中医肿瘤学杂志2024,Vol.6Issue(1) :70-77.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.011

基于数据挖掘和网络药理学分析中医药干预胃癌术后胃肠功能障碍的用药规律

Analysis on the Medication Rules of Traditional Chinese Medicine in the Treatment of Postoperative Gastrointestinal Dysfunction of Gastric Cancer based on Data Mining and Network Pharmacology

钟会金 陈育忠 李怀玉 陈永晖 陈宇喆
中医肿瘤学杂志2024,Vol.6Issue(1) :70-77.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.011

基于数据挖掘和网络药理学分析中医药干预胃癌术后胃肠功能障碍的用药规律

Analysis on the Medication Rules of Traditional Chinese Medicine in the Treatment of Postoperative Gastrointestinal Dysfunction of Gastric Cancer based on Data Mining and Network Pharmacology

钟会金 1陈育忠 2李怀玉 2陈永晖 1陈宇喆1
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作者信息

  • 1. 广州中医药大学第一临床医学院,广东 广州 510405
  • 2. 广州中医药大学第一附属医院,广东 广州 510405
  • 折叠

摘要

目的 基于数据挖掘和网络药理学分析中医药干预胃癌术后胃肠功能障碍(postoperative gastrointestinal dysfunction,POGD)的用药规律.方法 通过中国知网、万方数据库、维普及中国生物医学文献数据库收集筛选相关文献,进行规范化处理.采用Excel 2019对用药、性味归经进行频次统计,采用IBM Modeler 18.0软件对药物进行关联规则分析,采用IBM SPSS Statistics 26.0软件对高频药物进行聚类分析.构建药物-有效成分-靶点网络及药物与疾病关键靶点蛋白质-蛋白质相互作用(protein-protein interaction,PPI)网络,并进行基因本体(gene ontology,GO)富集分析与京都基因与基因组百科全书(Kyoto encyclopedia of genes and genomes,KEGG)通路富集分析.结果 共纳入处方61首,涉及中药118味.使用频次前四味为白术、甘草、陈皮、茯苓;四气分布以温为主,兼以平、寒,五味分布以甘为主,兼以苦、辛;归经频次分布以脾为主,肺、胃次之.关联规则分析结果显示,强关联药组合有13对,如"白术-茯苓""白术-陈皮"等.高频药物可聚为3类.共筛选出白术-茯苓潜在活性成分26个,靶点362个,药物与疾病交集关键靶点137个,将肿瘤坏死因子(tumor necrosis factor,TNF)、过氧化物酶体增殖物激活受体γ(peroxisome proliferator activated receptor γ,PPARG)、前列腺素内过氧化物合酶2(prostaglandin endoperoxide synthase 2,PTGS2)等作为关键靶点,磷酸肌醇3激酶-蛋白激酶B(phosphoinositide 3-kinase-protein kinase B,PI3K-AKT)、丝裂原活化蛋白激酶(mitogen activated protein kinase,MAPK)等信号通路是核心药物组合治疗POGD的潜在信号通路.结论 中医药治疗胃癌POGD以温补为主,从脾肺论,重视气机调畅,标本兼顾,其中白术-茯苓可能是治疗胃癌POGD的核心药物组合.

Abstract

Objective To analyze the medication rules of traditional Chinese medicine(TCM)in the treatment of postoperative gastrointestinal dysfunction(POGD)of gastric cancer based on data mining and network pharmacology.Methods Relevant literature was collected and screened in CNKI,Wanfang,VIP,CBM and to be processed with standardization.Excel 2019 was used to perform frequency statistics on medication,nature,flavor,and meridian tropism.IBM Modeler 18.0 software was used for association rule analysis of drugs,and IBM SPSS Statistics 26.0 software was used for cluster analysis of high-frequency drugs.Drug-active ingredient-target network and drug-disease key target protein-protein interaction(PPI)network were constructed.Gene ontology(GO)enrichment analysis and Kyoto encyclopedia of genes and genomes(KEGG)pathway enrichment analysis were performed.Results A total of 61 prescriptions were included,involving 118 herbs.The top four herbs with highest frequency were Largehead Atractylodes Rhizome,Glycyrrhizae Radix et Rhizoma,Citri Reticulatae Pericarpium,Poria.The distribution of four nature was mainly based on warm,combined with mild and cold.The distribution of five flavors was mainly based on sweet,combined with bitterness and pungent.The frequency distribution of meridian tropism was mainly based on spleen,followed by lung and stomach.The analysis of association rules showed that there were 13 pairs of couplet medicines with strong association,such as"Largehead Atractylodes Rhizome-Poria"and"Largehead Atractylodes Rhizome-Citri Reticulatae Pericarpium".High frequency drugs could be classified into three categories.A total of 26 potential active ingredients with 362 targets as well as 137 key targets of drug-disease intersection were selected from Largehead Atractylodes Rhizome-Poria.Tumor necrosis factor(TNF),peroxisome proliferator activated receptors γ(PPARG),and prostaglandin endoperoxide synthase 2(PTGS2)were selected as key targets,while phosphoinositide 3-kinase-protein kinase B(PI3K-AKT)and mitogen activated protein kinase(MAPK)were considered as the potential signaling pathways of core drug combination in the treatment of POGD.Conclusion TCM treatment for POGD of gastric cancer mainly focuses on warming and tonifying from the perspective of spleen and lung,emphasizing the regulation of qi activity,and underlining both symptoms and root causes.Largehead Atractylodes Rhizome-Poria may be the core drug combination for treating POGD of gastric cancer.

关键词

胃癌/术后胃肠功能障碍/组方用药/数据挖掘/网络药理学

Key words

gastric cancer/postoperative gastrointestinal dysfunction/prescription medication/data mining/network pharmacology

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基金项目

广东省中医药管理局项目(20231125)

出版年

2024
中医肿瘤学杂志

中医肿瘤学杂志

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