pathways.The mechanism is mainly related to anti-inflammatory and anti-fibrotic pathways etc.

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梁晓晨,杨鸿权,钟悦,陈刚毅,洪钦国.基于网络药理学探讨温胆汤加减治疗慢性肾衰竭的作用机制[J].世界中医药,2021,(21).

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  • 收稿日期:2020-11-15
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  • 在线发布日期: 2021-12-07
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