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Chinese Journal of Kidney Disease Investigation(Electronic Edition) ›› 2021, Vol. 10 ›› Issue (04): 181-188. doi: 10.3877/cma.j.issn.2095-3216.2021.04.001

• Original Article •     Next Articles

Network pharmacology-based study on the mechanism of Yishen-Huashi-Granules in the treatment of chronic glomerulonephritis

Tianxiang Hu1, Guirui Huang2, Wei Mao3, Chuang Li4,(), Peng Xu4, Ruimin Tian4, Chen Xie5   

  1. 1. State Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province; Chinese Medicine Thinking Research Office, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province
    2. Department of Respiratory, Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029
    3. State Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province; Department of Nephrology, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province; Guangdong Provincial Key Laboratory of Chinese Medicine Syndrome Clinical Research, Guangzhou 510120, Guangdong Province
    4. State Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province; Department of Nephrology, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province; Guangdong Provincial Key Laboratory of Traditional Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases, Guangzhou 510120, Guangdong Province
    5. Department of Nephrology, Beijing Hospital of Integrated Traditional and Western Medicine, Beijing 100039; China
  • Received:2021-02-19 Online:2021-08-26 Published:2021-08-26
  • Contact: Chuang Li

Abstract:

Objective

To explore the effective components, potential targets, pathways, and the mechanism of Yishen-Huashi-Granules in the treatment of chronic glomerulonephritis by means of network pharmacology.

Methods

Through use of the analysis platform of the Traditional Chinese Medicine Systems Pharmacology (TCMSP), a database was established for the active ingredients and targets of the Yishen-Huashi-Granules. Screening of the chronic glomerulonephritis-related genes and targets was performed with the human gene database (GeneCards), the database of Online Mendelian Inheritance in Man (OMIM), the Pharmacogenetics and Pharmacogenomics Knowledge Base (PharmGKB), the Therapeutic Target Database (TTD), and drug action target database (DrugBank). The protein-protein association database (STRING) was used to analyze the protein-protein interaction, and the core genes were obtained from screening of the Protein-Protein Interaction(PPI) network. By use of the Cytoscape software, a "key active ingredient-core target gene" network was constructed. Finally, the gene ontology (GO) database was applied to perform the function enrichment analysis, and the Kyoto Encyclopedia of Genes and Genomes (KEGG) database was used for signal pathway analysis.

Results

The screening found out 258 target genes for active ingredients of traditional Chinese medicine, 2143 target genes for chronic glomerulonephritis, and 132 target genes for active ingredients of Yishen-Huashi-Granules in the treatment of chronic glomerulonephritis. Among these, the core target genes were the proto-oncogene FOS, mitogen-activated protein kinases (MAPK8, MAPK3, MAPK14, MAPK1), and the proto-oncogene JUN, etc. 177 active ingredients of Yishen-Huashi-Granules were related to the treatment of chronic glomerulonephritis. The GO function enrichment analysis indicated that the Yishen-Huashi-Granules were mainly involved in 11 molecular functions and 10 biological processes. The KEGG pathway enrichment analysis showed that the treatment of chronic glomerulonephritis by Yishen-Huashi-Granules mainly involved signal molecules including the advanced glycation end products (AGEs) and the receptor for AGE (RAGE), tumor necrosis factor (TNF), interleukin-17 (IL-17), hypoxia inducible factor-1 (HIF-1), and Toll-like receptors, etc.

Conclusion

Through quercetin, naringenin, kaempferol, baicalein, and other active ingredients, the Yishen-Huashi-Granules could regulate targets as proto-oncogenes, mediate the FOS, MAPK, AGE-RAGE, HIF-1, and other related pathways, and affect the body′s immune regulation, anti-inflammatory, antioxidant, and other processes, playing a role in the treatment of chronic glomerulonephritis. The Yishen-Huashi-Granules′ integral regulation of multi-ingredient, multi-target, and multi-pathway as well as the potential goals may provide a research foundation for the in-depth exploration of the mechanisms and applications in the future.

Key words: Yishen-Huashi-Granules, Chronic glomerulonephritis, Network pharmacology, Targets, Mechanism

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