1.中国中医科学院 中药研究所,道地药材与品质保障全国重点实验室,北京 100700
2.国家药品监督管理局 中医药研究与评价重点实验室,北京 100700
李玮婕,博士,助理研究员,从事抗炎、免疫中药药理学研究,Tel: 010-64032656,E-mail: wjli@icmm.ac.cn
宋丽娟,硕士,从事中医药管理、信息技术研究,E-mail:13520297309@163.com
收稿:2024-07-29,
网络出版:2024-09-12,
纸质出版:2024-11-20
移动端阅览
李玮婕,钟余特,宫恬等.基于“转录组-成分靶标-表型基因”多维网络全局式探索化湿败毒方抗心肌损伤潜在作用机制[J].中国实验方剂学杂志,2024,30(22):69-78.
LI Weijie,ZHONG Yute,GONG Tian,et al.Underlying Mechanisms of Huashi Baidu Prescription Against Myocardial Injury Based on "Transcriptome-Putative Target-Phenotype Gene" Interactions[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(22):69-78.
李玮婕,钟余特,宫恬等.基于“转录组-成分靶标-表型基因”多维网络全局式探索化湿败毒方抗心肌损伤潜在作用机制[J].中国实验方剂学杂志,2024,30(22):69-78. DOI: 10.13422/j.cnki.syfjx.20241407.
LI Weijie,ZHONG Yute,GONG Tian,et al.Underlying Mechanisms of Huashi Baidu Prescription Against Myocardial Injury Based on "Transcriptome-Putative Target-Phenotype Gene" Interactions[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(22):69-78. DOI: 10.13422/j.cnki.syfjx.20241407.
目的
2
基于“转录组-成分靶标-表型基因”多维网络全局式探索化湿败毒方抗心肌损伤的作用机制。
方法
2
基于中医药百科全书(ETCM 2.0,
http://www.tcmip.cn/ETCM2/front/
http://www.tcmip.cn/ETCM2/front/
)及中医药整合药理学研究平台(TCMIP v2.0,
http://www.tcmip.cn/TCMIP/index.php/Home/Login/login.html
http://www.tcmip.cn/TCMIP/index.php/Home/Login/login.html
)收集化湿败毒方成分预测靶标集;基于CNKI及PubMed数据库挖掘化湿败毒方抗新型冠状病毒感染(COVID-19)的临床优势症状表型,基于CTD数据库收集多柔比星临床不良反应症状,并利用HPO数据库及SoFDA数据平台(
http://www.tcmip.cn/Syndrome/front/
http://www.tcmip.cn/Syndrome/front/
#/)收集表型相关基因。构建“转录组-成分靶标-表型基因”多维分子网络,并计算网络节点拓扑特征值,筛选网络核心节点,并开展功能挖掘阐释方药作用机制。在此基础之上,基于多柔比星诱导心肌损伤动物模型,开展药效学评价和机制验证。65只SPF级C57BL/6J雄性小鼠,随机分为5组:正常组、多柔比星诱导模型组、化湿败毒方低、中、高给药组,各组13只。用于转录组测序采用苏木素-伊红(HE)及马松(Masson)染色进行组织病理学检测、实时荧光定量聚合酶链式反应(Real-time PCR)检测心脏组织中纤维化指标、蛋白免疫印迹法(Western blot)检测蛋白表达检测。
结果
2
基于ETCM 2.0及TCMIP v2.0共得到1 044个化湿败毒方候选靶标;基于CTD数据库、HPO数据集及SoFDA数据平台,共得到1 223个方药潜在效应靶标集;心脏转录组测序(RNA-seq),以
P
<
0.05,FC
>
1.5/
<
0.667为筛选标准,共获得214个多柔比星诱导心肌损伤相关基因,58个化湿败毒方效应基因。多维分子网络构建与分析后,发现化湿败毒方干预心肌损伤的相关作用机制主要与机体免疫-炎症失衡相关,其次参与细胞代谢,心肌细胞功能及纤维化,血管生成、收缩与血小板活化,DNA合成、代谢与修复,以及细胞死亡与氧化应激反应,改善射血分数降低、心肌纤维化、心肌炎、高油酸三脂血症、动/静脉血栓形成等心血管系统异常性症状表型。动物实验表明,化湿败毒方可通过抑制多柔比星诱导后心肌组织NOD样受体热蛋白结构域蛋白3(NLRP3)、胱天蛋白酶-1(Caspase-1)、凋亡相关斑点样蛋白(ASC)、消皮素D(GSDMD)异常高表达(
P
<
0.05),改善转化生长因子-
β
1
(TGF-
β
1
)、Smad3及
α
-平滑肌肌动蛋白(
α
-SMA)纤维化指标mRNA水平的异常升高(
P
<
0.05),发挥抗心肌纤维化作用。
结论
2
化湿败毒方可通过多成分、多靶点、多效应改善心肌损伤,其中抑制NLRP3炎症小体激活途径为其优势药效环节,为后续靶向治疗药物的开发提供新思路。
Objective
2
To systematically explore the underlying mechanisms of Huashi Baidu prescription (HBP) against myocardial injury through a multidimensional network analysis of "transcriptome-putative target-phenotype gene".
Method
2
Putative
targets of compounds in HBP were predicted using the Encyclopedia of Traditional Chinese Medicine (ETCM 2.0,
http://www.tcmip.cn/ETCM2/front/
http://www.tcmip.cn/ETCM2/front/
) and the Integrative Pharmacology-based Research Platform of Traditional Chinese Medicine (TCMIP v2.0,
http://www.tcmip.cn/TCMIP/index.php/Home/Login/login.html
http://www.tcmip.cn/TCMIP/index.php/Home/Login/login.html
). Clinical predominant symptom phenotypes for HBP against coronavirus disease 2019 (COVID-19) were collected from CNKI and PubMed databases, while clinical side effects of doxorubicin were gathered from the CTD database. Phenotype-related genes were collected from the HPO database and SoFDA data platform (
http://www.tcmip.cn/Syndrome/front/
http://www.tcmip.cn/Syndrome/front/
#/). An interaction network of "transcriptome-putative target-phenotype gene" was constructed. Key nodes were identified through topological feature calculations, and functional enrichment analysis was conducted to explain the underlying mechanism. Pharmacodynamic evaluation and mechanism verification were performed using a doxorubicin-induced myocardial injury mouse model. Sixty-five SPF-grade C57BL/6J male mice were randomly divided into a control group, a doxorubicin model group, and low-, medium-, and high-dose HBP groups (HBP-L/M/H), with 13 mice per group. Histopathological severity was assessed using hematoxylin-eosin (HE) and Masson staining. Fibrosis markers were measured by Real-time fluorescence quantitative polymerase chain reaction (Real-time PCR), and protein expression was detected by Western blot.
Result
2
A total of 1 044 putative targets for HBP were obtained from ETCM 2.0 and TCMIP v2.0. From the CTD, HPO, and SoFDA databases, 1 223 potential effect-related targets were identified. Cardiac transcriptome sequencing (RNA-seq) yielded 214 genes related to
doxorubicin-induced myocardial injury and 58 genes associated with the effects of HBP, using criteria of
P
-value
<
0.05 and FC
>
1.5/
<
0.667. Analysis of the multidimensional molecular network revealed that the mechanisms of HBP on myocardial injury were mainly related to immune-inflammation imbalance, cellular metabolism, myocardial cell function and fibrosis, angiogenesis, contraction and platelet activation, DNA synthesis, metabolism and repair, as well as cell death and oxidative stress. HBP improved cardiovascular abnormalities such as reduced ejection fraction, myocardial fibrosis, myocarditis, hypertriglyceridemia, and arterial/venous thrombosis. Animal experiments demonstrated that HBP reduced the abnormal high expression of Nod-like receptor heat protein domain Protein 3 (NLRP3), Caspase-1, apoptosis-associated speck-like protein (ASC), and Gasdermin D (GSDMD) in myocardial tissue induced by doxorubicin (
P
<
0.05), and improved the elevated mRNA levels of fibrosis markers transforming growth factor-
β
1
(TGF-
β
1
), Smad3, and
α
-smooth muscle actin (
α
-SMA) (
P
<
0.05).
Conclusion
2
HBP can improve myocardial injury through multiple components, targets, and effects, with the inhibition of the NLRP3 inflammasome activation pathway being a key pharmacodynamic mechanism. This study is expected to provide new insights for the development of targeted therapeutic drugs.
中国医师协会中西医结合医师分会 , 中国医师协会中西医结合医师分会心脏介入专业委员会 , 中国中西医结合学会重症医学专业委员会 , 等 . 新型冠状病毒感染合并心功能不全中西医结合诊疗专家共识 [J]. 中国中西医结合杂志 , 2023 , 43 ( 4 ): 389 - 398 .
WANG D , HU B , HU C , et al . Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China [J]. JAMA , 2020 , 323 ( 11 ): 1061 - 1069 .
HUANG C , WANG Y , LI X , et al . Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J]. Lancet , 2020 , 395 ( 10223 ): 497 - 506 .
GUZIK T J , MOHIDDIN S A , DIMARCO A , et al . COVID-19 and the cardiovascular system: Implications for risk assessment, diagnosis, and treatment options [J]. Cardiovasc Res , 2020 , 116 ( 10 ): 1666 - 1687 .
国家老年医学中心 , 中国老年医学学会心电与心功能分会 , 北京医学会心血管病学分会影像学组 , 等 . 新型冠状病毒感染相关心肌损伤、心肌炎和感染后状态管理专家共识(第二版) [J]. 中国循环杂志 , 2023 , 38 ( 2 ): 105 - 115 .
MARTÍNEZ-LAVÍN M , MIGUEL-ÁLVAREZ A . Hypothetical framework for post-COVID 19 condition based on a fibromyalgia pathogenetic model [J]. Clin Rheumatol , 2023 , 42 ( 11 ): 3167 - 3171 .
彭洁婷 . 沙库巴曲缬沙坦介导铁死亡改善多柔比星心脏毒性的研究 [D]. 长沙 : 中南大学 , 2023 .
XU H , LI S , LIU J , et al . Bioactive compounds from Huashi Baidu decoction possess both antiviral and anti-inflammatory effects against COVID-19 [J]. Proc Natl Acad Sci USA , 2023 , 120 ( 18 ): e2301775120 .
XU H Y , ZHANG Y Q , LIU Z M , et al . ETCM: An encyclopaedia of traditional Chinese medicine [J]. Nucleic Acids Res , 2019 , 47 ( D1 ): D976 - D982 .
ZHANG Y , LI X , SHI Y , et al . ETCM v2.0: An update with comprehensive resource and rich annotations for traditional Chinese medicine [J]. Acta Pharm Sin B , 2023 , 13 ( 6 ): 2559 - 71 .
许海玉 , 刘振明 , 付岩 , 等 . 中药整合药理学计算平台的开发与应用 [J]. 中国中药杂志 , 2017 , 42 ( 18 ): 3633 - 3638 .
ZHAO C , LI L , YANG W , et al . Chinese medicine formula Huashibaidu granule early treatment for mild COVID-19 patients:An unblinded,cluster-randomized clinical trial [J]. Front Med (Lausanne) , 2021 , 8 : 696976 .
LIU J , YANG W , LIU Y , et al . Combination of Hua Shi Bai Du granule (Q-14) and standard care in the treatment of patients with coronavirus disease 2019 (COVID-19):A single-center, open-label, randomized controlled trial [J]. Phytomedicine , 2021 , 91 : 153671 .
HUANG K , ZHANG P , ZHANG Z , et al . Traditional Chinese medicine (TCM) in the treatment of COVID-19 and other viral infections:Efficacies and mechanisms [J]. Pharmacol Ther , 2021 , 225 : 107843 .
SHI N , GUO L , LIU B , et al . Efficacy and safety of Chinese herbal medicine versus lopinavir-ritonavir in adult patients with coronavirus disease 2019:A non-randomized controlled trial [J]. Phytomedicine , 2021 , 81 : 153367 .
XIONG Y , TIAN Y , MA Y , et al . The effect of Huashibaidu formula on the blood oxygen saturation status of severe COVID-19:A retrospective cohort study [J]. Phytomedicine , 2022 , 95 : 153868 .
ZHANG Y , WANG N , DU X , et al . SoFDA:An integrated web platform from syndrome ontology to network-based evaluation of disease-syndrome-formula associations for precision medicine [J]. Sci Bull (Beijing) , 2022 , 67 ( 11 ): 1097 - 1101 .
李玮婕 , 张彦琼 , 周书繁 , 等 . 基于“病-方”互作网络探索尪痹片干预膝骨关节炎临床优势分期与潜在作用机制 [J]. 中国中药杂志 , 2024 , 49 ( 14 ): 3924 - 3935 .
毛鹏 , 李玮婕 , 李春霞 , 等 . 从“效应-靶标”互作关联视角探讨消肿止痛贴的功效机制 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 13 ): 106 - 113 .
李玮婕 , 毛霞 , 刘毓东 , 等 . 整合“转录组-基因调控网络”探讨白虎加桂枝汤君药石膏的性-效关联内涵 [J]. 中国实验方剂学杂志 , 2023 , 29 ( 1 ): 52 - 60 .
WEI S , MA W , YANG Y , et al . Trastuzumab potentiates doxorubicin-induced cardiotoxicity via activating the NLRP3 inflammasome in vivo and in vitro [J]. Biochem Pharmacol , 2023 , 214 : 115662 .
SUN Z , FANG C , XU S , et al . SIRT3 attenuates doxorubicin-induced cardiotoxicity by inhibiting NLRP3 inflammasome via autophagy [J]. Biochem Pharmacol , 2023 , 207 : 115354 .
WANG Y , LU C , LI H , et al . Efficacy and safety assessment of severe COVID-19 patients with Chinese medicine:A retrospective case series study at early stage of the COVID-19 epidemic in Wuhan, China [J]. J Ethnopharmacol , 2021 , 277 : 113888 .
WU L , CHEN Y , MA Y , et al . Clinical practice guideline on treating influenza in adult patients with Chinese patent medicines [J]. Pharmacol Res , 2020 , 160 : 105101 .
YANG C C , WU C J , CHIEN C Y , et al . Green tea polyphenol catechins inhibit coronavirus replication and potentiate the adaptive immunity and autophagy-dependent protective mechanism to improve acute lung injury in mice [J]. Antioxidants (Basel) , 2021 , 10 ( 6 ): 928 .
YANG L , CHEN H , HU Q , et al . Eupalinolide B attenuates lipopolysaccharide-induced acute lung injury through inhibition of NF- κ B and MAPKs signaling by targeting TAK1 protein [J]. Int Immunopharmacol , 2022 , 111 : 109148 .
王萌 , 刘颖 , 李华 , 等 . 芍药苷对热应激心肌损伤的保护作用及机制 [J]. 营养学报 , 2024 , doi: 10.13325/j.cnki.acta.nutr.sin.20240527.001 http://dx.doi.org/10.13325/j.cnki.acta.nutr.sin.20240527.001 .
邵庆瑞 , 张小军 , 零伟德 , 等 . 芍药苷的心脏保护作用及作用机制研究进展 [J]. 中南药学 , 2023 , 21 ( 9 ): 2386 - 2391 .
陈家显 , 陈磊 , 张远生 , 等 . 芍药苷通过抑制NLRP3炎症小体活化减轻病毒性心肌炎小鼠心肌损伤 [J]. 中国免疫学杂志 , 2022 , 38 ( 20 ): 2485 - 2489 .
陆文强 . 异甘草素通过调节UCP2对抗阿霉素所致心脏毒性 [D]. 杭州 : 浙江大学 , 2021 .
ZHANG F , GUO F , ZHANG Y , et al . Huashibaidu formula attenuates sepsis-induced acute lung injury via suppressing cytokine storm:Implications for treatment of COVID-19 [J]. Phytomedicine , 2023 , 109 : 154549 .
黄亚晓 , 何新雨 , 曾小娟 , 等 . NOD样受体蛋白3炎症小体在多柔比星诱导心脏毒性中的意义 [J]. 安徽医药 , 2024 , 28 ( 5 ): 860 - 864 .
KITAKATA H , ENDO J , IKURA H , et al . Therapeutic targets for DOX-induced cardiomyopathy:Role of apoptosis vs. ferroptosis [J]. Int J Mol Sci , 2022 , 23 ( 3 ): 1414 .
ZHU J , ZHANG J , ZHANG L , et al . Interleukin-1 signaling mediates acute doxorubicin-induced cardiotoxicity [J]. Biomed Pharmacother , 2011 , 65 ( 7 ): 481 - 485 .
ZHANG L , JIANG Y H , FAN C , et al . MCC950 attenuates doxorubicin-induced myocardial injury in vivo and in vitro by inhibiting NLRP3-mediated pyroptosis [J]. Biomed Pharmacother , 2021 , 143 : 112133 .
MENG L , LIN H , ZHANG J , et al . Doxorubicin induces cardiomyocyte pyroptosis via the TINCR-mediated posttranscriptional stabilization of NLR family pyrin domain containing 3 [J]. J Mol Cell Cardiol , 2019 , 136 : 15 - 26 .
SAUTER K A , WOOD L J , WONG J , et al . Doxorubicin and daunorubicin induce processing and release of interleukin-1 β through activation of the NLRP3 inflammasome [J]. Cancer Biol Ther , 2011 , 11 ( 12 ): 1008 - 1016 .
WEI S , MA W , LI X , et al . Involvement of ROS/NLRP3 inflammasome signaling pathway in doxorubicin-induced cardiotoxicity [J]. Cardiovasc Toxicol , 2020 , 20 ( 5 ): 507 - 519 .
0
浏览量
167
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
