Abstract

Compound Dihuang Granule (CDG) is widely used in traditional Chinese medicine (TCM) for the treatment of Parkinson’s disease (PD). It has been shown to alleviate PD symptoms. However, the molecular mechanisms of its action have not been established. To establish the molecular mechanisms of CDG against PD, we used TCM network pharmacology methods to predict its molecular targets and signaling pathways, followed by experimental validation. The Core Protein protein interaction (PPI) network of the 150 intersections between CDG and PD-related genes, comprising 23 proteins, including CASP3 (caspase-3), MAPK8 (JNK), FOS (c-Fos), and JUN (c-Jun). KEGG and GO analyses revealed that apoptotic regulation and MAPK signaling pathways were significantly enriched. Since c-Jun and c-Fos are AP-1 subunits, an important downstream JNK effector, we investigated if the JNK/AP-1 pathway influences CDG against apoptosis through the nigrostriatal pathways in PD rat models. Molecular docking analysis found that the top three bioactive compounds exhibiting the highest Degree Centrality following online database and LC-MS analysis had high affinities for JNK. Experimental validation analysis showed that CDG decreased the number of rotating laps and suppressed the levels of phosphorylated c-Jun, c-Fos, and JNK, as well as the number of TUNEL positive cells and the cleaved caspase-3 level in the nigrostriatal pathway. Furthermore, CDG treatment elevated the number of TH neurons, TH expression level, and Bcl-2/Bax protein ratio in a 6-OHDA-induced PD rat. These findings are in tandem with those obtained using SP600125, a specific JNK inhibitor. In conclusion, CDG suppresses the apoptosis of the nigrostriatal pathway and relieves PD symptoms by suppressing the JNK/AP-1 signaling pathway.

Highlights

  • Parkinson’s disease (PD) is the second most prevalent neurodisease

  • The 150 genes identified at the intersection between the two sets were considered anti-PD Compound Dihuang Granule (CDG) targets (Figure 1C) while the 96 active compounds they revealed were regarded as effective CDG components

  • Since CASP3, MAPK8 (JNK), FOS, and JUN are core Protein protein interaction (PPI) components of CDG network targets, we examined whether the Jun N-terminal kinase (JNK)/AP-1 pathway mediates the effects of CDG on apoptosis in PD rat models

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Summary

Introduction

Parkinson’s disease (PD) is the second most prevalent neurodisease. It is estimated that up to 2% of people aged >65 years are affected by PD (GBD 2016 Neurology Collaborators, 2019). PD is characterized by bradykinesia, rigidity, rest tremor, and gait disturbance (Lees, et al, 2018) It often results in mental disorders, including changed cognitive functions and mental state abnormalities (Kehagia, 2016). PD symptoms can be clinically managed, there are no effective therapies for this disease (Esteves, 2017). Multitargeted TCMs with substantial pharmacological activity could be potential alternatives with good clinical effects. The results of a previous clinical trial showed that CDG decoction combined with Madopar in the treatment of PD could improve the symptoms, reduce adverse action rate, and have significant synergistic effect on Madopar. CDG is made up of seven traditional Chinese medicines: shú dì huáng (Rehmannia glutinosa (Gaertn.) DC.), bái sháo (Paeonia lactiflora Pall), gou téng

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