Study On the Mechanism of Action of Qili Qiangxin Capsule in the Treatment of Heart Failure Based on Network Pharmacology and Molecular Docking Method
Download PDF (English)

DOI

10.26689/cr.v2i2.7465

Submitted : 2024-06-24
Accepted : 2024-07-09
Published : 2024-07-24

摘要

 Objective: To investigate the pharmacodynamic substances and mechanism of action of  Qili Qiangxin Capsule in the treatment of heart failure based on network pharmacology and molecular docking technology. Methods: The active ingredients and drug targets of Qili Qiangxin Capsule were obtained from databases such as TCMSP, GeneCards, OMIM, PharmGkb, TTD, and DrugBank databases were searched for heart failure disease targets. The drug targets and disease targets were corrected by the UniProt database, then the Venn diagram was drawn, and the intersecting genes were screened. Cytoscape 3.8.0 software was used to draw the active ingredient-disease target network for topological analysis. PPI network was constructed in the STRING database platform to predict the core targets. Bioconductor package was used to perform KEGG pathway analysis. autoDock Vina software was used to molecularly dock the core targets with the main active ingredients, and Pymol software visualised the results. Results: Screening of 209 active ingredients of Qili Qiangxin Capsule, including quercetin, luteolin, cryptotanshinone, etc. 11,432 heart failure disease targets, 249 genes intersecting with drugs, including the core targets containing TP53, STAT3, JUN, MAPK1, etc. These genes are mainly involved in the AGE-RAGE, fluid shear stress, and atherosclerosis, PI3K-Akt signaling pathways. Conclusion: This study initially revealed the multi-component, multi-target, multi-pathway mechanism of action of Qili Qiangxin Capsule in the treatment of heart failure, which provides a theoretical basis for further research.

参考

Ponikowski P, Anker SD, AlHabib KF, et al., 2014, Heart Failure: Preventing Disease and Death Worldwide. ESC Heart Failure, 1(1): 4–25.

Zhang Y, Zhang J, Butler J, et al., 2017, Contemporary Epidemiology, Management, and Outcomes of Patients Hospitalized for Heart Failure in China: Results From the China Heart Failure (China-HF) Registry. Journal of Cardiac Failure, 23(12): 868–875.

Nakou ES, Vardas PE, 2013, New Therapeutic Options in Heart Failure What’s on the Horizon?: An overview. International Journal of Cardiology,170(2): 95–106.

Mao J, Wu Y, Shi D, 2021, Guidelines for Clinical Application of Proprietary Chinese Medicines in the Treatment of Coronary Heart Disease (2020). Journal of Integrative Cardiovascular and Cerebrovascular Diseases, 2021(9): 1409–1435.

Wang H, Liang Y, 2018, Chinese Guidelines for the Diagnosis and Treatment of Heart Failure. Chinese Journal of Cardiovascular Disease, 2018(10): 760–789.

Chen K, Wu Z, Zhu M, et al., 2016, Expert Consensus on Combined Chinese and Western Medicine Diagnosis and Treatment of Chronic Heart Failure. Journal of Integrated Cardiovascular and Cerebrovascular Diseases of Chinese and Western Medicine, 2016(3): 225–232.

Zhao Q, Li H, Yin Y, et al., 2019, Progress of Research on the Mechanism of Action of Qili Qiangxin Capsule in the Treatment of Chronic Heart Failure. Tianjin Traditional Chinese Medicine, 2019(4): 313–318.

Zhou J, Ma Zandong, Li Zhongxuan, 2018, Research on the Collation of Ancient Chinese Medical Literature on Heart Failure. China Medical Innovation, 2018(31): 54–57.

Zhao Xue, Dai Guohua, 2021, Multi-targeted Intervention of Chinese Medicine in Chronic Heart Failure. Journal of Chinese Medicine, 2021(6): 1217–1221.

Li X, Zhang J, Huang J, et al., 2013, A Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Study of the Effects of Qili Qiangxin Capsules in Patients with Chronic Heart Failure. Journal of the American College of Cardiology, 62(12): 1065–1072.

Blaskovic D, Zizkova P, Drzik F, et al., 2013, Modulation of Rabbit Muscle Sarcoplasmic Reticulum Ca2+-ATPase Activity by Novel Quercetin Derivatives. Interdisciplinary Toxicology, 6(1): 3–8.

Wang L, Tan A, An X, et al., 2020, Quercetin Dihydrate Inhibition of Cardiac Fibrosis Induced by Angiotensin II in vivo and in vitro. Biomedicine & Pharmacotherapy, 2020(127): 110205.

Yamagata K, 2019, Polyphenols Regulate Endothelial Functions and Reduce the Risk of Cardiovascular Disease. Current Pharmaceutical Design, 25(22): 2443–2458.

Luo Y, Shang P, Li D, 2017, Luteolin: A Flavonoid that Has Multiple Cardio-Protective Effects and Its Molecular Mechanisms. Frontiers in Pharmacology, 2017(8): 692.

Jin HJ, Li CG, 2013, Tanshinone IIA and Cryptotanshinone Prevent Mitochondrial Dysfunction in Hypoxia-Induced H9c2 Cells: Association to Mitochondrial ROS, Intracellular Nitric Oxide, and Calcium Levels. Evidence-Based Complementary and Alternative Medicine, 2013(1): 610694.

Kimata M, Matoba S, Iwai-Kanai E, et al., 2010, p53 and TIGAR Regulate Cardiac Myocyte Energy Homeostasis Under Hypoxic Stress. American Journal of Physiology: Heart and Circulatory Physiology, 299(6): 1908–1916.

Pipicz M, Demjan V, Sarkozy M, et al., 2018, Effects of Cardiovascular Risk Factors on Cardiac STAT3. International Journal of Molecular Sciences, 19(11): 3572.

Jochmann S, Elkenani M, Mohamed BA, et al., 2019, Assessing the Role of Extracellular Signal-Regulated Kinases 1 and 2 in Volume Overload-Induced Cardiac Remodelling. ESC Heart Failure, 6(5): 1015–1026.

Paradela-Dobarro B, Agra RM, Álvarez L, et al., 2019, The Different Roles for the Advanced Glycation End Products Axis in Heart Failure and Acute Coronary Syndrome Settings. Nutrition, Metabolism and Cardiovascular Diseases, 29(10): 1050–1060.

Li S, Li P, Kang N, et al., 2021, Research Progress on the Relationship Between PI3K/Akt Signalling Pathway and Cardiovascular Diseases. Beijing Medical, 2021(1): 66–69.