EBCAM:基于网络药理学的黄芪四君子汤治疗阿尔茨海默病机制研究

2021-10-21 Vivi MedSci原创

目前临床治疗阿尔茨海默病(AD)最常用药物是胆碱酯酶抑制剂,只能改善部分症状,需要寻找新的药物和治疗方法。黄芪四君子汤对AD有一定疗效,但具体治疗作用和机制尚未明确,该研究基于网络药理学进行探索。

      阿尔茨海默病(Alzheimer 's disease, AD)是一种神经退行性疾病,伴有进行性记忆和认知能力下降。目前临床治疗AD最常用的药物是胆碱酯酶抑制剂多奈哌齐、利伐他明、加兰他明、安理辛等,它们只是通过增加乙酰胆碱(Ach)来改善AD的部分症状。寻找新的药物和治疗方法来预防AD至关重要。

      黄芪四君子汤是常用的健气、补阳、祛湿的传统中药方剂,包括:黄芪、人参、白术、茯苓、甘草。黄芪作为方中主要成分,在许多疾病的治疗中起着非常有效的作用。现代药理学和临床应用表明,黄芪四君子汤对AD有一定疗效。黄芪四君子汤对AD的治疗作用尚未完全阐明,有必要确定其对AD的作用,进行进一步的系统研究。

      近期在Evid Based Complement Alternat Med 发表的一项研究,通过在中药系统药理学数据库与分析平台(TCMSP)中检索黄芪四君子汤的活性成分和靶点,利用UniProt和GeneCard数据库检索与靶标对应的基因名称。利用Cytoscape构建了中草药-化合物-靶标网络和蛋白-蛋白相互作用(PPI)网络。利用基因本体论(GO)和京都基因与基因组百科全书(KEGG)对黄芪四君子汤的核心靶标进行分析。主要活性成分与乙酰胆碱酯酶(AChE)对接,并采用体外实验进行验证。

      化合物-靶标网络主要包含132个化合物和255个对应靶标。主要成分有槲皮素、山奈酚、刺芒柄花素等,关键靶标包括AChE、PTGS2、PPARG、IL-1B、GSK3B等。分子对接结果表明,槲皮素和刺芒柄花素是黄芪四君子汤中最活跃的2个化合物,其中刺芒柄花素对乙酰胆碱酯酶的抑制作用最强。体外实验表明刺芒柄花素具有良好的神经保护作用,可改善神经细胞的氧化损伤。

      该研究通过网络药理学方法、分子对接技术和体外实验,明确了黄芪四君子汤治疗AD的多成分、多靶点机制,为开发黄芪四君子汤作为AD的创新性替代疗法提供了理论依据。

文献来源:

Zhang W, Lv M, Shi Y, Mu Y, Yao Z, Yang Z. Network Pharmacology-Based Study of the Underlying Mechanisms of Huangqi Sijunzi Decoction for Alzheimer's Disease. Evid Based Complement Alternat Med. 2021 Oct 5;2021:6480381. doi: 10.1155/2021/6480381.

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    2023-09-23 侠胆医心 来自上海
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