Study on the mechanism of Shenmai injection in the treatment of sepsis.

Mengxia Yang, Tengfei Chen, Yue Xu, Qingquan Liu, Xiaolong Xu
Author Information
  1. Mengxia Yang: Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China. ORCID
  2. Tengfei Chen: Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
  3. Yue Xu: China Science and Technology Development Center for Chinese Medicine, Beijing, China.
  4. Qingquan Liu: Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
  5. Xiaolong Xu: Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.

Abstract

Shenmai injection (SMI) is widely used in the clinical treatment of sepsis, but its mechanism is not yet clear. This study aimed to explore the molecular mechanism through network pharmacology, bioinformatics, and molecular docking technologies. The active ingredients and targets of SMI were screened through traditional Chinese medicine databases and the Swiss Target Prediction database, respectively. The disease genes were searched using GEO and GeneCards databases, and Venn mapping was used to screen potential therapeutic targets. The key targets were selected using Cytoscape 3.9.1 software. The BioGPS database was used to evaluate the expression of these targets in tissues/cells. The DAVID database is used for enrichment analysis. Molecular docking technology was used to evaluate the interaction between these targets and core active ingredients. 122 potential therapeutic targets and 28 key targets were identified. Forty-six potential therapeutic targets showed highly specific expression in 40 tissues/cells. The PI3K-AKT, RAP1, and MAPK signalling pathways are highly enriched. The molecular docking results showed good interactions. This study systematically analysed the mechanism of SMI in treating sepsis, involving multiple targets and pathways, possibly related to anti-inflammatory, anti-oxidative stress, and immune regulation, providing reference value for future basic research of sepsis.

Keywords

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Grants

  1. 82474428/National Natural Science Foundation of China
  2. ZYYCXTD-D-202201/National Multidisciplinary Innovation Team Project of Traditional Chinese Medicine
  3. zyyzdxk-2023001/State Administration of Traditional Chinese Medicine

MeSH Term

Drugs, Chinese Herbal
Sepsis
Molecular Docking Simulation
Humans
Drug Combinations
Computational Biology
Signal Transduction
Medicine, Chinese Traditional
Network Pharmacology
Injections

Chemicals

Drugs, Chinese Herbal
fructus schizandrae, radix ginseng, radix ophiopogonis drug combination
Drug Combinations

Word Cloud

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