Mitigation of QingLuoTongMai Pills on Chemotherapy-induced Phlebitis: A Network Pharmacology Study and Experimental Validation

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2025-02-10 DOI:10.2174/1386207325666220629121318
Ning Yu, Shi-Kai Zhang, Jian Chen, Cheng Zhao, Ye-Min Cao, Ling Li, Yong-Bing Cao
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Abstract

Objective: Chemotherapy-induced phlebitis (CIP) is a side product of chemotherapy treatment for malignant tumors, which affects the therapeutic effect and quality of life of cancer patients, and still lacks a clear therapeutic means. In this study, we investigated the therapeutic effects of QLTMP on CIP using network pharmacology and verified the anti-inflammatory mechanism of QLTMP in a mice model induced by vinorelbine.

Methods: Network pharmacology analysis was performed to identify bioactive compounds in QLTMP. The protein-protein interaction network was used to identify the core therapeutic targets of QLTMP against CIP, analyze biological function and pathway enrichment based on the identified core therapeutic targets, and evaluate the therapeutic effect of QLTMP in a model of CIP induced by vinorelbine to confirm the reliability of the network pharmacological analysis. One hundred and sixty-five bioactive compounds of QLTMP matched the screening criteria and identified 19 core therapeutic targets of QLTMP against CIP. Biofunctional analysis showed that the therapeutic effect of QLTMP on CIP was mainly related to the inhibition of inflammation, while pathway enrichment analysis showed that the TNF signaling pathway was involved in the inflammatory process.

Results: Experimental confirmation in a mice model showed that QLTMP exerts anti-inflammatory effects through modulation of the PI3K/AKT/TNF signaling pathway, a discovery consistent with the network pharmacological analysis.

Discussion and conclusion: The network pharmacological analysis of the anti-inflammatory mechanism of QLTMP on CIP and its exploration of in vivo experiments provide a theoretical basis for the design of agents that can mitigate or cure CIP

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清络通脉丸对化疗所致静脉炎的缓解作用:网络药理学研究与实验验证。
目的:化疗性静脉炎(CIP)是恶性肿瘤化疗的副反应,影响肿瘤患者的治疗效果和生活质量,目前尚缺乏明确的治疗手段。本研究利用网络药理学研究了QLTMP对CIP的治疗作用,并在长春瑞滨诱导的小鼠模型中验证了QLTMP的抗炎机制:方法:采用网络药理学分析方法鉴定QLTMP中的生物活性化合物。方法:对QLTMP中的生物活性化合物进行网络药理学分析,利用蛋白质-蛋白质相互作用网络确定QLTMP对CIP的核心治疗靶点。根据确定的核心治疗靶点分析生物功能和通路富集。评估QLTMP在长春瑞滨诱导的CIP模型中的治疗效果,以证实网络药理学分析的可靠性:165个QLTMP生物活性化合物符合筛选标准,并确定了19个QLTMP对CIP的核心治疗靶点。生物功能分析表明,QLTMP对CIP的治疗作用主要与抑制炎症有关;而通路富集分析表明,TNF信号通路参与了炎症过程。小鼠模型实验证实,QLTMP通过调节PI3K/AKT/TNF信号通路发挥抗炎作用,这一发现与网络药理学分析结果一致:QLTMP对CIP抗炎机制的网络药理学分析及其体内实验探索,为设计缓解或治愈CIP的药物提供了理论依据。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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