Background: Yin-Hua Li-Shi Formula (YHLS), a medically authorized traditional Chinese medicine (TCM) formulation for atopic dermatitis (AD), has a 30-year clinical application history in China, yet has not had its precise therapeutic mechanisms fully elucidated to date. Methods: Chemical profiling of YHLS was conducted using high-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Network pharmacology predicted YHLS’s active ingredients, therapeutic targets, and anti-atopic dermatitis (AD) pathways, with molecular docking validating component-target binding affinity. By intersecting network pharmacology/molecular docking results with mass spectrometry profiles, the key bioactive component was identified. For in vivo validation, an AD-like model was generated via topical MC903 application in C57BL/6 mice. Dermatitis severity, ear thickness, H all P < 0.05). High-dose YHLS decreased serum IgE ( P < 0.001) and inhibited AKT1/MAPK1 phosphorylation. RT-qPCR showed YHLS downregulated IL-6 (high-dose P < 0.05) and potently suppressed IL-17 (all doses P < 0.0001, dose-dependent), with TNF-α also reduced. Conclusion: Luteolin is the major bioactive component of Yin-Hua Li-Shi Formula (YHLS) that mediates its anti-atopic dermatitis effects by specifically targeting the AKT/MAPK-IL-6/IL-17 axis. Keywords: atopic dermatitis, AD, Yin-Hua Li-Shi formula, YHLS, network pharmacology, molecular docking, animal experiment, inflammation, AKT/MAPK pathway
Wang et al. (Sun,) studied this question.