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    基于网络药理学和动物实验探讨七味白术散改善2型糖尿病糖代谢紊乱的作用机制

    Mechanism of Qiwei Baizhu powder in improving glucose metabolism disorder in type 2 diabetes based on network pharmacology and animal experiments

    • 摘要: 目的 基于网络药理学和动物实验探讨七味白术散治疗2型糖尿病糖代谢紊乱的作用机制。方法 在中药系统药理学技术平台检索七味白术散活性成分及靶点,从GeneCard、OMIM、DisGeNET数据库获得"2型糖尿病糖代谢紊乱"相关靶点;运用STRING和CytoScape进行PPI网络分析并筛选关键靶点;通过DAVID平台,获得关键靶点的GO和KEGG富集分析结果;利用分子对接方法验证活性成分与关键靶点结合性。制造2型糖尿病大鼠模型,检测空腹血糖和胰岛素水平,进行苏木精-伊红(H-E)染色和油红O染色,Western blot检测肝组织中磷酸化蛋白激酶B1(p-AKT1)、缺氧诱导因子1α(HIF1α)、白细胞介素(IL)-6、IL-1β表达水平。结果 获得96个七味白术散改善2型糖尿病糖代谢紊乱的潜在靶点,通过PPI网络分析筛选出前21个关键靶点。GO富集分析得到72个GO条目,KEGG富集分析得到86条信号通路。分子对接结果显示:槲皮素、山柰酚、柚皮素、β-谷甾醇等活性成分与关键靶点的结合能更低,结构更稳定。动物实验结果显示,七味白术散显著降低血糖,改善胰岛素抵抗,减轻胰腺组织损伤、肝内脂滴积聚,显著降低p-AKT1、HIF1α、IL-6、IL-1β表达水平(P<0.001)。结论 七味白术散改善2型糖尿病糖代谢紊乱具有多成分、多靶点、多通路的特点,可降低2型糖尿病大鼠血糖及p-AKT1、HIF1α、IL-6、IL-1β表达水平,改善胰岛素抵抗,可能与IL-17通路、HIF1α通路等主要通路有关。

       

      Abstract: Objective To investigate the mechanism of Qiwei Baizhu powder in the treatment of glucose metabolism disorder in type 2 diabetes mellitus (T2DM) based on network pharmacology and animal experiments. Methods The active ingredients and targets of Qiwei Baizhu powder were searched in the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform, and T2DM-related targets were obtained from GeneCard, OMIM and DisGeNET databases. Protein-protein interaction (PPI) analysis was performed using STRING and CytoScape to screen key targets. The key targets were applied for GO and KEGG enrichment analysis through the DAVID platform. Molecular docking was conducted to verify the binding of active ingredients to key targets. A rat model of T2DM was established, and fasting blood glucose and insulin levels were detected by HE staining and oil red O staining. The levels of p-AKT1, HIF1α, IL-6 and IL-1β in liver tissues were detected by Western blot. Results A total of 96 potential targets of Qiwei Baizhu powder for improving glucose metabolism disorder in T2DM were obtained, and the top 21 key targets were selected by PPI network analysis. GO enrichment analysis identified 72 GO terms, and KEGG enrichment analysis revealed 86 signaling pathways. Molecular docking results showed that active ingredients, such as quercetin, kaempferol, naringenin, and β-sitosterol, had lower binding energy and more stable structures with the key targets. According to animal experiments, Qiwei Baizhu powder decreased blood glucose, improved insulin resistance, alleviated pancreatic tissue injury and lipid droplet accumulation in the liver, and decreased the levels of p-AKT1, HIF1α, IL-6 and IL-1β (P<0.001). Conclusions Qiwei Baizhu powder has the characteristics of multi-component, multi-target and multi-pathway for improving glucose metabolism disorder in T2DM rats. It can reduce blood glucose, improve insulin resistance, and reduce the levels of p-AKT1, HIF1α, IL-6 and IL-1β in T2DM rats, which may be related to the major pathways such as the IL-17 pathway and the HIF1α pathway.

       

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