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基于数据挖掘探究中医治疗放射性皮炎的用药规律及作用机制

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目的 探究中医处方治疗放射性皮炎(Radiodermatitis,RD)的用药规律及作用机制.方法 首先通过中英文数据库检索治疗RD的中医处方,分析处方内所含中药的使用频率和关联规则,总结治疗RD的核心处方.然后通过网络药理学方法探究核心处方的有效成分及治疗RD的潜在靶点与通路,并采用分子对接技术评估潜在靶点与活性成分之间的相互作用.结果 共计筛选出78篇文献,78个中药处方,累计纳入117种中草药.治疗RD的高频药物有紫草、黄柏、黄连、大黄、冰片、黄芩等,药性以寒为主,药味以苦为主,药物归经以肝经、脾经为主,药物功效以清热类为主.关联规则分析显示,"黄芩-黄柏""黄芩-黄连-黄柏""大黄-黄芩-黄连-黄柏"分别是二联至四联中支持度、置信度最高的组合.网络药理学分析核心处方"黄芩-黄连-黄柏-大黄"共计有效成分213个,与RD的交集靶点143个,筛选得5个关键靶点,即JUN、MAPK1、RELA、TP53和AKT1.富集分析结果显示,核心处方治疗RD的机制涉及IL-17、TNF、PI3K-Akt炎症相关信号传导和细胞凋亡途径.分子对接结果显示,槲皮素、芹菜素、汉黄芩素与筛选的潜在靶点具有较好的结合能力.结论 基于数据挖掘,总结出中药治疗RD的核心处方,并通过网络药理学和分子对接研究其治疗RD的潜在有效成分、靶点和相关信号通路,为中药治疗RD的临床应用提供理论依据.
Medication Rules and Mechanisms of Traditional Chinese Medicine in the Treatment of Radiodermatitis Based on Data Mining
Objective To investigate the medication rules and mechanisms of traditional Chinese Medicine(TCM)prescriptions in the treatment of radiodermatitis(RD).Methods Initially,TCM prescriptions for RD were re-trieved from both Chinese and English databases,and the usage frequency and association rules of the Chinese herbs con-tained therein were analyzed to identify core prescriptions for RD treatment.Subsequently,the active components of these core prescriptions and their potential targets and pathways in the treatment of RD were examined through network pharma-cology,and the interactions between potential targets and active components were assessed via molecular docking.Re-sults Seventy-eight articles and 78 TCM prescriptions were screened,encompassing 117 herbal medicines.Frequently used herbs for RD treatment included Radix Arnebiae,Cortex Phellodendri Chinensis,Rhizoma Cptidis,Radix et Rhizoma Rhei,Borneolum Syntheticum,Radix Scutellariae,predominantly characterized by cold properties and bitter taste.These herbs mainly acted on the liver and spleen meridians and were used for their heat-clearing effects.Association rule analy-sis identified Radix Scutellariae-Cortex Phellodendri Chinensis,Radix Scutellariae-Rhizoma Cptidis-Cortex Phelloden-dri Chinensis,and Radix et Rhizoma Rhei-Radix Scutellariae-Rhizoma Cptidis-Cortex Phellodendri Chinensis as the most supported and confident combinations in duplex to quadruplex connections.Network pharmacology of the core pre-scription Radix Scutellariae-Rhizoma Cptidis-Cortex Phellodendri Chinensis-Radix et Rhizoma Rhei revealed 213 ac-tive components intersecting with 143 potential RD targets,which identified five key targets:JUN,MAPK1,RELA,TP53,and AKT1.Enrichment analysis indicated that the mechanisms of the core prescriptions targeting RD involved IL-17,TNF,and PI3K-Akt inflammation-related signaling pathways as well as apoptosis pathways.Molecular docking showed substantial binding affinity between selected potential targets and active components such as quercetin,apigenin,and baica-lein.Conclusion Data mining identified the core TCM prescriptions for RD treatment,and elucidated their potential ac-tive components,targets,and associated signaling pathways through network pharmacology and molecular docking.This pro-vides a theoretical foundation for the clinical application of TCM in treating RD.

RadiodermatitisData miningMedication ruleNetwork pharmacologyMolecular docking

陈佳骏、孙建、方庆亮、庄丽、黄星、鹿振辉、王蕾

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上海中医药大学附属龙华医院呼吸疾病研究所,上海 200030

复旦大学附属妇产科医院乳腺科,上海 200082

上海中医药大学附属龙华医院放疗科,上海 200030

放射性皮炎 数据挖掘 用药规律 网络药理学 分子对接

上海市自然科学基金上海中医药大学附属龙华医院临床科技创新培育项目上海中医药大学附属龙华医院临床医学引导项目

23ZR1463900PY2022002YD202204

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(5)
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