基于网络药理学及实验验证探究参芪解郁方治疗产后抑郁症的作用机制
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国家自然科学基金项目(81804024);中药传承与创新“百千万”人才工程(岐黄工程)岐黄学者(国中医药人教发〔2018〕12号);中华中医药学会名医名家科普工作室建设项目(cacmkpgzs-2022019)


Study on Mechanism of Shenqi Jieyu Formula in Treating Postpartum Depression Based on Network Pharmacology and Experiment
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    目的:基于网络药理学及动物实验分析参芪解郁方治疗产后抑郁症(PPD)的作用机制。方法:利用中药系统药理学数据库与分析平台(TCMSP)和Uniprot数据库对参芪解郁方药物进行成分和靶点的处理收集,再借助GeneCards数据库对疾病靶点进行收集,与药物靶点取“药物-疾病”交集,获得核心靶点,使用String数据库构建蛋白质-蛋白质相互作用(PPI)网络。运用Metascape平台进行基因本体(GO)与京都基因和基因组百科全书(KEGG)信号通路富集分析。最后通过造模和药物对大鼠进行干预后,予以旷场实验、强迫游泳实验和蔗糖水消耗实验进行行为学评估,再利用酶联免疫吸附试验(ELISA)检测各组大鼠血清白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平。结果:筛选到57个参芪解郁方相关活性成分,对应产后抑郁症的潜在作用靶点103个,关键成分有槲皮素、β-谷甾醇、植物甾醇等,核心靶点涉及IL-6、TNF、IL-1β等,主要通过磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/AKT)、雌激素、T细胞抗原受体等通路发挥药效。动物实验显示参芪解郁方可以提高大鼠旷场实验水平得分、垂直得分及蔗糖水消耗量,减少强迫游泳不动时间,降低大鼠血清中IL-1β、IL-6、TNF-α水平。结论:参芪解郁方治疗产后抑郁症具有多通路-多靶点的特性,其机制与参芪解郁方的免疫调节作用有关。

    Abstract:

    To analyze the mechanism of Shenqi Jieyu Formula in the treatment of postpartum depression(PPD) based on network pharmacology and animal experiments.Methods:The TCMSP and Uniprot databases were used to collect the ingredients and targets of Shenqi Jieyu Formula.The targets of disease were then collected from the GeneCards database,and the core targets were obtained by taking the intersection of drug and disease targets.The protein-protein interaction(PPI) network was constructed using the String database.The Metascape platform was used to enrich Gene Ontology(GO) and Kyoto Encyclopedia of Genes and Genomes(KEGG) signaling pathways.Finally,the rats were treated with modeling and drugs and then subjected to open field tests,forced swimming tests,and sucrose water consumption tests,so as to conduct behavioral assessments.The serum IL-1β,IL-6,and TNF-α levels in each group of rats were measured by ELISA.Results:A total of 57 active ingredients of Shenqi Jieyu Formula corresponding to 103 potential targets in the treatment of PPD are screened.The key components are quercetin,β-sitosterol,phytosterols,etc.The core targets involve IL-6,TNF,and IL-1β,which mainly exert their effects through PI3K-AKT,estrogen,T-cell antigen receptor,and other pathways.Animal experiments show that Shenqi Jieyu Formula can increase the horizontal score,vertical score in open field tests,and sucrose water consumption,reduce the immobility time in forced swimming tests,and lower the serum levels of IL-1β,IL-6,and TNF-α in rats.Conclusion:The mechanism of Shenqi Jieyu Formula in the treatment of PPD is characterized by multiple pathways and multiple targets and is related to the immunomodulatory effect of the Shenqi Jieyu Formula.

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刘颖楠,唐启盛,杨歆科,姜圣楠,曲淼.基于网络药理学及实验验证探究参芪解郁方治疗产后抑郁症的作用机制[J].世界中医药,2023,(24).

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  • 收稿日期:2023-03-14
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  • 在线发布日期: 2024-02-28
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