nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2022, 04, v.50 19-27
基于网络药理学研究六味地黄丸治疗勃起功能障碍的作用机制
基金项目(Foundation):
邮箱(Email): xchgao@gzmu.edu.cn;
DOI:
发布时间: 2022-08-15
出版时间: 2022-08-15
移动端阅读
摘要:

目的:通过网络药理学构建多靶点互相作用网络来揭示六味地黄丸治疗勃起功能障碍(ED)的机制。方法:从中药系统药理学数据库与分析平台(TCMSP)预测出六味地黄丸的有效活性成分及它可能与机体结合的潜在靶点,通过TTD、OMIM、DrugBank、GeneCards等数据库检索与ED相关的基因,通过Cytoscape软件绘制中药复方调控网络。将六味地黄丸潜在靶点和ED相关基因的交集基因导入string得到蛋白互作网络(PPI),再获得它的核心PPI。绘制GO、KEGG富集分析气泡图以及相关的通路图。用vina软件将药物主要有效成分和核心靶点完成分子对接。结果:筛选出六味地黄丸的39个化学成分,190个潜在作用靶点。和ED相关的基因共1 164个。这些关键靶点主要有JUN、AKT1、CASP3、VEGFA、TP53,涉及的通路主要包括脂质和动脉粥样硬化信号通路、PI3K-Akt信号通路、人巨细胞病毒感染信号通路、AGE-RAGE信号通路等。结论:六味地黄丸通过多组分、多靶点和多途径治疗ED。

Abstract:

Objective:To investigate the mechanism of Liuwei Dihuang Pills(LWDHP)in the treatment of erectile dysfunction(ED)via network pharmacological study.Methods:The Traditional Chinese Medicine System Pharmacology Database and Analysis Platform(TCMSP)was used to predict the active ingredients of LWDHP and its potential targets that may bind to the body. Internet search in databases including Therapeutic Target Database(TTD),Online Mendelian Inheritance in Man(OMIM),DrugBank,and GeneCards was performed to identify studies on ED-related genes. Cytoscape software was used to generate a traditional Chinese medicine(TCM)compound-disease regulatory network. The intersection between the potential targets of LWDHP and ED-related genes were imported into the Search Tool for Retrieval of Interaction Gene/Proteins(STRING)database to generate a protein-protein interaction(PPI)network,and then its core PPI was obtained.The bubble charts of Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses,and the related pathway charts were generated.Molecular docking between the main active ingredients and the core targets was completed via the Vina software.Results:A total of 39 chemical constituents and 190 potential targets of LWDHP were screened out,and 164 ED-related genes were obtained.The core targets included JUN,AKT1,CASP3,VEGFA,and TP53.The enriched signaling pathways included lipid and atherosclerosis,PI3K-Akt,human cytomegalovirus infection,and AGE-RAGE signaling pathways.Conclusion:LWDHP works via multiple components,multiple targets and multiple pathways in treatment of ED.

参考文献

[1] Shamloul R,Ghanem H.Erectile dysfunction[J]. Lancet,2013.381(9861):153-65.

[2] Vita R,Benvenga S,Giammusso B,et al. Determinants of Early Response to Low-Intensity Extracorporeal Shockwaves for the Treatment of Vasculogenic Erectile Dysfunction:An Open-Label,Prospective Study[J]. J Clin Med, 2019. 8(7):1017.

[3] Mitidieri E,Cirino G,d'Emmanuele di Villa Bianca R,et al.Pharmacology and perspectives in erectile dysfunction in man[J]. Pharmacol Ther,2020.208:107493.

[4] Song WH, Son H, Kim SW, et al. Role of Jun aminoterminal kinase(JNK)in apoptosis of cavernosal tissue during acute phase after cavernosal nerve injury[J]. Asian J Androl,2018,20(1):50-55.

[5] Ma YM,Zhang XZ,Su ZZ,et al. Insight into the molecular mechanism of a herbal injection by integrating network pharmacology and in vitro[J]. J Ethnopharmacol,2015,173:91-99.

[6]罗恩斯,杨群峰,徐伟良.小剂量他达拉非联合血府逐瘀片治疗糖尿病性勃起功能障碍的疗效研究[J].中国实用医药,2019,14(24):111-112.

[7] Chen J,Teng D,Wu Z,et al. Insights into the Molecular Mechanisms of Liuwei Dihuang Decoction via Network Pharmacology[J]. Chem Res Toxicol,2021,34(1):91-102.

[8]王玺坤.六味地黄汤加味治疗中老年勃起性功能障碍101例[J].陕西中医,2009.30(12):1592-1593.

[9]叶纪伟,武跃清.安特尔西地那非联合六味地黄丸治疗中老年勃起功能障碍临床观察[J].中国伤残医学,2014.22(01):80.

[10] Chen L,Cao Y,Zhang H,et al. Network pharmacologybased strategy for predicting active ingredients and potential targets of Yangxinshi tablet for treating heart failure[J]. J Ethnopharmacol,2018.219:359-368.

[11] Ru J,Li P,Wang J,Zhou W,et al. TCMSP:a database of systems pharmacology for drug discovery from herbal medicines[J]. J Cheminform,2014,6:13.

[12] UniProt:the universal protein knowledgebase in 2021[J].Nucleic Acids Res,2021,49(D1):480-489.

[13] Wang Y,Zhang S,Li F,et al. Therapeutic target database2020:enriched resource for facilitating research and early development of targeted therapeutics[J]. Nucleic Acids Res,2020,48(D1):1031-1041.

[14] Amberger JS,Bocchini CA,Schiettecatte F,et al. OMIM.org:Online Mendelian Inheritance in Man(OMIM(R)),an online catalog of human genes and genetic disorders[J]. Nucleic Acids Res,2015.43(Database issue):789-798.

[15] Wishart DS,Feunang YD,Guo AC,et al. DrugBank 5.0:a major update to the DrugBank database for 2018[J].Nucleic Acids Res,2018,46(D1):1074-1082.

[16] Marilyn S,Irina D,Justin A,et al. GeneCards Version 3:the human gene integrator[J]. Database(Oxford),2010,2010:20.

[17] Doncheva N T,Morris J H,Gorodkin J,et al. Cytoscape StringApp:Network Analysis and Visualization of Proteomics Data[J]. J Proteome Res,2019.18(2):623-632.

[18] Kim S,Chen J,Cheng TJ,et al. PubChem in 2021:new data content and improved web interfaces. Nucleic Acids Res,2021,49(D1):1388-1395.

[19] Burley SK, Charmi B, Bi C, et al. RCSB Protein Data Bank:powerful new tools for exploring 3D structures of biological macromolecules for basic and applied research and education in fundamental biology, biomedicine,biotechnology,bioengineering and energy sciences[J].Nucleic Acids Res,2021.49(D1):437-451.

[20] Yannas D,Frizza F,Vignozzi L,et al. Erectile Dysfunction Is a Hallmark of Cardiovascular Disease:Unavoidable Matter of Fact or Opportunity to Improve Men's Health[J]. J Clin Med,2021,10(10):2221.

[21] Sangiorgi G, Cereda A, Benedetto D, et al. Anatomy,Pathophysiology, Molecular Mechanisms, and Clinical Management of Erectile Dysfunction in Patients Affected by Coronary Artery Disease:A Review[J]. Biomedicines,2021,9(4).

[22] Kitchen DB, Decornez H, Furr JR, et al. Docking and scoring in virtual screening for drug discovery:methods and applications[J]. Nat Rev Drug Discov,2004,3(11):935-949.

[23]王燕,刘建文,王倩.六味地黄丸的药理研究与临床应用[J].临床合理用药杂志,2011,4(2):45-46.

[24] Jeremy JY,Jones RA,Koupparis AJ,et al. Reactive oxygen species and erectile dysfunction:possible role of NADPH oxidase[J]. Int J Impot Res,2007,19(3):265-280.

[25] Jeremy JY,Rowe D,Emsley AM, et al. Nitric oxide and the proliferation of vascular smooth muscle cells[J].Cardiovasc Res,1999,43(3):580-594.

[26] Valente EG,Vernet D,Ferrini MG,et al. L-arginine and phosphodiesterase(PDE)inhibitors counteract fibrosis in the Peyronie's fibrotic plaque and related fibroblast cultures[J]. Nitric Oxide,2003,9(4):229-244.

[27] Boots AW,Haenen GR, Bast A. Bast, Health effects of quercetin:from antioxidant to nutraceutical[J]. Eur J Pharmacol,2008,585(2-3):325-337.

[28]张雅雯.山柰酚生物功能研究进展[J].生命科学,2017,29(4):400-405.

[29]王光建,张波,张晓双,等.薯蓣皂苷与冰片配伍对MCAO致大鼠局灶性脑缺血的影响[J].中药药理与临床,2010,26(5):54-55.

[30]贾硕,张帆,周寰,等.食源性甾醇类化合物生物活性及应用[J].食品工业科技,2019,40(8):310-316.

[31] Park J, Chai JS, Kim SW, et al. Inhibition of Jun Nterminal Kinase Improves Erectile Function by Alleviation of Cavernosal Apoptosis in a Rat Model of Cavernous Nerve Injury[J]. Urology,2018,113:253.e9-253.e16.

[32] Li R,Cui K,Liu K,et al. Metabolic syndrome in rats is associated with erectile dysfunction by impairing PI3K/Akt/eNOS activity[J]. Sci Rep,2017,7(1):13464.

[33]任春久,张瑶,崔为正,等.氧化应激在2型糖尿病发病机制中的作用研究进展[J].生理学报,2013(6):664-673.

[34] Torzewski M, Rist C, Mortensen RF, et al. C-reactive protein in the arterial intima:role of C-reactive protein receptor-dependent monocyte recruitment in atherogenesis[J]. Arterioscler Thromb Vasc Biol,2000,20(9):2094-2099.

[35] Li R,Cui K,Liu K,et al. Metabolic syndrome in rats is associated with erectile dysfunction by impairing PI3K/Akt/eNOS activity[J]. Sci Rep,2017.7(1):13464.

[36] Neves D. Advanced glycation end-products:a common pathway in diabetes and age-related erectile dysfunction[J]. Free Radic Res,2013.47(Suppl)1:49-69.

基本信息:

中图分类号:R285

引用信息:

[1]徐然,张金虎,侯佳茂,等.基于网络药理学研究六味地黄丸治疗勃起功能障碍的作用机制[J].广州医科大学学报,2022,50(04):19-27.

发布时间:

2022-08-15

出版时间:

2022-08-15

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文