Abstract

Objective We aimed to investigate the mechanisms underlying the effects of the Cyperi Rhizoma-Chuanxiong Rhizoma herb pair (CCHP) against depression using a network pharmacology approach. Methods A network pharmacology approach, including screening of active compounds, target prediction, construction of a protein-protein interaction (PPI) network, gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses, and molecular docking, molecular dynamics (MD) simulations, and molecular mechanics Poisson–Boltzmann surface area (MMPBSA), were used to explore the mechanisms of CCHP against depression. Results Twenty-six active compounds and 315 and 207 targets of CCHP and depression, respectively, were identified. The PPI network suggested that AKT1, IL-6, TP53, DRD2, MAPK1, NR3C1, TNF, etc., were core targets. GO enrichment analyses showed that positive regulation of transcription from RNA polymerase II promoter, plasma membrane, and protein binding were of great significance. Neuroactive ligand-receptor interaction, PI3K-Akt signaling pathway, dopaminergic synapse, and mTOR signaling pathway were important pathways. Molecular docking results revealed good binding affinities for the core compounds and core targets. MD simulations and MMPBSA validated that quercetin can stably bind to 6hhi. Conclusions The effects of CCHP against depression involve multiple components, targets, and pathways, and these findings will promote further research on and clinical application of CCHP.

Highlights

  • Depression is a highly prevalent psychiatric illness with a global incidence of 258 million cases in 2017 and is predicted to be the leading contributor to worldwide disease burden by 2030, with a disability-adjusted life year (DALY) value of 84.32 million [1,2,3]

  • Fewer adverse events of traditional Chinese medicine (TCM) result from lower toxicities of herbs and further toxicity reduction by formulas, which are composed of interactive herbs [8]

  • Herb pairs used in TCM are composed of two herbs with synergistic effects; herb pairs are of particular clinical significance and provide an important perspective in studies of herb compatibility [10]. e combination of Cyperi Rhizoma and Chuanxiong Rhizoma is deemed the Cyperi RhizomaChuanxiong Rhizoma herb pair (CCHP) in TCM [11]

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Summary

Introduction

Depression is a highly prevalent psychiatric illness with a global incidence of 258 million cases in 2017 and is predicted to be the leading contributor to worldwide disease burden by 2030, with a disability-adjusted life year (DALY) value of 84.32 million [1,2,3]. Many studies have reported that traditional Chinese medicine (TCM) can treat depression effectively with fewer adverse events [6,7,8], since TCM treats depression from a holistic perspective with multiple ingredients and targets, rather than focusing on specific targets like other antidepressants [9]. E combination of Cyperi Rhizoma and Chuanxiong Rhizoma is deemed the Cyperi RhizomaChuanxiong Rhizoma herb pair (CCHP) in TCM [11]. It is an important part of the famous formulas widely used in treating depression, including the Yueju pill from Danxi Xinfa and Chaihu Shugan San from Jingyue Quanshu. Both Yueju pill and Chaihu Shugan San were found to exert

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