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    王豪, 孙依敏, 马琴, 韩佳林, 李正泰, 周瑶. 基于网络药理学和糖尿病肾病大鼠模型探讨丹参治疗糖尿病肾病的作用靶点和机制[J]. 徐州医科大学学报, 2022, 42(12): 859-865. DOI: 10.3969/j.issn.2096-3882.2022.12.001
    引用本文: 王豪, 孙依敏, 马琴, 韩佳林, 李正泰, 周瑶. 基于网络药理学和糖尿病肾病大鼠模型探讨丹参治疗糖尿病肾病的作用靶点和机制[J]. 徐州医科大学学报, 2022, 42(12): 859-865. DOI: 10.3969/j.issn.2096-3882.2022.12.001
    Investigation into the functioning targets and mechanisms of Salvia miltiorrhiza in a diabetic kidney disease rat model using network pharmacology[J]. Journal of Xuzhou Medical University, 2022, 42(12): 859-865. DOI: 10.3969/j.issn.2096-3882.2022.12.001
    Citation: Investigation into the functioning targets and mechanisms of Salvia miltiorrhiza in a diabetic kidney disease rat model using network pharmacology[J]. Journal of Xuzhou Medical University, 2022, 42(12): 859-865. DOI: 10.3969/j.issn.2096-3882.2022.12.001

    基于网络药理学和糖尿病肾病大鼠模型探讨丹参治疗糖尿病肾病的作用靶点和机制

    Investigation into the functioning targets and mechanisms of Salvia miltiorrhiza in a diabetic kidney disease rat model using network pharmacology

    • 摘要: 目的:利用网络药理学的方法预测丹参治疗糖尿病肾病(DKD)的作用靶点并通过建立大鼠糖尿病模型的方法进一步进行验证。方法:根据中药系统药理学分析平台(TCMSP)筛选丹参(SM)的有效成分,并分别收集各有效成分的作用靶点和DKD的作用靶点,取交集后的靶点为SM治疗DKD的潜在作用靶点。将潜在作用靶点导入String数据库进行蛋白质-蛋白质相互作用(PPI),最后导入David数据库进行GO富集分析和Kegg信号通路富集分析。为验证预测靶点和信号通路,通过一次性腹腔注射链脲佐菌素(STZ)的方法建立糖尿病大鼠模型,给与丹参注射液灌胃治疗,8周后处死大鼠,收集血清、24小时尿,肾组织放入液氮和福尔马林中。检测体重、空腹血糖(FBG)、尿素氮(BUN)、血肌酐(Scr)、24小时尿蛋白水平,肾组织包埋后切片行HE染色、PAS染色,Western Blot方法检测肾组织中P- PI3K、 P-AKT、PI3K、 AKT 表达。结果:网络药理学研究结果表明,SM中含有65种有效成分。65种有效成分预测到170个靶点,而DKD疾病预测到1389个靶点,而且取交集得到SM治疗DKD的作用靶点83个。Kegg通路富集分析发现PI3K-AKT等信号通路可能在其中发挥关键作用。体内实验发现,经丹参注射液灌胃后,与DKD模型大鼠相比,其体重明显增加,同时BUN、24h蛋白尿、Scr水平也有所降低;肾脏组织病理切片发现DM大鼠肾脏组织有明显损伤伴有大量胶原沉积,经过丹参注射液治疗后有所减轻;Western Blot结果提示丹参注射液可明显降低肾脏组织P- PI3K、 P-AKT 的表达。结论:结合网络药理学及动物实验得出丹参注射液可有效治疗DKD,其作用机制可能与PI3K-Akt信号通路有关。

       

      Abstract: ob<x>jective: We aimed to predict the functioning targets of SM and DKD and construct hierarchical interacting networks for DKD treatment using a DKD rat model and network pharmacological methods.Methods: Bioactive ingredients present in SM were screened using the TCMSP databa<x>se. Functioning targets of each active ingredient and those in the DKD were collected. Intersections of the two targets were considered as potential functional targets of SM for DKD treatment. KEGG?analysis revealed that hub genes were enriched in PI3K-Akt?signaling pathway. To test the predicted targets and signaling pathways, a DKD rat model was constructed using a one-time celiac injection of streptozocin (STZ) combined with a high-fat diet. Treatment in the DKD rat model was carried out by intragastric administration of SM for 8 weeks, and the rats were sacrificed. Serum, 24-h urine, and kidney tissues were collected from the rats. Body weight and levels of fasting blood glucose, blood urea nitrogen (BUN), serum creatinine (SCR), and 24-h urinary protein were determined. Kidney tissues were em<x>bedded, sliced, and subjected to hematoxylin–eosin and periodic acid–Schiff staining. The ex<x>pression of p-PI3K, p-AKT, PI3K, and AKT in kidney tissues was determined by western blotting. Results: The network-ba<x>sed pharmacological analysis showed that there were 65 active ingredients in SM. These 65 active ingredients had 170 putative targets and 1,389 putative gene targets for DKD. There were 83 intersections among the putative targets for DKD treatment using SM. PPI network analysis showed that AKT1, IL6, and MAPK1 are putative key target genes. KEGG pathway enrichment analysis showed that the PI3K-AKT signaling pathway probably plays a crucial role. Compared with the DKD rat model, there were apparent changes in the indicators in rats after intragastric SM administration, such as markedly increased body weight and decreased BUN, SCR, and 24-h urinary protein levels. Pathological analysis of kidney tissue sections showed that there was significant injury in DKD rats, and injection of SM alleviated the injury. Western blot assay showed that SM injection increased p-PI3K and p-AKT ex<x>pression in kidney tissues. Conclusion: The results of network pharmacology and animal tests reveal that an injection of SM is effective in treating DKD, and the underlying functioning mechanism is probably related to the PI3K-AKT signaling pathway.

       

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