Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation

Abstract Background Smilax china L. (SCL) is a traditional herbal medicine for the potential treatment of intrauterine adhesion (IUA). However, the mechanisms of action have not yet been determined. In this study, we explored the effects and mechanisms of SCL in IUA by network pharmacology, molecula...

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Main Authors: Tingting Shi, Chuqi Hou, Yongzhen Duan, Yuliang Li, Wenqin Liu, Peixian Huang, Yuhua Zhou, Shanshan Yu, Luyao Song
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-024-04414-4
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author Tingting Shi
Chuqi Hou
Yongzhen Duan
Yuliang Li
Wenqin Liu
Peixian Huang
Yuhua Zhou
Shanshan Yu
Luyao Song
author_facet Tingting Shi
Chuqi Hou
Yongzhen Duan
Yuliang Li
Wenqin Liu
Peixian Huang
Yuhua Zhou
Shanshan Yu
Luyao Song
author_sort Tingting Shi
collection DOAJ
description Abstract Background Smilax china L. (SCL) is a traditional herbal medicine for the potential treatment of intrauterine adhesion (IUA). However, the mechanisms of action have not yet been determined. In this study, we explored the effects and mechanisms of SCL in IUA by network pharmacology, molecular docking and molecular biology experiments. Methods Active ingredients and targets of SCL were acquired from TCMSP and SwissTargetPrediction. IUA-related targets were collected from the GeneCards, DisGeNET, OMIM and TTD databases. A protein‒protein interaction (PPI) network was constructed by Cytoscape 3.9.1 and analysed with CytoHubba and CytoNCA to identify the core targets. The DAVID tool was used for GO and KEGG enrichment analyses. Furthermore, molecular docking was employed to assess the interaction between the compounds and key targets. Finally, the mechanisms and targets of SCL in IUA were verified by cellular experiments and western blot. Results A total of 196 targets of SCL were identified, among which 93 were related to IUA. Topological and KEGG analyses results identified 15 core targets that were involved in multiple pathways, such as inflammation, apoptosis, and PI3K/AKT signalling pathways. Molecular docking results showed that the active compounds had good binding to the core targets. In vitro experiments showed that astilbin (AST), a major component of SCL, significantly reduced TGF-β-induced overexpression of fibronectin (FN), activation of the PI3K/AKT signalling pathway and the expression of downstream factors (NF-κB and BCL2) in human endometrial stromal cells, suggesting that AST ameliorates IUA by mediating the PI3K/AKT/NF-κB and BCL2 proteins. Conclusions AST, a major component of SCL, may be a potential therapeutic agent for IUA. Moreover, its mechanism is strongly associated with regulation of the PI3K/AKT signalling pathway and the downstream NF-κB and BCL2 proteins. This study will provide new strategies that utilize AST for the treatment of IUA.
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spelling doaj.art-35194af8ebc346c99fbb84e7fee71d4f2024-04-07T11:08:16ZengBMCBMC Complementary Medicine and Therapies2662-76712024-04-0124111610.1186/s12906-024-04414-4Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validationTingting Shi0Chuqi Hou1Yongzhen Duan2Yuliang Li3Wenqin Liu4Peixian Huang5Yuhua Zhou6Shanshan Yu7Luyao Song8Department of Pharmacy, Zhujiang Hospital, Southern Medical UniversityClinical Pharmacy Center, Nanfang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityClinical Pharmacy Center, Nanfang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityDepartment of Pharmacy, Zhujiang Hospital, Southern Medical UniversityAbstract Background Smilax china L. (SCL) is a traditional herbal medicine for the potential treatment of intrauterine adhesion (IUA). However, the mechanisms of action have not yet been determined. In this study, we explored the effects and mechanisms of SCL in IUA by network pharmacology, molecular docking and molecular biology experiments. Methods Active ingredients and targets of SCL were acquired from TCMSP and SwissTargetPrediction. IUA-related targets were collected from the GeneCards, DisGeNET, OMIM and TTD databases. A protein‒protein interaction (PPI) network was constructed by Cytoscape 3.9.1 and analysed with CytoHubba and CytoNCA to identify the core targets. The DAVID tool was used for GO and KEGG enrichment analyses. Furthermore, molecular docking was employed to assess the interaction between the compounds and key targets. Finally, the mechanisms and targets of SCL in IUA were verified by cellular experiments and western blot. Results A total of 196 targets of SCL were identified, among which 93 were related to IUA. Topological and KEGG analyses results identified 15 core targets that were involved in multiple pathways, such as inflammation, apoptosis, and PI3K/AKT signalling pathways. Molecular docking results showed that the active compounds had good binding to the core targets. In vitro experiments showed that astilbin (AST), a major component of SCL, significantly reduced TGF-β-induced overexpression of fibronectin (FN), activation of the PI3K/AKT signalling pathway and the expression of downstream factors (NF-κB and BCL2) in human endometrial stromal cells, suggesting that AST ameliorates IUA by mediating the PI3K/AKT/NF-κB and BCL2 proteins. Conclusions AST, a major component of SCL, may be a potential therapeutic agent for IUA. Moreover, its mechanism is strongly associated with regulation of the PI3K/AKT signalling pathway and the downstream NF-κB and BCL2 proteins. This study will provide new strategies that utilize AST for the treatment of IUA.https://doi.org/10.1186/s12906-024-04414-4Intrauterine adhesionSmilax china L.AstilbinMolecular dockingNetwork pharmacologyPI3K/AKT
spellingShingle Tingting Shi
Chuqi Hou
Yongzhen Duan
Yuliang Li
Wenqin Liu
Peixian Huang
Yuhua Zhou
Shanshan Yu
Luyao Song
Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
BMC Complementary Medicine and Therapies
Intrauterine adhesion
Smilax china L.
Astilbin
Molecular docking
Network pharmacology
PI3K/AKT
title Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
title_full Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
title_fullStr Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
title_full_unstemmed Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
title_short Mechanism of Smilax china L. in the treatment of intrauterine adhesions based on network pharmacology, molecular docking and experimental validation
title_sort mechanism of smilax china l in the treatment of intrauterine adhesions based on network pharmacology molecular docking and experimental validation
topic Intrauterine adhesion
Smilax china L.
Astilbin
Molecular docking
Network pharmacology
PI3K/AKT
url https://doi.org/10.1186/s12906-024-04414-4
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