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半夏泻心汤治疗化疗性肠黏膜炎的作用机制探讨

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目的:基于网络药理学,探讨半夏泻心汤治疗化疗性肠黏膜炎(CIM)的潜在分子作用机制,为其临床应用及研发提供参考.方法:采用TCMSP数据库检索获取半夏泻心汤的有效活性成分及其潜在的作用靶点,运用GeneCards、OMIM、TTD、Drugbank数据库检索CIM相关靶点,将两者取交集,获得半夏泻心汤治疗CIM的潜在靶点,通过CytoScape 3.6.1软件绘制"半夏泻心汤-活性成分-CIM靶点"网络图,利用STRING 11.0数据库构建交集靶点的蛋白互作网络图,筛选出网络中的关键蛋白.利用DAVID数据库对核心靶点进行GO和KEGG富集分析.最后,利用PDB平台将半夏泻心汤关键化学成分与核心靶点进行分子对接.结果:筛选共获得275种活性成分,99个半夏泻心汤治疗CIM靶点,富集分析后得到564个GO相关条目,115条相关信号通路.分子对接结果证明,半夏泻心汤主要活性成分与核心靶点EGFR、TNF、IL6具有较好的亲和力.结论:半夏泻心汤可能通过TNF、EGFR、IL6作用靶点发挥治疗CIM的作用,山奈酚、槲皮素、黄芩素可能是其发挥作用的主要活性成分.
Network Pharmacology Prediction and Molecular Docking-based Strategy to Explore the Potential Mechanism of Banxia Xiexin Decoction Against Chemotherapy-induced Intestinal Mucositis
Objective: Based on network pharmacology, to explore the potential molecular mechanism of Banxia Xiexin Decoction in the treatment of chemotherapy-induced intestinal mucositis (CIM), and to provide reference for its clinical application and research and development. Methods: TCMSP database was used to search to obtain the effective active ingredients and potential targets of Banxia Xiexin Decoction, GeneCards, OMIM, TTD, and Drugbank databases were used to search for CIM-related targets, and the intersection of the two was used to obtain Banxia Xiexin Decoction.To identify the potential targets of decoction for treating CIM, we used CytoScape 3.6.1 software to draw the "Banxia Xiexin decoction-active ingredient-CIM target" network diagram, and used the STRING 11.0 database to construct a protein interaction network diagram of intersection targets and screen out the network. key proteins in. GO and KEGG enrichment analysis of core targets was performed using the DAVID database. Finally, the PDB platform was used to conduct molecular docking of the key chemical components of Banxia Xiexin Decoction and the core targets. Results: A total of 275 active ingredients and 99 Banxia Xiexin Decoction targets for treating CIM were obtained through screen-ing. After enrichment analysis, 564 GO related entries and 115 related signaling pathways were obtained. Molecular docking results prove that the main active ingredients of Banxia Xiexin Decoction have good affinity with the core tar-gets EGFR, TNF, and IL6. Conclusion: Banxia Xiexin Decoction may play a role in treating CIM through TNF, EGFR, and IL6 targets, and kaempferol, quercetin, and baicalein may be its main active ingredients.

Banxia Xiexin DecoctionChemotherapy-induced intestinal mucositisNetwork pharmacologyMolecular dockingMechanism of action

陈孟瑶、肖晓燕、苏联麟、王雅慧、颜帅

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南京中医药大学附属苏州市中医医院 江苏苏州 215009

南京中医药大学药学院 江苏南京 210023

半夏泻心汤 化疗性肠黏膜炎 网络药理学 分子对接 作用机制

南京中医药大学自然科学基金苏州市姑苏卫生人才项目苏州市科技发展计划(医疗卫生科技创新-应用基础研究)项目

XZR2020038GSWS2020085SKJY2021136

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(3)
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