|
基于网络药理学及分子对接技术探究润肺益肾饮治疗糖尿病肾病的作用机制
|
Abstract:
目的:利用网络药理学方法来探讨润肺益肾饮治疗糖尿病肾病的作用机制。方法:通过TCMSP数据库获取润肺益肾饮的主要化学成分及其靶点,并运用UniProt数据库和SwissTargetPrediction数据库对靶点信息进行矫正和补充;通过Genecards数据库,筛选糖尿病肾病的相关靶点;利用bioinformatics网站,获取药物和疾病的交集靶点;通过Cytoscape 3.9.1软件构建“药物–成分–靶点”网络;采用STRING数据库构建PPI网络,获取关键靶点;对交集靶点进行基因本体论(GO)和京都基因和基因组百科全书(KEGG)通路富集分析;此外,通过分子对接实验对核心成分和关键靶点进行对接验证。结果:通过筛选得到润肺益肾饮活性成分56个以及相应的作用靶点630个,得到糖尿病肾病相关的基因靶点1022个,二者共同靶点172个。进一步网络分析显示,主要活性成分为β-谷甾醇、槲皮素、花生四烯酸、啤酒甾醇等;关键靶点为SRC、STAT3、MAPK3、MAPK1、AKT1、EGFR等;KEGG富集分析交集靶点主要富集在AGE-RAGE信号通路中;分子对接结果显示核心成分与核心靶点具有较好的构象。结论:润肺益肾饮对于糖尿病肾病的治疗具有多成分、多靶点、多通路的特点,可能通过抑制炎症、抗纤维化、调控自噬等发挥治疗糖尿病肾病的作用。
Objective: this paper uses network pharmacology to explore the mechanism of Runfei Yishen Decoction in the treatment of diabetes nephropathy by network pharmacology. Methods: The main chemical components and targets of Runfei Yishen Decoction were obtained through TCMSP database, and the target information was corrected and supplemented by UniProt database and SwissTargetPrediction database. Through the Genecards database, relevant targets of diabetic nephropathy were screened; use the Bioinformatics website to access targets at the intersection of drugs and diseases; build a drug-ingredient-target network through Cytoscape 3.9.1 software; the STRING database is used to construct a PPI network to obtain key targets. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis of intersection targets; in addition, the core components and key targets were verified by molecular docking experiments. Results: Through screening, 56 active ingredients and 630 corresponding targets were obtained, and 1022 gene targets related to diabetic nephropathy were obtained, and 172 common targets were obtained. Further network analysis showed that the main active ingredients were beta-sitosterol, quercetin, arachidonic acid (AA), cerevisterol, etc. The key targets are SRC, STAT3, MAPK3, MAPK1, AKT1, EGFR, etc. The key targets of KEGG enrichment analysis were mainly enriched in the AGE-RAGE signaling pathway. The results of molecular docking showed that the core components and the core targets had good conformation. Conclusion: Runfei Yishen Decoction has the characteristics of multi-component, multi-target and multi-pathway for the treatment of diabetic nephropathy, and may play a role in the treatment of diabetic nephropathy by inhibiting inflammation, anti-fibrosis and regulating autophagy.
[1] | Huang, R., Zhang, M., Tong, Y., Teng, Y., Li, H. and Wu, W. (2022) Studies on Bioactive Components of Red Ginseng by UHPLC-MS and Its Effect on Lipid Metabolism of Type 2 Diabetes Mellitus. Frontiers in Nutrition, 9, Article ID: 865070. https://doi.org/10.3389/fnut.2022.865070 |
[2] | Ogurtsova, K., da Rocha Fernandes, J.D., Huang, Y., Linnenkamp, U., Guariguata, L., Cho, N.H., Cavan, D., Shaw, J.E. and Makaroff, L.E. (2017) IDF Diabetes Atlas: Global Estimates for the Prevalence of Diabetes for 2015 and 2040. Diabetes Research and Clinical Practice, 128, 40-50. https://doi.org/10.1016/j.diabres.2017.03.024 |
[3] | NCD Risk Factor Collaboration (NCD-RisC) (2016) Worldwide Trends in Diabetes since 1980: A Pooled Analysis of 751 Population-Based Studies with 4.4 Million Participants. The Lancet (London, England), 387, 1513-1530. |
[4] | 陈锐, 陈德经, 张建新. 西洋参多糖肽对糖尿病小鼠降血糖血脂及抗氧化作用研究[J]. 西北农业学报, 2013, 22(11): 195-201. |
[5] | Samsu, N. (2021) Diabetic Nephropathy: Challenges in Pathogenesis, Diagnosis, and Treatment. BioMed Research International, 2021, Article ID: 1497449. https://doi.org/10.1155/2021/1497449 |
[6] | Wan, F., Ma, F., Wu, J., Qiao, X., Chen, M., Li, W. and Ma, L. (2022) Effect of Lyciumbarbarum Polysaccharide on Decreasing Serum Amyloid A3 Expression through Inhibiting NF-κB Activation in a Mouse Model of Diabetic Nephropathy. Analytical Cellular Pathology (Amsterdam), 2022, Article ID: 7847135.
https://doi.org/10.1155/2022/7847135 |
[7] | 刘羽飞, 任晋玉, 贠捷, 宋业旭, 宋立群. 从肺论治慢性肾衰竭初探[J]. 中医药学报, 2022, 50(3): 5-8. |
[8] | 刘涛, 王刚, 吕奇, 陈小娟, 张文菲, 熊玮. 润肺益肾饮联用左卡尼汀对尿毒症维持性血液透析患者营养不良、微炎症状态和生活质量的影响[J]. 现代中西医结合杂志, 2021, 30(4): 364-368. |
[9] | 高向峰, 饶向荣, 李深, 成庭柱, 方吕贵, 王秀娟. 肺肾同治法治疗IgA肾病[J]. 中国中医药信息杂志, 2020, 27(3): 118-121. |
[10] | 刘涛, 吕奇, 陈小娟, 张文菲, 王刚, 高智. 润肺益肾饮对维持性血液透析脾肾两虚型患者微炎症的影响[J]. 中医药导报, 2020, 26(10): 62-65. |
[11] | 陈仁慈, 项洁琼, 陈洪宇. 冬虫夏草治疗糖尿病肾病疗效的系统评价[J]. 中国中西医结合肾病杂志, 2017, 18(4): 340-344. |
[12] | Zhao, J., Mo, C., Shi, W., Meng, L. and Ai, J. (2021) Network Pharmacology Combined with Bioinformatics to Investigate the Mechanisms and Molecular Targets of Astragalus Radix-Panax notoginseng Herb Pair on Treating Diabetic Nephropathy. Evidence-Based Complementary and Alternative Medicine: eCAM, 2021, Article ID: 9980981.
https://doi.org/10.1155/2021/9980981 |
[13] | 王悦, 田双双, 刘晓谦, 张永欣, 闫利华, 王智民. 茯苓多糖的提取、结构及药理作用研究进展[J]. 世界中医药, 2021, 16(17): 2548-2555. |
[14] | Hu, T., Yue, J., Tang, Q., Cheng, K.W., Chen, F., Peng, M., Zhou, Q. and Wang, M. (2022) The Effect of Quercetin on Diabetic Nephropathy (DN): A Systematic Review and Me-ta-Analysis of Animal Studies. Food & Function, 13, 4789-4803. https://doi.org/10.1039/D1FO03958J |
[15] | Khan, Z., Nath, N., Rauf, A., Emran, T.B., Mitra, S., Islam, F., Chandran, D., Barua, J., Khandaker, M.U., Idris, A.M., Wilairatana, P. and Thiruvengadam, M. (2022) Multifunctional Roles and Pharmacological Potential of β-Sitosterol: Emerging Evidence toward Clinical Applications. Chemico-Biological Interactions, 365, Article ID: 110117.
https://doi.org/10.1016/j.cbi.2022.110117 |
[16] | 韩思婕, 潘翔, 朱芊芊, 张丹丹, 张涵瑞, 方敬贤, 魏琼, 刘丹, 叶晓川. 茯苓多糖调节2型糖尿病模型大鼠肝脏糖异生的机制研究[J]. 中国药房, 2022, 33(13): 1581-1587. |
[17] | Alam, M.B., Chowdhury, N.S., Sohrab, M.H., Rana, M.S., Hasan, C.M. and Lee, S.H. (2020) Cerevisterol Alleviates Inflammation via Suppression of MAPK/NF-κB/AP-1 and Activation of the Nrf2/HO-1 Signaling Cascade. Biomolecules, 10, 199. https://doi.org/10.3390/biom10020199 |
[18] | Jayaraman, S., Devarajan, N., Rajagopal, P., Babu, S., Ganesan, S.K., Veeraraghavan, V.P., Palanisamy, C.P., Cui, B., Periyasamy, V. and Chandrasekar, K. (2021) β-Sitosterol Circumvents Obesity Induced Inflammation and Insulin Resistance by down-Regulating IKKβ/NF-κB and JNK Signaling Pathway in Adipocytes of Type 2 Diabetic Rats. Molecules (Basel, Switzerland), 26, 2101. https://doi.org/10.3390/molecules26072101 |
[19] | 陈光志. sEH基因敲除治疗STZ诱导的小鼠糖尿病肾病的作用及其机制[D]: [博士学位论文]. 武汉: 华中科技大学, 2013. |
[20] | Fan, F. and Roman, R.J. (2017) Effect of Cytochrome P450 Metabolites of Arachidonic Acid in Nephrology. Journal of the American Society of Nephrology: JASN, 28, 2845-2855. https://doi.org/10.1681/ASN.2017030252 |
[21] | Wang, J. and Zhuang, S. (2017) Src Family Kinases in Chronic Kidney Disease. American Journal of Physiology. Renal Physiology, 313, F721-F728. https://doi.org/10.1152/ajprenal.00141.2017 |
[22] | Zhou, D. and Liu, Y. (2016) Therapy for Kidney Fibrosis: Is the Src Kinase a Potential Target? Kidney International, 89, 12-14. https://doi.org/10.1016/j.kint.2015.10.007 |
[23] | Hu, Y., Liu, S., Liu, W., Zhang, Z., Liu, Y., Li, S., Sun, D., Zhang, G. and Fang, J. (2022) Potential Molecular Mechanism of Yishen Capsule in the Treatment of Diabetic Nephropathy Based on Network Pharmacology and Molecular Docking. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 15, 943-962.
https://doi.org/10.2147/DMSO.S350062 |
[24] | Chen, H.M., Dai, J.J., Zhu, R., Peng, F.F., Wu, S.Z., Yu, H., Krepinsky, J.C. and Zhang, B.F. (2019) Parathyroid Hormone-Related Protein Induces Fibronectin Up-Regulation in Rat Mesangial Cells through Reactive Oxygen Species/Src/EGFR Signaling. Bioscience Reports, 39, BSR20182293. https://doi.org/10.1042/BSR20182293 |
[25] | Yan, Y., Ma, L., Zhou, X., Ponnusamy, M., Tang, J., Zhuang, M.A., Tolbert, E., Bayliss, G., Bai, J. and Zhuang, S. (2016) Src Inhibition Blocks Renal Interstitial Fibroblast Activation and Ameliorates Renal Fibrosis. Kidney International, 89, 68-81. https://doi.org/10.1038/ki.2015.293 |
[26] | 项昌培, 周瑞, 张晶晶, 杨洪军. 三七对糖尿病肾病、糖尿病脑病和糖尿病心肌病“异病同治”的网络药理学作用机制分析[J]. 中国中药杂志, 2021, 46(10): 2424-2433. |
[27] | Sun, Y., Deng, M., Ke, X., Lei, X., Ju, H., Liu, Z. and Bai, X. (2021) Epidermal Growth Factor Protects against High Glucose-Induced Podocyte Injury Possibly via Modulation of Autophagy and PI3K/AKT/mTOR Signaling Pathway Through DNA Methylation. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 2255-2268.
https://doi.org/10.2147/DMSO.S299562 |
[28] | Harskamp, L.R., Gansevoort, R.T., van Goor, H. and Meijer, E. (2016) The Epidermal Growth Factor Receptor Pathway in Chronic Kidney Diseases. Nature Reviews. Nephrology, 12, 496-506. https://doi.org/10.1038/nrneph.2016.91 |
[29] | Li, S. and Xu, G. (2022) QishenYiqi Dripping Pill Protects Diabetic Nephropathy by Inhibiting the PI3K-AKT Signaling Pathways in Rats. Evidence-Based Complementary and Alternative Medicine: eCAM, 2022, Article ID: 6239829.
https://doi.org/10.1155/2022/6239829 |
[30] | Qian, Y., Sun, X., Wang, X., Yang, X., Fan, M., Zhong, J., Pei, Z. and Guo, J. (2021) Mechanism of Cordyceps Cicadae in Treating Diabetic Nephropathy Based on Network Pharmacology and Molecular Docking Analysis. Journal of Diabetes Research, 2021, Article ID: 5477941. https://doi.org/10.1155/2021/5477941 |
[31] | Yuan, L., Zhang, F., Shen, M., Jia, S. and Xie, J. (2019) Phytosterols Suppress Phagocytosis and Inhibit Inflammatory Mediators via ERK Pathway on LPS-Triggered Inflammatory Responses in RAW264.7 Macrophages and the Correlation with Their Structure. Foods (Basel, Switzerland), 8, 582. https://doi.org/10.3390/foods8110582 |
[32] | Sifuentes-Franco, S., Padilla-Tejeda, D.E., Carrillo-Ibarra, S. and Miranda-Díaz, A.G. (2018) Oxidative Stress, Apoptosis, and Mitochondrial Function in Diabetic Nephropathy. International Journal of Endocrinology, 2018, Article ID: 1875870. https://doi.org/10.1155/2018/1875870 |
[33] | Steenbeke, M., Speeckaert, R., Desmedt, S., Glorieux, G., Delanghe, J.R. and Speeckaert, M.M. (2022) The Role of Advanced Glycation End Products and Its Soluble Receptor in Kidney Diseases. International Journal of Molecular Sciences, 23, 3439. https://doi.org/10.3390/ijms23073439 |
[34] | 杨超茅, 杨志新, 马晓玲. AGEs-RAGE信号通路在糖尿病肾病中的作用机制及中医药研究进展[J]. 中医学报, 2019, 34(9): 1864-1868. |
[35] | 李佳丹, 周迪夷. 茯苓多糖对db/db小鼠肾脏保护作用及其对p38 MAPK/PPAR-γ信号通路的影响[J]. 中国中医药科技, 2019, 26(3): 346-350. |
[36] | Pathomthongtaweechai, N. and Chutipongtanate, S. (2020) AGE/RAGE Signaling-Mediated Endoplasmic Reticulum Stress and Future Prospects in Non-Coding RNA Therapeutics for Diabetic Nephropathy. Biomedicine & Pharmacotherapy, 131, Article ID: 110655. https://doi.org/10.1016/j.biopha.2020.110655 |