天然产物研究与开发 ›› 2026, Vol. 38 ›› Issue (4): 838-848.doi: 10.16333/j.1001-6880.2026.4.015 cstr: 32307.14.1001-6880.2026.4.015

• 数据研究 • 上一篇    下一篇

基于网络药理学与实验验证探讨黄芩素改善脓毒症相关急性肾损伤的作用机制

罗富苹1,胡迎春2,崔  艳1,杨秋燕1,莫  琳1,李孟秦1*   

  1. 1川北医学院附属医院,南充 637000;2西南医科大学附属医院,泸州 646000
  • 出版日期:2026-04-27 发布日期:2026-04-24
  • 基金资助:
    四川省科技计划(2019JDPT0003)

Mechanisms of baicalein in ameliorating sepsis-associated acute kidney injury based on network pharmacology and experimental validation

LUO Fu-ping1,HU Ying-chun2,CUI Yan1,YANG Qiu-yan1,MO Lin1,LI Meng-qin1*   

  1. 1Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China; 2Affiliated Hospital of Southwest Medical University,Luzhou 646000,China
  • Online:2026-04-27 Published:2026-04-24

摘要:

基于网络药理学和体内实验探讨黄芩素(baicalein,BAI)治疗脓毒症相关急性肾损伤(sepsis-associated acute kidney injury,SA-AKI)的作用机制。首先,通过网络药理学预测BAI治疗SA-AKI的核心靶点与信号通路,分子对接验证核心靶点的结合能,然后构建SA-AKI小鼠模型,通过体内实验验证BAI对SA-AKI小鼠的保护作用及机制。结果显示,获得BAI-SA-AKI-内质网应激(endoplasmic reticulum stress,ERS)交集靶点41个,筛选得到肿瘤蛋白P53(tumor protein p53,TP53)、丝氨酸/苏氨酸蛋白激酶1(AKT serine/threonine kinase 1,AKT1)、B细胞淋巴瘤2(B-cell lymphoma 2,BCL-2)、缺氧诱导因子1亚基α(hypoxia-inducible factor 1α,HIF-1α)、胱天蛋白酶-3(cysteinyl aspartate specific proteinase-3,Caspase-3)5个核心靶点;涉及细胞凋亡、HIF-1、糖尿病并发症中的晚期糖基化终末产物-受体(advanced glycation end products-receptor for advanced glycation end products,AGE-RAGE)等信号通路。分子对接结果显示BAI与5个核心靶点具有较好的亲和力。体内实验结果显示,BAI可降低SA-AKI小鼠中性粒细胞明胶酶相关脂质运载蛋白(neutrophil gelatinase-associated lipocalin,NGAL)、肾损伤分子-1(kidney injury molecule-1,KIM-1)、肌酐(serum creatinine,Scr)、尿素氮(blood urea nitrogen,BUN)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-1β(interleukin-1β,IL-1β)、IL-6的水平,改善SA-AKI小鼠肾脏ERS及细胞凋亡水平;免疫组化结果显示,BAI能上调SA-AKI小鼠血管内皮钙黏连蛋白(vascular endothelial cadherin,VE-cadherin)的表达,下调细胞间黏附分子-1(intercellular adhesion molecule-1,ICAM-1)的表达;Western blot结果显示,BAI能下调SA-AKI小鼠HIF-1α、磷酸化磷脂酰肌醇3-激酶(phosphorylated phosphoinositide 3-kinase,p-PI3K)、磷酸化蛋白激酶B(phosphorylated protein kinase B,p-AKT)、磷酸化雷帕霉素靶蛋白(phosphorylated mechanistic target of rapamycin,p-mTOR)蛋白的表达。BAI可能通过调控PI3K/AKT/mTOR/HIF-1α信号通路改善ERS,抑制细胞凋亡及减轻炎症,从而保护内皮细胞,减轻SA-AKI。

关键词: 网络药理学, 内质网应激, 黄芩素, 脓毒症相关急性肾损伤, 内皮细胞

Abstract:

This study aims to investigate the mechanism of baicalein (BAI) in treating sepsis-associated acute kidney injury (SA-AKI) based on network pharmacology and in vivo experimental validation. Network pharmacology was used to predict the core targets and signaling pathways of BAI in the treatment of SA-AKI, with molecular docking employed to validate the binding affinity of these targets. An SA-AKI mouse model was constructed, and in vivo experiments were conducted to evaluate the protective effects of BAI and the underlying mechanisms. The results identified 41 intersecting targets related to BAI, SA-AKI, and endoplasmic reticulum stress (ERS), with five core targets selected: tumor protein p53 (TP53), AKT serine/threonine kinase 1 (AKT1), B-cell lymphoma 2 (BCL-2), hypoxia-inducible factor 1α (HIF-1α), and cysteinyl aspartate specific proteinase-3 (Caspase-3). These targets were involved in apoptosis, HIF-1 and advanced glycation end products-receptor for advanced glycation end products (AGE-RAGE) signaling pathways. Molecular docking results showed that BAI could spontaneously bind to these five core target proteins. In vivo experiments revealed that BAI reduced the levels of neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), serum creatinine (Scr), blood urea nitrogen (BUN), tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and IL-6 in SA-AKI mice. Moreover, BAI alleviated ERS and apoptosis in the kidneys of SA-AKI mice. Immunohistochemical analysis showed that BAI upregulated the expression of vascular endothelial cadherin (VE-cadherin) and downregulated intercellular adhesion molecule-1 (ICAM-1) expression. Western blot analysis demonstrated that BAI decreased the expression of HIF-1α, phosphorylated phosphoinositide 3-kinase (p-PI3K), phosphorylated protein kinase B (p-AKT), and phosphorylated mechanistic target of rapamycin (p-mTOR) proteins in SA-AKI mice. Overall, the results suggest that BAI may improve ERS, inhibit apoptosis, and reduce inflammation through the modulation of the PI3K/AKT/mTOR/HIF-1α signaling pathway, thereby protecting endothelial cell and mitigating SA-AKI.

Key words: network pharmacology, endoplasmic reticulum stress, baicalein, sepsis-associated acute kidney injury, endothelial cell

中图分类号:  R285.5