Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway

Objective To explore the therapeutic mechanism of Shuiluerxian Pills (SP) for diabetic kidney disease (DKD) with the aids of network pharmacological methods and in vivo experiments. Methods The active components and related targets of SP were screened by the TCM Systematic Pharmacological database a...

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Main Authors: Yan-ling Rao, Qin-guo Sun, Wei Huang
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2024-04-01
Series:Linchuang shenzangbing zazhi
Subjects:
Online Access:http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.04.008
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author Yan-ling Rao
Qin-guo Sun
Wei Huang
author_facet Yan-ling Rao
Qin-guo Sun
Wei Huang
author_sort Yan-ling Rao
collection DOAJ
description Objective To explore the therapeutic mechanism of Shuiluerxian Pills (SP) for diabetic kidney disease (DKD) with the aids of network pharmacological methods and in vivo experiments. Methods The active components and related targets of SP were screened by the TCM Systematic Pharmacological database and analysis platform (TCMSP). The above chemical constituents and target information were supplemented by literature searches to further correlating the target of DKD in the disease database. Protein-protein interaction (PPI) network was constructed with the String software. Enrichment analysis was performed with R language and complex network model established. The levels of tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6) and IL-1β in kidney were detected by enzyme-linked immunosorbent assay (ELISA) and the expressions of key proteins verified by Western blot. The pharmacodynamic mechanism of SP for DKD was preliminarily predicted. Results A total of 376 potential DKD therapeutic targets were identified. The "composition-disease-target" network diagram implied that kaverol and astragaloside IV were the major active components of SP formula to play the therapeutic role of DKD. Its common pathways were correlated with the pathways of phosphatidylinositol 3 kinase (PI3K)/protein kinase B (Akt) and advanced glycation end products (AGEs)-receptor for advanced glycation end products (RAGE). The experimental results indicated that SP could effectively reduce the level of inflammatory factors in diabetic rats, enhance the protein expressions of Nephrin and Podocin and lower the protein expressions of p-PI3K/PI3K and p-Akt/Akt. Conclusions SP may play a role in the treatment of DKD through regulating PI3K/Akt signaling pathway, suppressing inflammatory responses and renal tissue fibrosis. The treatment of DKD offers the characteristics of multi-component, multi-target and multi-pathway.
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spelling doaj.art-50fd60bccedd4a6bb8659bf7e4e919422024-04-19T02:18:06ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902024-04-0124430931810.3969/j.issn.1671-2390.2024.04.00820230141Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathwayYan-ling Rao0Qin-guo Sun1Wei Huang2Hubei University of Traditional Chinese Medicine, Wuhan 430065, ChinaHubei University of Traditional Chinese Medicine, Wuhan 430065, ChinaHubei University of Traditional Chinese Medicine, Wuhan 430065, ChinaObjective To explore the therapeutic mechanism of Shuiluerxian Pills (SP) for diabetic kidney disease (DKD) with the aids of network pharmacological methods and in vivo experiments. Methods The active components and related targets of SP were screened by the TCM Systematic Pharmacological database and analysis platform (TCMSP). The above chemical constituents and target information were supplemented by literature searches to further correlating the target of DKD in the disease database. Protein-protein interaction (PPI) network was constructed with the String software. Enrichment analysis was performed with R language and complex network model established. The levels of tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6) and IL-1β in kidney were detected by enzyme-linked immunosorbent assay (ELISA) and the expressions of key proteins verified by Western blot. The pharmacodynamic mechanism of SP for DKD was preliminarily predicted. Results A total of 376 potential DKD therapeutic targets were identified. The "composition-disease-target" network diagram implied that kaverol and astragaloside IV were the major active components of SP formula to play the therapeutic role of DKD. Its common pathways were correlated with the pathways of phosphatidylinositol 3 kinase (PI3K)/protein kinase B (Akt) and advanced glycation end products (AGEs)-receptor for advanced glycation end products (RAGE). The experimental results indicated that SP could effectively reduce the level of inflammatory factors in diabetic rats, enhance the protein expressions of Nephrin and Podocin and lower the protein expressions of p-PI3K/PI3K and p-Akt/Akt. Conclusions SP may play a role in the treatment of DKD through regulating PI3K/Akt signaling pathway, suppressing inflammatory responses and renal tissue fibrosis. The treatment of DKD offers the characteristics of multi-component, multi-target and multi-pathway.http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.04.008diabetic kidney diseasepharmacologyshuilu erxian pills
spellingShingle Yan-ling Rao
Qin-guo Sun
Wei Huang
Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
Linchuang shenzangbing zazhi
diabetic kidney disease
pharmacology
shuilu erxian pills
title Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
title_full Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
title_fullStr Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
title_full_unstemmed Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
title_short Efficacy and mechanism of Shuiluerxian Pills for diabetic nephropathy through a regulation of PI3K/AKT signaling pathway
title_sort efficacy and mechanism of shuiluerxian pills for diabetic nephropathy through a regulation of pi3k akt signaling pathway
topic diabetic kidney disease
pharmacology
shuilu erxian pills
url http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.04.008
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