Abstract

Unlike single-target Western medicines, traditional Chinese medicines (TCMs) exhibit diverse curative effects against multiple diseases through their “multicomponent” and “multitarget” manifestations. However, the material basis of the major therapeutic diseases and TCM underlying molecular mechanisms remain to be challenged. In the current study, we applied, for the first time, an integrated strategy that combines network pharmacology and experimental evaluation and explored and demonstrated the underlying possible mechanisms of a classic TCM formula, Huanglian Jiedu Decoction (HLJD), in the treatment of cerebral ischemia. First, the herb compound, protein compound, and GO-BP and KEGG pathways were constructed to predict the material basis of HLJD in the treatment of cerebral ischemia and explore the underlying molecular mechanisms. Network pharmacology analysis showed that HLJD treats cerebral ischemia mainly through its anti-inflammatory effect. We used molecular docking to verify that HLJD components have good binding activities to the arachidonic acid pathway enzymes, cyclooxylipase-2 (COX-2) and 5-lipoxygenase (5-LOX). Next, based on the prediction by the network pharmacology analysis, the rat model of middle cerebral artery occlusion (MCAO) was established to verify the efficacy of HLJD. The results showed that HLJD reduces the degree of brain injury in MCAO rats, probably by inhibiting the expression of the 5-LOX pathway and inflammatory response. In conclusion, our study demonstrates the effectiveness of integrating network pharmacology with an experimental study for material basis of the major therapeutic diseases and the underlying molecular mechanisms of TCM.

Highlights

  • Huanglian Jiedu Decoction (HLJD), originally recorded in the Secret of Waitai, is one of the representative prescriptions of heat-clearing and detoxifying drugs, which is composed of Huanglian (Coptis chinensis Franch), Huangqin (Scutellaria baicalensis Georgi), Huangbo (Phellodendron amurense Rupr), and Zhizi (Gardenia jasminoides Ellis) [1]

  • E bioactive ingredients of HLJD were obtained from PubMed, CNKI, and Springer databases. e active components and targets were further identified using the parameters of the oral bioavailability (OB) threshold that was ≥30% and a drug likeness (DL) that was ≥0.18

  • FDA-approved targets for anticerebral ischemic injury drugs were collected from the erapeutic Target Database (TTD), DrugBank, GeneCards, and DisGeNET databases. e targets obtained for HLJD and the prediction targets for cerebral ischemia were mapped into Venny 2.1.0 to obtain the anti-ischemic targets for HLJD

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Summary

Introduction

Huanglian Jiedu Decoction (HLJD), originally recorded in the Secret of Waitai, is one of the representative prescriptions of heat-clearing and detoxifying drugs, which is composed of Huanglian (Coptis chinensis Franch), Huangqin (Scutellaria baicalensis Georgi), Huangbo (Phellodendron amurense Rupr), and Zhizi (Gardenia jasminoides Ellis) [1]. It has a detoxification effect, clears heat, and resolves dampness. Its main pharmacological effects are anti-inflammatory, antipyretic, antibacterial, and antiviral It prevents cerebral ischemia and has an antithrombosis effect [4]. It is pointed out that the effect of HLJD on cerebral ischemia may be related to its anti-inflammatory effect

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