Abstract

Aging is correlated with several complex diseases, including type 2 diabetes, neurodegeneration diseases, and cancer. Identifying the nature of this correlation and treatment of age-related diseases has been a major subject of both modern and traditional medicine. Traditional Persian Medicine (TPM) embodies many prescriptions for the treatment of ARDs. Given that autophagy plays a critical role in antiaging processes, the present study aimed to examine whether the documented effect of plants used in TPM might be relevant to the induction of autophagy? To this end, the TPM-based medicinal herbs used in the treatment of the ARDs were identified from modern and traditional references. The known phytochemicals of these plants were then examined against literature for evidence of having autophagy inducing effects. As a result, several plants were identified to have multiple active ingredients, which indeed regulate the autophagy or its upstream pathways. In addition, gene set enrichment analysis of the identified targets confirmed the collective contribution of the identified targets in autophagy regulating processes. Also, the protein–protein interaction (PPI) network of the targets was reconstructed. Network centrality analysis of the PPI network identified mTOR as the key network hub. Given the well-documented role of mTOR in inhibiting autophagy, our results hence support the hypothesis that the antiaging mechanism of TPM-based medicines might involve autophagy induction. Chemoinformatics study of the phytochemicals using docking and molecular dynamics simulation identified, among other compounds, the cyclo-trijuglone of Juglans regia L. as a potential ATP-competitive inhibitor of mTOR. Our results hence, provide a basis for the study of TPM-based prescriptions using modern tools in the quest for developing synergistic therapies for ARDs.

Highlights

  • Aging is correlated with several complex diseases, including type 2 diabetes, neurodegeneration diseases, and cancer

  • Evidence suggests that inducing autophagy—an evolutionarily conserved pathway responsible for recycling the degraded proteins and organelles in the cell aimed at maintaining homeostasis— could prevent the occurrence, delay the progression and decrease the severity of several age-related diseases, such as neurodegenerative diseases, type 2 diabetes, cardiovascular

  • A total of 215 plants were identified to be practiced Traditional Persian Medicine (TPM) for treatment of the ­ARDs29–34

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Summary

Introduction

Aging is correlated with several complex diseases, including type 2 diabetes, neurodegeneration diseases, and cancer. Identifying the nature of this correlation and treatment of age-related diseases has been a major subject of both modern and traditional medicine. Traditional Persian Medicine (TPM) embodies many prescriptions for the treatment of ARDs. Given that autophagy plays a critical role in antiaging processes, the present study aimed to examine whether the documented effect of plants used in TPM might be relevant to the induction of autophagy? In most cases, longevity regulating pathways modulate autophagy These include forkhead box O1 (FoxO), sirtuin 1 (SIRT1), AMP-activated protein kinase (AMPK), and mechanistic target of rapamycin (mTOR)[5,6,7]. Autophagy inhibition, could circumvent the longevity-inducing effects of anti-aging agents such as rapamycin. The currently available omics data, together with advances in systems biology tools and algorithms, enable such integrative approaches to treat human multifactorial health issues such as a­ ging[9,10]

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