首页|吕绍光治疗多囊卵巢综合征伴不孕用药规律及机制研究

吕绍光治疗多囊卵巢综合征伴不孕用药规律及机制研究

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目的:结合数据挖掘、网络药理学和分子对接技术探究全国名中医吕绍光临床治疗多囊卵巢综合征(Polycystic ovary syndrome,PCOS)伴不孕的用药规律及作用机制.方法:采用古今医案云平台对吕绍光门诊近1年来治疗PCOS不孕症的中药处方进行分析,得出核心组方;将核心组方运用TCMSP数据库及相关文献获取各药物有效成分的靶点,同时利用公共数据库获取疾病靶点并取两者交集基因.利用String数据库构建蛋白质-蛋白质互作网络并利用Cytoscape中插件筛选核心靶点.将核心组方置入Metascape平台进行GO富集分析和KEGG富集分析同时筛选通路,利用Cytoscape软件构建"中药-关键成分-靶点-通路"网络进行分析并对关键活性成分进行筛选.通过分析以上所得获取的关键成分及靶点进行分子对接预测.结果:筛选获得验案413例(排卵前验案182例,排卵后验案231例),共收方334首,用药170味,获得2个核心方.2个核心方的核心靶点均涉及CAPS3、IL6、PTGS2、STAT3、TNF、TP53、VEGFA等,关键活性成分均包括槲皮素、山奈酚、β-谷甾醇等,KEGG通路均富集于肿瘤、PI3K-Akt途径、AGE-RAGE途径、HIF-1途径等信号通路中.分子对接表明关键成分与关键靶点均能稳定结合且结合活性强.结论:吕绍光主任治疗PCOS不孕的用药规律,即"补肾"贯穿始终,药物多期通用,月经前半期以养血补肾活血为主,月经后半期处方以补肾养血,固益冲任为主,并初步揭示了吕主任治疗PCOS不孕用药的多靶点、多途径的作用机制,为临床应用提供基础.
Based on Data Mining and Network Pharmacology,the Drug use Rules and Mechanisms of National Famous Chinese Medicine Doctor LV Shaoguang in the Treatment of Polycystic Ovary Syndrome with Infertility were Explored
Objective:To explore the medication rules and mechanism of action of LV Shaoguang,a famous Chi-nese medicine doctor in the treatment of polycystic ovary syndrome with infertility,by combining data mining,network pharmacology and molecular docking technology.Methods:The traditional Chinese medicine prescriptions used by LV Shaoguang in the clinic for the treatment of polycystic ovary syndrome with infertility in the past year were analyzed us-ing the ancient and modern medical records cloud platform to obtain the core formula;the core formula was used to ob-tain the targets of the active ingredients of each drug using the TCMSP database and related literature,and the disease targets were obtained using the public database and the intersection genes of the two were taken.The protein-protein interaction network was constructed using the String database and the core targets were screened using the Cytoscape plug-in.The core formula was placed in the Metascape platform for GO enrichment analysis and KEGG enrichment analysis and pathway screening.The"traditional Chinese medicine-key ingredients-targets-pathways"network was constructed using Cytoscape software for analysis and key active ingredients were screened.Molecular docking predic-tion was performed on the key ingredients and targets obtained by analyzing the above results.Results:A total of 413 cases were screened(182 cases before ovulation and 231 cases after ovulation),334 prescriptions were collected,170 drugs were used,and 2 core prescriptions were obtained.The core targets of the two core prescriptions involved CAPS3,IL6,PTGS2,STAT3,TNF,TP53,VEGFA,etc.The key active ingredients included quercetin,kaempferol,β-sitosterol,etc.The KEGG pathways were enriched in signaling pathways such as tumor,PI3K-Akt pathway,AGE-RAGE path-way,HIF-1 pathway,etc.Molecular docking showed that the key components could stably bind to the key targets and the binding activity was strong.Conclusion:The medication rule of Director LV Shaoguang in treating PCOS infertility is"tonifying the kidney"throughout,and the drugs are universal in multiple periods.In the first half of menstruation,the prescription is mainly to nourish the blood,tonify the kidney and activate blood circulation,and in the second half of menstruation,the prescription is mainly to tonify the kidney and nourish the blood,and strengthen the Chong and Ren meridians.The multi-target and multi-pathway mechanism of action of Director LV Shaoguang's medication for treating PCOS infertility is preliminarily revealed,providing a basis for clinical application.

Network pharmacologyData miningMolecular dockingPolycystic ovary syndromeInfertilityLV Shaoguang

陈雪鲤、林洁、杨娟、陈荟宇、林彤、吕绍光、许金榜

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福建省妇幼保健院 福建医科大学妇儿临床医学院 福建福州 350001

福建医科大学省立临床医学院 福建福州 350001

网络药理学 数据挖掘 分子对接 多囊卵巢综合征 不孕 吕绍光

国家自然科学基金福建省科技创新联合资金攀登项目第2届全国名中医吕绍光传承工作室建设项目

820745422020Y9138国中医药办人教函[2022]245号

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(7)
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