FOLLOWUS
1.School of Medical Information Engineering, Gansu University of Chinese Medicine, Lanzhou 730101, China
2.School of Basic Medicine, Gansu University of Chinese Medicine, Lanzhou 730101, China
3.School of Traditional Chinese and Western Medicine; Gansu University of Chinese Medicine, Lanzhou 730101, China
E-mail: guowenlong@gszy.edu.cn
Received:05 June 2024,
Accepted:2024-10-24,
Published Online:26 November 2024,
Published:31 December 2024
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郭文龙,姜惠娟,李彦荣等.基于数据挖掘、网络药理学和分子对接的中药治疗失眠的复方用药规律和作用机制[J].中国医学科学杂志(英文),2024,39(04):249-260.
Guo Wen-Long,Jiang Hui-Juan,Li Yan-Rong,et al.Medication Rules of Hub Herb Pairs for Insomnia and Mechanism of Action: Results of Data Mining, Network Pharmacology, and Molecular Docking[J].Chinese Medical Sciences Journal,2024,39(04):249-260.
郭文龙,姜惠娟,李彦荣等.基于数据挖掘、网络药理学和分子对接的中药治疗失眠的复方用药规律和作用机制[J].中国医学科学杂志(英文),2024,39(04):249-260. DOI: 10.24920/004384.
Guo Wen-Long,Jiang Hui-Juan,Li Yan-Rong,et al.Medication Rules of Hub Herb Pairs for Insomnia and Mechanism of Action: Results of Data Mining, Network Pharmacology, and Molecular Docking[J].Chinese Medical Sciences Journal,2024,39(04):249-260. DOI: 10.24920/004384.
目的
2
总结中药复方治疗失眠的用药规律和作用机制,为中医临床和新药开发提供理论参考。
方法
2
筛选整理治疗原发性失眠的方剂并结构化处理,应用基本统计方法分析用药基本情况,应用关联规则算法挖掘核心药物组合,应用网络药理学分析核心药对的作用机制,应用分子对接技术预测核心靶点与药对核心成分的结合性。
结果
2
共筛选、整理和结构化治疗原发性失眠的方剂104首、药物197味。使用频次最高的药物依次是酸枣仁、甘草、人参、茯神等,其中补虚类药物居多,后依次是清热、安神和解表类,药味依次是甘、辛、苦居多,性以温、寒居多,归经以肝、肺、脾、肾、心、胃居多。挖掘到六个核心药对分别是:黄芪-人参、川芎-甘草、远志-酸枣仁、柏子仁-酸枣仁、陈皮-甘草、黄芪-酸枣仁。网络药理学分析揭示这些核心药对可能通过cAMP信号通路协同HIF-1信号通路、PI3K-Akt信号通路、prolactin信号通路、化学致癌-受体激活通路。信号通路关联网络显示cAMP信号通路处于关键节点位置。分子对接预测显示核心靶点与药对的主要成分有良好的结合性。
结论
2
酸枣仁、甘草、黄芪、人参、柏子仁、远志等是治疗失眠的主要中草药,性以寒温为主,味以甘、辛、苦为主,归经以肝、肺、脾、肾、心、胃为主。黄芪-人参、川芎-甘草、远志-酸枣仁、柏子仁-酸枣仁、陈皮-甘草、黄芪-酸枣仁为治疗失眠的核心药对。这些药对可能通过cAMP信号通路协同HIF-1信号通路、PI3K-Akt信号通路、催乳素信号通路、化学致癌-受体激活通路调节失眠。
Objective
2
To explore the medication rules of traditional Chinese medicine (TCM) and mechanism of action of hub herb pairs for treating insomnia.
Methods
2
Totally 104 prescriptions were statistically analyzed. The association rule algorithm was applied to mine the hub herb pairs. Network pharmacology was utilized to analyze the mechanism of the hub herb pairs
while molecular docking was applied to simulate the interaction between receptors and herb molecules
thereby predicting their binding affinities.
Results
2
The most frequently used herbs in TCM prescriptions for treating insomnia included
Semen Ziziphi Spinosae
Radix Glycyrrhizae
Radix et Rhizoma Ginseng
and
Poria cum Radix Pini
. Among them
the most commonly used were the supplementing herbs
followed by heat-clearing
mind-calming
and exterior-releasing ones
with their properties of warm and cold
flavors of sweet
Pungent
and bitter
and meridian tropisms of liver
lungs
spleen
kidneys
heart
and stomach. The hub herb pairs based on the association rules included
Radix Astragali
-
Radix et Rhizoma Ginseng
Rhizoma Chuanxiong
-
Radix Glycyrrhizae
Seman Platycladi
-
Semen Ziziphi Spinosae
Pericarpium Citri Reticulatae
-
Radix Glycyrrhizae
Radix Polygalae
-
Semen Ziziphi Spinosae
and
Radix Astragali
-
Semen Ziziphi Spinosae
. Network pharmacology revealed that the cAMP signaling pathway might play a key role in treating insomnia synergistically with HIF-1 signal
ing pathway
prolactin signaling pathway
chemical carcinogenesis receptor activation
and PI3K-Akt signaling pathway. Molecular docking indicated that there was good binding between the active ingredients of the hub herb pairs and the hub targets.
Conclusions
2
This study identified six hub herb pairs for treating insomnia in TCM. These hub herb pairs may synergistically treat insomnia with HIF-1 signaling pathway
prolactin signaling pathway
chemical carcinogenesis receptor activation
and PI3K-Akt signaling pathway through the cAMP signaling pathway.
Edmonds M , Peynenburg V , Kaldo V , et al . Treating comorbid insomnia in patients enrolled in therapist-assisted transdiagnostic internet-delivered cognitive behaviour therapy for anxiety and depression: a randomized controlled trial . Internet Interv 2024 ; 35 : 100729 . doi: 10.1016/j.invent.2024.100729 http://dx.doi.org/10.1016/j.invent.2024.100729 .
Lad A , Tubaki BR , S KS . Effects of Mamsyadi Kwatha in primary insomnia: a randomized controlled trial . J Ayurveda Integr Med 2023 ; 14 ( 6 ): 100830 . doi: 10.1016/j.jaim.2023.100830 http://dx.doi.org/10.1016/j.jaim.2023.100830 .
Leader G , Killeen C , Whelan S , et al . Factors associated with sleep disturbances in children and adolescents with Angelman Syndrome . Sleep Med 2024 ; 117 : 9 - 17 . doi: 10.1016/j.sleep.2024.02.038 http://dx.doi.org/10.1016/j.sleep.2024.02.038 .
Ye Z , Lai H , Ning J , et al . Traditional Chinese medicine for insomnia: recommendation mapping of the global clinical guidelines . J Ethnopharmacol 2024 ; 322 : 117601 . doi: 10.1016/j.jep.2023.117601 http://dx.doi.org/10.1016/j.jep.2023.117601 .
Qin Y , Xiao J . Research progress of TCM diagnosis and treatment of insomnia . Hebei J Tradit Chin Med 2024 ; 46 ( 9 ): 1580 - 4 . doi: 10.3969/j.issn.1002-2619.2024.09.037 http://dx.doi.org/10.3969/j.issn.1002-2619.2024.09.037 .
Zhang X , Wang S , TANG L , et al . Research progress on Suanzaoren Decoction in treatment of insomnia and its mechanism . Chin Arch Tradit Chin Med 2022 ; 40 ( 10 ): 1 - 7 . doi: 10.13193/j.issn.1673-7717.2022.10.001 http://dx.doi.org/10.13193/j.issn.1673-7717.2022.10.001 .
Zhang M , Lei Z , Jin X , et al . Research progress in the treatment of insomnia based on different TCM differentiation and treatment systems . Guid J Tradit Chin Med Pharm 2023 ; 29 ( 3 ): 130 - 5 . doi: 10.13862/j.cn43-1446/r.2023.03.025 http://dx.doi.org/10.13862/j.cn43-1446/r.2023.03.025 .
Dorkun D , Zhang X , Xiao C , et al . Discussion on the classification of causes and mechanisms of insomnia . Acta Chin Med Pharmacol 2020 ; 48 ( 3 ): 8 - 10 . doi: 10.19664/j.cnki.1002-2392.200041 http://dx.doi.org/10.19664/j.cnki.1002-2392.200041 .
TCMID . Traditional Chinese Medicines Integrated Database . 2022 .
BATMAN-TCM . BATMAN-TCM: A BioinformaticsAnalysis Tool for Chinese Medicine . 2024 . Available from: http://bionet.ncpsb.org.cn/batman-tcm/index.php/Home/Index/index http://bionet.ncpsb.org.cn/batman-tcm/index.php/Home/Index/index .
Ru JL , Li P , Wang JA , et al . TCMSP: a database of systems pharmacology for drug discovery from herbal medicines . J Cheminformatics 2014 ; 6 ( 1 ): 13 . doi: 10.1186/1758-2946-6-13 http://dx.doi.org/10.1186/1758-2946-6-13
The UniProt Consortium . UniProt: the Universal Protein Knowledgebase in 2023 . Nucleic Acids Res 2023 ; 51 ( D1 ): D523 - 31 . doi: 10.1093/nar/gkac1052 http://dx.doi.org/10.1093/nar/gkac1052 .
University J H . Online Mendelian Inheritance in Man . 2024 .
Bank R P D . RCSB Protein Data Bank: A Resource for Chemical, Biochemical, and Structural Explorations of Large and Small Biomolecules . 2024 .
Kim S , Chen J , Cheng T , et al . PubChem 2023 update . Nucleic Acids Res . 2023 ; 51 ( D1 ): D1373 - 80 . doi: 10.1093/nar/gkac956 http://dx.doi.org/10.1093/nar/gkac956 .
Xiong CH , Wang SJ , Liu LS , et al . Study on the action mechanism of "suanzaoren-baiziren" in treating insomnia based on network pharmacology . Henan Tradit Chin Med 2023 ; 43 ( 3 ): 385 - 90 . doi: 10.16367/j.issn.1003-5028.2023.03.0078 http://dx.doi.org/10.16367/j.issn.1003-5028.2023.03.0078 .
Yuan W . Exploring the effect of the medicine on ginseng jujube seed on insomnia rats with heart and spleen deficiency based on the "brain-gut axis ". Liaoning Uni Tradit Chin Med 2022 . doi: 10.27213/d.cnki.glnzc.2022.000192 http://dx.doi.org/10.27213/d.cnki.glnzc.2022.000192 .
Ding YQ , Yang B , Peng HS , et al . Exploration on the mechanisms of couplet medicines of Semen Ziziphi Spinosae and Angelica Sinensis in treating insomnia based on network pharmacology . J Pharm Res 2022 ; 41 ( 10 ): 639 - 44 . doi: 10.13506/j.cnki.jpr.2022.10.002 http://dx.doi.org/10.13506/j.cnki.jpr.2022.10.002 .
Du J , Shao T , Li N , et al . Progress of theoretical research on pathogenesis of insomnia in traditional Chinese medicine . J Pract Tradit Chin Intern Med 2023 ; 37 ( 10 ): 13 - 7 . doi: 10.13729/j.issn.1671-7813.Z20221833 http://dx.doi.org/10.13729/j.issn.1671-7813.Z20221833 .
Sutton EL . Insomnia . Ann Intern Med 2021 ; 174 ( 3 ): ITC33 - 48 . doi: 10.7326/AITC202103160 http://dx.doi.org/10.7326/AITC202103160 .
CACMS . Clinical Practice Guidelines for Insomnia in Traditional Chinese Medicine (WHO/WPO) . World J Sleep Med 2016 ; 3 ( 1 ): 8 - 25 .
Zhang H , Hou Y , Yang J , et al ., Data-mining of the nature , flavour , channel tropism and medicinal function of traditional Chinese medicinal herbs . Chin Pharm 2021 ; 30 ( 10 ): 1 - 4 . doi: 10.3969/j.issn.1006-4931.2021.10.001 http://dx.doi.org/10.3969/j.issn.1006-4931.2021.10.001 .
Teng J . Chinese materia medica (2nd edition) . Beijing : People's Medicine Publishing House , 2019 .
Wang W , Jiang S , Chai J , et al . Research progress on pharmacological action and clinical application of combination of Radix Astragalus and Radix Ginseng . Acta Chin Med Pharmacol 2023 ; 51 ( 8 ): 104 - 9 . doi: 10.19664/j.cnki.1002-2392.230180 http://dx.doi.org/10.19664/j.cnki.1002-2392.230180 .
Xu C , Hou Y , Zhu L , et al . Analysis on the medication rule of headache prescriptions in Zhengzhi Zhunsheng, Leifang . J Guangdong Pharm Univ 2022 ; 38 ( 3 ): 49 - 54 . doi: 10.16809/j.cnki.2096-3653.2021120607 http://dx.doi.org/10.16809/j.cnki.2096-3653.2021120607 .
Singh A , Zhao K . Chapter Five-Treatment of insomnia with traditional Chinese herbal medicine . in : Zeng BY, Zhao K (Eds.), Int Rev Neurobiol. Beijing: Academic Press 2017 , 97 - 115 . doi: 10.1016/bs.irn.2017.02.006 http://dx.doi.org/10.1016/bs.irn.2017.02.006 .
Ren H , Kong X , Wang Y . Compatibility characteristics and epitaxy analysis of Ziziphi Spinosae Semen - Polygalae Radix herb pair based on data mining of ancient and modern TCM prescriptions . Chin Tradit Herbal Drugs 2022 ; 53 ( 13 ): 4065 - 74 . doi: 10.7501/j.issn.0253-2670.2202.13.020 http://dx.doi.org/10.7501/j.issn.0253-2670.2202.13.020 .
Li L , Liu R , He J , et al . Exploring the potential targets of Wendan Tang in treating insomnia based on network pharmacology and animal experiments . World Sci Tech–Modern Tradit Chin Med Materia Medica 2023 ; 25 ( 7 ): 2450 - 64 .
Tian R , Liu X , Xiao Y , et al . Huang-Lian-Jie-Du decoction drug-containing serum inhibits IL-1β secretion from D-glucose and PA induced BV2cells via autophagy/NLRP3 signaling . J Ethnopharmacol 2024 ; 323 : 117686 . doi: 10.1016/j.jep.2023.117686 http://dx.doi.org/10.1016/j.jep.2023.117686 .
Liu S , Bian Y , Ma S , et al ., Ganmai Baihuang Decoction in the treatment of type 2 diabetes with insomnia and deficiency of qi and yin and its effect on serum levels of 5 -HT and IL-1 β. Hebei J Tradit Chin Med 2023 ; 45 ( 6 ): 921 - 5 . doi: 10.3969/j.issn.1002-2619.2023.06.010 http://dx.doi.org/10.3969/j.issn.1002-2619.2023.06.010 .
Liang YJ , Zou JB , Zhang XF , et al . Network pharmacological mechanism of Runfei-Ningshen Decoction in the treatment of insomnia caused by COVID-19 . Northwest Pharm J 2022 ; 37 ( 6 ): 81 - 8 .
Yang W . Study on the mechanism of Qianyang Fengsui Pilin treating insomnia based on network pharmacology . Guangxi J Tradit Chin Med 2022 . doi: 10.27879/d.cnki.ggxzy.2022.000129 http://dx.doi.org/10.27879/d.cnki.ggxzy.2022.000129 .
Zhang L , Peng M , Xiong G . Exploring the mechanism of Guanhuangmu Granules in treating menopausal depression based on network pharmacology and molecular docking technology . Drug Evaluation 2024 ; 21 ( 5 ): 553 - 9 . doi: 10.19939/j.cnki.1672-2809.2024.05.09 http://dx.doi.org/10.19939/j.cnki.1672-2809.2024.05.09 .
Wang Z , Li D , Chen M , et al . A comprehensive study on the regulation of Compound Zaoren Granules on cAMP/CREB signaling pathway and metabolic disorder in CUMS-PCPA induced insomnia rats . J Ethnopharmacol 2024 ; 332 : 118401 . doi: 10.1016/j.jep.2024.118401 http://dx.doi.org/10.1016/j.jep.2024.118401 .
Cao F , Xu Y , Zhang M , et al . BaihuiDU20), Shenmen (HT7) and Sanyinjiao (SP6) target the cAMP/CREB/BDNF and PI3K/Akt pathways to reduce central nervous system apoptosis in rats with insomnia . Heliyon 2022 ; 8 ( 12 ): e12574 . doi: 10.1016/j.heliyon.2022.e12574 http://dx.doi.org/10.1016/j.heliyon.2022.e12574 .
Kevin H , Pepe H , Alice P , et al . Genetic evidence for a role for protein kinase A in the maintenance of sleep and thalamocortical oscillations . Sleep 2010 ; 33 ( 1 ): 19 - 28 . doi: 10.1093/sleep/33.1 http://dx.doi.org/10.1093/sleep/33.1 .
Deng Y , Peng X , He T . Mechanism of Suanzaoren decoction regulating PI3K/AKT/BDNF signaling pathway to improve insomnia in perimenopausal rats . Shaanxi J Tradit Chin Med 2024 ; 45 ( 7 ): 897 - 901 . doi: 10.3969/j.issn.1000-7369.2024.07.007 http://dx.doi.org/10.3969/j.issn.1000-7369.2024.07.007 .
Hao W , Liu Y , Jiang F , et al . Clinical effect of lipoic acid combined with non -invasive ventilator in treatment of obstructive sleep apnea hypopnea syndrome . Chin Med Herald 2019 ; 16 ( 32 ): 127 - 30+39 . doi: CNKI:SUN:YYCY.0.2019-32-032 http://dx.doi.org/CNKI:SUN:YYCY.0.2019-32-032 .
Song W , Guo X , Ba Y , et al ., Mechanism of Guanhuangmu Granules in treatment of perimenopausal syndrome based on network pharmacology and molecular docking . Drugs & Clinic 2023 ; 38 ( 1 ): 48 - 57 . doi: 10.7501/jissn.1674-5515.2023.01.007 http://dx.doi.org/10.7501/jissn.1674-5515.2023.01.007 .
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