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第44卷第2期      石诺林,倪中亚,袁富文. 基于网络药理学及实验研究探讨臭椿皮散治疗结直肠癌的潜在机制[J].
                  2024年2月                    南京医科大学学报(自然科学版),2024,44(2):170-177,184                     ·175 ·


                    表1 臭椿皮散抗结直肠癌核心靶点的拓扑参数                         渐降低,呈现出剂量依赖性(图8)。
                Table 1  Topological parameters of CCPS anti⁃CRC core
                        targets                                   3  讨 论
                  Target  Degree   Betweenness     Closeness
                                                                      结直肠癌患者临床上主要表现为便秘、腹胀、
                 MAPK1      10     4.459 627 329  0.727 272 727
                                                                  腹痛、腹泻,严重者出现血便、呕吐,若肿瘤转移至
                 MAPK14     11    12.159 834 370  0.761 904 762
                                                                  其他器官还可能出现其他疾病,严重影响患者生存
                 AKT1       10     8.366 873 706  0.727 272 727
                 MYC        11     7.423 809 524  0.761 904 762   质量和生存时间。中医药在结直肠癌诊断治疗过
                 HIF1A      11    12.406 211 180  0.761 904 762   程中的优势和特色明显,具有丰富的临床经验。臭
                 CDKN1A      9     8.127 536 232  0.695 652 174
                                                                  椿皮散作为临床上治疗结直肠癌的经典中医方剂,
                 FOS        10     5.492 960 663  0.727 272 727
                                                                  对其药理机制的研究显得尤为迫切。
                 IP53       10    12.704 968 940  0.727 272 727
                 ESP1       11    11.606 211 180  0.761 904 762       本文基于网络药理学方法,共筛选出 117 种潜
                 RB1         6     2.400 000 000  0.592 592 593   在药物成分和787个共同作用蛋白靶点。在臭椿皮
                 EGFR        7     1.266 666 667  0.615 384 615
                                                                  散治疗结直肠癌的核心基因靶点筛选发现,基因关
                 STAT1       7     3.465 631 470  0.640 000 000
                                                                  联程度最高的是 STAT3。KEGG 和 GO 分析结果也
                 STAT3      13    14.504 968 940  0.842 105 263
                                                                  证明靶点主要与癌症的多种通路相关。进一步的
                 CCND1       8     6.081 159 420  0.666 666 667
                 RELA        6     1.566 666 667  0.615 384 615   细胞实验证明,臭椿皮散呈剂量和时间依赖性抑制
                 MDM2        6     1.507 246 377  0.615 384 615
                                                                  结直肠癌细胞的增殖,且促进结直肠癌细胞凋亡和
                 MAPK3      10     4.459 627 329  0.727 272 727
                                                                  抑制细胞迁移,该抑制作用与其降低STAT3蛋白表
                低、中、高 3 个浓度的臭椿皮散水提物干预 MC38 细                      达相关,提示臭椿皮散可能通过抑制STAT3靶点发
                胞 24 h,与空白组比较,3 个药物组中 p⁃STAT3 表达                  挥对结直肠癌细胞增殖和迁移能力的抑制效应。
                明显降低;随着药物浓度的增加,p⁃STAT3表达量逐                        信号转导和转录激活因子(STAT)家族包括STAT1、


                 A                                               B
                                response to xenobiotic stimulus                response to xenobiotic stimulus
                                    response to peptide
                                                                                   response to peptide
                               cellular response to chemical stress             response to oxidative stress
                                 response to oxidative stress                 response to extracellular stimulus
                                  response to nutrient leveis                    response to nutrient leveis
                               response to extracellular stimulus  BP         cellular response to chemical stress  BP
                                   response to metal ion
                                                                                  response to metal ion
                               response to reactive oxygen species             response to lipopolysaccharide  Count
                                response to lipopolysaccharide                response to reactive oxygen species
                                    response to ketone                             response to ketone       10
                                     membrane raft                                                          20
                                                                                     membrane raft
                                  membrane microdomain     qvalue                 membrane microdomain      30
                                transcription regulator complex                transcription regulator complex
                                        caveola                                                             40
                                                                                     vesicl lumem
                                   plasma membrane raft     5.0e-07               plasma membrane raft      50
                                   protein kinase complex  CC  1.0-08                  caveola           CC
                         cyclin⁃dependent protein kinase holoenzyme complex       protein kinase complex  qvalue
                                      vesicl lumem          1.5e-08
                                                                                ficolin⁃1⁃rich granule lumen
                                 ficolin⁃1⁃rich granule lumen               serine/threonine protein kinase complex
                             serine/threonine protein kinase complex    cyclin⁃dependent protein kinase holoenzyme complex  1.5e-08
                                  nuclear receptor activity                                                 1.0-08
                            ligand⁃activated transcription factor activity  DNA⁃binding transcription factor binding  5.0e-07
                             DNA⁃binding transcription factor binding  RNA polymerase Ⅱ⁃specific DNA⁃binding transcription factor binding
                    Rna polymerase Ⅱ⁃specific DNA⁃binding transcription factor binding  ubiquitin⁃like protein ligase binding
                                transcription coregulator binding  NF            nuclear receptor activity
                                nuclear steroid receptor activity          ligand⁃activated transcription factor activity  NF
                                transcription coactivator binding              transcription coregulator binding
                                    antioxidant activity                           phosphatase binding
                                                                                   antioxidant activity
                              ubiquitin⁃like protein ligase binding            nuclear steroid receptor activity
                                    phosphatase binding
                                                                               transcription coactivator binding
                                           0  10  20 30  40  50
                                                                                          0.05 0.10 0.15 0.20 0.25
                                                Count                                          GeneRatio
                 C            Lipid and atherosclerosis          D              Lipid and atherosclerosis
                    AGE⁃RAGE signaling pathway in diabetic complications  Chemical carcinogenesis⁃receptor activation
                                  Prostate cancer                              PI3K⁃Akt signaling pathway
                         Chemical carcinogenesis⁃receptor activation         Human cytomegalovirus infection
                                   Hepatitis B                                      Hepatitis B
                                  Bladder cancer                        Kaposi sarcoma⁃associated herpesvirus infection
                                 Pancreatic cancer                                  Hepatitis C         Count
                          Fluid shear stress and atherosclerosis            Fluid shear stress and atherosclerosis
                                   Hepatitis C                          Chemical carcinogenesis⁃reactive oxygen species  20
                              Non⁃small cell lung cancer             AGE⁃RAGE signaling pathway in diabetic complications  25
                            Human cytomegalovirus infection                        Prostate cancer        30
                                Endocrine resistance    qvalue             Human T⁃cell leukmia virus 1 infection
                       Kaposi sarcoma⁃associated herpesvirus infection  1.738661e-30  Epstein⁃Barr virus infection  35
                               Small cell lung cancer                           Proteoglycans in cancer   40
                               IL⁃17 signaling pathway   1.966283e-15          Hepatocellular carcinoma   45
                               TNF signaling pathway     3.932566e-15             Pancreatic cancer
                                  Toxoplasmosis                                  Endocrine resistance   qvalue
                       Chemical carcinogenesis⁃reactive oxygen species  5.898849e-15  Cellular senescence  7.865132e-15
                              Hepatocellular carcinoma   7.865132e-15           TNF signaling pathway
                               Platinum drug resistance                            Toxoplasmosis         5.898849e-15
                               Th17 cell differentiation                            Apoptosis            3.932566e-15
                              Choronic myeloid leukemia                              Measies
                                   Apoptosis                                   Non⁃small cell lung cancer  1.966283e-15
                         EGFR tyrosine kinase inhibitor resistance              Small cell lung cancer   1.738661e-30
                                    Measles                                     IL⁃17 signaling pathway
                              PI3K⁃Akt signaling pathway                        Th17 cell differentiation
                                Cellular senescence                                Bladder cancer
                              Epstein⁃Barr virus infection                      Platinum drug resistance
                               Proteoglycans in cancer                         Choronic myeloid leukemia
                         Human T⁃cell leukemia virus 1 infection          EGFR tyrosine kinase inhibitor resistance
                                       0  10  20  30  40                               0.10  0.15  0.20  0.25
                                            Count                                            GeneRatio
                   A and B:GO column and bubble diagram indicated the top 10 enriched pathways. C and D:KEGG column and bubble diagram showed the top 30
                CCPS targets enriched pathways.
                                     图3 臭椿皮散治疗结直肠癌靶点的GO富集分析及KEGG通路分析
                          Figure 3 GO enrichment analysis and KEGG pathway analysis of CCPS treatment target in CRC
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