神经药理学报 ›› 2024, Vol. 14 ›› Issue (5): 19-.DOI: 10.3969/j.issn.2095-1396.2024.05.003

• 研究论文 • 上一篇    下一篇

四逆散治疗卒中后抑郁的网络药理学研究

周欣梅,朱立平   

  1. 广西中医药大学附属瑞康医院,南宁,530000,中国
  • 出版日期:2024-10-25 发布日期:2024-10-26
  • 作者简介:周欣梅,硕士,副主任医师;研究方向:中西医结合治疗神经内科疾病;E-mail: 749258459@qq.com

Network Pharmacology Study of Sini SAN in the Treatment of Post-Stroke Depression

ZHOU Xin-mei,ZHU Li-ping   

  1. Ruikang Hospital affiliated to Guangxi University of Chinese Medicine, Nanning, 530000, China
  • Online:2024-10-25 Published:2024-10-26

摘要:

目的:基于网络药理学与分子对接技术探讨四逆散治疗卒中后抑郁的分子机制。方法:通过TCMSP 数据库检索四逆散中的药物活性成分及治疗靶点,采用GeneCards、OMIM、PharmGkb 数据库收集卒中后 抑郁的基因靶点,取交集靶点作为潜在的作用靶点导入String 数据库建立蛋白相互作用(protein protein interaction,PPI)网络,以Cytoscape 软件进行网络拓扑分析。将PPI 靶点导入R 进行基因本体(gene ontology,GO)功能和京都基因组百科全书(Kyoto Encyclopedia of Genes and Genomes,KEGG)通路富集分 析。构建“通路– 靶点”网络并筛选其中关键靶点,采用 AMDock 平台将作用靶点与活性成分进行分子对接 以筛选潜在药效成分。结果:从数据库中获得四逆散药物化学成分104 种、靶点235 个,1 001 个疾病靶基因, 其中药物核心成分7 种,与疾病交集基因77 个,最终通过软件分析得出MMP9、AKT1、IL-10、ESR1、IL-6、 HIF1A、IL-1B、CASP3、TNF 为核心基因;GO 富集分析显示主要是通过蛋白酶结合、核受体活性、细胞因子活 性、雌激素反应元件结合等分子功能,在膜筏、膜微区、质膜筏、Bcl-2 家族蛋白复合体、质膜外侧、神经元细胞 体、内质网腔等作用部位,发生对氧含量降低的反应、调控细胞凋亡信号通路、对脂多糖的反应等过程发挥作 用。KEGG 分析得出AGE-RAGE 信号通路、p53 信号通路、TNF 信号通路、雌激素信号通路、HIF-1 信号通路 等主要信号通路。结论:四逆散可能通过槲皮素、木犀草素、山奈酚、川陈皮素、柚皮素、异鼠李素、芒柄花素等 多种有效成分作用于MMP9、IL-6、HIF1A、IL-1B、CASP3 等多个潜在靶点,介导AGE-RAGE 信号通路、雌激 素信号通路、HIF-1 信号通路等多条信号通路发挥效用。

关键词: 四逆散, 卒中后抑郁, 抑郁, 网络药理学, 作用机制

Abstract:

Objective: To explore the molecular mechanism of Sini SAN in the treatment of post-stroke depression based on network pharmacology and molecular docking techniques. Methods: Active ingredients and therapeutic targets in Sini SAN were searched through TCMSP database. Gene targets of post-stroke depression were collected using GeneCards, OMIM and PharmGkb databases. The intersection targets were selected as potential targets and imported into String database to establish protein interaction (PPI) network. Network topology analysis by Cytoscape software. PPI targets were introduced into R for gene ontology (GO) function and Kyoto Encyclopedia of Genomes (KEGG) pathway enrichment analysis. The “pathway-target” network was constructed and the key targets were screened, and the AMDock platform was used to interconnect the target with the active ingredient to screen the potential pharmacodynamic ingredient.Results: 104 kinds of drug chemical components, 235 targets and 1 001 disease target genes of Sini SAN were obtained from the database, including 7 kinds of drug core components and 77 overlapping genes with diseases. Through software analysis, MMP9, AKT1, IL-10, ESR1, IL-6, HIF1A, IL-1B, CASP3 and TNF were the core genes. GO enrichment analysis showed that it was mainly through the molecular functions of protease binding, nuclear receptor activity, cytokine activity, estrogen response element binding, etc., in the membrane raft, membrane microregion, plasma membrane raft, Bcl-2 family protein complex, plasma membrane lateral, neuron cell body, endoplasmic reticulum cavity and other action sites. The reaction to the decrease of oxygen content, the regulation of apoptosis signaling pathway, the reaction to lipopolysaccharide and other processes play a role. KEGG analysis showed AGE-RAGE signaling pathway, p53 signaling pathway, TNF signaling pathway, estrogen signaling pathway, HIF-1 signaling pathway and other major signaling pathways. Conclusion: Sini SAN may act on MMP9, IL-6, HIF1A, IL-1B, CASP3 and other potential targets through various active ingredients such as quercetin, luteolin, kaempferol, chenetin, naringin, isorhamnetin, and ononin. It mediates AGE-RAGE signaling pathway, estrogen signaling pathway, HIF-1 signaling pathway and other signaling pathways to play an effective role.

Key words: sinisan, post-stroke depression, depression, network pharmacology, action mechanism

中图分类号: