Literature DB >> 35586697

Mechanism of Peitu Shengjin Formula Shenlingbaizhu Powder in Treating Bronchial Asthma and Allergic Colitis through Different Diseases with Simultaneous Treatment Based on Network Pharmacology and Molecular Docking.

Liying Zeng1, Shaodan Sun2, Peiwen Chen1, Qina Ye3, Xiaoling Lin1, Hongjun Wan1, Yawen Cai1, Xiaogang Chen1,4.   

Abstract

Background: Shenlingbaizhu powder (SLBZP), one of the classic Earth-cultivating and gold-generating prescriptions of traditional Chinese medicine, is widely used to treat various diseases. However, the pharmacological mechanisms of SLBZP on bronchial asthma (BA) and allergic colitis (AC) remain to be elucidated.
Methods: Network pharmacology and molecular docking technology were used to explore the potential mechanism of SLBZP in treating BA and AC with the simultaneous treatment of different diseases. The potential active compounds of SLBZP and their corresponding targets were obtained from BATMAN-TCM, ETCM, SymMap TCM@TAIWAN, and TCMSP databases. BA and AC disease targets were collected through DisGeNET, TTD, GeneCards, PharmGKB, OMIM, NCBI, The Human Phenotype Ontology, and DrugBank databases. Common targets for drugs and diseases were screened by using the bioinformatics and evolutionary genomics platform. The analyses and visualizations of Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment of common targets were carried out by R software. The key targets were screened by using the plug-in "cytoHubba" of Cytoscape software, and the "active compound-key target" network was constructed. Molecular docking analysis was performed using AutoDock software. The miRTarBase database was used to predict microRNAs (miRNAs) targeting key targets, and the key target-miRNA network was constructed. Result: Through screening, 246 active compounds and 281 corresponding targets were obtained. Common targets were mainly enriched in 2933 biological processes and 182 signal pathways to play the role of treating BA and AC. There were 131 active compounds related to key targets. The results of molecular docking showed that the important active compounds in SLBZP had good binding ability with the key targets. The key target-miRNA network showed that 94 miRNAs were predicted.
Conclusion: SLBZP has played the role of treating different diseases with the same treatment on BA and AC through the characteristics of multicompound, multitarget, and multipathway of traditional Chinese medicine, which provides a theoretical basis for explaining the mechanism and clinical application of SLBZP treating different diseases with the same treatment in BA and AC.
Copyright © 2022 Liying Zeng et al.

Entities:  

Year:  2022        PMID: 35586697      PMCID: PMC9110165          DOI: 10.1155/2022/4687788

Source DB:  PubMed          Journal:  Evid Based Complement Alternat Med        ISSN: 1741-427X            Impact factor:   2.650


1. Introduction

Asthma generally refers to bronchial asthma (BA). BA, one of the most common chronic noncommunicable diseases in children and adults, is characterized by variable respiratory symptoms and variable airflow limitation, which is the result of complex gene-environment interactions, and is heterogeneous in clinical manifestations and the type and intensity of airway inflammation and remodeling [1]. The goal of BA treatment is to achieve good asthma control, that is, to minimize the burden of symptoms and the risk of deterioration [2]. However, asthma attacks and hospitalizations are frequent, and the mortality rate remains high. Strategies need to be developed to change the natural history of BA and prevent serious deterioration and the decline of lung function [1]. Allergic colitis (AC), an inflammatory disease, is characterized by the infiltration of eosinophils into the colon wall and the presence of red blood in the stool of healthy breast-fed or formula-fed infants, which usually develops in the first few weeks or months of life and can be a benign and/or severe disease in infant gastrointestinal diseases [3-4]. To date, the most effective interventions are preventive methods, especially feeding strategies, to reduce the incidence of disease while establishing adequate growth and progression to enteral feeding [5]. However, their pathogenesis has not yet been fully clarified with some allergens unclear or unavoidable, and modern medicine lacks ideal preventive and therapeutic methods [6]. At present, modern medicine adopts allergen avoidance, desensitization, and symptomatic treatment, but some antihistamines and antileukotrienes need to be taken for a long time, which brings certain economic burden and psychological impact to patients and cannot completely cure allergic diseases with some deficiencies, such as side effects of drugs and easy recurrence after withdrawal [7-9]. In recent years, treating allergic diseases with traditional Chinese medicine has been more and more widely used in clinical practice with various methods, remarkable effects, less adverse reactions in long-term application, and good compliance, which is convenient for clinical promotion [10, 11]. Shelingbaizhu powder (SLBZP), from the Prescriptions of Peaceful Benevolent Dispensary and composed of 10 Chinese medicines including renshen (Panax ginseng C. A. Mey.), fuling (Poria cocos (Schw.) Wolf.), baizhu (Atractylodes macrocephala Koidz.), baibiandou (Lablab Semen Album), shanyao (Rhizoma Dioscoreae), lianzi (Semen Nelumbinis), yiyiren (Coicis Semen), sharen (Amomum aurantiacum H. T. Tsai Et S. W. Zhao), jiegeng (Platycodon grandiforus), and gancao (licorice), has the effects of replenishing qi, strengthening spleen, excreting dampness, and stopping diarrhea [12]. Previous studies have shown that SLBZP can regulate intestinal water metabolism and intestinal flora, inhibit inflammatory response, repair intestinal mucosal barrier, and enhance colonic motility, which is widely used in the clinical treatment of ulcerative colitis, chronic diarrhea, chronic obstructive pulmonary disease, bronchial asthma, diabetes, eczema, allergic rhinitis, etc. [13, 14]. Network pharmacology, targeting biological networks, analyzes the connections between drugs, targets, and diseases in these networks. A comprehensive and systematic research on network pharmacology conforms to a holistic view, which is the main characteristic of many traditional medicines. Studies have shown that many traditional medicines exhibit synergistic effects by acting on multiple targets and pathways at different levels through network pharmacology [15]. This method effectively bridges the gap between modern medicine and traditional medicine and greatly promotes the research on the synergy of traditional medicine. Different diseases with simultaneous treatment means that the same pathogenesis appears in the occurrence and development of different diseases, and the same treatment can be adopted. SLBZP reinforces Earth to generate metal for treating BA and AC, which is in line with the concept of different diseases with simultaneous treatment. This study comprehensively analyzed and explored the mechanism of SLBZP in treating BA and AC with simultaneous treatment of different diseases from compounds, targets, pathways, biological processes, etc., by network pharmacology and molecular docking, which conforms to the overall function of traditional Chinese medicine theory and provides theoretical bases for clarifying the action mechanism of SLBZP on BA and AC and promoting its clinical application (Figure 1).
Figure 1

Workflow for exploring the mechanisms of Shenlingbaizhu powder in treating bronchial asthma and allergic colitis with simultaneous treatment of different diseases.

2. Materials and Methods

2.1. Screening Compounds and Targets of SLBZP

The active compounds of SLBZP were separately obtained from these databases: BATMAN-TCM (http://bionet.ncpsb.org.cn/batman-tcm/index.php/Home/Index/index) [16], ETCM (http://www.tcmip.cn/ETCM/index.php/Home/Index/) [17], SymMap (http://www.symmap.org/) [18] and Traditional Chinese Medicine Database@TAIWAN (http://tcm.cmu.edu.tw/review.php?menuid=3) [19]. Then, the active compounds that had good oral bioavailability (OB) and drug similarity (DL) and their targets of SLBZP were screened out under the conditions of OB ≥ 30% and DL ≥ 0.18 by entering the above obtained active compounds into Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP, http://lsp.nwu.edu.cn/tcmsp.php) [20]. Meanwhile, the active compounds and their targets of SLBZP from the TCMSP database were also obtained with OB ≥ 30% and DL ≥ 0.18. Next, all these obtained active compounds were synthesized to remove duplications. The full names of the targets screened by TCMSP were input into the DrugBank database (https://www.drugbank.ca/) [21] and UniProt database (https://www.uniprot.org/?tdsourcetag=s_pcqq_aiomsg) [22] to get the gene symbol and UniProt ID, which were all standardized and normalized to ensure accuracy.

2.2. Screening Targets of BA and AC

The target genes related to BA were obtained with the keyword “bronchial asthma” and the species set as “Homo sapiens” from these 8 databases: DisGeNET (http://www.disgenet.org/web/DisGeNET/menu/search) [23], TTD (https://db.idrblab.org/ttd/) [24], GeneCards (https://www.genecards.org) [25], PharmGKB (https://www.pharmgkb.org/) [26], OMIM (https://omim.org/) [27], NCBI (https://www.ncbi.nlm.nih.gov/gene) [28], The Human Phenotype Ontology (https://hpo.jax.org/app/) [29], and DrugBank. The target genes related to AC were obtained with the keyword “allergic colitis” and the species set as “Homo sapiens” from these 5 databases: TTD, GeneCards, PharmGKB, OMIM, and NCBI. The obtained data were combined separately, and then the duplications were removed. The full name of the last screened target genes were input into the DrugBank database and UniProt database to get the gene symbol and UniProt ID, which were also all standardized and normalized to ensure accuracy.

2.3. Screening of Common Targets

The targets related to active compounds, BA, and AC were matched and mapped by using the bioinformatics and evolutionary genomics platform (http://bioinformatics.psb.ugent.be/webtools/Venn/). At the same time, a Venn diagram was drawn to obtain the common targets of the active compounds of SLBZP for treating BA and AC.

2.4. GO and KEGG Enrichment Analysis of Common Targets

The enrichment analysis and visualization of Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways were carried out for the common targets of SLBZP in treating BA and AC with the species set as “Homo sapiens” and the threshold set as P < 0.05 by the “ggplot2”, “enrichplot”, “clusterprofiler” [30], and “ggpubr” packages of R software (version 3.6.1).

2.5. Construction of Active Compound-Key Target Network

The obtained common targets were imported into Cytoscape software (version 3.8.0; http://www.cytoscape.org) [31], and the “cytoHubba” plug-in was used to screen out the key targets. Then, an active compound-key target network was constructed by Cytoscape software, of which the network topology analysis was carried out by “Network Analysis” in the tool. The network showed the connection between the active compounds and key targets, and the molecular mechanism of SLBZP in treating BA and AC was explored on this basis.

2.6. Molecular Docking Verification

According to the above analysis results, the key target proteins and the important active compounds were molecularly docked. The protein structures of the targets were obtained from the RCSB PDB database (https://www.rcsb.org/) [32]. The 2D structures of the active compounds were obtained from the PubChem database (https://pubchem.ncbi.nlm.nih.gov/) [33] and were optimized to save as 3D structures with Chem3D software. AutoDockTools and AutoDockVina software were used for molecular structure processing and molecular docking. PyMOL and Discovery Studio were used to visualize the docking results.

2.7. Construction of Key Target-microRNA (miRNA) Network

The miRTarBase database (https://mirtarbase.cuhk.edu.cn/%7EmiRTarBase/miRTarBase_2019/php/index.php) is used to predict upstream miRNAs targeting key targets [34]. The collected miRNA-mRNA interactions have been verified by different types of experiments including report analyses in miRTarBase, western blot, qPCR, microarray, and next-generation sequencing experiments. In order to make predictions more reliable and accurate, only miRNAs that may interact with the targets were obtained through reporter gene analyses. After selecting “By Target Gene” and the species as “Human”, key targets were entered to predict miRNAs. Then, the key targets and their corresponding predicted miRNAs were organized into an Excel file that was imported into Cytoscape software. Finally, the network of the predicted miRNAs and key targets were constructed by Cytoscape software.

3. Results

3.1. Acquirement of Active Compounds of SLBZP

Preliminarily, a total of 335 active compounds were acquired from the BATMAN-TCM database; a total of 443 active compounds were acquired from the ETCM database; a total of 1182 active compounds were acquired from the SymMap database; a total of 352 active compounds were acquired from the Traditional Chinese Medicine Database@TAIWAN database; and a total of 171 active compounds were acquired from the TCMSP database. At last, 217 eligible unique active compounds of SLBZP in total were retrieved from the TCMSP database under the conditions of OB ≥ 30% and DL ≥ 0.18, which are all shown in Table 1.
Table 1

Characteristics of eligible active compounds in SLBZP with OB and DL parameters.

CodeMolecule IDMolecule nameOB (%)DLHerbs
P1MOL004924(-)-Medicocarpin40.990.95Gancao
P2MOL004988Kanzonol F32.470.89Gancao
P3MOL005018Xambioona54.850.87Gancao
P4MOL005458Dioscoreside C_qt36.380.87Shanyao
P5MOL007536Stigmasta-5, 22-dien-3-beta-yl acetate46.440.86Sharen
P6MOL001474Sanguinarine37.810.86Sharen
P7MOL001973Sitosteryl acetate40.390.85Sharen
P8MOL004948Isoglycyrol44.70.84Gancao
P9MOL008752Dihydroverticillatine42.690.84Jiegeng
P10MOL000787Fumarine59.260.83Renshen
P11MOL005357Gomisin B31.990.83Renshen
P12MOL000300Dehydroeburicoic acid44.170.83Fuling
P13MOL000285(2R)-2-[(5R, 10S, 13R, 14R, 16R, 17R)-16-hydroxy-3-keto-4, 4, 10, 13, 14-pentamethyl-1, 2, 5, 6, 12, 15, 16, 17-octahydrocyclopenta[a]phenanthren-17-yl]-5-isopropyl-hex-5-enoic acid38.260.82Fuling
P14MOL000280(2R)-2-[(3S, 5R, 10S, 13R, 14R, 16R, 17R)-3, 16-dihydroxy-4, 4, 10, 13, 14-pentamethyl-2, 3, 5, 6, 12, 15, 16, 17-octahydro-1h-cyclopenta[a]phenanthren-17-yl]-5-isopropyl-hex-5-enoic acid31.070.82Fuling
P15MOL005317Deoxyharringtonine39.270.81Renshen
P16MOL000283Ergosterol peroxide40.360.81Fuling
P17MOL0002873beta-hydroxy-24-methylene-8-lanostene-21-oic acid38.70.81Fuling
P18MOL0002767, 9(11)-Dehydropachymic acid35.110.81Fuling
P19MOL000289Pachymic acid33.630.81Fuling
P20MOL000546Diosgenin80.880.81Shanyao
P21MOL000275Trametenolic acid38.710.80Fuling
P22MOL005376Panaxadiol33.090.79Renshen
P23MOL005401Ginsenoside Rg5_qt39.560.79Renshen
P24MOL004917Glycyroside37.250.79Gancao
P25MOL007535(5S, 8S, 9S, 10R, 13R, 14S, 17R)-17-[(1R, 4R)-4-ethyl-1, 5-dimethylhexyl]-10, 13-dimethyl-2, 4, 5, 7, 8, 9, 11, 12, 14, 15, 16, 17-dodecahydro-1h-cyclopenta[a]phenanthrene-3, 6-dione33.120.79Sharen
P26MOL005348Ginsenoside-Rh4_qt31.110.78Renshen
P27MOL000033(3S, 8S, 9S, 10R, 13R, 14S, 17R)-10, 13-dimethyl-17-[(2R, 5S)-5-propan-2-yloctan-2-yl]-2, 3, 4, 7, 8, 9, 11, 12, 14, 15, 16, 17-dodecahydro-1h-cyclopenta[a]phenanthren-3-ol36.230.78Baizhu
P28MOL009136Peraksine82.580.78Fuling
P29MOL000211Mairin55.380.78Gancao
P30MOL005001Gancaonin H50.100.78Gancao
P31MOL001323Sitosterol alpha143.280.78Yiyiren
P32MOL000279Cerevisterol37.960.77Fuling
P33MOL005465AIDS18090745.330.77Shanyao
P34MOL000449Stigmasterol43.830.76Renshen, yiyiren, sharen, baibiandou, shanyao
P35MOL000028 α-Amyrin39.510.76Baizhu
P36MOL000290Poricoic acid A30.610.76Fuling
P37MOL00175524-Ethylcholest-4-en-3-one36.080.76Renshen
P38MOL004355Spinasterol42.980.76Jiegeng
P39MOL004718 α-Spinasterol42.980.76Jiegeng
P40MOL005440Isofucosterol43.780.76Shanyao
P41MOL01062524-Methylenecholesterol43.540.76Shanyao
P42MOL000358Beta-sitosterol36.910.75Renshen, sharen
P43MOL005399Alexandrin_qt36.910.75Renshen
P44MOL001525Daucosterol36.910.75Renshen
P45MOL000296Hederagenin36.910.75Fuling
P46MOL000292Poricoic acid C38.150.75Fuling
P47MOL000291Poricoic acid B30.520.75Fuling
P48MOL0063767-Dehydrosigmasterol37.420.75Fuling
P49MOL000359Sitosterol36.910.75Gancao, yiyiren
P50MOL001771Poriferast-5-en-3beta-ol36.910.75Sharen
P51MOL013119Enhydrin40.560.74Renshen
P52MOL000139Smitilbin37.600.74Renshen
P53MOL009387Didehydrotuberostemonine51.910.74Baizhu
P54MOL004903Liquiritin65.690.74Gancao
P55MOL009154Tuberostemoenone53.900.73Baizhu
P56MOL004891Shinpterocarpin80.300.73Gancao
P57MOL009431Stemonine81.750.72Baizhu
P58MOL000282Ergosta-7, 22e-dien-3beta-ol43.510.72Fuling
P59MOL009149Cheilanthifoline46.510.72Fuling
P60MOL004805(2S)-2-[4-hydroxy-3-(3-methylbut-2-enyl)phenyl]-8, 8-dimethyl-2, 3-dihydropyrano[2, 3-f]chromen-4-one31.790.72Gancao
P61MOL00543524-Methylcholest-5-enyl-3belta-O-glucopyranoside_qt37.580.72Shanyao
P62MOL012254Campesterol37.580.71Renshen
P63MOL005438Campesterol37.580.71Renshen, shanyao
P64MOL000493Campesterol37.580.71Renshen
P65MOL00501318 α-Hydroxyglycyrrhetic acid41.160.71Gancao
P66MOL006070Robinin39.840.71Jiegeng
P67MOL01104218Alpha-hydroglycyrrhetic acid38.930.71Baibiandou
P68MOL004567Isoengelitin34.650.70Renshen
P69MOL007180Vitamin-e32.290.70Sharen
P70MOL000953CLR37.870.68Yiyiren, shanyao
P71MOL000554Gallic acid-3-O-(6′-O-galloyl)-glucoside30.250.67Fuling, sharen
P72MOL002311Glycyrol90.780.67Gancao
P73MOL01145520-Hexadecanoylingenol32.700.65Renshen, fuling
P74MOL004904Licopyranocoumarin80.360.65Gancao
P75MOL0049591-Methoxyphaseollidin69.980.64Gancao
P76MOL004071Hyndarin73.940.64Gancao
P77MOL005360Malkangunin57.710.63Renshen, baizhu
P78MOL004824(2S)-6-(2, 4-dihydroxyphenyl)-2-(2-hydroxypropan-2-yl)-4-methoxy-2, 3-dihydrofuro[3, 2-g]chromen-7-one60.250.63Gancao
P79MOL005008Glycyrrhiza flavonol A41.280.60Gancao
P80MOL005007Glyasperins M72.670.59Gancao
P81MOL004492Chrysanthemaxanthin38.720.58Renshen, fuling
P82MOL005017Phaseol78.770.58Gancao
P83MOL005003Licoagrocarpin58.810.58Gancao
P84MOL002773Beta-carotene37.180.58Baibiandou
P85MOL0049743′-methoxyglabridin46.160.57Gancao
P86MOL0049663′-hydroxy-4′-O-Methylglabridin43.710.57Gancao
P87MOL004806Euchrenone30.290.57Gancao
P88MOL005384Suchilactone57.520.56Renshen, baizhu
P89MOL005344Ginsenoside rh236.320.56Renshen
P90MOL006982Codeine45.480.56Sharen
P91MOL004827Semilicoisoflavone B48.780.55Gancao
P92MOL004884Licoisoflavone B38.930.55Gancao
P93MOL0049053, 22-Dihydroxy-11-oxo-delta(12)-oleanene-27-alpha-methoxycarbonyl-29-oic acid34.320.55Gancao
P94MOL003648Inermine65.830.54Renshen
P95MOL004810Glyasperin F75.840.54Gancao
P96MOL001484Inermine75.180.54Gancao
P97MOL004885Licoisoflavanone52.470.54Gancao
P98MOL005461Doradexanthin38.160.54Shanyao
P99MOL0049141, 3-Dihydroxy-8, 9-dimethoxy-6-benzofurano [3, 2-c]chromenone62.900.53Gancao
P100MOL004820Kanzonols W50.480.52Gancao
P101MOL0049782-[(3R)-8, 8-Dimethyl-3, 4-dihydro-2h-pyrano [6, 5-f]chromen-3-yl]-5-methoxyphenol36.210.52Gancao
P102MOL003851Isoramanone39.970.51Gancao
P103MOL004912Glabrone52.510.50Gancao
P104MOL005314Celabenzine101.880.49Renshen
P105MOL005012Licoagroisoflavone57.280.49Gancao
P106MOL004855Licoricone63.580.47Gancao
P107MOL004908Glabridin53.250.47Gancao
P108MOL004879Glycyrin52.610.47Gancao
P109MOL009436Stemotinine38.690.46Baizhu
P110MOL004857Gancaonin B48.790.45Gancao
P111MOL004833Phaseolinisoflavan32.010.45Gancao
P112MOL004808Glyasperin B65.220.44Gancao
P113MOL004911Glabrene46.270.44Gancao
P114MOL001002Ellagic acid43.060.43Fuling, sharen
P115MOL0048493-(2, 4-Dihydroxyphenyl)-8-(1, 1-dimethylprop-2-enyl)-7-hydroxy-5-methoxy-coumarin59.620.43Gancao
P116MOL0049131, 3-Dihydroxy-9-methoxy-6-benzofurano [3, 2-c]chromenone48.140.43Gancao
P117MOL008118Coixenolide32.400.43Yiyiren
P118MOL004949Isolicoflavonol45.170.42Gancao
P119MOL004883Licoisoflavone41.610.42Gancao
P120MOL004814Isotrifoliol31.940.42Gancao
P121MOL002372(6Z, 10E, 14E, 18E)-2, 6, 10, 15, 19, 23-Hexamethyltetracosa-2, 6, 10, 14, 18, 22-hexaene33.550.42Yiyiren
P122MOL0048633-(3, 4-Dihydroxyphenyl)-5, 7-dihydroxy-8-(3-methylbut-2-enyl)chromone66.370.41Gancao
P123MOL0048662-(3, 4-Dihydroxyphenyl)-5, 7-dihydroxy-6-(3-methylbut-2-enyl)chromone44.150.41Gancao
P124MOL0049896-Prenylated eriodictyol39.220.41Gancao
P125MOL004935Sigmoidin-B34.880.41Gancao
P126MOL0048645, 7-Dihydroxy-3-(4-methoxyphenyl)-8-(3-methylbut-2-enyl)chromone30.490.41Gancao
P127MOL005890Pachypodol75.060.40Fuling
P128MOL0049938-Prenylated eriodictyol53.790.40Gancao
P129MOL004856Gancaonin A51.080.40Gancao
P130MOL004811Glyasperin C45.560.40Gancao
P131MOL007213Nuciferine34.430.40Lianzi
P132MOL012537Spinoside A41.750.40Jiegeng
P133MOL008406Spinoside A39.970.40Jiegeng
P134MOL002879Diop43.590.39Renshen
P135MOL005000Gancaonin G60.440.39Gancao
P136MOL005430Hancinone C59.050.39Shanyao
P137MOL0048388-(6-Hydroxy-2-benzofuranyl)-2, 2-dimethyl-5-chromenol58.440.38Gancao
P138MOL006980Papaverine64.040.38Sharen
P139MOL000322Kadsurenone54.720.38Shanyao
P140MOL000310Denudatin B61.470.38Shanyao
P141MOL005020Dehydroglyasperins C53.820.37Gancao
P142MOL003656Lupiwighteone51.640.37Gancao
P143MOL004915Eurycarpin A43.280.37Gancao
P144MOL009172Pronuciferin32.750.37Lianzi
P145MOL005429Hancinol64.010.37Shanyao
P146MOL004882Licocoumarone33.210.36Gancao
P147MOL003673Wighteone42.800.36Gancao
P148MOL004907Glyzaglabrin61.070.35Gancao
P149MOL004828Glepidotin A44.720.35Gancao
P150MOL004815(E)-1-(2, 4-dihydroxyphenyl)-3-(2, 2-dimethylchromen-6-yl)prop-2-en-1-one39.620.35Gancao
P151MOL005321Frutinone A65.900.34Renshen
P152MOL004829Glepidotin B64.460.34Gancao
P153MOL002565Medicarpin49.220.34Gancao
P154MOL011072Quinicine75.440.33Fuling, baibiandou
P155MOL004961Quercetin der.46.450.33Gancao
P156MOL004980Inflacoumarin A39.710.33Gancao
P157MOL004848Licochalcone G49.250.32Gancao
P158MOL004945(2S)-7-hydroxy-2-(4-hydroxyphenyl)-8-(3-methylbut-2-enyl)chroman-4-one36.570.32Gancao
P159MOL005356Girinimbin61.220.31Renshen
P160MOL00002114-Acetyl-12-senecioyl-2E, 8E, 10E-atractylentriol60.310.31Baizhu
P161MOL004910Glabranin52.900.31Gancao
P162MOL000354Isorhamnetin49.600.31Gancao, baibiandou
P163MOL004898(E)-3-[3, 4-dihydroxy-5-(3-methylbut-2-enyl)phenyl]-1-(2, 4-dihydroxyphenyl)prop-2-en-1-one46.270.31Gancao
P164MOL00002214-Acetyl-12-senecioyl-2E, 8Z, 10E-atractylentriol63.370.30Baizhu
P165MOL005016Odoratin49.950.30Gancao
P166MOL002882[(2R)-2, 3-dihydroxypropyl] (Z)-octadec-9-enoate34.130.30Yiyiren
P167MOL000239Jaranol50.830.29Gancao
P168MOL000497Licochalcone a40.790.29Gancao
P169MOL007206Armepavine69.310.29Lianzi
P170MOL0081212-Monoolein34.230.29Yiyiren
P171MOL009135Ellipticine30.820.28Fuling, sharen
P172MOL000098Quercetin46.430.28Gancao, sharen, baibiandou
P173MOL004576Taxifolin57.840.27Renshen
P174MOL0049907, 2′, 4′-Trihydroxy-5-methoxy-3-arylcoumarin83.710.27Gancao
P175MOL004860Licorice glycoside E32.890.27Gancao
P176MOL005575Gentiacaulein72.820.27Gancao
P177MOL001735Dinatin30.970.27Gancao
P178MOL004580cis-Dihydroquercetin66.440.27Jiegeng
P179MOL001736(-)-Taxifolin60.510.27Shanyao
P180MOL005267Elymoclavine72.870.27Shanyao
P181MOL0049917-Acetoxy-2-methylisoflavone38.920.26Gancao
P182MOL011093Apohyoscine59.680.25Renshen
P183MOL003617Isogosferol30.070.25Gancao
P184MOL000006Luteolin36.160.25Jiegeng
P185MOL0059962-O-methyl-3―O-β-D-glucopyranosyl platycogenate A45.150.25Jiegeng
P186MOL006026Dimethyl 2-O-methyl-3-O-a-D-glucopyranosyl platycogenate A39.210.25Jiegeng
P187MOL000422Kaempferol41.880.24Renshen, gancao, baibiandou
P188MOL000417Calycosin47.750.24Gancao
P189MOL005573Genkwanin37.130.24Gancao
P190MOL000492(+)-Catechin54.830.24Sharen, baibiandou
P191MOL001689Acacetin34.970.24Jiegeng
P192MOL005463Methylcimicifugoside_qt31.690.24Shanyao
P193MOL007514Methyl icosa-11, 14-dienoate39.670.23Sharen
P194MOL003975Icosa-11, 14, 17-trienoic acid methyl ester44.810.23Sharen
P195MOL005308Aposiopolamine66.650.22Renshen
P196MOL0000493β-acetoxyatractylone54.070.22Baizhu
P197MOL00002012-Senecioyl-2E, 8 E, 10E-atractylentriol62.400.22Baizhu
P198MOL0000728β-ethoxy atractylenolide III35.950.21Baizhu
P199MOL010586Formononetin66.390.21Baizhu
P200MOL000500Vestitol74.660.21Gancao
P201MOL000392Formononetin69.670.21Gancao, baibiandou
P202MOL004328Naringenin59.290.21Gancao, yiyiren, jiegeng
P203MOL004957HMO38.370.21Gancao
P204MOL002419Demethylcoclaurine((R)-norcoclaurine)82.540.21Lianzi
P205MOL005320Arachidonate45.570.20Renshen
P206MOL005318Dianthramine40.450.20Renshen
P207MOL0038967-Methoxy-2-methyl isoflavone42.560.20Gancao
P208MOL004985Icos-5-enoic acid30.700.20Gancao
P209MOL004996Gadelaidic acid30.700.20Gancao
P210MOL000230Pinocembrin57.560.20Gancao
P211MOL004841Licochalcone B76.760.19Gancao
P212MOL004835Glypallichalcone61.600.19Gancao
P213MOL001494Mandenol42.000.19Yiyiren
P214MOL004058Khell33.190.19Shanyao
P215MOL004941(2R)-7-hydroxy-2-(4-hydroxyphenyl)chroman-4-one71.120.18Gancao
P216MOL001792DFV32.760.18Gancao
P217MOL001559Piperlonguminine30.710.18Shanyao

3.2. Collection of BA and AC Disease Targets

4795 BA-related target genes were collected based on DisGeNET, TTD, GeneCards, PharmGKB, OMIM, NCBI, The Human Phenotype Ontology, and DrugBank databases. Duplicate targets were excavated and deleted, and 3388 BA disease action targets in total were collected. 1828 AC-related target genes were collected based on TTD, GeneCards, PharmGKB, OMIM, and NCBI databases. And 1640 AC disease action targets in total were collected by mining and deleting duplicate targets. The obtained target information was standardized for gene symbol and UniProt ID.

3.3. Acquirement of Targets of Active Compounds of SLBZP for Treating BA and AC

After searching the above-mentioned qualified potential active compounds of SLBZP in the TCMSP database, and removing the repeated targets, 281 targets of active compounds of SLBZP were obtained. The bioinformatics and evolutionary genomics platform was used to match the potential targets of drugs with disease targets, and a Venn diagram was drawn (Figure 2). 149 common targets were obtained (Table 2).
Figure 2

Targets matching among SLBZP, BA, and AC.

Table 2

Characteristics of common targets.

No.TargetSymbolUniProt IDNo.TargetSymbolUniProt ID
172 kDa type IV collagenaseMMP2P0825376Prostaglandin E2 receptor EP3 subtypePTGER3P43115
2Xanthine dehydrogenase/oxidaseXDHP4798977Urokinase-type plasminogen activatorPLAUP00749
3Heat shock protein beta-1HSPB1P0479278Phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTENPTENP60484
4Nitric oxide synthase, inducibleNOS2P3522879Sodium-dependent serotonin transporterSLC6A4P31645
5Hepatocyte growth factor receptorMETP0858180Interferon regulatory factor 1IRF1P10914
6UDP-glucuronosyltransferase 1–1UGT1A1P2230981Arachidonate 5-lipoxygenaseALOX5P09917
7Protein kinase C beta typePRKCBP0577182Gap junction alpha-1 proteinGJA1P17302
8Collagen alpha-1(I) chainCOL1A1P0245283Claudin-4CLDN4O14493
9Baculoviral IAP repeat-containing protein 5BIRC5O1539284Dipeptidyl peptidase IVDPP4P27487
10Apoptosis regulator Bcl-2BCL2P1041585Serum paraoxonase/arylesterase 1PON1P27169
11Alpha-2A adrenergic receptorADRA2AP0891386Caspase-8CASP8Q14790
12Cytochrome P450 1A1CYP1A1P0479887Peroxisome proliferator activated receptor gammaPPARGP37231
135-Hydroxytryptamine receptor 3AHTR3AP4609888C-X-C motif chemokine 11CXCL11O14625
14Mitogen-activated protein kinase 10MAPK10P5377989Interleukin-8CXCL8P10145
15Prostaglandin E synthasePTGESO1468490E-selectinSELEP16581
16C-reactive proteinCRPP0274191ThrombomodulinTHBDP07204
17Glutathione S-transferase PGSTP1P0921192Glucocorticoid receptorNR3C1P04150
18Aryl hydrocarbon receptorAHRP3586993Serine/threonine-protein kinase mTORMTORP42345
19Nuclear factor erythroid 2-related factor 2NFE2L2Q1623694Mitogen-activated protein kinase 14MAPK14Q16539
20Tumor necrosis factorTNFP0137595RAF proto-oncogene serine/threonine-protein kinaseRAF1P04049
21Pro-epidermal growth factorEGFP0113396Cytosolic phospholipase A2PLA2G4AP47712
22Interleukin-1 alphaIL1AP0158397MyeloperoxidaseMPOP05164
23Canalicular multispecific organic anion transporter 1ABCC2Q9288798Alpha-1B adrenergic receptorADRA1BP35368
24Caspase-1CASP1P2946699Inhibitor of nuclear factor kappa-B kinase subunit alphaCHUKO15111
25OsteopontinSPP1P10451100Signal transducer and activator of transcription 3STAT3P40763
26ThrombinF2P00734101AntileukoproteinaseSLPIP03973
27Prostaglandin G/H synthase 2PTGS2P35354102Cathepsin DCTSDP07339
28Catenin beta-1CTNNB1P35222103Sterol O-acyltransferase 1SOAT1P35610
29G1/S-specific cyclin-D1CCND1P24385104AcetylcholinesteraseACHEP22303
30Estrogen receptorESR1P03372105Induced myeloid leukemia cell differentiation protein Mcl-1MCL1Q07820
31Vascular endothelial growth factor AVEGFAP15692106C-C motif chemokine 2CCL2P13500
32Transforming growth factor beta-1TGFB1P01137107Interleukin-6IL6P05231
33Myc proto-oncogene proteinMYCP01106108Caspase-3CASP3P42574
34Cyclin-A2CCNA2P20248109Heat shock protein HSP 90-alphaHSP90AA1P07900
35Glycogen synthase kinase-3 betaGSK3BP49841110Poly [ADP-ribose] polymerase 1PARP1P09874
36Interstitial collagenaseMMP1P03956111Tumor necrosis factor ligand superfamily member 6FASLGP48023
37Signal transducer and activator of transcription 1-alpha/betaSTAT1P42224112Maltase-glucoamylase, intestinalMGAMO43451
38Peroxisome proliferator activated receptor deltaPPARDQ03181113Vascular endothelial growth factor receptor 2KDRP35968
393-Hydroxy-3-methylglutaryl-coenzyme a reductaseHMGCRP04035114Fos-related antigen 2FOSL2P15408
40Mineralocorticoid receptorNR3C2P08235115ATP-binding cassette sub-family G member 2ABCG2Q9UNQ0
41Glutathione reductase, mitochondrialGSRP00390116Peroxisome proliferator-activated receptor alphaPPARAQ07869
42Heme oxygenase 1HMOX1P09601117Cytochrome P450 1A2CYP1A2P05177
43Stromelysin-1MMP3P08254118Insulin-like growth factor IIIGF2P01344
44Pituitary adenylate cyclase-activating polypeptideADCYAP1P18509119Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit, gamma isoformPIK3CGP48736
45Glutathione S-transferase mu 1GSTM1P09488120NAD(P)H dehydrogenase [quinone] 1NQO1P15559
46Interleukin-10IL10P22301121Interleukin-2IL2P60568
47Mitogen-activated protein kinase 1MAPK1P28482122Receptor tyrosine-protein kinase erbB-3ERBB3P21860
48C-X-C motif chemokine 2CXCL2P19875123Interferon gammaIFNGP01579
49Epidermal growth factor receptorEGFRP00533124Proto-oncogene c-FosFOSP01100
50Inhibitor of nuclear factor kappa-B kinase subunit betaIKBKBO1492012578 kDa glucose-regulated proteinHSPA5P11021
51Superoxide dismutase [Cu-Zn]SOD1P00441126Intercellular adhesion molecule 1ICAM1P05362
52Receptor tyrosine-protein kinase erbB-2ERBB2P04626127Caveolin-1CAV1Q03135
53Interleukin-4IL4P05112128Bcl-2-like protein 1BCL2L1Q07817
54Mitogen-activated protein kinase 8MAPK8P45983129Mitogen-activated protein kinase 3MAPK3P27361
55Aldose reductaseAKR1B1P15121130Carbonic anhydrase IICA2P00918
56Histamine H1 receptorHRH1P35367131Transcription factor p65RELAQ04206
57Cell division protein kinase 2CDK2P24941132Hypoxia-inducible factor 1-alphaHIF1AQ16665
58Progesterone receptorPGRP06401133Nitric-oxide synthase, endothelialNOS3P29474
59Ornithine decarboxylaseODC1P11926134Mu-type opioid receptorOPRM1P35372
60C-X-C motif chemokine 10CXCL10P02778135Plasminogen activator inhibitor 1SERPINE1P05121
61Cellular tumor antigen p53TP53P04637136Vascular cell adhesion protein 1VCAM1P19320
62Caspase-9CASP9P55211137RAC-alpha serine/threonine-protein kinaseAKT1P31749
63Cyclin-dependent kinase inhibitor 1CDKN1AP38936138Prostaglandin G/H synthase 1PTGS1P23219
64CatalaseCATP04040139Tissue factorF3P13726
65NAD-dependent deacetylase sirtuin-1SIRT1Q96EB6140Nuclear receptor sub-family 1 group I member 2NR1I2O75469
66Multidrug resistance-associated protein 1ABCC1P33527141Transcription factor AP-1JUNP05412
67Interleukin-1 betaIL1BP01584142Androgen receptorARP10275
68NF-kappa-B inhibitor alphaNFKBIAP25963143Apoptosis regulator BAXBAXQ07812
69Insulin-like growth factor-binding protein 3IGFBP3P17936144Protein kinase C alpha typePRKCAP17252
70Serum albuminALBP02768145CD40 ligandCD40LGP29965
715-Hydroxytryptamine 2A receptorHTR2AP28223146Cytochrome P450 3A4CYP3A4P08684
72Stromelysin-2MMP10P09238147Matrix metalloproteinase-9MMP9P14780
73Estrogen receptor betaESR2Q92731148AdiponectinADIPOQQ15848
74Cytochrome P450 1B1CYP1B1Q16678149Retinoic acid receptor RXR-betaRXRBP28702
75Neuronal acetylcholine receptor protein, alpha-7 chainCHRNA7P36544

3.4. GO and KEGG Pathway Enrichment Analysis

GO enrichment analysis revealed 2933 biological functions with remarkable significance, including 2687 for biological processes (BP), 75 for cellular component (CC), and 171 for molecular function (MF). The results of GO enrichment analysis showed that the common targets of SLBZP in treating BA and AC mainly involved response to oxidative stress, response to molecule of bacterial origin, membrane region, membrane microdomain, signaling receptor activator activity, receptor ligand activity, and other biological functions (Figure 3). 182 significant pathways were obtained by KEGG pathway enrichment analysis, mainly involving PI3K-Akt signaling pathway, proteoglycans in cancer, MAPK signaling pathway, IL-17 signaling pathway, TNF signaling pathway, apoptosis, Th17 cell differentiation, and other pathways related to inflammation, cancer, apoptosis, and immunity (Figure 4).
Figure 3

GO enrichment analysis of common targets.

Figure 4

KEGG pathway enrichment analysis of common targets.

3.5. Construction and Analysis of Active Compound-Key Target Network

The 149 common targets obtained above were screened by “cytoHubba”, a plug-in of Cytoscape software, and then the 20 key targets with the highest degree value were obtained (Figure 5). These 20 key targets and their corresponding active compounds were imported into Cytoscape software for network construction and visualization (Figure 6). There were 131 active compounds related to key targets (Table 3). In the active compound-key target network, the degree of the network topology analysis carried out by “Network Analysis” reflects the connectivity of nodes that respectively represent active compounds and key targets. A higher degree value indicates more associations between nodes, which explains the significances of active compounds and key targets. The results of network topology analysis showed that the 5 active compounds most connected to the key targets were quercetin, luteolin, beta-carotene, kaempferol, and naringenin, and the top 6 key targets of connectivity were prostaglandin G/H synthase 2 (PTGS2), caspase-3 (CASP3), RAC-alpha serine/threonine-protein kinase (AKT1), transcription factor AP-1 (JUN) [, cellular tumor antigen p53 (TP53), and vascular endothelial growth factor A (VEGFA), which indicated that the above compounds and targets were critical and had important implications in SLBZP for treating BA and AC.
Figure 5

PPI diagram of key targets.

Figure 6

Diagram of active compound-key target network.

Table 3

Active compounds related to key targets.

CodeMolecule IDMolecule nameOB (%)DLDegreeHerbs
P172MOL000098Quercetin46.430.2816Gancao, sharen, baibiandou
P184MOL000006Luteolin36.160.2511Jiegeng
P84MOL002773Beta-carotene37.180.587Baibiandou
P187MOL000422Kaempferol41.880.246Renshen, gancao, baibiandou
P202MOL004328Naringenin59.290.215Gancao, yiyiren, jiegeng
P20MOL000546Diosgenin80.880.814Shanyao
P89MOL005344Ginsenoside rh236.320.564Renshen
P171MOL009135Ellipticine30.820.283Fuling, sharen
P191MOL001689Acacetin34.970.243Jiegeng
P114MOL001002Ellagic acid43.060.433Fuling, sharen
P42MOL000358Beta-sitosterol36.910.753Renshen, sharen
P168MOL000497Licochalcone a40.790.293Gancao
P201MOL000392Formononetin69.670.212Gancao, baibiandou
P151MOL005321Frutinone A65.900.341Renshen
P94MOL003648Inermine65.830.541Renshen
P159MOL005356Girinimbin61.220.311Renshen
P10MOL000787Fumarine59.260.831Renshen
P88MOL005384Suchilactone57.520.561Renshen, baizhu
P205MOL005320Arachidonate45.570.201Renshen
P34MOL000449Stigmasterol43.830.761Shanyao
P206MOL005318Dianthramine40.450.201Renshen
P68MOL004567Isoengelitin34.650.701Renshen
P173MOL004576Taxifolin57.840.271Renshen
P64MOL000493Campesterol37.580.711Renshen
P164MOL00002214-Acetyl-12-senecioyl-2E,8Z,10E-atractylentriol63.370.301Baizhu
P196MOL0000493β-acetoxyatractylone54.070.221Baizhu
P198MOL0000728β-ethoxy atractylenolide III35.950.211Baizhu
P199MOL010586Formononetin66.390.211Baizhu
P53MOL009387Didehydrotuberostemonine51.910.741Baizhu
P45MOL000296Hederagenin36.910.751Fuling
P59MOL009149Cheilanthifoline46.510.721Fuling
P154MOL011072Quinicine75.440.331Fuling, baibiandou
P72MOL002311Glycyrol90.780.671Gancao
P174MOL0049907,2′,4′-trihydroxy-5-methoxy-3-arylcoumarin83.710.271Gancao
P74MOL004904Licopyranocoumarin80.360.651Gancao
P56MOL004891Shinpterocarpin80.300.731Gancao
P82MOL005017Phaseol78.770.581Gancao
P211MOL004841Licochalcone B76.760.191Gancao
P95MOL004810Glyasperin F75.840.541Gancao
P96MOL001484Inermine75.180.541Gancao
P200MOL000500Vestitol74.660.211Gancao
P80MOL005007Glyasperins M72.670.591Gancao
P215MOL004941(2R)-7-hydroxy-2-(4-hydroxyphenyl)chroman-4-one71.120.181Gancao
P75MOL0049591-Methoxyphaseollidin69.980.641Gancao
P122MOL0048633-(3,4-dihydroxyphenyl)-5,7-dihydroxy-8-(3-methylbut-2-enyl)chromone66.370.411Gancao
P54MOL004903Liquiritin65.690.741Gancao
P112MOL004808Glyasperin B65.220.441Gancao
P152MOL004829Glepidotin B64.460.341Gancao
P106MOL004855Licoricone63.580.471Gancao
P212MOL004835Glypallichalcone61.600.191Gancao
P148MOL004907Glyzaglabrin61.070.351Gancao
P135MOL005000Gancaonin G60.440.391Gancao
P78MOL004824(2S)-6-(2,4-dihydroxyphenyl)-2-(2-hydroxypropan-2-yl)-4-methoxy-2,3-dihydrofuro[3,2-g]chromen-7-one60.250.631Gancao
P115MOL0048493-(2,4-dihydroxyphenyl)-8-(1,1-dimethylprop-2-enyl)-7-hydroxy-5-methoxy-coumarin59.620.431Gancao
P83MOL005003Licoagrocarpin58.810.581Gancao
P137MOL0048388-(6-Hydroxy-2-benzofuranyl)-2,2-dimethyl-5-chromenol58.440.381Gancao
P105MOL005012Licoagroisoflavone57.280.491Gancao
P3MOL005018Xambioona54.850.871Gancao
P141MOL005020Dehydroglyasperins C53.820.371Gancao
P128MOL0049938-Prenylated eriodictyol53.790.401Gancao
P107MOL004908Glabridin53.250.471Gancao
P161MOL004910Glabranin52.900.311Gancao
P108MOL004879Glycyrin52.610.471Gancao
P103MOL004912Glabrone52.510.501Gancao
P97MOL004885Licoisoflavanone52.470.541Gancao
P142MOL003656Lupiwighteone51.640.371Gancao
P129MOL004856Gancaonin A51.080.401Gancao
P167MOL000239Jaranol50.830.291Gancao
P100MOL004820Kanzonols W50.480.521Gancao
P30MOL005001Gancaonin H50.100.781Gancao
P165MOL005016Odoratin49.950.301Gancao
P162MOL000354Isorhamnetin49.600.311Gancao, baibiandou
P157MOL004848Licochalcone G49.250.321Gancao
P153MOL002565Medicarpin49.220.341Gancao
P110MOL004857Gancaonin B48.790.451Gancao
P91MOL004827Semilicoisoflavone B48.780.551Gancao
P188MOL000417Calycosin47.750.241Gancao
P155MOL004961Quercetin der.46.450.331Gancao
P163MOL004898(E)-3-[3,4-dihydroxy-5-(3-methylbut-2-enyl)phenyl]-1-(2,4-dihydroxyphenyl)prop-2-en-1-one46.270.311Gancao
P113MOL004911Glabrene46.270.441Gancao
P85MOL0049743′-methoxyglabridin46.160.571Gancao
P130MOL004811Glyasperin C45.560.401Gancao
P118MOL004949Isolicoflavonol45.170.421Gancao
P149MOL004828Glepidotin A44.720.351Gancao
P8MOL004948Isoglycyrol44.700.841Gancao
P123MOL0048662-(3,4-dihydroxyphenyl)-5,7-dihydroxy-6-(3-methylbut-2-enyl)chromone44.150.411Gancao
P86MOL0049663′-hydroxy-4′-O-Methylglabridin43.710.571Gancao
P143MOL004915Eurycarpin A43.280.371Gancao
P207MOL0038967-Methoxy-2-methyl isoflavone42.560.201Gancao
P119MOL004883Licoisoflavone41.610.421Gancao
P79MOL005008Glycyrrhiza flavonol A41.280.601Gancao
P1MOL004924(-)-Medicocarpin40.990.951Gancao
P156MOL004980Inflacoumarin A39.710.331Gancao
P150MOL004815(E)-1-(2,4-dihydroxyphenyl)-3-(2,2-dimethylchromen-6-yl)prop-2-en-1-one39.620.351Gancao
P124MOL0049896-Prenylated eriodictyol39.220.411Gancao
P92MOL004884Licoisoflavone B38.930.551Gancao
P181MOL0049917-Acetoxy-2-methylisoflavone38.920.261Gancao
P203MOL004957HMO38.370.211Gancao
P158MOL004945(2S)-7-hydroxy-2-(4-hydroxyphenyl)-8-(3-methylbut-2-enyl)chroman-4-one36.570.321Gancao
P101MOL0049782-[(3R)-8,8-dimethyl-3,4-dihydro-2h-pyrano [6,5-f]chromen-3-yl]-5-methoxyphenol36.210.521Gancao
P125MOL004935Sigmoidin-B34.880.411Gancao
P216MOL001792DFV32.760.181Gancao
P2MOL004988Kanzonol F32.470.891Gancao
P111MOL004833Phaseolinisoflavan32.010.451Gancao
P120MOL004814Isotrifoliol31.940.421Gancao
P60MOL004805(2S)-2-[4-hydroxy-3-(3-methylbut-2-enyl)phenyl]-8,8-dimethyl-2,3-dihydropyrano [2,3-f]chromen-4-one31.790.721Gancao
P126MOL0048645,7-Dihydroxy-3-(4-methoxyphenyl)-8-(3-methylbut-2-enyl)chromone30.490.411Gancao
P87MOL004806Euchrenone30.290.571Gancao
P210MOL000230Pinocembrin57.560.201Gancao
P189MOL005573Genkwanin37.130.241Gancao
P176MOL005575Gentiacaulein72.820.271Gancao
P147MOL003673Wighteone42.800.361Gancao
P177MOL001735Hispidulin30.970.271Gancao
P183MOL003617Isogosferol30.070.251Gancao
P76MOL004071Tetrahydropalmatine73.940.641Gancao
P169MOL007206Armepavine69.310.291Lianzi
P144MOL009172Pronuciferine32.750.371Lianzi
P131MOL007213Nuciferine34.430.401Lianzi
P31MOL001323Sitosterol alpha143.280.781Yiyiren
P213MOL001494Mandenol42.000.191Yiyiren
P6MOL001474Sanguinarine37.810.861Sharen
P138MOL006980Papaverine64.040.381Sharen
P190MOL000492(+)-Catechin54.830.241Sharen, baibiandou
P178MOL004580Cis-dihydroquercetin66.440.271Jiegeng
P9MOL008752Dihydroverticillatine42.690.841Jiegeng
P179MOL001736(-)-Taxifolin60.510.271Shanyao
P136MOL005430Hancinone C59.050.391Shanyao
P139MOL000322Kadsurenone54.720.381Shanyao
P33MOL005465AIDS18090745.330.771Shanyao
P180MOL005267Elymoclavine72.870.271Shanyao
P214MOL004058Deltoside33.190.191Shanyao

3.6. Molecular Docking Results

Based on the above analysis results, the 5 important active compounds (quercetin, luteolin, beta-carotene, kaempferol, and naringenin) and the key targets were docked by AutoDockVina software. The docking results are shown in Table 4 and Figure 7. The smaller the binding free energy value, the lower the energy required for binding, which is more conducive to the binding of ligand and protein. Among them, the docking results of MMP9 with luteolin, quercetin, and kaempferol, ALB with luteolin, and PTGS2 with luteolin were the best, as shown in Figure 8. For example, luteolin formed conventional hydrogen bonds with MMP9 protein structure 6ESM amino acid residues A chain TYR245, LEU243, GLN227, LEU188, ALA189, formed π-σ interactions with amino acid residues A chain TYR248 and LEU188, formed π-π stacked interactions with amino acid residue A chain HIS226, and formed π-alkyl interactions with amino acid residues A chain VAL223 and LEU188. These forces reduced the binding energy and increased the affinity, which played an auxiliary role in the binding of compound ligand molecules to the residues of target protein structures.
Table 4

Docking results of target proteins and active compounds.

Target proteinsPDB IDCompoundsBinding energy (kcal/mol)Target proteinsPDB IDCompoundsBinding energy (kcal/mol)
IL61ALUQuercetin−7.2AKT11UNQQuercetin−6.2
Luteolin−7.2Luteolin−6.3
Beta-carotene−7.6Beta-carotene−6.9
Kaempferol−6.8Kaempferol−6.0
Naringenin−6.9Naringenin−7.0

ALB6YG9Quercetin−9.8TP535MHCQuercetin−7.4
Luteolin−10.1Luteolin−7.9
Beta-carotene−8.2Beta-carotene−9.1
Kaempferol−8.8Kaempferol−7.6
Naringenin−8.2Naringenin−7.2

VEGFA1MKKQuercetin−7.4TNF5UUIQuercetin−6.9
Luteolin−7.8Luteolin−7.0
Beta-carotene−7.6Beta-carotene−7.3
Kaempferol−7.3Kaempferol−6.9
Naringenin−7.5Naringenin−6.4

MAPK34QTBQuercetin−9.3CASP32DKOQuercetin−7.0
Luteolin−9.5Luteolin−6.9
Beta-carotene−9.0Beta-carotene−6.2
Kaempferol−9.3Kaempferol−6.7
Naringenin−7.9Naringenin−6.5

JUN6Y3VQuercetin−6.5PTGS25F19Quercetin−9.7
Luteolin−6.5Luteolin−10.0
Beta-carotene−7.3Beta-carotene−8.7
Kaempferol−6.3Kaempferol−9.3
Naringenin−6.5Naringenin−8.2

STAT36NJSQuercetin−8.2MAPK82XRWQuercetin−8.2
Luteolin−8.0Luteolin−8.6
Beta-carotene−7.0Beta-carotene−9.7
Kaempferol−7.9Kaempferol−8.6
Naringenin−7.2Naringenin−6.4

MMP96ESMQuercetin−10.7CXCL84XDXQuercetin−7.5
Luteolin−10.9Luteolin−7.7
Beta-carotene−8.8Beta-carotene−9.2
Kaempferol−10.3Kaempferol−7.6
Naringenin−8.7Naringenin−6.7

EGFR5HG8Quercetin−8.3MAPK16SLGQuercetin−8.1
Luteolin−8.6Luteolin−8.3
Beta-carotene−9.2Beta-carotene−8.4
Kaempferol−8.5Kaempferol−8.1
Naringenin−7.9Naringenin−7.5

EGF1JL9Quercetin−6.6MYC6G6KQuercetin−7.2
Luteolin−6.8Luteolin−7.9
Beta-carotene−6.8Beta-carotene−7.8
Kaempferol−6.8Kaempferol−7.6
Naringenin−5.9Naringenin−7.4

IL1B5R8QQuercetin−7.1FOS1A02Quercetin−8.3
Luteolin−7.8Luteolin−9.3
Beta-carotene−7.8Beta-carotene−8.8
Kaempferol−7.0Kaempferol−8.1
Naringenin−6.9Naringenin−9.3
Figure 7

Heat map of docking results between key targets and important active compounds.

Figure 8

3D and 2D diagrams of molecular docking. (a) MMP9 (6ESM) and luteolin. (b) MMP9 (6ESM) and quercetin. (c) MMP9 (6ESM) and kaempferol. (d) ALB (6YG9) and luteolin. (e) PTGS2 (5F19) and luteolin.

3.7. Construction and Analysis of Key Target-miRNA Network

94 miRNAs were predicted from 6 key targets by the miRTarBase database. Cytoscape software was used to construct a key target-miRNA network (Figure 9), among which hsa-miR-16-5p, hsa-miR-101-3p, hsa-miR-143-3p, hsa-miR-199a-5p, hsa-miR-30d-5p, hsa-miR-30c-5p, hsa-miR-30e-5p, hsa-miR-302d-3p, hsa-miR-203a-3p, hsa-miR-200b-3p, hsa-miR-125a-5p, hsa-miR-15a-5p, hsa-miR-504-5p, and hsa-miR-150-5p all targeted multiple key targets.
Figure 9

Diagram of key target-miRNA network.

4. Discussion

The theory of traditional Chinese medicine believes that the spleen is the foundation of acquired life and that the spleen is not harmonious and causes all kinds of diseases. Therefore, it has always paid attention to regulating the spleen to protect the five internal organs. The pathogenesis of spleen deficiency is involved in the occurrence and development of BA and AC. SLBZP, one of the classic Earth-cultivating and gold-generating prescriptions, can not only treat BA and AC with simultaneous treatment of different diseases but also protect the spleen to prevent and promote recovery. This study aimed to explore the action mechanism of SLBZP in treating BA and AC with simultaneous treatment of different diseases by using network pharmacology and molecular docking, so as to provide references for more in-depth experimental research and wider clinical applications. GO annotation results showed that the biological functions involved in common targets were mainly response to oxidative stress, response to molecule of bacterial origin, membrane region, membrane microdomain, signaling receptor activator activity, receptor ligand activity, and so on. In addition, the main enrichment pathways of common targets were PI3K-Akt signaling pathway, proteoglycans in cancer, MAPK signaling pathway, IL-17 signaling pathway, TNF signaling pathway, apoptosis, Th17 cell differentiation, and other pathways related to inflammation, cancer, apoptosis, and immunity. Studies pointed out that, during the onset of asthma, both PI3K-Akt signaling pathway and MAPK signaling pathway were active [35, 36]. Many targets of the PI3K pathway play critical roles in the expression and activation of inflammatory mediators, inflammatory cell recruitment, immune cell function, airway remodeling, and corticosteroid insensitivity in chronic inflammatory airway disease [37]. There were evidences that selective PI3K inhibitors could reduce inflammation and some characteristics of diseases such as abnormal proliferation of airway smooth muscle cells (ASMC) in experimental animal models, which strongly supported that PI3K/Akt inhibitors might be a useful new therapy for asthma [37, 38]. In recent years, many studies confirmed that inhibiting PI3K−Akt signaling pathway and MAPK signaling pathway could effectively inhibit allergic airway inflammation, ASMC proliferation and migration, and phenotypic switching, so as to alleviate airway remodeling and airway hyperresponsiveness (AHR) in asthma [39-42]. Additionally, upregulation of dual-specificity phosphatase-1 (DUSP1), a negative regulator in the MAPK signaling pathway, to healthy levels and downregulation of inflammatory MAPKs at the gene and protein levels could reduce the prevalence of childhood asthma [43]. Proteoglycans enhanced deposition in the airway walls of asthmatics playing a role in airway remodeling, and the difference of deposition in the airway smooth muscle layer of moderate and severe asthmatic patients might affect the functional behavior of airway smooth muscle [44, 45]. IL-17A in the IL-17 signaling pathway was positively correlated with neutrophil accumulation, mucus secretion, macrophage mobilization, and smooth muscle reactivity in various experimental airway models, as well as with disease severity, suggesting that specifically targeting IL-17A had the potential of clinical utility in patients with moderate and severe asthma and high reversibility [46]. Moreover, the reduction of skin inflammation and airway inflammation in the IL-17-induced mouse asthma model was related to the reduction of IL-17-mediated mRNA stability [47]. In TLR ligand-mediated allergic airway inflammation, TLR ligand induced TNF to send signals through airway epithelial cells to promote the development of Th2 in lymph nodes, and TNF was also indispensable in the allergen stimulation stage of neutrophilic and eosinophilic airway inflammation and AHR [48]. Activated TNF-TNFR2 signal transduction could inhibit the differentiation of Th2 and Th17 cells to alleviate allergic airway inflammation [49]. Bronchial cell apoptosis could be observed in some airway biopsies from asthmatic patients, especially those with serious diseases, possibly resulting in airway damage, and dysregulation of leukocyte, eosinophil, and neutrophil apoptosis could lead to asthmatic airway inflammation and was related to the pathogenesis of asthma [50]. Th17 cells, a potent and unique subset that modulated primary bronchial epithelial cell function, were related to the development and pathophysiology of asthma [51, 52]. A study found that asthma-associated IL4R variants promoted the transformation of regulatory T cells into TH17-like cells, thereby exacerbating airway inflammation [53]. It should be noted that because there have been relatively few studies related to allergic colitis all the time, there is almost no relevant research report on the relationship between the above signaling pathways and allergic colitis. However, it is worth mentioning that if further research is carried out on this basis in the future, it will be very innovative and instructive for clarifying the pathogenesis of allergic colitis and developing new drugs that can effectively target the disease. The above showed that SLBZP treated BA and AC with simultaneous treatment of different diseases by multiple functions and pathways, suggesting that further research in the future could be based on these biological functions and pathways, which had guiding significances. The active compound-key target network of this study showed that the five active compounds of quercetin, luteolin, beta-carotene, kaempferol, and naringenin, and the 6 key targets of PTGS2, CASP3, AKT1, JUN, TP53, and VEGFA were particularly important. Moreover, the results of molecular docking also verified that these five active compounds had good binding characteristics with their corresponding important key targets, indicating that they played vital roles in SLBZP for treating BA and AC with simultaneous treatment of different diseases and had critical potential research values. Studies suggested that quercetin was known for its antioxidant activity in free radicals scavenging and antiallergic properties [54]. It is characterized by stimulating the immune system and antiviral activity, inhibiting histamine release, reducing proinflammatory cytokines, and producing leukotrienes [55]. It was reported to improve Th1/Th2 balance, inhibit the formation of antigen-specific IgE antibodies, and also be effective in inhibiting enzymes such as lipoxygenase, eosinophils, and peroxidase and inflammatory mediators [56]. All the mentioned mechanisms contribute to the anti-inflammatory and immunomodulatory properties of quercetin, which can be effectively used to treat advanced bronchial asthma, allergic rhinitis, and restrictive allergic reactions caused by peanuts [55]. Luteolin, having anti-inflammatory, antiallergic, and immune-enhancing functions, can reduce airway inflammation and allergies in asthma and has antiallergic effects in mouse models of allergic asthma and rhinitis, which has shown therapeutic effects in treating inflammatory diseases, allergies, bronchial asthma, and systemic damage caused by free radicals [57-59]. It was reported to block the activation of MAPK and NF-κB signaling pathways to protect ARPE-19 cells from the proliferation of IL-6, IL-8, sICAM-1, and MCP-1 stimulated by IL-1β, thereby alleviating the inflammatory response [60]. Kaempferol, having antioxidant, anti-inflammatory, anticancer, and antidiabetic effects, could effectively improve allergic and inflammatory airway diseases by interfering with NF-κB signal transduction, which may help alleviate the inflammatory response associated with Cox2 expression [61-63]. Naringenin, having immunomodulatory, anticancer, antimutation, anti-inflammatory, antioxidant, antiproliferative, antiarthritis, and anticarcinogenic effects, can be used for treating osteoporosis, cancer, cardiovascular disease, and rheumatoid arthritis, which exhibits lipid-lowering and insulin-like properties, can inhibit allergen-induced airway inflammation and airway responsiveness, and inhibit NF-κB activity in a mouse model of asthma [64-66]. The above results indicate that SLBZP can fully exert its therapeutic effect by the synergy of multiple compounds, multiple targets, and multiple pathways and provide more new clues for the development of traditional Chinese medicine monomers to treat BA and AC. In addition, the effects of beta-carotene in treating BA and AC are currently seldom studied and reported, which can be used as a direction for in-depth research in the future. PTGS2, as the most critical target in the network, is one of the key factors of cell response to inflammation and has long been considered to play a key role in the pathogenesis of respiratory inflammation, including asthma [67, 68]. In addition to its anti-inflammatory effect, it can also exert anti-inflammatory/bronchial protection functions in the airway and can be expressed quickly and powerfully in response to various proinflammatory cytokines and mediators [68]. Caspase-3 is necessary for the development of various tissues, playing an important role in neurogenesis, synaptic activity, neuron growth cone guidance, and glial development. It was reported to mediate many nonapoptotic functions in cells and cell death in the process of apoptosis, participate in T and B cell homeostasis in a way that did not depend on apoptosis, and protect compressed organs from cell death [69]. AKT1 ablation promoted the polarization of macrophage M1, which could affect the severity of inflammatory diseases, such as inflammatory bowel disease, and was related to the regulation of innate immunity and inflammation [70]. JUN, the activation of which is caused by the imbalance of pulmonary oxidation and antioxidation in asthma, is an important therapeutic target for allergic airway inflammation and a key transcription factor for the anti-inflammatory activity of dexamethasone and may be an important molecular mechanism of steroids in asthma and other chronic inflammatory lung diseases [71, 72]. As an important mediator of oncogenic β-catenin signaling in the intestine, JUN is not only involved in inflammatory response and tumorigenesis but is also related to the inflammatory response in mice with LPS-induced macrophages and DSS-induced colitis [73, 74]. TP53, as a tumor suppressor protein, can produce anti-inflammatory reactions in the lungs and has a potential therapeutic effect in pneumonia, whose dysfunction is associated with acute lung injury, acute respiratory distress syndrome, chronic obstructive pulmonary disease, pulmonary fibrosis, bronchial asthma, pulmonary hypertension, pneumonia and tuberculosis, and so on [75]. It often mutates in human cancers. After the mutations, it prolongs the activation of NF-κB and promotes chronic inflammation and inflammation-related colorectal cancer, which is also related to the occurrence and development of inflammatory bowel disease [76-78]. VEGFA plays a fundamental role in the physiological and pathophysiological forms of angiogenesis. During airway growth, the balance regulation of angiogenic growth factor and vascular inhibitory protein enables the lung to obtain rich blood supply [79]. However, during chronic inflammation, VEGF stimulates angiogenesis and edema and induces Th2 and eosinophilic inflammation, mucous metaplasia, subepithelial fibrosis, myocyte proliferation, and dendritic cell activation, which is a sign of asthma exacerbation and can be used as a target for treating lung diseases and inflammatory bowel diseases [79-82]. The above studies indicate that these six key targets deserve attention in the study of the molecular mechanism of SLBZP for treating BA and AC with simultaneous treatment of different diseases and can be used as potential research objects. The key target-miRNA network shows that hsa-miR-16-5p, hsa-miR-101-3p, hsa-miR-143-3p, hsa-miR-199a-5p, hsa-miR-30d-5p, hsa-miR-30c-5p, hsa-miR-30e-5p, hsa-miR-302d-3p, hsa-miR-203a-3p, hsa-miR-200b-3p, hsa-miR-125a-5p, hsa-miR-15a-5p, hsa-miR-504-5p, and hsa-miR-150-5p all target and regulate multiple key targets, which may have important upstream regulatory effects and are of great significance for the occurrence, development, and treatment of BA and AC. Studies suggested that baseline airway secretion signatures of hsa-miR-302d-3p and hsa-miR-612 were detected during rhinovirus (RV) infection that was the most common cause of asthma exacerbation and the most important early risk factor for asthma development after childhood in children, which was helpful to develop novel strategies for treating and monitoring respiratory conditions in all age groups [83]. The low tissue level of hsa-miR-200b-3p is related to the cytopathic inflammation caused by human cytomegalovirus infection [84]. Hsa-miR-15a-5p may play an important role in reducing retinal leukopenia by inhibiting inflammatory cell signals, which can be used as a potential target for the inhibition of inflammatory mediators in diabetic retinopathy [85]. In addition to these miRNAs that could target and regulate multiple key targets, hsa-miR-146a-5p, as one of the predicted miRNAs, was upregulated in asthmatic patients to inhibit the expression level of PDE7A, which might be involved in mediating the pathogenesis of asthma [86]. Upregulation of Hsa_circ_0005519 could inhibit the expression of has-let-7a-5p in CD4 T cells of asthmatic patients and promote the production of IL-13 and IL-6, thereby exacerbating asthma [87]. Combining hsa-miR-155-5p and has-miR-532-5p could predict changes in asthma budesonide (ICS) treatment response over time [88]. In allergic settings, the expressions of hsa-miR-139-5p and hsa-miR-542-3p significantly decreased, resulting in increasing expression of pro-inflammatory and antiviral response genes, which might be important during asthma exacerbations [89]. Hsa-miR-19b-3p decreased in the plasma of BA patients, and the ROC curve showed that it could be used as a biomarker for the diagnosis of BA [90]. Hsa-miR-20a-5p, one of the dysregulated miRNAs in asthmatic patients, targeted and inhibited the expression of HDAC4, suppressed the expressions of TNF-α, IL-1β, and IFN-γ, and promoted the production of IL-10, thereby reducing allergic inflammation [91]. Downregulation of hsa-miR-145-5p that increased airway smooth muscle cell proliferation was a risk factor for an early decline (ED) pattern of lung function growth in asthmatic children with chronic obstructive pulmonary disease (COPD) [92]. Once again, it is particularly noted that, at present, there are basically no relevant research reports on these predicted miRNAs related to AC, and there are also very few research reports on these predicted miRNAs related to BA, which means that this study not only provides new insights for in-depth understanding of the pathogenesis of BA and AC and formulating corresponding new treatment strategies but also provides a practical basis for future validation studies. In general, there are few reports on the above-mentioned miRNAs that have great research potentials.

5. Conclusions

In conclusion, network pharmacology and molecular docking technology demonstrated that SLBZP in treating BA and AC with simultaneous treatment of different diseases was a complex process involving multiple compounds, multiple targets, and multiple pathways. It may involve important active compounds and key targets represented by quercetin, luteolin, beta-carotene, kaempferol, naringenin, PTGS2, CASP3, AKT1, JUN, TP53, and VEGFA, may be related to inflammation, cancer, apoptosis, and immune-related pathways, and may involve the targeted regulation of multiple upstream miRNAs. These can provide references for future clinical and experimental studies.
  89 in total

1.  Differences in proteoglycan deposition in the airways of moderate and severe asthmatics.

Authors:  L Pini; Q Hamid; J Shannon; L Lemelin; R Olivenstein; P Ernst; C Lemière; J G Martin; M S Ludwig
Journal:  Eur Respir J       Date:  2006-10-18       Impact factor: 16.671

2.  Kaempferol suppresses eosionphil infiltration and airway inflammation in airway epithelial cells and in mice with allergic asthma.

Authors:  Ju-Hyun Gong; Daekeun Shin; Seon-Young Han; Jung-Lye Kim; Young-Hee Kang
Journal:  J Nutr       Date:  2011-12-07       Impact factor: 4.798

3.  Akt1 and Akt2 protein kinases differentially contribute to macrophage polarization.

Authors:  Alicia Arranz; Christina Doxaki; Eleni Vergadi; Yeny Martinez de la Torre; Katerina Vaporidi; Eleni D Lagoudaki; Eleftheria Ieronymaki; Ariadne Androulidaki; Maria Venihaki; Andrew N Margioris; Efstathios N Stathopoulos; Philip N Tsichlis; Christos Tsatsanis
Journal:  Proc Natl Acad Sci U S A       Date:  2012-05-30       Impact factor: 11.205

4.  Bixin protects mice against bronchial asthma though modulating PI3K/Akt pathway.

Authors:  Yingjie Zhu; Dong Sun; Han Liu; Linzi Sun; Jing Jie; Jingjing Luo; Liping Peng; Lei Song
Journal:  Int Immunopharmacol       Date:  2021-10-20       Impact factor: 4.932

Review 5.  Traditional Chinese herbal remedies for asthma and food allergy.

Authors:  Xiu-Min Li
Journal:  J Allergy Clin Immunol       Date:  2007-06-08       Impact factor: 10.793

6.  miR-15a/16 reduces retinal leukostasis through decreased pro-inflammatory signaling.

Authors:  Eun-Ah Ye; Li Liu; Youde Jiang; Jenny Jan; Subhash Gaddipati; Susmit Suvas; Jena J Steinle
Journal:  J Neuroinflammation       Date:  2016-12-08       Impact factor: 8.322

7.  Off-label prescribing for allergic diseases in children.

Authors:  Diana Silva; Ignacio Ansotegui; Mário Morais-Almeida
Journal:  World Allergy Organ J       Date:  2014-02-14       Impact factor: 4.084

8.  PubChem Substance and Compound databases.

Authors:  Sunghwan Kim; Paul A Thiessen; Evan E Bolton; Jie Chen; Gang Fu; Asta Gindulyte; Lianyi Han; Jane He; Siqian He; Benjamin A Shoemaker; Jiyao Wang; Bo Yu; Jian Zhang; Stephen H Bryant
Journal:  Nucleic Acids Res       Date:  2015-09-22       Impact factor: 16.971

Review 9.  P53 in the impaired lungs.

Authors:  Mohammad A Uddin; Nektarios Barabutis
Journal:  DNA Repair (Amst)       Date:  2020-08-19
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