Abstract

Non-small cell lung cancer (NSCLC) is the most ordinary type of lung cancer which leads to 1/3 of all cancer deaths. At present, cytotoxic chemotherapy, surgical resection, radiation, and photodynamic therapy are the main strategies for NSCLC treatment. However, NSCLC is relatively resistant to the above therapeutic strategies, resulting in a rather low (20%) 5-year survival rate. Therefore, there is imperative to identify or develop efficient lead compounds for the treatment of NSCLC. Here, we report that the herb Scutellaria barbata D. Don (SBD) can effectively treat NSCLC by anti-inflammatory, promoting apoptosis, cell cycle arrest, and angiogenesis. In this work, we analyze the molecular mechanism of SBD for NSCLC treatment by applying the systems pharmacology strategy. This method combines pharmacokinetics analysis with pharmacodynamics evaluation to screen out the active compounds, predict the targets and assess the networks and pathways. Results show that 33 compounds were identified with potential anti-cancer effects. Utilizing these active compounds as probes, we predicted that 145 NSCLC related targets mainly involved four aspects: apoptosis, inflammation, cell cycle, and angiogenesis. And in vitro experiments were managed to evaluate the reliability of some vital active compounds and targets. Overall, a complete overview of the integrated systems pharmacology method provides a precise probe to elucidate the molecular mechanisms of SBD for NSCLC. Moreover, baicalein from SBD effectively inhibited tumor growth in an LLC tumor-bearing mice models, demonstrating the anti-tumor effects of SBD. Our findings further provided experimental evidence for the application in the treatment of NSCLC.

Highlights

  • Non-small cell lung cancer (NSCLC) is one of the leading causes of cancer death worldwide (Jemal et al, 2003)

  • Non-small cell lung cancer has a high degree of malignancy and it has the characteristics of an early metastasis, and the prognosis of NSCLC patients remains low despite the many advances that have occurred in early diagnosis and comprehensive therapies (Testa et al, 2018; Wang Z. et al, 2018)

  • Target and C-T network analysis together display that some vital compounds of Scutellaria barbata D. Don (SBD) such as wogonin, baicalein, and scutellarin may play an important role in the treatment of NSCLC, and SBD positively aiming for some targets like Bax, iNOS, and P38 exhibits the therapeutic effects against NSCLC by anti-inflammatory, promote apoptosis and anti-angiogenesis

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Summary

Introduction

Non-small cell lung cancer (NSCLC) is one of the leading causes of cancer death worldwide (Jemal et al, 2003). Don (SBD), is a perennial herb which is natively distributed in northeast Asia. This herb is known as Ban-Zhi Lian in TCMs which has been used to inhibit inflammatory (Dai et al, 2013) and block tumor (Wang, 2012) growth. SBD has been proven to be dramatically efficient in curing NSCLC (Wang Q. et al, 2018), the fundamental molecular action mechanisms are still not systematically explored. With the advancement of analytical tools such as systems biology (Kitano, 2002), network biology (Barabási and Oltvai, 2004) and network pharmacology (Hopkins, 2008), the intricate and holistic mechanisms of TCMs may be elucidated in a fast and highly effective way

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