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基于网络药理学探讨化痰通络汤治疗脑卒中的作用机制

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目的 通过网络药理学技术分析化痰通络汤干预脑卒中的作用机制。方法 通过中药系统药理学数据库与分析平台(TCMSP)及BATMAN-TCM数据库筛选出化痰通络汤的有效成分和潜在作用靶点,利用人类基因数据库(GeneCards)和在线人类孟德尔遗传数据库(OMIM)筛选出脑卒中相关的靶点,基于在线软件Venny分析获得化痰通络汤与脑卒中的共同靶点,并使用Cytoscape软件构建"化痰通络汤—脑卒中共同靶点的可视化网络关系图,应用STRING数据库构建蛋白相互作用(PPI)网络图,并对共同靶点进行PPI网络拓扑分析,筛选出核心靶点。利用Rstudio软件对共同靶点各选取前10位GO分析和前20位KEGG通路富集分析进行可视化构建。最后通过Cyto-scape软件构建KEGG通路关系网络图。结果 从数据库中筛选出化痰通络汤109个有效成分和294个对应靶点,与脑卒中共同的靶点有158个,其中核心靶点23个。谷甾醇、豆甾醇、汉黄芩素、柚皮素等为化痰通络汤主要有效成分。核心靶点包括TP53、CCL2、HIF1A、ESR1等。GO富集分析主要涉及对外来刺激的反应、对缺氧的反应、对氧气水平的反应等生物过程。KEGG通路富集分析显示,脂质和动脉粥样硬化、AGE-RAGE信号通路、cAMP信号通路、细胞凋亡等可能是化痰通络汤干预脑卒中的作用机制。结论 化痰通络汤可能通过多种成分作用于不同靶点,通过调节脂质、抑制细胞凋亡、减轻炎症、保护血管等通路发挥对脑卒中的治疗作用。
Exploration into the mechanism of Huatan Tongluo decoction in the treatment of cerebral stroke based on network pharmacology
Objective To analyze the mechanism of Huatan Tongluo decoction in the intervention of cerebral stroke by network pharmacology.Methods The effective components and potential targets of Huatan Tongluo decoction were screened through TCM System Pharmacology Database and Analysis Platform(TCMSP)and BATMAN-TCM database,and the cerebral stroke related targets were screened using human gene database(GeneCards)and online human Mendelian ge-netic database(OMIM).The common target of Huatan Tongluo decoction and cerebral stroke were obtained based on the online software Venny analysis,and Cytoscape software was used to construct the visual network diagram of Huatan Ton-gluo decoction-cerebral stroke common target.The protein interaction(PPI)network diagram was constructed by using STRING database,and the PPI network topology analysis was carried out on the common target.Screen out the core tar-get.Rstudio software was used to visually construct the top 10 GO analysis and the top 20 KEGG path enrichment analysis of the common target.Finally,the KEGG pathway relationship network diagram was constructed by Cytoscape software.Results A total of 109 active components and 294 corresponding targets of Huatan Tongluo decoction were selected from the database,158 targets were common with stroke,among which 23 were core targets.Sitosterol,stigmasterol,baicalein and naringin were the main effective components of Huatan Tongluo decoction.Core targets include TP53,CCL2,HIF1A,ESR1,etc.GO enrichment analysis mainly involved biological processes such as response to xenobiotic stimulus,response to decreased oxygen levels,and response to oxygen levels.KEGG pathway enrichment analysis showed that lipid and atherosclerosis,AGE-RAGE signaling pathway,cAMP signaling pathway,apoptosis may be the mechanism of Huatan Tongluo decoction in the intervention of cerebral stroke.Conclusion Huatan Tongluo decoction may act on different tar-gets through various components,and play a therapeutic role in stroke by regulating lipid,inhibiting apoptosis,reducing inflammation,protecting blood vessels and other pathways.

huatan tongluo decoctioncerebral strokenetwork pharmacologymechanism

徐水婷

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南宁市第二人民医院中医科,广西南宁 530000

化痰通络汤 脑卒中 网络药理学 作用机制

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(5)