骨质疏松症和动脉粥样硬化机制及“异病同治”分析
Analysis of mechanisms between osteoporosis and atherosclerosis with concept of "simultaneous treatment of different diseases"
  
DOI:10.3969/j.issn.1006-7108.2023.02.012
中文关键词:  骨质疏松症  动脉粥样硬化  生物信息学  异病同治  分子机制
英文关键词:osteoporosis  atherosclerosis  bioinformatics  simultaneous treatment of different diseases  molecular mechanism
基金项目:
作者单位
祁亮 莫亮 卫杨文祥 庞智晖* 广州中医药大学第一附属医院广东 广州 510405 
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中文摘要:
      目的 通过生物信息学分析骨质疏松症(osteoporosis, OP)和动脉粥样硬化(atherosclerosis, AS)的共同基因,并根据关键基因预测具有防治作用的中药。方法 分别以osteoporosis和atherosclerosis为关键词在疾病数据库(GeneCards、DISEASES、CTD)中筛选相关基因,相互映射后获得疾病共同靶基因,应用Metascape在线网站进行GO及KEGG富集分析,并通过STRING网站和Cytoscape软件获得靶点PPI互作网络;通过CytoHubba插件获得关键基因;最后将关键基因导入医学本体信息检索数据库(Coremine Medical),预测具有防治作用的中药。结果 通过相关疾病数据库分别筛选出OP和AS的相关靶点315个、481个,映射出共同靶点202个。富集分析发现二者共同分子机制主要涉及免疫炎症反应、脂质代谢、PI3K-Akt和MAPK等相关通路。通过CytoHubba获得10个关键基因(包括CD4、 TLR2、 TIMP1、 CCL2、 APOE、GAPDH、NFKBIA、 IL4、 CRP和TGFB1),并预测得到黄芩、人参、丹参、三七等9味中药。结论 本研究从基因层面上探讨了OP和AS的潜在共同发病机制,并初步预测出具有防治作用的中药,可为异病同治中药开发提供靶标及研究思路。
英文摘要:
      Objective To explore the common genes between OP and AS by bioinformatics and to predict the traditional Chinese medicine (TCM) based on hub genes. Methods OP and AS related genes were selected from related disease databases (GeneCards, DISEASES, CTD). The common gene targets were obtained after de-intergration. Then, the PPI network of them was constructed through STRING database and Cytoscape software. CytoHubba plug-in was used to identify hub genes, which were used to predict TCM with preventive and curative effects using Coremine Medical database. Results There were 315 and 481 targets related to OP and AS, respectively, and 202 common targets were mapped. Results of enrichment analysis showed that the common mechanisms were mainly involved in immune and inflammatory response, PI3K-Akt pathway and MAPK pathway. Next, 10 hub common genes (including CD4, TLR2, TIMP1, CCL2, APOE, GAPDH, NFKBIA, IL4, CRP and TGFB1 )were obtained using CytoHubba, and a total of nine herbal drugs were predicted, including Scutellaria, ginseng, salvia miltiorrhiza and Panax notoginseng. Conslusion This study explored the potential co-pathogenesis of OP and AS at the molecular level. In addition, the TCM preventive and curative effects was preliminarily predicted, which could provide targets and research ideas for the development of TCM with concept of "simultaneous treatment of different diseases".
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