Mechanism of Fuzheng Kang'ai Formula Regulating Tumor Microenvironment in Non-Small Cell Lung Cancer.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.1007/s11655-021-3451-1
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yun-Ling TIAN
			        		
			        		
			        		
			        			1
			        			,
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Song-Bo FU
			        		
			        		
			        		
			        			3
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Bo LI
			        		
			        		
			        		
			        			3
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Ling-Yan YUAN
			        		
			        		
			        		
			        			3
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Zhi-Tong BING
			        		
			        		
			        		
			        			4
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Endocrinology and Metabolism, the First Hospital of Lanzhou University, Lanzhou, 730000, China. yunlingtian7318@
			        		
			        			2. com.
			        		
			        			3. Department of Endocrinology and Metabolism, the First Hospital of Lanzhou University, Lanzhou, 730000, China.
			        		
			        			4. Evidence Based Medicine Center, School of Basic Medical Science of Lanzhou University, Lanzhou, 730000, China.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Chinese medicine;
			        		
			        		
			        		
				        		Fuzheng Kang’ai Formula;
			        		
			        		
			        		
				        		lung adenocarcinoma;
			        		
			        		
			        		
				        		network pharmacology;
			        		
			        		
			        		
				        		prognosis;
			        		
			        		
			        		
				        		tumor microenvironment
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Actins;
				        		
			        		
				        		
					        		Adenocarcinoma of Lung/pathology*;
				        		
			        		
				        		
					        		Carcinoma, Non-Small-Cell Lung/metabolism*;
				        		
			        		
				        		
					        		Chromosomal Proteins, Non-Histone;
				        		
			        		
				        		
					        		DNA-Binding Proteins;
				        		
			        		
				        		
					        		Drugs, Chinese Herbal/therapeutic use*;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Lung Neoplasms/metabolism*;
				        		
			        		
				        		
					        		Tumor Microenvironment
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:
	            		
	            			Chinese journal of integrative medicine
	            		
	            		 2022;28(5):425-433
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	OBJECTIVE:To study the mechanism of Chinese herbal medicine Fuzheng Kang'ai Formula (, FZKA) on tumor microenvironment (TME).
				        	
				        
				        	METHODS:CIBERSORTx was used for analysis of TME. Traditional Chinese Medicine Systems Pharmacology and Analysis Platform was applied to identify compounds-targets network and the Cancer Genome Atlas (TCGA) was employed to identify the differential expression genes (DEGs) between tumor and paracancerous tissues in lung adenocarcinoma (LUAD) from TCGA-LUAD. Additionally, DEGs with prognosis in LUAD was calculated by univariable and multivariate Cox regression. The core targets of FZKA were analyzed in lung adenocarcinoma TME. Protein-protein interaction database was employed to predict down-stream of target. Quantitative reverse transcription polymerase chain reaction was employed for biological experiment in A549, H1299 and PC9 cell lines.
				        	
				        
				        	RESULTS:The active and resting mast cells were significantly associated with prognosis of LUAD (P<0.05). Of the targets, CCNA2 as an important target of FZKA (hazard ratio=1.41, 95% confidential interval: 1.01-2.01, P<0.05) was a prognostic target and significantly associated with mast cells. CCNA2 was positively correlated with mast cell activation and negatively correlated with mast cell resting state. BCL1L2, ACTL6A and ITGAV were down-stream of CCNA2, which were validated by qRT-PCR in A549 cell.
				        	
				        
				        	CONCLUSION:FZKA could directly bind to CCNA2 and inhibit tumor growth by regulating CCNA2 downstream genes and TME of NSCLC closely related to CCNA2.