Objective: To explore the potential mechanisms of Cortex Moutan-Poria synergistic effect in anti-myocardial ischemic injury based on network pharmacology. Methods: Active components from Cortex Moutan-Poria were identified using the TCMSP database, and their potential targets were predicted with the UniProt database. Gene targets related to myocardial ischemic injury were sourced from the TTD database. An analysis map linking the “herbal pair-active components-targets-disease” and corresponding protein networks were constructed using Cytoscape 3.10.1 software and the STRING platform, respectively. Enrichment analyses refer to the Kyoto Encyclopedia of the Genome (KEGG) pathway enrichment analyses and Gene Ontology (GO) databases for corresponding biological pathways and signalling pathway information for further exploration of the possible involvement of drug targets in downstream signalling. Results: A total of 17 active components of the Cortex Moutan-Poria herbal pair and 243 predicted targets were identified, among which 133 targets interacted with the active components in myocardial ischemic injury. Key genes associated with myocardial ischemic injury included B-cell lymphoma-2 (BCL-2), Jun N-terminal Kinase (JUN), Matrix Metallopeptidase 9 (MMP9), cysteine-dependent aspartate-specific proteases-3 (Caspase-3), Prostaglandin-Endoperoxide Synthase 2 (PTGS2), Interleukin-1β (IL-1β), Tumor Necrosis Factor (TNF), IL-6, Protein Kinase B (AKT1), and Stylonychia lemnae macronuclear development protein 6 (MDP6). Conclusion: The anti-myocardial ischemic injury effect of the Cortex Moutan-Poria combination is attributed to its multi-component, multi-target, and multi-pathway pharmacological properties. The pathways, core proteins, and major genes identified in this study for treating myocardial ischemic injury provide a theoretical foundation for subsequent experimental research.
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