Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (29): 4613-4619.doi: 10.3969/j.issn.2095-4344.2811

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Immunoinflammatory mechanism of Panax notoginseng in the treatment of osteonecrosis of the femoral head based on network pharmacology

Nong Jiao1, Zeng Ping2, Li Juan2, Liu Jinfu1, Li Jinyi2   

  1. 1Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China; 2First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • Received:2019-08-27 Revised:2019-09-06 Accepted:2019-10-26 Online:2020-10-18 Published:2020-09-11
  • Contact: Zeng Ping, MD, Professor, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • About author:Nong Jiao, Master candidate, Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China
  • Supported by:
    the Master’s Degree Graduate Innovation Project of Guangxi Zhuang Autonomous Region, No. YCSW2019172

Abstract:

BACKGROUND: In recent years, traditional Chinese medicine has obtained satisfactory results in the treatment of early and middle-stage osteonecrosis of the femoral head. Compared with western medicine, traditional Chinese medicine has complex components, unclear targets and mechanisms. Network pharmacology is a new and popular discipline, which is consistent with the traditional Chinese medicine in terms of holistic, systemic, and drug-focused characteristics, meeting the understanding of the nature of diseases in traditional Chinese medicine.

OBJECTIVE: To screen the main active components of Panax notoginseng by network pharmacology, construct the active compound-target network, and elucidate the molecular mechanism of its therapeutic effect on osteonecrosis of the femoral head.

METHODS: The targets of Panax notoginseng were screened by TCMSP database, and the targets related to osteonecrosis of the femoral head were screened by OMIM and GeneCards databases. The protein interaction network was analyzed by STRING database, the protein interaction network was constructed by Cytoscape, the compound-target network was constructed by Cytoscape software, and the network topology was analyzed. The target gene function and signal pathway were analyzed by biological information annotation database (DAVID), and the GO analysis and KEGG signal pathway enrichment analysis were carried out using the ClueGO plug-in.

RESULTS AND CONCLUSION: There were 8 active components of Panax notoginseng, involving 98 targets related to osteonecrosis of the femoral head. Panax notoginseng was mainly involved in cell process, metabolic process, response to stress and other biological processes. Panax notoginseng played an anti-inflammatory role by regulating Toll-like receptor, PI3K-AKT, tumor necrosis factor, nuclear factor-κB, and JAK-STAT signal pathways. This study reflects the characteristics of components of Panax notoginseng-target-pathway, and provides new ideas and methods for further research on the anti-inflammatory mechanism of Panax notoginseng and even for disease treatment with compound Chinese medicine.

Key words: Panax notoginseng, osteonecrosis of the femoral head, network pharmacology, bioinformatics, mechanism of immune inflammation

CLC Number: