Analysis of Prescription Medication Rules and Mechanism of Action of Traditional Chinese Medicine in the Treatment of Alcoholic Liver Disease
10.19378/j.issn.1003-9783.2024.08.016
- VernacularTitle:中医药治疗酒精性肝病的组方用药规律及作用机制研究
- Author:
Xiaowei ZHANG
1
,
2
;
Yihang LIU
;
Rundong ZHANG
;
Yang LI
;
Xujie ZHANG
;
Jiajia XU
;
Shu LIANG
;
Shanru YANG
;
Zhishen XIE
Author Information
1. 豫药全产业链研发河南省协同创新中心,河南 郑州 450046
2. 河南中医药大学中医药科学院,河南 郑州 450046
- Keywords:
Traditional Chinese medicine;
alcoholic liver disease;
medication rules;
data mining;
network pharmacology;
molecular docking;
Poria;
Atractylodis macrocephalae Rhizoma;
Hearba Artemisiae Scopariae
- From:
Traditional Chinese Drug Research & Clinical Pharmacology
2024;35(8):1246-1254
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore prescription medication rules and potential mechanism of traditional Chinese medicine(TCM)in the treatment of alcoholic liver disease(ALD)based on the technology of data mining and network pharmacology.Methods The prescriptions related to the treatment of ALD were retrieved in Chinese National Knowledge Infrastructure,Wanfang,Chinese Biomedical Literature and VIP databases.After the data were collated according to the filter criteria,IBM SPSS Statistics 27.0 and IBM SPSS Modeler 18 software were used to analyze the prescription rules and association rules.Then,the medication rules of TCM in the treatment of ALD were summarized,and the core drug combinations were obtained.Active ingredients in the core drug combinations for ALD and their targets were screened by network pharmacology.GO and KEGG analysis were performed on the main targets,and molecular docking technique was used to verify the binding ability of active ingredients to main targets.Results A total of 143 prescription for ALD were screened,involving 222 Chinese medicine,among which 28 high-frequency Chinese medicine were used with a frequency≥25 times.Eight core drug combinations were obtained by associations rule analysis.It has been found that there are 215 intersection targets between"Poria-Atractylodis macrocephalae Rhizoma-Hearba Artemisiae Scopariae"and ALD,including six core targets of AKT1,TNF,VEGFA,IL-1β,SRC,EGFR.One hundred and sixty-eight of signaling pathways are involved,including cancer pathways,PI3K/AKT signaling pathways,chemical carcinogenesis-reactive oxygen species,lipid and atherosclerosis,etc.Molecular docking results showed that the main active components including cerevisterol,genkwanin and demethoxycapillarisin had good binding ability to AKT1.Conclusion The main active ingredients in"Poria-Atractylodis macrocephalae Rhizoma-Hearba Artemisiae Scopariae"can participate in the regulation of key signaling pathways such as PI3K/AKT by acting on key target proteins(AKT1,TNF,and VEGFA).Subsequently,they play a role in inhibiting inflammatory response and apoptosis,slowing down liver fibrosis,and promoting hepatocyte repair.This study provides data support and theoretical guidance for the study of TCM in the treatment of ALD.
