Abstract

Purpose Compound banmao capsule (CBC), a well-known traditional Chinese medical material, is known to inhibit various tumors. However, its material basis and pharmacological mechanisms remain to be elucidated. This study aimed to investigate the effective material basis and mechanisms of action of CBC against tumors. Methods Active compounds of CBC were identified using public database and reports to build a network. The corresponding targets of active compounds were retrieved from online databases, and the antitumor targets were identified by GeneCards database. The antitumor hub targets were generated via protein-protein interaction analysis using String, and key compounds and targets from the integrative network were detected by molecular docking and ADMET. Top targets in hepatocellular carcinoma were confirmed by quantitative real-time PCR (qPCR). Finally, the multivariate biological network was built to identify the integrating mechanisms of action of CBC against tumor cells. Results A total of 128 compounds and 436 targets of CBC were identified successfully. Based on the generated multivariate biological network analysis, 25 key compounds, nine hub targets, and two pathways were further explored. Effective material bases of cantharidin, baicalein, scutellarin, sesamin, and quercetin were verified by integrative network analysis. PTGS2, ESR1, and TP53 were identified as hub targets via multivariate biological network analysis and confirmed using qPCR. Furthermore, VEGF and estrogen signaling pathways seem to play a role in the antitumor activity of CBC. Thus, breast cancer may be a potential clinical indication of CBC. Conclusion This study successfully identified the material basis of CBC and its synergistic mechanisms of action against tumor cells.

Highlights

  • Studies have shown that the five-year survival rate of cancer generally rise when tumor survival trends in global areas are evaluated

  • 436 targets were screened against compounds from Compound banmao capsule (CBC), which corresponded to an average of almost three targets per compound. e herb-compound-target network was constructed via Cytoscape software, where degree value changes with color and size variation (Figure 2)

  • The mRNA expression levels of PTGS2, TOP2A, ESR1, and ABCB1 were decreased in the LCBC group (P < 0.01), while PTGS2 was increased in the HCBC group (P < 0.05), and TP53 showed to be significantly increased in both doses (P < 0.01)

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Summary

Introduction

Studies have shown that the five-year survival rate of cancer generally rise when tumor survival trends in global areas are evaluated. Antitumor therapy is mainly based on radiotherapy and chemotherapy, which are linked to severe adverse reactions [2]. Traditional Chinese medicine (TCM) is popular, plays a role in the modern healthcare system, and can provide potential effective strategies towards the treatment of tumors [3]. Herbal drugs have been considered an important supplementary treatment to alleviate the side effects of both radiotherapy and chemotherapy [4]. Compound banmao capsule (CBC) is one of the most common antitumor TCM compounds composed of 11 herbs according to the Pharmacopoeia of the People’s Republic of China (2020 edition), including the Mylabris (BM), Ginseng Radix Et Rhizoma (RS), Astragali Radix (HQ), Scutellariae Barbatae Herba (BZL), Curcumae Rhizoma (EZ), Acanthopanacis Senticosi Radix Et Rhizoma Seu Caulis (CWJ), Evidence-Based Complementary and Alternative Medicine

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