Key result
In silico prediction and biological assessment identified novel angiogenesis modulators from traditional Chinese medicine, demonstrating that tetrahydropalmatine and 1 beta-hydroxyalantolactone stimulated, while cinobufotalin and isoalantolactone inhibited endothelial tube formation.
Why the study?
Current FDA-approved angiogenesis-based medicines fail to meet clinical demands, motivating the search for novel pro- or anti-angiogenic modulators from traditional Chinese medicine natural products.
In silico prediction combined with biological assessment identified novel pro- and anti-angiogenic modulators from traditional Chinese medicine, such as tetrahydropalmatine and cinobufotalin.
Hypothesis-generating for TCM angiogenesis modulators; leaves open human translation and clinical utility.
Uncontrolled angiogenesis is a common denominator underlying many deadly and debilitating diseases such as myocardial infarction, chronic wounds, cancer, and age-related macular degeneration. As the current range of FDA-approved angiogenesis-based medicines are far from meeting clinical demands, the vast reserve of natural products from traditional Chinese medicine (TCM) offers an alternative source for developing pro-angiogenic or anti-angiogenic modulators. Here, we investigated 100 traditional Chinese medicine-derived individual metabolites which had reported gene expression in MCF7 cell lines in the Gene Expression Omnibus (GSE85871). We extracted literature angiogenic activities for 51 individual metabolites, and subsequently analysed their predicted targets and differentially expressed genes to understand their mechanisms of action. The angiogenesis phenotype was used to generate decision trees for rationalising the poly-pharmacology of known angiogenesis modulators such as ferulic acid and curculigoside and validated by an in vitro endothelial tube formation assay and a zebrafish model of angiogenesis. Moreover, using an in silico model we prospectively examined the angiogenesis-modulating activities of the remaining 49 individual metabolites. In vitro , tetrahydropalmatine and 1 beta-hydroxyalantolactone stimulated, while cinobufotalin and isoalantolactone inhibited endothelial tube formation. In vivo , ginsenosides Rb3 and Rc, 1 beta-hydroxyalantolactone and surprisingly cinobufotalin, restored angiogenesis against PTK787‐induced impairment in zebrafish. In the absence of PTK787, deoxycholic acid and ursodeoxycholic acid did not affect angiogenesis. Despite some limitations, these results suggest further refinements of in silico prediction combined with biological assessment will be a valuable platform for accelerating the research and development of natural products from traditional Chinese medicine and understanding their mechanisms of action, and also for other traditional medicines for the prevention and treatment of angiogenic diseases.
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Zhu et al. (2023) studied Angiogenesis (n=100). Traditional Chinese medicine metabolites vs. DMSO control or PTK787 was evaluated on Angiogenesis modulation (in vitro tube formation and in vivo zebrafish intersegmental vessel length). In silico prediction and biological assessment identified novel angiogenesis modulators from traditional Chinese medicine, demonstrating that tetrahydropalmatine and 1 beta-hydroxyalantolactone stimulated, while cinobufotalin and isoalantolactone inhibited endothelial tube formation.
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