[1]王梓霞 方桂玉 钟 建.基于网络药理学探究益肾活血方治疗糖尿病肾病的活性成分及作用机制[J].大众科技,2021,23(8):52-57.
 Exploration of active Ingredients and Mechanism of Action of Yishen Huoxue Prescription in the Treatment of Diabetic Nephropathy Based on Network Pharmacology[J].Popular Science & Technology,2021,23(8):52-57.
点击复制

基于网络药理学探究益肾活血方治疗 糖尿病肾病的活性成分及作用机制()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
23
期数:
2021年8
页码:
52-57
栏目:
医药与卫生
出版日期:
2021-08-20

文章信息/Info

Title:
Exploration of active Ingredients and Mechanism of Action of Yishen Huoxue Prescription in the Treatment of Diabetic Nephropathy Based on Network Pharmacology
作者:
王梓霞1 方桂玉1 钟 建2
(1.广西中医药大学研究生学院,广西 南宁 530000; 2.广西中医药大学第一附属医院,广西 南宁 530000)
关键词:
网络药理学糖尿病肾病益肾活血方作用机制信号通路
Keywords:
network pharmacology diabetic nephropathy Yishen Huoxue prescription mechanism of action signaling pathway
文献标志码:
A
摘要:
目的:基于网络药理学探究益肾活血方治疗糖尿病肾病(Diabetic nephropathy,DN)的活性成分和作用机制。方法:通过TCMSP数据库分析益肾活血方的活性成分及靶点;借助GeneCards、OMIM及TTD数据库收集DN的靶点;利用韦恩工具取二者的交集靶点,借助STRING平台构建交集靶点的蛋白互作网络;采用Cytoscape 3.7.2软件构建“成分-疾病-靶点”网络图;通过DAVID 数据库进行GO富集分析和KEGG通路分析。结果:筛选出益肾活血方活性化合物123个,核心化合物为槲皮素、山柰酚、木犀草素 、黄芩素、异鼠李素、丹参酮ⅡA。核心靶点为IL-6、VEGFA、CASP3、BCL2、PTGS1等。KEGG通路主要涉及AGEs/ RAGE信号通路、PI3K/ Akt信号通路等。结论:黄酮类化合物及丹参酮ⅡA为益肾活血方治疗DN的核心成分。益肾活血方可能作用于IL6、VEGFA、PTGS1等核心靶点基因调控AGEs-RAGE通路,作用于CASP3、BCL2、VEGFA等核心基因调控PI3K/Akt信号通路,延缓糖尿病肾病的发展。
Abstract:
Objective: To explore the active ingredients and mechanism of action of Yishen Huoxue prescription in the treatment of diabetic nephropathy (DN) based on network pharmacology. Methods: TCMSP database was used to analyze the active components and target genes of Yishen Huoxue prescription GeneCards, OMIM and TTD databases were used to collect DN targets Venn tools were used to screen their intersection targets, and the protein interaction network of the intersection targets was constructed by using STRING platform and Cytoscape 3.7.2 software was used to construct the network map of "ingredients - disease - target genes" DAVID database was used to perform GO enrichment analysis and KEGG pathway analysis. Results: 123 active ingredients of Yishen Huoxue prescription were screened out, among which quercetin, kaempferol, luteolin, baicalein, isorhamnetin and tanshinone IIA were the core compounds. The core target genes included IL-6, VEGFA, CASP3, BCL2, PTGS1, etc. KEGG pathway mainly involves AGEs/RAGE signaling pathway, PI3K/Akt signaling pathway and so on. Conclusion: Flavonoids and tanshinone IIA are the core components of Yishen Huoxue prescription in the treatment of DN. Yishen Huoxue prescription may act on core target genes such as IL6, VEGFA and PTGS1 to regulate AGEs - RAGE pathway, and act on core target genes such as CASP3, BCL2 and VEGFA to regulate PI3K/Akt signaling pathway, and delay the development of diabetic nephropathy.

参考文献/References:

[1] Jing F, Zhao J, Jing X, et al. Long noncoding RNA Airn protects podocytes from diabetic nephropathy lesions via binding to Igf2bp2 and facilitating translation of Igf2 and Lamb2[J]. Cell Biology International, 2020, 44(9): 1860-1869. [2] 和欢,张庚良,田淋蓥,等. 健脾补肾活血方延缓Ⅳ期糖尿病肾病进展至终末期肾衰的临床研究[J]. 河北中医药学报,2020,35(2): 16-20. [3] Bellin A R, Zhang Y, Thai K, et al. Impaired SIRT 1 activity leads to diminution in glomerular endowment without accelerating age-associated GFR decline[J]. Physiological Reports, 2019, 7(9): e14044. [4] 陈碧霞,张利,吴玲玲,等. 糖尿病肾病内皮细胞损伤机制的研究进展[J]. 解放军医学杂志,2020,45(8): 876-883. [5] 吴文静. 糖尿病肾脏病气虚血瘀病机及其临床特征和益气活血法作用机制研究[D]. 北京: 北京中医药大学,2016. [6] 杜晓妹,王琳. 中医药治疗糖尿病肾病的研究进展[J]. 现代中西医结志,2020,29(23): 2615-2619. [7] 胡筱娟,秦艳,刘恬园,等. 糖尿病肾病中医证型与肾络瘀阻相关性临床探讨[J]. 辽宁中医杂志,2016,43(1): 91-92. [8] 叶海亮. 益肾活血、化瘀泄浊方联合西药治疗糖尿病肾病Ⅳ期疗效观察[J]. 中西医结合心血管病电子杂志,2017,5(29): 178-179. [9] 钟建,赵宁博,刘朝业,等. 益肾活血方通过miR-126/VEGF-Notch信号通路改善肾纤维化[J]. 中华危重病急救医学,2018,30(10): 991-995. [10] 钟建,刘朝业,赵宁博,等. 益肾活血方对CKD3-4期血瘀证患者ADAMTS13及炎症因子水平的影响[J]. 中华中医药学刊,2017,35(10): 2508-2511. [11] 姜威,李向新,赵德明. 糖尿病肾病的中医药研究进展[J]. 吉林中医药,2017,12(37): 1303-1306. [12] 何旭,胡顺金. 活血化瘀方治疗糖尿病肾病的Meta分析[J]. 中国中西医结合肾病杂志,2020,21(3): 236-240. [13] 张弦. 乙酰胆碱酯酶调控糖尿病视网膜病变炎症反应分子机制的研究[D]. 南昌: 南昌大学,2018. [14] 白牧鑫,韩林露,徐梅昌,等. 雌激素受体α基因多态性与绝经后糖尿病肾病中医证型的关系[J]. 中国老年学杂志,2020,40(15): 3171-3175. [15] Li J, Niu X, Li J B, et al. Association of PPARG gene polymorphisms Pro12Ala with type 2 diabetes mellitus: a meta-analysis[J]. Current Diabetes Reviews, 2019, 15(4): 277-283. [16] 曾慧润,张涛,宋永砚. 过氧化物酶体增殖物激活受体γ基因多态性与冠心病研究进展[J]. 临床心血管病杂志,2020,36(8): 773-776. [17] 杨金波. 线粒体DNA氧化损伤致高糖诱导的人视网膜血管内皮细胞“代谢记忆”的研究[D]. 南昌: 南昌大学,2020. [18] 陆红梅,何玉华,罗芯怡,等. 肾衰康灌肠液含药血清对HK-2细胞缺氧/复氧损伤的保护作用及对Caspase-3、Bax、bcl-2mRNA表达的影响[J]. 中华中医药学刊, 2020,39(3): 10. [19] Li Z, Li Y, Overstreet J M, et al. Inhibition of epidermal growth factor receptor activation is associated with improved diabetic nephropathy and insulin resistance in type 2 diabetes [J]. Diabetes, 2018, 67(9): 171513. [20] Sebastian O, Yan Q, Ferguson J K, et al. Vascular endothelial growth factor-A165b is protective and restores andothelial glycocalyx in diabetic nephropathy[J]. Journal of the American Society of Nephrology: JASN, 2015, 26(8): 1889-1904. [21] 高旭航,郑玉群,何志杰,等. 基因多态性与糖尿病肾病关系研究进展[J]. 陕西医学杂志,2019,48(11): 1574-1577. [22] 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. [23] 许帅. 基于AGEs-RAGE加味桃核承气汤防治T2DM大血管病变大鼠的实验研究[D]. 广州: 广州中医药大学,2017. [24] 王颖超,刘运华,张丰丰,等. 糖肾平对糖尿病肾病大鼠足细胞凋亡及PI3K/AKT信号通路的影响[J]. 世界科学技术-中医药现代化,2019,21(9): 1909-1916. [25] 张敏杰,刘畅,方翼. 糖尿病肾病肾组织的自噬与凋亡及炎症的相互关系[J]. 中国临床药理学杂志,2017,33(19): 1972-1975. [26] Wang L, Law H K W. Immune complexes suppressed autophagy in glomerular endothelial cells[J]. Cell Immunol, 2018, 328: 1-8. [27] 王宇. 雌激素激活PI3K-Akt通路抑制血管内皮细胞内质网应激凋亡[D]. 石家庄: 河北医科大学,2016. [28] 顾丽媛,唐海涛,孙云,等. 中药黄酮类化合物治疗糖尿病肾病的研究现状[J]. 中国临床药理学杂志,2020,36(12): 1729-1732. [29] 孟德胜,王风君,汪仕良. 槲皮素对烫伤大鼠血清刺激的IEC-6细胞环氧合酶活性及代谢产物的影响[J]. 第三军医大学学报,2003(15): 1345-1348. [30] 宋其蔓,徐新禹,徐林松. 槲皮素减轻高糖条件下人肾小球内皮细胞损伤的实验研究[J]. 临床和实验医学杂志,2020,19(3): 256-260. [31] Sharma D, Tekade R K, Kalia K. Kaempferol in ameliorating diabetes-induced fibrosis and renal damage: An in vitro and in vivo study in diabetic nephropathy mice model[J]. Phytomedicine, 2020, 76: 153235. [32] Jamali-Raeufy N, Baluchnejadmojarad T, Roghani M, et al. Isorhamnetin exerts neuroprotective effects in STZ-induced diabetic rats via attenuation of oxidative stress, inflammation and apoptosis[J]. Journal of Chemical Neuroanatomy, 2019, 102: 101709. [33] 张翠,王国光,朱海龙,等. 木犀草素对STZ诱导的糖尿病肾脏的保护作用[J]. 中国病理生理杂志,2010,26(12): 2405-2409. [34] 孔学礼,霍桂桃,李佳,等. 木犀草素通过抑制p65 NF-κB、促进p85 PI3K调节微血管内皮细胞VCAM-1表达[J]. 生物化学与生物物理进展,2020,47(8): 675-684. [35] 杨明正,杜红秀,查芳芳,等. 黄芩素对糖尿病肾病患者外周血NF-κB、VEGF、TGF-β1的影响[J]. 中国中西医结合肾病杂志,2019,20(4): 307-309. [36] 岳霖霖. 黄芩素通过EGFR/Akt信号通路抑制由hEGF诱导的神经胶质瘤细胞的增殖和迁移[D]. 青岛: 青岛大学,2017. [37] Balakrishnan S, Mukherjee S, Das S, et al. Gold nanoparticles-conjugated quercetin induces apoptosis via inhibition of EGFR/PI3K/Akt-mediated pathway in breast cancer cell lines (MCF-7 and MDA-MB-231)[J]. Cell Biochemistry and Function, 2017, 35(4): 217-231. [38] 陈周明,李炳荣,毛卫波. 丹参酮ⅡA对高脂血症大鼠PPAR信号通路蛋白表达的影响及其肝脏保护机制的研究[J]. 新中医,2020,52(16): 8-11. [39] 曹慧敏,宋囡,张妮,等. 丹参酮ⅡA通过PI3K/Akt/ mTOR信号通路调控自噬抗内皮细胞氧化应激损伤研究[J]. 北京中医药大学学报,2017,40(11): 933-939.

相似文献/References:

[1]黄柳慧,向少伟.金匮肾气丸治疗糖尿病肾病研究进展[J].大众科技,2019,21(11):76.
 Research Progress of Jingui Shenqi Wan in The Treatment of Diabetic Nephropathy[J].Popular Science & Technology,2019,21(8):76.
[2]黎凤仪 叶婷慧.止渴降糖方对糖尿病肾病和哮喘的异病同治的临床疗效[J].大众科技,2021,23(9):47.
 Clinical Effect of Zhike Jiangtang Decoction in Simultaneous Treatment of Different Diseases of Diabetic Nephropathy and Asthma[J].Popular Science & Technology,2021,23(8):47.
[3]陈婉琼 林少梅 陈明珠 张飞燕.基于网络药理学探讨贞芪扶正胶囊抗非小细胞肺癌的作用机制[J].大众科技,2022,24(09):133.
 Exploration on the Mechanism of Zhenqi Fuzheng Capsule in the Treatment of Non-Small Cell Lung Cancer Based on Network Pharmacology[J].Popular Science & Technology,2022,24(8):133.
[4]王玉婷 梁诗雨 谢宇娟 李舒展 徐 怡 王佳慧 赵铁建 郑 洋.基于网络药理学研究扶正化瘀方抗肝纤维分子机制[J].大众科技,2022,24(08):59.
 Study on the Molecular Mechanism of Fuzheng Huayu Prescription Against Liver Fiber Based on Network Pharmacology[J].Popular Science & Technology,2022,24(8):59.
[5]林少梅 林适峰 沈云珠 黄 刚 陈婉琼.基于网络药理学的甘草酸二铵治疗流感机制研究[J].大众科技,2022,24(08):102.
 Study on the Mechanism of Diammonium Glycyrrhizinate in the Treatment of Influenza Based on Network Pharmacology[J].Popular Science & Technology,2022,24(8):102.
[6]王相安 王慧铭.基于网络药理学及分子对接探讨三味药食两用中药治疗单纯性肥胖的机制[J].大众科技,2023,25(9):59.
 Discussion on the Mechanism of Three Medicinal and Edible Traditional Chinese Herbs in Treating Simple Obesity Based on Network Pharmacology and Molecular Docking[J].Popular Science & Technology,2023,25(8):59.
[7]蒋 鹏 高宏君 梁泰生 吴玲玲 武 桢.基于网络药理学探究车前子治疗 慢性前列腺炎的作用机制研究[J].大众科技,2020,22(08):50.
 Research on the Mechanism of Plantain Seed in the Treatment of Chronic Prostatitis Based on Network Pharmacology[J].Popular Science & Technology,2020,22(8):50.
[8]杨 珺 鲁家豪 祁婉玲 赖无忌 邢 周 雷福厚 吴爱群 申利群.基于网络药理学和分子对接探讨沉香药效的作用机制[J].大众科技,2020,22(12):32.
 Study on the Mechanism of Action of Agarwood Based on Network Pharmacology and Molecular Docking[J].Popular Science & Technology,2020,22(8):32.
[9]杨力龙 苏华珍 卢新丽 马家宝 黄少远.网络药理学在中药及其复方中应用的研究进展[J].大众科技,2021,23(3):55.
 Research Progress on Application of Network Pharmacology in Traditional Chinese Medicine and Its Compound Prescription[J].Popular Science & Technology,2021,23(8):55.
[10]闫素敏.中药内服治疗急性腰扭伤的用药规律及其高频药对的药理分析[J].大众科技,2021,23(10):94.
 Medication Law of Oral Administration of Traditional Chinese Medicine in the Treatment of Acute Lumbar Sprain and Pharmacological Analysis of High-Frequency Drugs[J].Popular Science & Technology,2021,23(8):94.
[11]何晓翠 周卓宁.基于网络药理学探讨当归芍药散治疗糖尿病肾病的作用机制[J].大众科技,2022,24(03):72.
 Study on the Mechanism of Danggui Shaoyao Powder in the Treatment of Diabetic Kidney Disease Based on Network Pharmacology[J].Popular Science & Technology,2022,24(8):72.

备注/Memo

备注/Memo:
【收稿日期】2021-06-06 【基金项目】广西中医药大学2019年研究生教育创新计划项目立项课题“基于网络药理学验证益肾活血方通过调节PI3K-AKT/HIF-1α信号转导通路抗肾纤维化的机制研究”(YCSY2020048)。 【作者简介】王梓霞(1994-),女,山西忻州人,广西中医药大学研究生学院硕士研究生,研究方向为中西医结合防治慢性肾脏疾病。 【通信作者】钟建(1975-),男,广西苍梧人,广西中医药大学第一附属医院肾病科教授,主任医师,硕士研究生导师,博士后,研究方向为中西医结合治疗肾脏病研究。
更新日期/Last Update: 2021-11-11