Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection

Shengjiang Xiexin Decoction (SXD) is a widely recognized formula in Traditional Chinese Medicine (TCM) for treating diarrhea and is commonly used in clinical practice. Clostridium difficile infection (CDI) is a type of antibiotic-associated diarrhea with a rising incidence rate that has severe conse...

Full description

Bibliographic Details
Main Authors: Yutao Cui, Congen Zhang, Xueqiang Zhang, Xiaohong Yu, Yuqin Ma, Xuemei Qin, Zhijie Ma
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023028098
_version_ 1827937492049854464
author Yutao Cui
Congen Zhang
Xueqiang Zhang
Xiaohong Yu
Yuqin Ma
Xuemei Qin
Zhijie Ma
author_facet Yutao Cui
Congen Zhang
Xueqiang Zhang
Xiaohong Yu
Yuqin Ma
Xuemei Qin
Zhijie Ma
author_sort Yutao Cui
collection DOAJ
description Shengjiang Xiexin Decoction (SXD) is a widely recognized formula in Traditional Chinese Medicine (TCM) for treating diarrhea and is commonly used in clinical practice. Clostridium difficile infection (CDI) is a type of antibiotic-associated diarrhea with a rising incidence rate that has severe consequences for humans. Recent clinical applications have found significant efficacy in using SXD as an adjunct to CDI treatment. However, the pharmacodynamic substance basis and therapeutic mechanism of SXD remain unclear. This study aimed to systematically analyze the metabolic mechanisms and key pharmacodynamic components of SXD in CDI mice by combining non-targeted metabolomics of Chinese medicine and serum medicinal chemistry. We established a CDI mouse model to observe the therapeutic effect of SXD on CDI. We investigated the mechanism of action and active substance composition of SXD against CDI by analyzing 16S rDNA gut microbiota, untargeted serum metabolomics, and serum pharmacochemistry. We also constructed a multi-scale, multifactorial network for overall visualization and analysis. Our results showed that SXD significantly reduced fecal toxin levels and attenuated colonic injury in CDI model mice. Additionally, SXD partially restored CDI-induced gut microbiota composition. Non-targeted serum metabolomics studies showed that SXD not only regulated Taurine and hypotaurine metabolism but also metabolic energy and amino acid pathways such as Ascorbate and aldarate metabolism, Glycerolipid metabolism, Pentose and glucuronate interconversions, as well as body and other metabolite production in the host. Through the implementation of network analysis methodologies, we have discerned that Panaxadiol, Methoxylutcolin, Ginsenoside-Rf, Suffruticoside A, and 10 other components serve as critical potential pharmacodynamic substance bases of SXD for CDI. This study reveals the metabolic mechanism and active substance components of SXD for the treatment of CDI mice using phenotypic information, gut microbiome, herbal metabolomics, and serum pharmacochemistry. It provides a theoretical basis for SXD quality control studies.
first_indexed 2024-03-13T08:25:25Z
format Article
id doaj.art-01a23412985b46de936bf0a78f5a1a13
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-13T08:25:25Z
publishDate 2023-05-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-01a23412985b46de936bf0a78f5a1a132023-05-31T04:44:54ZengElsevierHeliyon2405-84402023-05-0195e15602Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infectionYutao Cui0Congen Zhang1Xueqiang Zhang2Xiaohong Yu3Yuqin Ma4Xuemei Qin5Zhijie Ma6Beijing Friendship Hospital, Capital Medical University, Beijing, China; Modern Research Center for Traditional Chinese Medicine, Shanxi University, Taiyuan, China; Bayannur City Hospital, Bayannaoer, ChinaBeijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Friendship Hospital, Capital Medical University, Beijing, ChinaModern Research Center for Traditional Chinese Medicine, Shanxi University, Taiyuan, China; Corresponding author.Beijing Friendship Hospital, Capital Medical University, Beijing, China; Corresponding author. Beijing Friendship Hospital, Capital Medical University, No. 95, Yongan Road, 100050, Beijing, China.Shengjiang Xiexin Decoction (SXD) is a widely recognized formula in Traditional Chinese Medicine (TCM) for treating diarrhea and is commonly used in clinical practice. Clostridium difficile infection (CDI) is a type of antibiotic-associated diarrhea with a rising incidence rate that has severe consequences for humans. Recent clinical applications have found significant efficacy in using SXD as an adjunct to CDI treatment. However, the pharmacodynamic substance basis and therapeutic mechanism of SXD remain unclear. This study aimed to systematically analyze the metabolic mechanisms and key pharmacodynamic components of SXD in CDI mice by combining non-targeted metabolomics of Chinese medicine and serum medicinal chemistry. We established a CDI mouse model to observe the therapeutic effect of SXD on CDI. We investigated the mechanism of action and active substance composition of SXD against CDI by analyzing 16S rDNA gut microbiota, untargeted serum metabolomics, and serum pharmacochemistry. We also constructed a multi-scale, multifactorial network for overall visualization and analysis. Our results showed that SXD significantly reduced fecal toxin levels and attenuated colonic injury in CDI model mice. Additionally, SXD partially restored CDI-induced gut microbiota composition. Non-targeted serum metabolomics studies showed that SXD not only regulated Taurine and hypotaurine metabolism but also metabolic energy and amino acid pathways such as Ascorbate and aldarate metabolism, Glycerolipid metabolism, Pentose and glucuronate interconversions, as well as body and other metabolite production in the host. Through the implementation of network analysis methodologies, we have discerned that Panaxadiol, Methoxylutcolin, Ginsenoside-Rf, Suffruticoside A, and 10 other components serve as critical potential pharmacodynamic substance bases of SXD for CDI. This study reveals the metabolic mechanism and active substance components of SXD for the treatment of CDI mice using phenotypic information, gut microbiome, herbal metabolomics, and serum pharmacochemistry. It provides a theoretical basis for SXD quality control studies.http://www.sciencedirect.com/science/article/pii/S2405844023028098Shengjiang Xiexin DecoctionClostridium difficile infectionSerum medicinal chemistryMetabolomesPharmacological effectsBioactive compounds
spellingShingle Yutao Cui
Congen Zhang
Xueqiang Zhang
Xiaohong Yu
Yuqin Ma
Xuemei Qin
Zhijie Ma
Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
Heliyon
Shengjiang Xiexin Decoction
Clostridium difficile infection
Serum medicinal chemistry
Metabolomes
Pharmacological effects
Bioactive compounds
title Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
title_full Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
title_fullStr Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
title_full_unstemmed Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
title_short Integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of Shengjiang Xiexin decoction in the treatment of Clostridium difficile infection
title_sort integrated serum pharmacochemistry and metabolomics reveal potential effective components and mechanisms of shengjiang xiexin decoction in the treatment of clostridium difficile infection
topic Shengjiang Xiexin Decoction
Clostridium difficile infection
Serum medicinal chemistry
Metabolomes
Pharmacological effects
Bioactive compounds
url http://www.sciencedirect.com/science/article/pii/S2405844023028098
work_keys_str_mv AT yutaocui integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT congenzhang integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT xueqiangzhang integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT xiaohongyu integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT yuqinma integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT xuemeiqin integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection
AT zhijiema integratedserumpharmacochemistryandmetabolomicsrevealpotentialeffectivecomponentsandmechanismsofshengjiangxiexindecoctioninthetreatmentofclostridiumdifficileinfection