Abstract

BackgroundThyroid-associated ophthalmopathy (TAO) is an autoimmune inflammatory disorder, which lacks effective treatment currently. Spica Prunellae (SP) is popularly used for its anti-inflammatory and immune-regulating properties, indicating SP may have potential therapeutic value in TAO. Therefore, the purpose of this study is to identify the efficiency and potential mechanism of SP in treating TAO.MethodsA network pharmacology integrated molecular docking strategy was used to predict the underlying molecular mechanism of treating TAO. Firstly, the active compounds of SP were obtained from TCMSP database and literature research. Then we collected the putative targets of SP and TAO based on multi-sources databases to generate networks. Network topology analysis, GO and KEGG pathway enrichment analysis were performed to screen the key targets and mechanism. Furthermore, molecular docking simulation provided an assessment tool for verifying drug and target binding.ResultsOur results showed that 8 targets (PTGS2, MAPK3, AKT1, TNF, MAPK1, CASP3, IL6, MMP9) were recognized as key therapeutic targets with excellent binding affinity after network analysis and molecular docking-based virtual screening. The results of enrichment analysis suggested that the underlying mechanism was mainly focused on the biological processes and pathways associated with immune inflammation, proliferation, and apoptosis. Notably, the key pathway was considered as the PI3K-AKT signaling pathway.ConclusionIn summary, the present study elucidates that SP may suppress inflammation and proliferation and promote apoptosis through the PI3K-AKT pathway, which makes SP a potential treatment against TAO. And this study offers new reference points for future experimental research and provides a scientific basis for more widespread clinical application.

Highlights

  • Thyroid-associated ophthalmopathy (TAO) is an autoimmune inflammatory disorder, which lacks effective treatment currently

  • After integrating with the results obtained from TCMSP, total twenty active compounds of Spica Prunellae (SP) were used to the subsequent network pharmacology study

  • Based on TCMSP, 11 active compounds were selected by the screen criteria of Oral bioavailability (OB) and DL

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Summary

Introduction

Thyroid-associated ophthalmopathy (TAO) is an autoimmune inflammatory disorder, which lacks effective treatment currently. An intricate interplay between the potential pathogenic autoantigens and the autoantibodies leads to the activation of autoimmune response and releasing related inflammatory factors, resulting in inflammation of the orbital tissues, abnormal fibroblast proliferation, and extraocular muscle thickening [5,6,7]. It is characterized by proptosis, upper eyelid retraction, restrictive strabismus, exposure keratopathy and other presentation. There is an urgent demand for novel effective therapy to improve the progression of TAO

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