机构地区:[1]陕西中医药大学,陕西咸阳712046 [2]陕西省中医医院,陕西西安710003 [3]西安市第九医院,陕西西安710054
出 处:《世界中西医结合杂志》2024年第2期225-232,共8页World Journal of Integrated Traditional and Western Medicine
基 金:全国名老中医药专家传承工作室建设项目(国中医药人教发[2016]42号);第六批全国老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号);陕西省科技厅社会发展科技攻关项目(2016SF-403);陕西省教育厅专项科学研究计划项目(18JK0225);陕西省高校黄大年式教师团队(陕教函[2023]668号)。
摘 要:目的 胃癌(Gastric cancer, GC)是高发率和致死率“双高”的癌症,临床中药复方治疗GC有大量的证据,表明中医药在GC的治疗方面有着出色的表现。文中针对治疗GC的临床中药组方开展基础性研究,利用其他学科较为成熟的研究思路和研究方式,探究中医药在不同维度层面的规律性。方法 筛选中国知网数据库及中药系统药理学数据库与分析平台(TCMSP)(http://tcmspw.com/tcmsp.php)、BATMAN-TCM数据库(http://bionet.ncpsb.org.cn/batman-tcm/index.php/)、SymMap数据库(http://www.symmap.org)建库至2023年3月30日期间治疗GC的文献,利用Python构建决策树模型,通过文献统计有临床治疗证据的GC复方,对高频出现的药物进行分子层面的研究,形成“中药-治疗通路”矩阵,再将无临床证据的“中药-治疗通路”矩阵送入决策树模型进行学习修正,获得治疗通路的关联队列,并通过生物信息学数据分析验证决策树模型的输出结果。结果 (1)筛选出GC高频治理中药共计26味,如白术、黄芪和茯苓等;(2)找到与GC有关的通路共计225条;(3)Python构建的决策树模型进行熵值计算,在225条有临床证据的中药蛋白富集的通路中寻找到的18条对GC有重要作用的通路;(4)决策树模型计算出“Chemical carcinogenesis-Tryptophan metabolism-PI3K-Akt signaling pathway-Antigen processing and presentation”关联队列;(5)18条通路在对不同标签中药出现不同的表现,“No”标签中药的高值(深色区域)相对集中分布,而“Yes”标签中药的高值(深色区域)相对散在分布;(6)q值和p值聚类结果提示“Fatty acid biosynthesis”和“Antigen processing and presentation”均指向“1-Yes”“Vibrio cholerae infection”和“Dilated cardiomyopathy”均指向“1-No”“Breast cancer”和“Protein digestion and absorption”均指向“0-Yes”。结论 “Chemical carcinogenesis-Tryptophan metabolism-PI3K-Akt signaling pathway-Antigen processing and presentation�Objective Gastric cancer(GC)is malignancy characterized by high incidence and high mortality rate.There is a large amount of evidence of clinical Chinese herbal formulae for the treatment of GC,which indicates that traditional Chinese medicine(TCM)has remarkable efficacy in GC treatment.This study focused on the fundamental research of TCM formulae for treating GC,employing established research methodologies and approaches from other disciplines to explore the regularities of TCM across various dimensions.Methods The treatment of gastric cancer(GC)up to March 30,2023 in the literature was reviewed using the Chinese National Knowledge Infrastructure(CNKI)database and the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP,http://tcmspw.com/tcmsp.php),the BATMAN-TCM database(http://bionet.ncpsb.org.cn/batman-tcm/index.php/),and the SymMap database(http://www.symmap.org).A decision tree model was constructed by using Python to analyze clinically evidenced GC formulations identified through literature statistics.The drugs with high frequency were studied at the molecular level to form a“TCM-treatment pathway”matrix,and then the“TCM-treatment pathway”matrix lacking clinical evidence was inputted into the decision tree model for learning and refinement.resulting in an association cohort of treatment pathways.Finally,the output of the decision tree model was validated using bioinformatics data analysis.Results(1)A total of 26 high-frequency governing Chinese herbs for treating GC were identified,such as Atractylodes macrocephala,Astragalus membranaceus and Poria cocos.(2)A total of 225 pathways related to GC were found.(3)Using entropy calculation with the decision tree model built in Python,18 pathways with important effects on GC were identified from the 225 pathways enriched with proteins associated with clinically evidenced TCMs for GC treatment.(4)The decision tree model calculated“Chemical carcinogenesis-Tryptophan metabolism-PI3K-Akt signaling pathway-Antigen processin
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