Abstract

BackgroundColorectal cancer (CRC) remains one of the leading causes of cancer-related death worldwide. Gelsemium elegans Benth (GEB) is a traditional Chinese medicine commonly used for treatment for gastrointestinal cancer, including CRC. However, the underlying active ingredients and mechanism remain unknown. This study aims to explore the active components and the functional mechanisms of GEB in treating CRC by network pharmacology-based approaches.MethodsCandidate compounds of GEB were collected from the Traditional Chinese Medicine@Taiwan, Traditional Chinese Medicines Integrated Database, Bioinformatics Analysis Tool for Molecular mechanism of Traditional Chinese Medicine, and published literature. Potentially active targets of compounds in GEB were retrieved from SwissTargetPrediction databases. Keywords “colorectal cancer”, “rectal cancer” and “colon cancer” were used as keywords to search for related targets of CRC from the GeneCards database, then the overlapped targets of compounds and CRC were further intersected with CRC related genes from the TCGA database. The Cytoscape was applied to construct a graph of visualized compound-target and pathway networks. Protein-protein interaction networks were constructed by using STRING database. The DAVID tool was applied to carry out Gene Ontology and Kyoto Encyclopedia of Genes and Genome pathway enrichment analysis of final targets. Molecular docking was employed to validate the interaction between compounds and targets. AutoDockTools was used to construct docking grid box for each target. Docking and molecular dynamics simulation were performed by Autodock Vina and Gromacs software, respectively.ResultsFifty-three bioactive compounds were successfully identified, corresponding to 136 targets that were screened out for the treatment of CRC. Functional enrichment analysis suggested that GEB exerted its pharmacological effects against CRC via modulating multiple pathways, such as pathways in cancer, cell cycle, and colorectal cancer. Molecular docking analysis showed that the representative compounds had good affinity with the key targets. Molecular dynamics simulation indicated that the best hit molecules formed a stable protein-ligand complex.ConclusionThis network pharmacology study revealed the multiple ingredients, targets, and pathways synergistically involved in the anti-CRC effect of GEB, which will enhance our understanding of the potential molecular mechanism of GEB in treatment for CRC and lay a foundation for further experimental research.

Highlights

  • Colorectal cancer (CRC) remains one of the leading causes of cancer-related death worldwide

  • Molecular dynamics simulation indicated that the best hit molecules formed a stable protein-ligand complex. This network pharmacology study revealed the multiple ingredients, targets, and pathways synergistically involved in the anti-CRC effect of Gelsemium elegans Benth (GEB), which will enhance our understanding of the potential molecular mechanism of GEB in treatment for CRC and lay a foundation for further experimental research

  • In this study, based on network pharmacology analysis, we obtained 53 active compounds from GEB and predicted 20 potential center targets for GEB in the treatment of CRC, suggesting that GEB was an herbal medicine with multicomponent, multiple targets, and multiple pathways

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Summary

Introduction

Colorectal cancer (CRC) remains one of the leading causes of cancer-related death worldwide. Gelsemium elegans Benth (GEB) is a traditional Chinese medicine commonly used for treatment for gastrointestinal cancer, including CRC. Colorectal cancer (CRC) continues to be one of the leading causes of mortality and morbidity worldwide despite the availability of reliable screening tools and effective therapies. It is the second most common cause of cancer death in the United States when men and women are combined [1]. According to the American Cancer Society’s and GLOBOCAN estimates, it will be 147,950 and 1,931,590 new cases of CRC in the United States and the world for 2020, respectively [2, 3]. It is of great significance to search for more effective alternative agents with low toxicity for patients

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