网络药理学联合实验验证揭示枸杞干预糖尿病牙周炎的多靶点机制
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1.电子科技大学医学院;2.电子科技大学医学院,四川省医学科学院•四川省人民医院口腔医学中心

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成都市科学技术局(2024-YF09-00026-SN);国家自然科学基金(82470953)


Network Pharmacology Combined with Experimental Validation Reveals Multi-Target Mechanisms of?Lycium barbarum?in Intervening? Diabetic Periodontitis
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三甲

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    摘要:

    目的 ?探讨枸杞(Lycium barbarum L., LB)干预糖尿病牙周炎(diabetic periodontitis,DP)的分子机制。 方法?采用高脂饮食(60%脂肪)联合链脲佐菌素(STZ)腹腔注射建立DP大鼠模型。取上颌骨脱钙包埋切片后,行HE染色评估牙周组织病理变化。基于TCMSP、BATMAN-TCM筛选枸杞活性成分及其靶点;利用OMIM、GeneCard等数据库获取DP相关靶点,取交集得共同靶点。STRING数据库(置信度≥0.9)构建PPI网络,Cytoscape软件进行拓扑分析筛选核心靶点。DAVID平台进行GO和KEGG通路富集分析,AutoDock Vina完成分子对接。体外实验通过CCK-8法确定枸杞提取物安全浓度(2.0 mg/mL),通过划痕实验、qPCR、ALP/ARS染色及成骨基因检测,评估枸杞对糖尿病微环境下血管内皮细胞(HUVECs)迁移、巨噬细胞炎症因子表达及骨髓间充质干细胞(BMSCs)成骨分化的影响。结果?动物实验显示枸杞提取物改善DP大鼠牙周炎症。网络药理学筛选出槲皮素、β-谷甾醇等36种活性成分及60个共同靶点(核心靶点:AKT1、IL6、TNF)。通路富集分析显示靶点主要涉及AGE-RAGE糖尿病并发症、糖尿病心肌病、流体剪切应力与动脉粥样硬化等通路。分子对接证实槲皮素等与核心靶点(AKT1、IL6、TNF)结合良好。CCK-8实验表明枸杞提取物(0.5-2.5 mg/mL)显著促进细胞增殖,选定2.0 mg/mL用于后续研究。体外实验进一步表明:枸杞提取物逆转AGEs对HUVECs迁移的抑制;下调巨噬细胞促炎因子(Tnf,?Il6)并上调抗炎因子(Il10)表达;同时逆转AGEs对BMSCs成骨分化的抑制(ALP/ARS染色增强,成骨基因Alp、Runx2、Bglap表达升高)。结论?枸杞可能通过抑制AGE-RAGE通路减少炎症因子释放,协同改善血管功能与成骨分化,促进糖尿病牙周骨缺损修复。

    Abstract:

    Objective To investigate the molecular mechanism underlying the intervention of?Lycium barbarum L. (LB) in diabetic periodontitis (DP).Methods?A DP rat model was established via intraperitoneal injection of streptozotocin (STZ) combined with a high-fat diet (60% fat). Maxillae were harvested, decalcified, embedded, sectioned, and subjected to hematoxylin-eosin (HE) staining to assess pathological changes in periodontal tissues. Active components of LB and their potential targets were screened using the TCMSP and BATMAN-TCM databases. Disease targets associated with DP were retrieved from databases including OMIM and GeneCards. Common targets shared between LB and DP were identified through Venn diagram analysis. A protein-protein interaction (PPI) network was constructed using the STRING database (confidence score ≥ 0.9, hiding disconnected nodes), and its topological properties were analyzed using Cytoscape software to identify hub targets. Gene Ontology (GO) functional annotation and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were performed using the DAVID platform. Molecular docking validation was conducted using AutoDock Vina.?In vitro experiments were performed to determine the safe concentration of?Lycium barbarum?extract (2.0 mg/mL) using the CCK-8 assay and to evaluate its effects on human umbilical vein endothelial cell (HUVEC) migration, macrophage inflammatory cytokine expression, and osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) under a diabetic microenvironment through scratch wound healing assays, quantitative real-time PCR (qPCR), alkaline phosphatase (ALP) staining, alizarin red S (ARS) staining, and osteogenic gene expression analysis.Results?Animal experiments demonstrated that LB extract significantly ameliorated periodontal inflammation in DP rats. Network pharmacology analysis identified 36 active components of LB (e.g., quercetin, β-sitosterol) and 60 common targets. Hub targets included AKT1, IL6, and TNF. KEGG pathway analysis indicated that these targets were primarily enriched in pathways such as AGE-RAGE signaling pathway in diabetic complications, Diabetic cardiomyopathy, and Fluid shear stress and atherosclerosis. Molecular docking results revealed favorable binding activity between active components (e.g., quercetin) and the core targets (AKT1, IL6, TNF).The CCK-8 assay showed?Lycium barbarum?extract (0.5–2.5 mg/mL) significantly enhanced cell proliferation, leading to selection of 2.0 mg/mL for further study.?In vitro?experiments demonstrated the extract: reversed AGEs-induced HUVEC migration inhibition; downregulated macrophage pro-inflammatory cytokines (Tnf,?Il6) while upregulating?Il10; and counteracted AGEs-mediated suppression of BMSC osteogenic differentiation, evidenced by enhanced ALP/ARS staining and elevated osteogenic gene expression (Alp,?Runx2,?Bglap).Conclusion Lycium barbarum L. may promote the repair of diabetic periodontal bone defects potentially by inhibiting the AGE-RAGE signaling pathway, thereby reducing the release of downstream inflammatory cytokines, while synergistically improving vascular function and osteogenic differentiation.

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雷莎莎,陈勋,赖爽,牟雁东.网络药理学联合实验验证揭示枸杞干预糖尿病牙周炎的多靶点机制[J].实用医院临床杂志,2026,23(3):

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  • 收稿日期:2025-08-19
  • 最后修改日期:2026-03-24
  • 录用日期:2025-10-22
  • 在线发布日期: 2026-08-26
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