首页|周凌治疗慢性鼻窦炎的用药规律及核心方的作用机制

周凌治疗慢性鼻窦炎的用药规律及核心方的作用机制

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目的:基于数据挖掘技术探析周凌治疗慢性鼻窦炎的用药规律,并运用网络药理学方法探究核心方治疗慢性鼻窦炎的作用机制。方法:收集整理周凌治疗慢性鼻窦炎的有效中药处方,运用Microsoft Office Excel 2019建立数据库,进行频数分析;应用IBM SPSS Modeler 18及IBM SPSS Statistics 26软件对处方中的高频药物进行关联规则分析、聚类分析和因子分析,归纳周凌治疗慢性鼻窦炎的组方规律;通过网络药理学方法,探索核心方治疗慢性鼻窦炎的有效成分、靶点及信号通路。结果:共纳入213份处方,涉及中药107味,频数>50的常用药物27味;核心处方由白芷、苍耳子、辛夷、黄芩、浙贝母、蒲公英、连翘、败酱草、桔梗、鱼腥草组成;得到药物-疾病共同靶点101个,对应活性化合物92个,以上靶点对286个生物学过程及131条信号通路产生重要影响,分子对接结果显示关键化合物与核心靶点之间有较强的结合活性。结论:周凌治疗慢性鼻窦炎注重清泄肺热、排脓通窍、祛瘀化浊,兼顾益气补虚。其核心方可能是通过木犀草素、β-谷甾醇、山柰酚等关键成分作用于肿瘤坏死因子(TNF)、白细胞介素-6(IL-6)、IL-1β等核心靶点,同时对调控脂质与动脉粥样硬化、糖尿病并发症中的AGE-RAGE等信号通路产生影响,从而发挥治疗慢性鼻窦炎的作用。
Analysis on ZHOU Ling's Medication Rule and Mechanism of Core Prescription in the Treatment of Chronic Rhinosinusitis
Objective:To summarize and analyze the medication rule of ZHOU Ling's treatment of chronic rhinosinusitis(CRS)based on data mining,and to explore the mechanism of core prescription in the treatment of CRS by network pharmacology.Methods:The effective traditional Chinese medicine prescriptions of ZHOU Ling in treating CRS were collected and sorted out.Microsoft Office Excel 2019 was used to establish a database and analyze the frequency.IBM SPSS Modeler 18 and IBM SPSS Statistics 26 software were used to conduct association rule analysis,cluster analysis and factor analysis of the high-frequency drugs in the prescription,and concluded the formula formation rule of ZHOU ling's treatment of CRS.Through the method of network pharmacology,the effective components,target and signal pathway of core prescription for CRS were explored.Result A total of 213 prescriptions were included,involving 107 traditional Chinese medicines and 27 commonly used drugs with a frequency greater than 50.The core formula was composed of BAizhi(Angelicae Dahuricae Radix),Cangerzi(Xanthii Fructus),Xinyi(Magnoliae Flos),Huangqin(Scutellariae Radix),Zhebeimu(Fritillariae Thunbergii Bulbus),Pugongying(Taraxaci Herba),Lianqiao(Forsythiae Fructus),Baijiangcao(Patriniae Herba),Jiegeng(Platycodonis Radix),and Yuxingcao(Houttuyniae Herba).101 drug disease common targets were identified,corresponding to 92 active compounds.These targets have significant impacts on 286 biological processes and 131 signaling pathways.Molecular docking results showed strong binding activity between key compounds and core targets.Conclusion:ZHOU Ling's treatment of CRS focuses on clearing and relieving lung heat,purulent drainage and opening of the orifices,removing blood stasis and removing turbidity,while also taking into account supplementing Qi and tonifying deficiency.The core formula may be act on tumor necrosis factor(TNF),interleukin-6(IL-6),IL-1β and other core targets through key components such as luteolin,β-sitosterol and kaempferol.It also affect AGE-RAGE and other signal pathways in regulating lipid and atherosclerosis,diabetes complications,so as to play a role in treating CRS.

chronic rhinosinusitisdata miningnetwork pharmacologymedication ruleZHOU Ling

王嘉乐、周凌、王洋洋、刘静丹

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黑龙江中医药大学,黑龙江 哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040

慢性鼻窦炎 数据挖掘 网络药理学 用药规律 周凌

国家自然科学基金面上项目国家中医药管理局全国名老中医药专家传承工作室建设项目

81874495国中医药人教[2022]75号

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(8)