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1.黑龙江中医药大学,哈尔滨 150040
2.江西中医药大学,南昌 330000
Received:27 October 2021,
Published Online:29 December 2021,
Published:05 March 2022
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魏爽,李冀,韩东卫等.基于网络药理学探讨黄芪-葛根药对对T2DM模型大鼠PI3K/Akt/FoxO1信号通路的调节作用[J].中国实验方剂学杂志,2022,28(05):157-168.
WEI Shuang,LI Ji,HAN Dong-wei,et al.Regulatory Effect of Herbal Pair Astragali Radix-Puerariae Lobatae Radix on PI3K/Akt/FoxO1 Signaling Pathway in Rats with T2DM Based on Network Pharmacology[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(05):157-168.
魏爽,李冀,韩东卫等.基于网络药理学探讨黄芪-葛根药对对T2DM模型大鼠PI3K/Akt/FoxO1信号通路的调节作用[J].中国实验方剂学杂志,2022,28(05):157-168. DOI: 10.13422/j.cnki.syfjx.20220312.
WEI Shuang,LI Ji,HAN Dong-wei,et al.Regulatory Effect of Herbal Pair Astragali Radix-Puerariae Lobatae Radix on PI3K/Akt/FoxO1 Signaling Pathway in Rats with T2DM Based on Network Pharmacology[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(05):157-168. DOI: 10.13422/j.cnki.syfjx.20220312.
目的
2
基于网络药理学及实验验证探讨黄芪-葛根(芪葛)药对治疗2型糖尿病(T2DM)的作用机制。
方法
2
借助中药系统药理学数据库与分析平台(TCMSP)平台筛选黄芪、葛根的有效成分及靶点;于各疾病数据库中检索T2DM的相关靶点,提取药物与疾病的共同靶点,利用STRING数据库进行蛋白质-蛋白质相互作用(PPI)网络分析并构建PPI网络图,并利用Cytoscape 3.7.1软件对关键靶点进行网络拓扑学分析。再利用DAVID在线工具对核心靶点进行基因本体(GO)及京都基因与基因组百科全书(KEGG)富集分析以探究其可能的分子机制。以高脂饲料喂养同链脲佐菌素尾静脉注射联合的方式建立糖尿病大鼠模型,分为正常组、模型组、二甲双胍组、芪葛药对高、中、低剂量组,灌胃4周后检测各组大鼠血清空腹血糖,空腹胰岛素(FINS),天冬氨酸氨基转移酶(AST),丙氨酸氨基转移酶(ALT),甘油三酯(TG),总胆固醇(TC),低密度脂蛋白胆固醇(LDL-C),高密度脂蛋白胆固醇(HDL-C),糖原,白细胞介素(IL)-6,肿瘤坏死因子(TNF)-
α
水平,采用蛋白免疫印迹法(Western blot)检测大鼠肝脏组织中胰岛素受体底物(IRS)-2,磷脂酰肌醇3-激酶(PI3K),蛋白激酶B(Akt),叉头框蛋白O1(FoxO1)蛋白的表达。
结果
2
网络药理学方法筛选出芪葛药对治疗T2DM核心靶点131个,Akt1,丝裂原活化蛋白激酶(MAPK)1,TNF-
α
,IL-6等较为关键;KEGG富集分析预测该药对主要通过PI3K/Akt信号通路,TNF信号通路,FoxO信号通路等发挥降糖作用。与模型组比较,芪葛药对高、中剂量组空腹血糖及FINS水平均降低,糖原水平显著升高(
P
<
0.05,
P
<
0.01);芪葛药对高、中、低剂量组AST,ALT,TG,LDL-C显著降低(
P
<
0.05,
P
<
0.01);芪葛药对高、低剂量组TC水平明显降低(
P
<
0.05)。与模型组比较,芪葛药对高、中剂量组IL-6,TNF-
α
水平显著降低(
P
<
0.05,
P
<
0.01);芪葛药对高剂量组IRS-2,Akt,p-Akt,PI3K,p-PI3K蛋白表达升高,FoxO1蛋白表达明显降低(
P
<
0.05)。
结论
2
芪葛药对在治疗T2DM上具有多成分-多靶点-多途径的特点,可能通过IL-6,TNF-
α
等靶点调控PI3K/Akt/FoxO1信号通路影响胰岛素抵抗、糖原合成、糖异生、葡萄糖转运、炎症及免疫反应等过程对糖尿病进行治疗。
Objective
2
To explore the mechanism of herbal pair Astragali Radix-Puerariae Lobatae Radix (AR-PLR) against type 2 diabetes mellitus (T2DM) based on network pharmacology and experimental verification.
Method
2
The active ingredients and targets of AR and PLR were retrieved from the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP). The related targets of T2DM were retrieved from disease databases and the common targets of drugs and diseases were extracted. The protein-protein interaction (PPI) network was analyzed and constructed by STRING and the network topology of key targets was analyzed by Cytoscape 3.7.1. Then gene ontology(GO) and Kyoto encyclopedia of genes and genomes(KEGG) enrichment analyses of core targets were carried out by DAVID to explore its possible molecular mechanism. The T2DM model was induced in rats by the high-fat diet combined with tail intravenous injection of streptozocin. The rats were divided into a normal group,a model group,a metformin group,and high-,medium- and low-dose AR-PLR groups. After four weeks of intragastric administration,the serum levels of fasting blood sugar (FBS),fasting insulin(FINS),aspartate aminotransferase(AST),alanine aminotransferase(ALT),triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterin(LDL-C),high-density lipoprotein cholesterin (HDL-C),interleukin-6(IL-6), and tumor necrosis factor-
α
(TNF-
α
) of rats in each group were measured. The protein expression of insulin receptor substrate-2(IRS-2),phosphatidylinositol 3-kinase(PI3K),protein kinase B(Akt), and forkhead box transcription factor O1(FoxO1) in rat liver was detected by Western blot.
Result
2
A total of 131 core targets of AR-PLR in the treatment of T2DM were screened out by network pharmacology, where Akt1,mitogen-activated protein kinase 1 (MAPK1),TNF-
α
,and IL-6 were critical. As revealed by KEGG enrichment analysis, AR-PLR exerted the hypoglycemic effect mainly through the PI3K/Akt,TNF, and FoxO signaling pathways. Compared with the model group,the high- and medium-dose AR-PLR groups showed reduced FBS and FINS levels and increased glycogen level (
P
<
0.05,
P
<
0.01),all the AR-PLR groups showed decreased levels of AST,ALT,TG, and LDL-C (
P
<
0.05,
P
<
0.01), the high- and low-dose AR-PLR groups showed decreased TC levels (
P
<
0.05). Compared with the model group, the high- and medium-dose AR-PLR groups showed reduced levels of IL-6 and TNF-
α
(
P
<
0.05,
P
<
0.01), and the high-dose AR-PLR group showed increased expression of IRS-2, Akt, p-Akt, PI3K, and p-PI3K, and decreased expression of FoxO1 protein(
P
<
0.05).
Conclusion
2
AR-PLR has the characteristics of multi-component,Multi-target and multi-pathway in the treatment of T2DM. This herbal pair may regulate the PI3K/Akt/FoxO1 signaling pathway through IL-6, TNF-
α
, and other targets to affect insulin resistance, glycogen synthesis, gluconeogenesis, glucose transport, inflammation, immune response, and other processes, thereby treating T2DM.
杨春 , 刘仲栋 , 宋轶 , 等 . 中医药调节肠道菌群干预2型糖尿病的研究进展 [J]. 山西中医药大学学报 , 2021 , 22 ( 4 ): 298 - 301 .
NIU J , XU G , JIANG S , et al . In vitro antioxidant activities and anti-diabetic effect of a polysaccharide from Schisandra sphenanthera in rats with type 2 diabetes [J]. Int J Biol Macromol , 2017 , 94 ( Pt A ): 154 - 160 .
AZMI S , PETROPOULOS I N , FERDOUSI M , et al . An update on the diagnosis and treatment of diabetic somatic and autonomic neuropathy [J]. F1000Res , 2019 , 2 ( 15 ): 186 .
CUSI K , SANYAL A J , ZHANG S , et al . Non-alcoholic fatty liver disease(NAFLD)prevalence and its metabolic associations in patients with type 1 diabetes and type 2 diabetes [J]. Diabetes Obes Metab , 2017 , 19 ( 11 ): 1630 - 1634 .
张洪敏 , 曹世杰 , 邱峰 , 等 . 葛根和葛根素治疗糖尿病及并发症的研究进展 [J]. 天津中医药大学学报 , 2019 , 38 ( 6 ): 607 - 615 .
谢秀英 , 沙雯君 , 雷涛 , 等 . 中医药通过调节肝糖异生从脾论治糖尿病研究进展 [J]. 上海中医药杂志 , 2021 , 55 ( 5 ): 94 - 101 .
FANG P H , YU M , ZHANG L , et al . Baicalin against obesity and insulin resistance through activation of Akt/AS160/GLUT4 pathway [J]. Mol Cell Endocrinol , 2017 , 448 : 77 - 86 .
WANG T , JIANG H M , CAO S J , et al . Baicalin and its metabolites suppresses gluconeogenesis through activation of AMPK or Akt in insulin resistant HepG-2 cells [J]. Eur J Med Chem , 2017 , 141 : 92 - 100 .
DU Q , ZHANG S H , LI A Y , et al . Astragaloside Ⅳ inhibits adipose lipolysis and reduces hepatic glucose production via Akt dependent PDE3B expression in HFD-Fed mice [J]. Front Physiol , 2018 , 9 : 9 - 15 .
PRASAIN J K , PENG N , RAJBHANDARI R , et al . The Chinese Pueraria root extract( Pueraria lobata ) ameliorates impaired glucose and lipid metabolism in obese mice [J]. Phytomedicine , 2012 , 20 ( 1 ): 17 - 23 .
JUNG H W , KANG A N , KANG S Y , et al . The root extract of Pueraria lobata and its main compound,puerarin,prevent obesity by increasing the energy metabolism in skeletal muscle [J]. Nutrients , 2017 , 9 ( 1 ): 33 - 45 .
马世玉 , 程凤丽 . 黄芪葛根汤辅助治疗2型糖尿病疗效观察及对胰岛素抵抗的影响 [J]. 浙江中西医结合杂志 , 2017 , 27 ( 3 ): 206 - 208 .
韩圆圆 . 黄芪葛根汤辅助治疗2型糖尿病的作用研究 [J]. 中国医药指南 , 2019 , 17 ( 35 ): 184 - 185 .
王春怡 , 李卫民 , 高英 . 黄芪葛根汤对2型糖尿病大鼠胰岛素抵抗及PPAR- γ mRNA表达的影响 [J]. 中国实验方剂学杂志 , 2012 , 18 ( 5 ): 162 - 165 .
于小桐 , 范颖 , 李新 , 等 . 基于AdipoR1/AMPK通路探讨黄芪葛根汤有效组分配伍对糖尿病大鼠糖脂代谢及炎症反应影响 [J]. 辽宁中医药大学学报 , 2020 , 22 ( 2 ): 42 - 45 .
周遵明 , 谭梅傲 , 彭冲 , 等 . 黄芪葛根汤对高脂血症大鼠的降血脂作用机制研究 [J]. 中药新药与临床药理 , 2021 , 32 ( 7 ): 945 - 951 .
RU J L , LI P , WANG J A , et al . TCMSP:a database of systems pharmacology for drug discovery from herbal medicines [J]. Cheminformatics , 2014 , 6 ( 1 ): 13 .
XU X . A novel chemometric method for the prediction of human oral bioavailability [J]. Int J Mol Sci , 2012 , 13 : 6964 - 6982 .
TAO W Y , XU X , WANG X , et al . Network pharmacology-based prediction of the active ingredients and potential targets of Chinese herbal Radix Curcumae formula for application to cardiovascular disease [J]. J Ethnopharmacol , 2013 , 145 : 1 - 10 .
李雨庭 . 黄连温胆汤中黄连最佳剂量对T2DM大鼠肝脏脂代谢PPARa-LXRa-ABCA1信号通路的影响 [D]. 哈尔滨 : 黑龙江中医药大学 , 2018 .
李嘉丽 , 杨泽虹 , 杨良俊 , 等 . 黄芪-莪术对胃癌前病变作用机制的网络药理学分析 [J]. 中药新药与临床药理 , 2019 , 30 ( 12 ): 1434 - 1441 .
徐婷 , 麦葭沂 , 向俊 , 等 . “黄芪-当归”药对主要活性成分的网络药理学研究 [J]. 中药材 , 2017 , 40 ( 9 ): 2195 - 2201 .
刘洋 , 杜婧 , 沈颜红 . 10种药用黄芪属植物化学成分及药理作用的研究进展 [J]. 中国实验方剂学杂志 , 2017 , 23 ( 18 ): 222 - 234 .
张家瑞 . 槲皮苷和山柰酚对糖尿病小鼠血糖及血脂水平的影响 [J]. 现代食品科技 , 2013 , 29 ( 3 ): 459 .
李文雯 , 钟大鹏 , 张卫 , 等 . 槲皮素对糖尿病大鼠胰岛 β 细胞损伤的保护作用及机制研究 [J]. 广西医科大学学报 , 2021 , 38 ( 2 ): 298 .
刘贵波 , 刘跃光 , 孙成 , 等 . 山柰酚对2型糖尿病大鼠糖脂代谢及胰岛素抵抗的影响 [J]. 实用临床医药杂志 , 2012 , 16 ( 9 ): 3 .
张茁 , 孙文 , 刘铜华 , 等 . 山柰酚对2型糖尿病小鼠骨骼肌PI3K-Akt-GLUT4信号通路的影响 [J]. 世界科学技术—中医药现代化 , 2016 , 18 ( 7 ): 1139 - 1143 .
ALKHALIDY H , MOORE W , ZHANG Y , et al . Small molecule kaempferol promotes insulin sensitivity and preserved pancreatic beta-cell mass in middle-aged obese diabetic mice [J]. J Diabetes Res , 2015 , 5 ( 7 ): 32984 .
LUO C , YANG H , TANG C , et al . Kaempferol alleviates insulin resistance via hepatic IKK/NF- kappa B signal in type 2diabetic rats [J]. Int Immunopharmacol , 2015 , 28 ( 1 ): 744 .
PONNULAKSHMI R , SHYAMALADEVI B , VIJAYALAKSHMI P , et al . Insilico and in vivo analysis to identify theantidiabetic activity of beta sitosterol in adipose tissue of high fat diet and sucrose induced type-2 diabetic experimental rats [J]. Toxicol Mech Method , 2019 , 29 ( 4 ): 276 - 290 .
WALLENIUS V , WALLENIUS K , AHRÉN B , et al . Interleukin-6-deficient mice develop mature-onset obesity [J]. Nat Med. , 2002 , 8 ( 1 ): 75 - 79 .
LEINONEN E , HURT-CAMEJO E , WIKLUND O , et al . Insulin resistance and adiposity correlate with acutephase reaction and soluble cell adhesion molecules in type2 diabetes [J]. Atherosclerosis , 2003 , 166 ( 2 ): 387 - 394 .
农天雷 , 曾鸿毅 . TNF- α ,IL-6,IL-8与DM2的关系 [J]. 放射免疫学杂志 , 2011 , 24 ( 2 ): 140 - 141 .
陆亚 . 血清CRP、TNF-α、IL-6与2型糖尿病胰岛素抵抗及血脂水平的相关性研究 [J]. 牡丹江医学院学报 , 2015 , 36 ( 5 ): 47 .
李伟 , 张龙江 , 林汉华 , 等 . 重组人白细胞介素6对SW872脂肪细胞葡萄糖代谢和胰岛素敏感性的影响及其机制 [J]. 实用儿科临床杂志 , 2007 , 22 ( 8 ): 576 .
ROTTER V , N AGAEV I , SMITH U . Interleukin-6induces insulin resistance in 3T3-L 1adipocytea and is like IL-8 and TNF-alpha over-expressed in human fat cells from insulin-resistant subjects [J].J. Biol Chem , 2003 , 278 ( 46 ): 45777 - 45784 .
BLOOMGARDEN Z T . Inflammation and insulin resistance [J]. Diabetes Care , 2013 , 26 ( 5 ): 1619 .
罗新新 , 刘玲 , 吴文明 , 等 . 基于网络药理学和分子对接探讨葛根-丹参药对治疗2型糖尿病作用机制研究 [J]. 江西医药 , 2020 , 55 ( 9 ): 1157 - 1162 .
杨金伟 , 喻嵘 , 吴勇军 , 等 . 基于网络药理学探讨肾气丸干预2型糖尿病的分子机制及关键作用通路的验证 [J]. 北京中医药大学学报 , 2021 , 44 ( 1 ): 60 - 68 .
MINAMINO T , ORIMO M , SHIMIZU I , et al . A crucial role for adipose tissue p53 in the Regulation of insulin resistance [J]. Nat Med , 2009 , 15 ( 9 ): 1082 - 1087 .
KUNG C P , MURPHY M E . The role of the p53 tumor suppressor in metabolism and diabetes [J]. J Endocrinol , 2016 , 231 ( 2 ): R61 - R75 .
宋紫临 , 吴丽丽 , 秦灵灵 , 等 . PI3K/Akt信号通路与糖尿病的研究进展 [J]. 世界科学技术—中医药现代化 , 2019 , 21 ( 6 ): 1264 - 1269 .
吴薇 , 杨晶晶 , 万毅刚 , 等 . 慢性肾脏病胰岛素抵抗的发病机制、治疗策略及中药的干预作用 [J]. 中国中药杂志 , 2017 , 42 ( 1 ): 49 - 55 .
王恩芳 , 刘曙玮 . 番茄红素通过激活PI3K/Akt信号通路对2型糖尿病小鼠治疗机制研究 [J]. 实用糖尿病杂志 , 2015 , 11 ( 5 ): 35 - 37 .
谢秀英 , 沙雯君 , 雷涛 , 等 . 中医药通过调节肝糖异生从脾论治糖尿病研究进展 [J]. 上海中医药杂志 , 2021 , 55 ( 5 ): 1007 - 1334 .
SRIWIJITKAMOL A , CHRIST-ROBERTS C , BERRIA R , et al . Reduced skeletal muscle inhibitor of kappaB beta content is associated with insulin resistance in subjects with type 2 diabetes:reversal by exercise training [J]. Diabetes , 2006 , 55 ( 3 ): 760 - 767 .
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