Zuojin Pill Alleviates Precancerous Lesions of Gastric Cancer by Modulating the MEK/ERK/c-Myc Pathway: An Integrated Approach of Network Pharmacology, Molecular Dynamics Simulation, and Experimental Validation.

IF 4.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Drug Design, Development and Therapy Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI:10.2147/DDDT.S487371
Lan Liang, Chenming He, Xue Han, Jia Liu, Liuhong Yang, Fengjiao Chang, Yami Zhang, Jie Lin
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Abstract

Background: Precancerous lesions of gastric cancer (PLGC) represent critical stages in gastric cancer progression, with a high risk of malignancy. Current treatments, such as Helicobacter pylori eradication, show limited efficacy in reversing precancerous molecular changes. Zuojin Pill (ZJP), a traditional Chinese medicine, has demonstrated potential for treating digestive disorders and may offer a promising approach for PLGC intervention.

Objective: This study aims to investigate the therapeutic effects and mechanisms of ZJP in treating PLGC, focusing on its active components, target pathways, and molecular interactions. By using advanced analytical techniques, we provide a scientific foundation for ZJP's potential application in early gastric cancer intervention.

Methods: Using ultra-high performance liquid chromatography-quadrupole orbitrap high-resolution mass spectrometry (UPLC-Q-Orbitrap HRMS), we identified active components in ZJP. A network pharmacology approach was then applied to construct a "ZJP-compound-target-disease" network. Molecular docking and molecular dynamics simulations were conducted to analyze the stability and interactions of the main active components of ZJP with core protein targets in PLGC. Animal experiments were used to validate significant targets and pathways in vivo.

Results: Tangeritin, Isorhamnetin, Caffeic Acid, Azelaic Acid, and Adenosine were identified as the main active components of ZJP in the treatment of PLGC, with key targets including PIK3R1, MAPK3, SRC, JAK2, STAT3, and PIK3CA. Molecular docking and molecular dynamics simulations further confirmed the relationship between compounds and target proteins. The potential molecular mechanism of ZJP predicted by network pharmacology analysis was confirmed in PLGC rats. ZJP downregulated IL-6, TNF-α, c-myc, p-MEK1 and p-ERK1/2, effectively reversing the progression of PLGC.

Conclusion: ZJP can reverse MNNG-induced PLGC, potentially through inhibition of the MEK/ERK/c-myc pathway and regulation of cellular proliferation and apoptosis.

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左金丸通过调节MEK/ERK/c-Myc通路缓解胃癌癌前病变:网络药理学、分子动力学模拟和实验验证的综合方法
背景:胃癌癌前病变(PLGC)是胃癌发展的关键阶段,具有较高的恶性风险。目前的治疗方法,如根除幽门螺杆菌,在逆转癌前分子变化方面疗效有限。中药左金丸(ZJP)已被证明具有治疗消化系统疾病的潜力,并可能为PLGC的干预提供一种有希望的方法。目的:本研究旨在探讨ZJP治疗PLGC的疗效及机制,重点探讨其活性成分、靶点通路及分子相互作用。通过先进的分析技术,为ZJP在早期胃癌干预中的潜在应用提供科学依据。方法:采用超高效液相色谱-四极杆轨道阱高分辨率质谱法(UPLC-Q-Orbitrap HRMS)对ZJP中有效成分进行鉴定。采用网络药理学方法构建“zjp -化合物-靶点-疾病”网络。通过分子对接和分子动力学模拟分析ZJP主要活性成分与PLGC核心蛋白靶点的稳定性和相互作用。动物实验用于验证体内的重要靶点和途径。结果:橘皮素、异鼠李素、咖啡酸、壬二酸和腺苷是ZJP治疗PLGC的主要活性成分,关键靶点包括PIK3R1、MAPK3、SRC、JAK2、STAT3和PIK3CA。分子对接和分子动力学模拟进一步证实了化合物与靶蛋白之间的关系。网络药理学分析预测的ZJP的潜在分子机制在PLGC大鼠中得到证实。ZJP下调IL-6、TNF-α、c-myc、p-MEK1和p-ERK1/2,有效逆转PLGC的进展。结论:ZJP可以逆转mnng诱导的PLGC,可能通过抑制MEK/ERK/c-myc通路,调控细胞增殖和凋亡。
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来源期刊
Drug Design, Development and Therapy
Drug Design, Development and Therapy CHEMISTRY, MEDICINAL-PHARMACOLOGY & PHARMACY
CiteScore
9.00
自引率
0.00%
发文量
382
审稿时长
>12 weeks
期刊介绍: Drug Design, Development and Therapy is an international, peer-reviewed, open access journal that spans the spectrum of drug design, discovery and development through to clinical applications. The journal is characterized by the rapid reporting of high-quality original research, reviews, expert opinions, commentary and clinical studies in all therapeutic areas. Specific topics covered by the journal include: Drug target identification and validation Phenotypic screening and target deconvolution Biochemical analyses of drug targets and their pathways New methods or relevant applications in molecular/drug design and computer-aided drug discovery* Design, synthesis, and biological evaluation of novel biologically active compounds (including diagnostics or chemical probes) Structural or molecular biological studies elucidating molecular recognition processes Fragment-based drug discovery Pharmaceutical/red biotechnology Isolation, structural characterization, (bio)synthesis, bioengineering and pharmacological evaluation of natural products** Distribution, pharmacokinetics and metabolic transformations of drugs or biologically active compounds in drug development Drug delivery and formulation (design and characterization of dosage forms, release mechanisms and in vivo testing) Preclinical development studies Translational animal models Mechanisms of action and signalling pathways Toxicology Gene therapy, cell therapy and immunotherapy Personalized medicine and pharmacogenomics Clinical drug evaluation Patient safety and sustained use of medicines.
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