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基于抗炎作用研究凉膈散及其清上、泄下拆方的配伍机制

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目的:基于网络药理学和斑马鱼炎症模型探讨凉膈散及其清上、泄下拆方的抗炎作用及配伍机制.方法:通过三种斑马鱼炎症模型、生存曲线分析和组织病理切片实验,验证凉膈散及其清上、泄下拆方的抗炎作用.运用TCMSP数据库筛选出凉膈散及其清上、泄下拆方的有效化学成分及对应靶点,通过GeneCards、DisGeNET等数据库检索炎症相关靶点,将凉膈散及其清上、泄下拆方的有效化学成分靶点与炎症靶点取交集,运用STRING数据库对交集靶点构建蛋白质-蛋白质相互作用(PPI)网络,采用Da-vid数据库对潜在靶点进行基因本体论(GO)富集分析和京都基因与基因组百科全书(KEGG)通路富集分析.采用实时荧光定量PCR法检测关键靶点的基因表达情况.结果:斑马鱼炎症模型实验结果表明,与正常对照组比较,模型对照组斑马鱼中性粒细胞显著向损伤部位迁移聚集,卵黄囊显微注射LPS后存活时间缩短,死亡率显著升高(P<0.01);与模型对照组比较,地塞米松、不同浓度凉膈散、清上和泄下方均能显著抑制炎症反应,减少中性粒细胞的迁移,延长卵黄囊显微注射LPS后斑马鱼的存活时间,提高其生存率(P<0.05或P<0.01);与凉膈散全方相比,清上、泄下方抑制中性粒细胞迁移的作用减弱(P<0.05或P<0.01),且两拆方表现出协同作用(CI<1),清上、泄下方对LPS注射斑马鱼卵黄囊后的生存保护作用减弱(P<0.01),凉膈散全方作用最佳.网络药理学分析结果显示,凉膈散全方有176个有效化学成分,如连翘苷、槲皮素、山柰酚、木犀草素等,对应266个靶点;清上方有74个有效化学成分,如栀子苷、槲皮素、汉黄芩素、刺槐素等,对应233个靶点;泄下方有109个有效化学成分,如大黄素、大黄酸、谷甾醇等,对应234个靶点.炎症性疾病相关靶点有10933个.两者交集靶点共168个.通过PPI网络图筛选出核心靶点有蛋白激酶B(AKT1)、肿瘤蛋白p53(TP53)、肿瘤坏死因子(TNF)、白介素-6(IL-6)、血管内皮生长因子(VEGF)等.GO功能分析结果表明凉膈散及其清上、泄下拆方中的活性成分与RNA聚合酶Ⅱ转录正调节、调控基因表达和药物反应等生物过程,质膜、胞外区域、胞液等细胞组成,蛋白质结合、酶结合等分子功能密切相关.KEGG通路富集分析发现凉膈散及其清上、泄下拆方可通过癌症通路、AGE-RAGE通路、脂质与动脉粥样硬化、流体剪切应力与动脉粥样硬化、化学致癌-受体激活等通路发挥抗炎作用.实时荧光定量PCR结果表明,与正常对照组比较,模型对照组炎症因子Tnfα、Il6 mRNA表达显著上调(P<0.01),Akt mRNA表达显著下调(P<0.01);与模型对照组比较,凉膈散及其清上、泄下拆方均可显著下调炎症因子Tnfα、Il6 mRNA的表达(P<0.01),凉膈散能显著上调Akt mR-NA表达(P<0.05).结论:凉膈散及其清上、泄下拆方均具有显著抗炎作用且两拆方表现出协同作用,其作用机制与关键靶点TNF、IL-6、AKT相关.
Compatibility Mechanisms of Liangge San (凉膈散) and Its Qingshang (清上) or Xiexia (泄下) Decomposed Prescription Based on Its Anti-Inflammatory Effects
Objective:To investigate the anti-inflammatory effects and compatibility mechanisms of Liangge San (凉膈散) and its Qingshang (清上) or Xiexia (泄下) decomposed prescription based on network pharmacology and zebrafish inflammation model.Methods:Three zebrafish inflammation models,survival analysis,and histopathological section experiment were used to verify the anti-inflammatory effects of Liangge San and its Qingshang or Xiexia decomposed prescription.The TCMSP database was used to screen out the effective chemical constituents and corresponding targets of Liangge San and its Qingshang or Xiexia decomposed prescription.Inflammation-related targets were searched in da-tabases such as GeneCards and DisGeNET,and the intersection of the effective chemical constituent targets of Liangge San and its Qingshang or Xiexia decomposed prescription and inflammation targets was selected.The STRING database was used to construct a protein-protein inter-action (PPI) network for the intersecting targets.Gene ontology (GO) enrichment analysis and Kyoto encyclopedia of genes and genomes (KEGG) pathway enrichment analysis were performed on potential targets using the David database.Real-time fluorescence quantification polymerase chain reaction (PCR) was used to detect the gene expression levels of key targets.Results:The experimental results of the ze-brafish inflammation model showed that compared with the normal control group,neutrophils of the zebrafish migrated to the injured site signif-icantly,the survival time was shortened after microinjection of LPS into the yolk sac,and the mortality rate was significantly increased in the model group (P<0.01).Compared with the model group,dexamethasone and different concentrations of Liangge San and its Qingshang or Xiexia decomposed prescription could significantly inhibit the inflammatory response,reduce the migration of neutrophils,prolong the survival time of zebrafish after microinjection of LPS into yolk sac,and improve the survival rate (P<0.05 or P<0.01).Compared with the Liangge San prescription,the inhibitory effect of its Qingshang or Xiexia decomposed prescription on neutrophil migration was weakened (P<0.05 or P<0.01),and both decomposed prescriptions showed synergistic effects (CI<1).The protective effect of Qingshang or Xiexia decomposed pre-scription on survival of zebrafish yolk sac injected with LPS was weakened (P<0.01),while Liangge San had the best effect.The results of network pharmacological analysis showed that there were 176 effective chemical constituents in Liangge San,such as phillyrin,quercetin,kaempferol,and luteolin,corresponding to 266 targets.A total of 74 effective chemical constituents in Qingshang prescription were detected,such as geniposide,quercetin,wogonin,and locution,corresponding to 233 targets.There were also 109 effective chemical constituents in Xiexia prescription,such as emodin,rhein,and sitosterol,corresponding to 234 targets.A total of 10933 inflammatory disease-related targets and 168 intersecting targets were found.Through the PPI network diagram,core targets were identified,such as protein kinase B (AKT1),tumor protein p53 (TP53),tumor necrosis factor (TNF),interleukin-6 (IL-6),and vascular endothelial growth factor (VEGF).GO func-tional analysis suggested that the active ingredients in Liangge San and its Qingshang or Xiexia decomposed prescription were closely related to biological processes such as positive regulation of RNA polymerase Ⅱ transcription and regulation of gene expression and drug response,cell composition such as plasma membrane,extracellular region,and cytosol,and molecular functions such as protein binding and enzyme binding.KEGG pathway enrichment analysis revealed that Liangge San and its Qingshang or Xiexia decomposed prescription showed anti-inflammatory effects through the cancer pathway,AGE-RAGE pathway,lipids and atherosclerosis,fluid shear stress and atherosclerosis,chemical carcino-gene-receptor activation,and other pathways.The results of real-time quantitative PCR showed that compared with the normal control group,the mRNA expression of inflammatory factors Tnfα and Il6 in the model group was significantly up-regulated (P<0.01),and the mRNA ex-pression of Akt was significantly down-regulated (P<0.01).Compared with the model group,Liangge San and its Qingshang or Xiexia decom-posed prescription could significantly reduce the mRNA expression of Tnfα and Il6 (P<0.01),while Liangge San significantly up-regulated the mRNA expression of Akt (P<0.05).Conclusion:Liangge San and its Qingshang or Xiexia decomposed prescription have significant anti-inflammatory effects,and both decomposed prescriptions show a synergistic effect.The mechanism may be related to the key targets TNF,IL-6,and AKT.

Liangge San (凉膈散)InflammationTherapeutic methodNetwork pharmacologyZebrafish

姜丽、邹丽芳、郑晓婵、郭新邓、梁芷晴、余林中、刘俊珊

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南方医科大学中医药学院广东省中药制剂重点实验室,广州 510515

凉膈散 炎症 治法 网络药理学 斑马鱼

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(9)
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