Predicting the Mechanism of Action of Bawei Chufan Soup in TreatingTeen Depression through Network Pharmacology, Molecular Docking andMolecular Dynamics Simulation

Introduction: The Bawei Chufan Soup (BWCFS) in Traditional Chinese Medicine (TCM) offers unique advantages in treating Teen Depression (TD). This study utilizes network pharmacology, molecular docking, and molecular dynamics simulations to predict the material basis and mechanism of action of the decoction. Methods: The TCMSP, SwissADME, and SwissTargetPrediction databases were utilized to obtain the active ingredients and targets of the BWCFS. The GeneCards, OMIM, and Disgenet databases were used to identify disease targets, and the intersection of these sets was determined using the VENNY tool. The intersecting targets were imported into the String database for protein- protein interaction analysis and the screening of core targets. GO and KEGG enrichment analyses of the intersecting targets were conducted using the David database, and drugcomponent- target-pathway network diagrams were constructed using Cytoscape 3.10.0 software. The molecular docking models of the core components and key targets were generated using AutoDock Vina, and kinetic simulations were conducted using GROMACS 2020.3, paired with the best docking models. Results: After screening, the study identified the core components of BWCFS as Baicalein, Kaempferol, Quercetin, Cerevisterol, and Cavidine, with the key targets for TD being AKT1, IL6, TNF, ESR1, and IL1B. GO enrichment analysis revealed that BWCFS may affect signal transduction in the treatment of TD, and is associated with cellular components such as the plasma membrane and dendrites, as well as the regulation of protein binding. KEGG analysis suggested that the intersecting genes are primarily enriched in the cyclic adenosine monophosphate (cAMP) signaling pathway. Molecular docking results indicated that AKT1 shows good binding affinity with Baicalein, Cavidine, Kaempferol, and Quercetin, while Cerevisterol exhibits strong binding with TNF. The molecular dynamics simulations were stable and reliable. During the protein-ligand complex simulation, the binding between the protein and ligand was stable, with van der Waals interactions as the primary force, while hydrogen bonds were present between both the protein and ligand. Discussion: Though this study has several common limitations associated with network pharmacology, and no animal experiments have been conducted for verification, the study has successfully explored and validated the mechanism of action of BWCFS in treating TD using scientific computational methods. This study provides new perspectives and methods for the development and management of pharmacological treatments for TD, offering innovative insights into TCM approaches for its treatment. Conclusion: Through network pharmacology, this study preliminarily predicted the material basis and mechanism of action of BWCFS in treating TD. Furthermore, the therapeutic effects of BWCFS on TD may be associated with neuroinflammation and structural and functional changes in neuronal dendrites. The cAMP-PKA-NF-κB and cAMP-PI3K-AKT-NF-κB pathways are proposed as potential therapeutic targets.