首页|疏风活络丸治疗类风湿性关节炎的网络药理学分析及实验研究

疏风活络丸治疗类风湿性关节炎的网络药理学分析及实验研究

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目的:探索疏风活络丸治疗类风湿性关节炎的可能机制。方法:通过TCMSP及相关文献收集疏风活络丸中的化合物,建立化学成分数据库。使用SwissTargetPrediction和PharmMapper数据库检索其作用靶点,并与DisGeNET和GeneCards数据库中的类风湿性关节炎相关靶点进行对比。基于获得的交集靶点构建PPI网络并进行拓扑分析。进行GO和KEGG功能富集分析,并构建"化合物-靶点-通路"网络。小鼠40只,采用随机数字表法分为对照组、阳性对照组(地塞米松1。289 6 mg·kg-1)、疏风活络丸低剂量组(422。5 mg·kg-1)及高剂量组(845 mg·kg-1)。连续灌胃给药4 d后,采用醋酸扭体法观察其镇痛作用。1周后,再次连续灌胃给药4 d,采用二甲苯致耳廓肿胀法观察其抗炎作用。测量耳片厚度和质量评价小鼠耳廓肿胀度。HE染色评估耳廓的病理组织学改变。ELISA试剂盒检测血清IL-1β、IL-6及TNF-α水平。免疫组化染色检测耳组织中IL-1β、IL-6及TNF-α的表达水平。免疫荧光染色检测耳组织中PI3K、AKT及MAPK的表达水平。结果:疏风活络丸中共检索出1 352个化学组分,经筛选确定活性组分为184个。疏风活络丸入血成分的作用靶点为1 514个,而类风湿性关节炎相关靶点为5 211个,共有靶点为858个。PPI网络分析显示,核心靶点为291个,最为核心的包括TNF、CTNNB1、EGFR等。GO和KEGG分析显示,核心靶点主要涉及PI3K-Akt、M APK、Ras等信号通路。与对照组相比,疏风活络丸低、高剂量对乙酸诱导的内脏疼痛感受均具有显著的抑制作用(P<0。01)。疏风活络丸高剂量显著减轻耳廓肿胀小鼠的肿胀度(P<0。05)。耳廓肿胀小鼠耳组织真皮层增厚紊乱,中性粒细胞聚集,疏风活络丸高剂量减少小鼠右耳中性粒细胞数量,真皮层细胞排列较整齐。耳廓肿胀小鼠血清IL-1β、IL-6及TNF-α水平未发生变化(P>0。05),疏风活络丸低、高剂量未影响小鼠血清IL-1β、IL-6及TNF-α水平(P>0。05)。疏风活络丸低、高剂量显著降低小鼠耳组织中升高的IL-1β和IL-6的表达(P<0。05)。疏风活络丸显著降低小鼠耳组织中升高的PI3K、AKT及MAPK的表达(P<0。05)。结论:疏风活络丸可能通过影响PI3K-Akt、MAPK、Ras等信号通路,实现对类风湿性关节炎的治疗作用。体现中药复方通过"多成分-多靶点-多途径"治疗疾病的特点。
Network pharmacology analysis and experimental study of Shufeng Huoluo Pill in the treatment of rheu-matoid arthritis
OBJECTIVE To explore the potential mechanism of Shufeng Huoluo Pill(SHP)in treating rheumatoid arthritis(RA).METHODS Compounds in SHP were collected from Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP)and the relevant literature for establishing a chemical composition database.The databases of Swis-sTargetPrediction and PharmMapper were utilized for harvesting potential targets for comparing RA-related targets from the data-bases of DisGeNET and GeneCards.A protein-protein interaction(PPI)network was constructed with the overlapping targets for topological analysis.GO/KEGG enrichment analyses were performed and a"Compound-Target-Pathway"network was estab-lished.Forty mice were randomized into four groups of control,positive control(dexamethasone 1.289 6 mg·kg-1),low-dose SHP(422.5 mg·kg-1)and high-dose SHP(845 mg·kg-1).After 4-day oral dosing,acetic acid writhing test was utilized for observing analgesic effects.One week later,xylene-induced auricular edema was employed for observing anti-inflammatory effects.Auricular thickness and weight were measured.And auricular histopathological changes were assessed by hematoxylin-eosin(HE)stain.Serum levels of IL-1β,IL-6 and TNF-α were detected by enzyme-linked immunosorbent assay(ELISA).The expression levels of IL-1 β,IL-6 and TNF-α in auricular tissues were evaluated by immunohistochemistry while those of PI3K,AKT and MAPK by immunofluorescence.RESULTS Among 1 352 chemical components of SHP,184 active compo-nents were selected by specific criteria.There were 1 514 identified targets for bioactive components.And 5 211 targets were cor related with RA with an overlap of 858 targets.PPI network analysis revealed 291 core targets,including such prominent ones as TNF,CTNNB1 and EGFR.GO/KEGG analyses indicated the involvement of signaling pathways of PI3K-Akt,MAPK and Ras.As compared with control,low/high-dose SHP blunted acetic acid-induced visceral pain(P<0.01).High-dose dosing could significantly alleviate auricular edema(P<0.05).Pathological changes of thickening and neutrophil aggregation in auricular dermis were mitigated by high-dose dosing.No significant change of serum levels of IL-1β,IL-6 and TNF-α occurred in any group(P>0.05).Low/high-dose SHP could blunt the over-expressions of IL-1β and IL-6 in auricular tissues(P<0.05)and arrest the up-regulations of PI3K,AKT and MAPK(P<0.05).CONCLUSION SHP may exert its therapeutic effects on RA through modulating the signaling pathways of PI3K-Akt,MAPK and Ras,highlighting the multi-component,multi-target and multi-pathway approach of traditional Chinese medicine.

Shufeng Huoluo Pillnetwork pharmacologyrheumatoid arthritis

刘博文、张晨妍、祝伟杰、张亚云、王恒斌、翟云良、孟庆海

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南京中医院大学医学院/整合医学学院,江苏南京 210029

雷允上药业集团有限公司,江苏苏州 215009

疏风活络丸 网络药理学 类风湿性关节炎

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(13)