Network pharmacology analysis uncovers the mechanism of Shudihuang-Shanzhuyu herb pair in prevention and treatment of diabetic osteoporosis via PI3K/AKT pathway

IF 5.4 2区 医学 Q1 CHEMISTRY, MEDICINAL Journal of ethnopharmacology Pub Date : 2025-03-05 DOI:10.1016/j.jep.2025.119581
Si-jing Hu , Gao-ce Chen , Fang-yuan Wang , Ying-qi Fang , Si-qi Wang , Zi-le Song , Zi-hui Zhao , Quan-long Zhang , Xiong-yu Meng , Qiao-yan Zhang , Lu-ping Qin
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Abstract

Ethnopharmacological relevance

Diabetic osteoporosis (DOP) is a complication of diabetes characterized by reduced bone mass and increased fracture risk. Shudihuang (Rehmanniae Radix Praeparata, RR) and Shanzhuyu (Corni Fructus, CF) form a classical herb pair known as RR-CF in traditional Chinese medicine (TCM) for nourishing Yin and tonifying the kidney, and have long been used for the treatment of diabetes and OP in TCM clinical practise. However, the potential mechanism underlying the preventive and therapeutic effects of RR-CF on DOP has not been clarified.

Aim of the study

This study aimed to explore the protective effects of RR-CF on bone loss caused by diabetes and elucidate the underlying action mechanism.

Methods

The chemical constituents in RR-CF were detected using UPLC-Q-Exactive-MS. Type 1 diabetes mellitus (T1DM) was induced in rats by injecting streptozotocin, followed by administration of RR-CF extracts for 10 weeks. Bone mineral density, morphometric bone parameters, and serum and urine biochemical markers were analyzed using Micro-CT and ELISA kits. An in vitro osteoblastic injury model was constructed by subjecting MC3T3-E1 cells to high glucose and used to evaluate the effects of the RR-CF on osteoblastic bone formation. The anti-DOP mechanism of RR-CF was explored by network pharmacologic analysis and then verified in osteoblasts damaged by high glucose.

Results

A total of 56 compounds were identified in RR-CF. Treatment with RR-CF extracts improved the bone microstructure and mineral density in the T1DM rats, and decreased the level of urine deoxypyridinoline and serum carboxyl terminal peptide of type I procollagen. The network pharmacology analysis identified cornuside, hydroxygenkwanin, acteoside, catalpol and echinacoside as the potential active components of RR-CF against DOP by interacting with the key node genes such as AKT1, EGFR, TNF, MMP9 and HSP90α. Further GO and KEGG enrichment analysis suggested that the therapeutic effects of RR, CF and RR-CF seemed to be related to the regulation of hormones, inflammation and metabolism, as well as signaling transductions of PI3K-AKT, IL-17, TNF, MAPK and estrogen signaling pathways. RR-CF promoted osteoblast differentiation and bone formation in the MC3T3-E1 cells by regulating PI3K-AKT signaling pathway.

Conclusion

RR-CF herb pair inhibits bone loss caused by high glucose by regulating the PI3K-AKT signaling pathways.

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网络药理学分析揭示蜀地黄-山茱萸对通过PI3K/AKT通路防治糖尿病性骨质疏松的机制
糖尿病性骨质疏松症(DOP)是糖尿病的一种并发症,以骨量减少和骨折风险增加为特征。蜀地黄(生地黄,RR)和山茱萸(山茱萸,CF)是一种具有滋阴补肾作用的经典中药对,在中医临床中长期用于治疗糖尿病和OP。然而,RR-CF对DOP的预防和治疗作用的潜在机制尚未明确。本研究旨在探讨RR-CF对糖尿病骨质流失的保护作用,并阐明其作用机制。方法采用uplc - q -萃取-质谱法检测红参的化学成分。采用链脲佐菌素诱导大鼠患上1型糖尿病(T1DM),并给药10周。采用Micro-CT和ELISA试剂盒分析骨密度、骨形态参数、血清和尿液生化指标。通过高糖诱导MC3T3-E1细胞体外成骨损伤模型,评价RR-CF对成骨细胞成骨形成的影响。通过网络药理学分析探讨了RR-CF的抗dop作用机制,并在高糖损伤的成骨细胞中进行了验证。结果共鉴定出56个化合物。RR-CF提取物可改善T1DM大鼠的骨微观结构和骨密度,降低尿脱氧吡啶啉和血清I型前胶原羧基末端肽水平。网络药理学分析通过与AKT1、EGFR、TNF、MMP9和HSP90α等关键节点基因相互作用,鉴定出角苷、羟基根鸟苷、毛蕊花苷、梓醇和紫锥花苷是RR-CF抗DOP的潜在活性成分。进一步的GO和KEGG富集分析表明,RR、CF和RR-CF的治疗作用可能与调节激素、炎症和代谢以及PI3K-AKT、IL-17、TNF、MAPK和雌激素信号通路的信号转导有关。RR-CF通过调节PI3K-AKT信号通路促进MC3T3-E1细胞成骨分化和骨形成。结论rr - cf对通过调节PI3K-AKT信号通路抑制高糖所致骨质流失。
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来源期刊
Journal of ethnopharmacology
Journal of ethnopharmacology 医学-全科医学与补充医学
CiteScore
10.30
自引率
5.60%
发文量
967
审稿时长
77 days
期刊介绍: The Journal of Ethnopharmacology is dedicated to the exchange of information and understandings about people''s use of plants, fungi, animals, microorganisms and minerals and their biological and pharmacological effects based on the principles established through international conventions. Early people confronted with illness and disease, discovered a wealth of useful therapeutic agents in the plant and animal kingdoms. The empirical knowledge of these medicinal substances and their toxic potential was passed on by oral tradition and sometimes recorded in herbals and other texts on materia medica. Many valuable drugs of today (e.g., atropine, ephedrine, tubocurarine, digoxin, reserpine) came into use through the study of indigenous remedies. Chemists continue to use plant-derived drugs (e.g., morphine, taxol, physostigmine, quinidine, emetine) as prototypes in their attempts to develop more effective and less toxic medicinals.
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