天然产物研究与开发 ›› 2026, Vol. 38 ›› Issue (2): 412-424.doi: 10.16333/j.1001-6880.2026.2.018 cstr: 32307.14.1001-6880.2026.2.018

• 数据研究 • 上一篇    下一篇

基于生物信息学和动物实验探讨苓桂术甘汤改善心肌梗死后心肌纤维化的潜在机制

赵婉竹1,任  涵2,王舒舒2,蔡  瑞1,黄圣意2,张远红1,黄金玲2,3*   

  1. 1安徽中医药大学中医学院;2安徽中医药大学中西医结合学院;3中药复方安徽省重点实验室,合肥 230012
  • 出版日期:2026-02-26 发布日期:2026-02-25
  • 基金资助:
    国家自然科学基金面上项目(81973844,81373533)

Potential mechanism of Linggui Zhugan Decoction in improving myocardial fibrosis after myocardial infarction based on bioinformatics and animal experiments

ZHAO Wan-zhu1,REN Han2,WANG Shu-shu2,CAI Rui1,HUANG Sheng-yi2,ZHANG Yuan-hong1,HUANG Jin-ling2,3*   

  1. 1School of Chinese Medicine,Anhui University of Chinese Medicine; 2School of Integrated Chinese Medicine and Western Medicine,Anhui University of Chinese Medicine; 3Anhui Province Key Laboratory of Chinese Medicinal Formula,Hefei 230012,China
  • Online:2026-02-26 Published:2026-02-25

摘要:

利用生物信息学和体内实验研究苓桂术甘汤(Linggui Zhugan Decoction,LZD)对急性心肌梗死(acute myocardial infarction,AMI)后心肌纤维化(myocardial fibrosis,MF)的潜在作用机制。在TCMSP数据库获取LZD活性成分及对应靶点,在GeneCards、OMIM、TTD和GEO数据库收集疾病靶点;运用Cytoscape软件绘制“药物-成分-靶点”网络;STRING网站构建蛋白互作网络;R语言进行富集分析。结扎小鼠左前降支冠状动脉构建AMI后MF模型进行实验验证,4周后使用多普勒超声成像仪检测小鼠心功能;HE、Masson染色观察心肌组织形态学和胶原纤维沉积变化情况;Western blot法检测心肌纤维化和核心靶点蛋白表达水平;免疫组化法检测心肌组织中α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)水平。生物信息学结果显示,LZD有效成分对应靶点、疾病靶点和GSE97358差异基因三者的交集靶点共33个;核心活性成分为槲皮素、山柰酚、β-谷甾醇等。实验结果表明,LZD可以显著改善AMI后MF小鼠心功能和病理形态学变化,且间质胶原纤维沉积显著减少;小鼠心肌组织中纤维化相关蛋白α-SMA、胶原蛋白Ⅰ(collagenⅠ,Col Ⅰ)、Col Ⅲ、基质金属蛋白酶2(matrix metalloproteinase-2,MMP-2)以及核心靶点白细胞介素-1β(interleukin-1β,IL-1β)、前列腺素内过氧化物合酶2(prostaglandin-endoperoxide synthase 2,PTGS2)和CXC趋化因子配体8(CXC chemokine ligand 8,CXCL8)的蛋白表达水平显著下降,过氧化物酶体增殖物激活受体γ(peroxisome proliferators activated receptor gamma,PPARγ)和B淋巴细胞瘤-2(B-cell lymphoma-2,Bcl-2)蛋白表达水平显著上升。综上所述,LZD可以调节多个信号通路及靶点,且显著改善小鼠AMI后MF,延缓AMI转化为慢性心衰的病理进程,其作用机制可能与生物信息学筛选得到的靶点密切相关。

关键词: 急性心肌梗死, 心肌纤维化, 苓桂术甘汤, 网络药理学, GEO数据库

Abstract:

The potential mechanism of Linggui Zhugan Decoction (LZD) on myocardial fibrosis (MF) after acute myocardial infarction (AMI) was investigated by bioinformatics and in vivo. The active component of LZD and the corresponding target persons were calculated from the TCMSP database. Collecting disease targets in GeneCards, OMIM, TTD and GEO databases; Mapping the drug-ingredient-target network using Cytoscape software; STRING website construction protein-protein interaction network; Enrichment analysis for R language. The MF model of AMI was developed after left anterior descending coronary artery elevation in mice.. Four weeks later, the cardiac function of the mice was detected by Doppler ultrasound imager. Changes in heart shape and collagen fiber deposition were observed by HE and Masson staining. Myocardial fibrosis and core target protein expression were detected by Western blot. The level of α-smooth muscle actin (α-SMA) in myocardial tissue was detected by immunohistochemistry. The bioinformatics results showed that there were 33 intersection targets of the active components of LZD, disease targets and GSE97358 differential genes. The core active ingredients are quercetin, kaempferol, β-sitosterol, etc. The results of molecular docking showed that the core target had good docking with the main active components of LZD. The experimental results showed that LZD could significantly improve the cardiac function and pathologic changes of MF mice after AMI, and the interstitial collagen fiber deposition was significantly reduced. The expression levels of fibrosis-related proteins α-SMA, collagen Ⅰ (Col Ⅰ), Col Ⅲ, matrix metalloproteinase-2 (MMP-2) and core targets interleukin-1β (IL-1β), prostaglandin-endoperoxide synthase 2 (PTGS2) and CXC chemokine ligand 8 (CXCL8) in mouse myocardial tissue were significantly decreased, while the expression levels of peroxisome proliferators activated receptor gamma (PPARγ) and B-cell lymphoma-2 (Bcl-2) were significantly increased. In summary, LZD can regulate multiple signaling pathways and targets, significantly improve MF after AMI in mice, and delay the pathological process of AMI transformation into chronic heart failure. The mechanism of action may be closely related to the target obtained by bioinformatics screening.

Key words: acute myocardial infarction, myocardial fibrosis, Linggui Zhugan Decoction, network pharmacology, GEO database

中图分类号:  R285.5