Key result
Notoginseng Radix et Rhizoma potentially protects against diabetic cardiomyopathy and complications via AGE-RAGE and FoxO pathways.
Why the study?
To investigate the common key targets and signaling pathways of Notoginseng Radix et Rhizoma in the protection against diabetic nephropathy, diabetic encephalopathy, and diabetic cardiomyopathy.
This network pharmacology study identifies potential molecular targets and pathways by which Notoginseng Radix et Rhizoma may exert protective effects against diabetic complications including cardiomyopathy.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for Notoginseng in diabetic cardiomyopathy; leaves open clinical translation and requires prospective trials.
Pharmacology network was used to investigate the common key target and signaling pathway of Notoginseng Radix et Rhizoma in the protection against diabetic nephropathy(DN), diabetic encephalopathy(DE) and diabetic cardiomyopathy(DCM). The chemical components of Notoginseng Radix et Rhizoma were obtained through TCMSP database and literature mining, and SwissTargetPrediction database was used to predict potential targets of Notoginseng Radix et Rhizoma. The disease targets of DN, DE and DCM were obtained through OMIM and GeneCards databases. The overlapped targets of component targets and disease targets of DN, DE and DCM were obtained, and the network of "chemical component-target-disease" was established. The enriched GO and KEGG of the overlapped genes were investigated by using ClueGo plug-in with Cytoscape. At the same time, the PPI network was constructed through STRING database, and the common key targets for the treatment of three diseases by Notoginseng Radix et Rhizoma were obtained through topological parametric mathematical analysis by Cytoscape. A total of 166 chemical components and 835 component targets were screened out from Notoginseng Radix et Rhizoma. Briefly, 216, 194 and 230 disease targets of DN, DE and DCM were collected, respectively. And 54, 45 and 57 overlapped targets were identified when overlapping these disease targets with component targets of Notoginseng Radix et Rhizoma, respectively. Enrichment analysis indicated that the AGE-RAGE signaling pathway and FoxO signaling pathway were the common pathways in the protection of Notoginseng Radix et Rhizoma against DN, DE and DCM. Network analysis of the overlapped targets showed that TNF, STAT3, IL6, VEGFA, MAPK8, CASP3 and SIRT1 were identified as key targets of Notoginseng Radix et Rhizoma against DN, DE and DCM, the selected key targets were verified by literature review, and it was found that TNF, IL6, VEGFA, CASP3 and SIRT1 had been reported in the literature. In addition, there were the most compounds corresponding to the commom core target STAT3, indicating that more compounds in Notoginseng Radix et Rhizoma could regulate STAT3. This study indicated that Notoginseng Radix et Rhizoma potentially protected against DN, DE and DCM through regulating AGE-RAGE signaling pathway and FoxO signaling pathway and 7 common targets including TNF, STAT3, IL6, VEGFA, MAPK8, CASP3 and SIRT1. This study provided a reference for the research of "different diseases with same treatment" and also elucidated the potential mechanism of Notoginseng Radix et Rhizoma against DN, DE and DCM.
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Xiang et al. (2021) studied Diabetic nephropathy, diabetic encephalopathy, and diabetic cardiomyopathy. Notoginseng Radix et Rhizoma was evaluated on Common key targets and signaling pathways. Notoginseng Radix et Rhizoma potentially protects against diabetic nephropathy, encephalopathy, and cardiomyopathy by regulating the AGE-RAGE and FoxO pathways and 7 common targets including STAT3.
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