首页|心通制剂"异病同治"冠心病和糖尿病的作用机制研究

心通制剂"异病同治"冠心病和糖尿病的作用机制研究

Mechanism of the"Same Treatment of Different Diseases"of Xintong Preparation for Coronary Heart Disease and Diabetes Mellitus

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目的:本研究以中医"异病同治"理念为指导,借助网络药理学和分子对接技术,探讨心通制剂在治疗冠心病和糖尿病过程中的药理作用机制.方法:通过中药系统药理学数据库(TCMSP)和文献检索心通制剂组方药物化学成分,利用SwissTargetPrediction得到药物靶点,在GeneCards、TTD数据库获取冠心病、糖尿病的靶点,运用Cytoscape 3.9.1构建"药物-成分-靶点"网络图.利用STRING数据库构建蛋白相互作用(PPI)网络,并利用DAVID数据库进行基因本体论(GO)和京都基因与基因组百科全书(KEGG)富集分析.最后进行分子对接.结果:共筛选出心通制剂治疗冠心病和糖尿病的潜在活性成分90个,对应121个靶点.分析药物-成分-靶点网络图筛选出主要的活性成分:槲皮素、黄芪甲苷、大黄素、淫羊藿苷、阿魏酸.PPI网络分析筛选出关键靶点:信号转导和转录激活因子3(STAT3)、肿瘤蛋白p53(TP53)、肿瘤坏死因子(TNF)、丝氨酸/苏氨酸蛋白激酶1(AKT1)、白细胞介素6(IL-6)、血管内皮生长因子A(VEGFA).分子对接结果显示,关键成分与核心靶点具有良好的结合能力.结论:心通制剂中多种活性成分通过多靶点、多途径发挥"异病同治"冠心病和与糖尿病的作用,为进一步的实验研究和临床研究提供新的思路及理论依据.
Objective:Guided by the traditional Chinese medicine concept of"treating different diseases with the same method,"this study utilizes network pharmacology and molecular docking techniques to analyze the pharmacological mechanisms of action of Xintong preparations in the treatment of coronary heart disease and diabetes.Methods:The chemical components of the Xintong preparation were retrieved from the Traditional Chinese Medicine Systems Pharmacology(TCMSP)database and literature searches.Drug targets were obtained using SwissTargetPrediction,and targets for coronary heart disease and diabetes were retrieved from the GeneCards database and TTD database.The"drug-component-target"network diagram was constructed using Cytoscape 3.9.1.The protein-protein interaction(PPI)network was constructed using the STRING database,and Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses were performed using the DAVID database.Finally,molecular docking was conducted.Results:A total of 90 potential active ingredients were screened out for the treatment of coronary heart disease and diabetes by Xintong preparations,corresponding to 121 targets.Analysis of the drug-component-target network diagram identified the main active components,including quercetin,astragaloside Ⅳ,emodin,icariin,and ferulic acid.PPI network analysis identified key targets,including signal transducer and activator of transcription 3(STAT3),tumor protein p53(TP53),tumor necrosis factor(TNF),serine/threonine-protein kinase 1(AKT1),interleukin-6(IL-6),and vascular endothelial growth factor A(VEGFA).Molecular docking results showed that the key components had good binding capabilities with the core targets.Conclusion:Multiple active components in Xintong preparations exert the effects of"treating different diseases with the same method"for coronary heart disease and diabetes through multiple targets and pathways,providing new insights and theoretical basis for further experimental and clinical research.

same treatment of different diseaseXintong preparationcoronary heart diseasediabetes mellitusnetwork pharmacology

申凤霞、唐云峰、赵利枝、严琴琴、周冰、马云、李倩、关永霞、范建伟

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鲁南制药集团股份有限公司经方与现代中药融合创新全国重点实验室,山东临沂 276006

鲁南厚普制药有限公司,山东临沂 276006

异病同治 心通制剂 冠心病 糖尿病 网络药理学

2024

巴楚医学
三峡大学

巴楚医学

ISSN:2096-6113
年,卷(期):2024.7(4)