1.400037 重庆,陆军军医大学(第三军医大学)第二附属医院整形美容外科
2.400038 重庆,陆军军医大学(第三军医大学)第一附属医院全军烧伤研究所,创伤、烧伤与复合伤国家重点实验室
Received:24 November 2022,
Revised:2023-01-30,
Published:15 July 2023
移动端阅览
Xi SHI, Zichen YANG, Jian ZHANG, et al.
Xi SHI, Zichen YANG, Jian ZHANG, et al.
目的
2
结合网络药理学、分子对接技术及其体外实验,探讨青蒿应用于脓肿分枝杆菌感染的作用机制。
方法
2
从中药系统药理学数据库和分析平台(traditional Chinese medicine systems pharmacology database and analysis platform
TCMSP)系统中获得青蒿的活性成分,使用PharmMapper、SwissTargetPrediction预测青蒿作用靶点。从GeneCards数据库和OMIM数据库获得脓肿分枝杆菌感染相关靶点。获得共同靶点后,使用STRING数据库和Cytoscape软件构建蛋白质-蛋白质相互作用(protein-protein interaction
PPI)网络图。使用Metascape数据库进行基因本体(gene ontology
GO)功能富集分析和京都基因与基因组百科全书(Kyoto encyclopedia of genes and genomes
KEGG)通路富集分析。筛选出青蒿主要潜在活性成分与核心靶点进行分子对接。将青蒿提取物及筛选出的青蒿主要潜在活性成分进行体外实验,探究其最小抑菌浓度,与常用抗脓肿分枝杆菌抗生素的体外联合作用,及其对脓肿分枝杆菌活力的影响。
结果
2
共发现48个青蒿靶点参与脓肿分枝杆菌感染的发病机制。MMP9、MAPK3、CASP3、IL2、CASP1、MMP2共6个靶点预测为通过青蒿治疗该疾病的核心靶点。KEGG富集分析表明,青蒿可能通过IL-17信号通路、中性粒细胞胞外陷阱形成、Toll样受体信号通路、肿瘤坏死因子信号通路、MAPK信号通路等炎症和免疫相关信号通路治疗该疾病。分子对接结果表明,青蒿与这些核心靶点具有高亲和力。筛选出柽柳黄素、艾黄素、双氢青蒿素、青蒿提取物对脓肿分枝杆菌具有体外抑菌活性,单独药物的最小抑菌浓度(MIC)值分别为200、100、100、100 μg/mL。联合使用青蒿提取物后,克拉霉素、阿奇霉素、阿米卡星、亚胺培南、头孢西丁的MIC值都较单独使用时下降,下降倍数为2~8倍。
结论
2
青蒿可能通过多靶点和多途径作用于脓肿分枝杆菌感染,其对脓肿分枝杆菌具有体外抑菌作用并与部分抗生素产生协同作用。
Objective
2
To explore the mechanism of
Artemisia annua
L. (
A. annua
) in treatment of
Mycobacterium abscessus
(
M. abscessus
) infection with aid of network pharmacology and molecular docking.
Methods
2
The active components of
A. annua
were obtained from the Traditional Chinese Medicine System Pharmacology Database and Analysis Platform (TCMSP) system
and the targets of
A. annua
were predicted using PharmMapper and SwissTargetPrediction. Targets related to
M. abscessus
infection were obtained from GeneCards database and OMIM database. After obtaining the common targets of them
a target protein-protein interaction (PPI) network was constructed using the STRING database and Cytoscape software. Then Metascape database was employed to perform Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. The main potential active components of
A. annua
were screened out for molecular docking with the core targets. The extracts of
A. annua
and the main potential active ingredients screened out were tested
in vitro
to explore its minimum inhibitory concentration (MIC)
its combined efficacy with common anti-
M. abscessus
antibiotics
in vitro
and its effect on the viability of
M. abscessus
.
Results
2
A total of 48 targets of
A. annua
were found to be involved in the pathogenesis of
M. abscessus
infection. A total of 6 targets
MMP9
MAPK3
CASP3
IL2
CASP1
and MMP2
were predicted to be the core targets of
A. annua
in the treatment of this disease. KEGG enrichment analysis showed that
A. annua
may treat this disease through IL-17 signaling pathway
neutrophil extracellular trap formation
Toll-like receptor signaling pathway
tumor necrosis factor signaling pathway
MAPK signaling pathway and other inflammatory and immune-related signaling pathways. Molecular docking results indicated that
A. annua
had a high affinity with these core targets. Tamarixetin
artemetin
dihydroartemisinin and
Artemisia annua
L. were screened to have antibacterial activity against
M. abscessus
in vitro
with a MIC value of 200
100
100 and 100 μg/mL
respectively. After combined with the exacts of
A. annua
the MIC value of clarithromycin
azithromycin
amikacin
imipenem
and cefoxitin was all decreased than that of their single use
with a declining multiple ranging from 2 to 8 times.
Conclusion
2
A. annua
may act on
M. abscessus
infection through multiple targets and multiple pathways. It has antibacterial effect
in vitro
and shows a synergistic effect with some antibiotics against the bacteria.
MOORE M, FRERICHS J B. An unusual acid-fast infection of the knee with subcutaneous, abscess-like lesions of the gluteal region; report of a case with a study of the organism, Mycobacterium abscessus , n. sp[J ] . J Invest Dermatol, 1953, 20(2): 133-169. DOI: 10.1038/jid.1953.18.
BROWN-ELLIOTT B A, JR WALLACE R J. Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria[J]. Clin Microbiol Rev, 2002, 15(4): 716-746. DOI: 10.1128/CMR.15.4.716-746.2002.
GRIFFITH D E, AKSAMIT T, BROWN-ELLIOTT B A, et al . An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. 17675453[J ] . Am J Respir Crit Care Med, 2007, 175(4): 367-416.
PETRINI B, FARNEBO F, HEDBLAD M A, et al . Concomitant late soft tissue infections by Cladophialophora bantiana and Mycobacterium abscessus following tsunami injuries[J ] . Med Mycol, 2006, 44(2): 189-192. DOI: 10.1080/13693780500294949..
AL-HALABI B, VIEZEL-MATHIEU A, SHULMAN Z, et al . Breast implant mycobacterial infections: an epidemiologic review and outcome analysis[J ] . Plast Reconstr Surg, 2018, 142(5): 639e-652e. DOI: 10.1097/PRS.0000000000004892.
HILDY M, BROWN-ELLIOTT B A, DOUGLAS M, et al . An outbreak of Mycobacterium chelonae infection following liposuction[J ] . Clin Infect Dis, 2002, 34(11): 1500-1507. DOI: 10.1086/340399..
BAKER A W, MAZIARZ E K, LEWIS S S, et al . Invasive Mycobacterium abscessus complex infection after cardiac surgery: epidemiology, management, and clinical outcomes[J ] . Clin Infect Dis, 2021, 72(7): 1232-1240. DOI: 10.1093/cid/ciaa215..
TALATI N J, ROUPHAEL N, KUPPALLI K, et al . Spectrum of CNS disease caused by rapidly growing mycobacteria[J ] . Lancet Infect Dis, 2008, 8(6): 390-398. DOI: 10.1016/S1473-3099(08)70127-0.
DICKISON P, HOWARD V, O'KANE G, et al . Mycobacterium abscessus infection following penetrations through wetsuits[J ] . Australas J Dermatol, 2019, 60(1): 57-59. DOI: 10.1111/ajd.12915..
JOHANSEN M D, HERRMANN J L, KREMER L. Non-tuberculous mycobacteria and the rise of Mycobacterium abscessus [J ] . Nat Rev Microbiol, 2020, 18(7): 392-407. DOI: 10.1038/s41579-020-0331-1.
中华医学会结核病学分会. 非结核分枝杆菌病诊断与治疗指南(2020年版)[J]. 中华结核和呼吸杂志, 2020, 43(11): 918-946. DOI: 10.3760/cma.j.cn112147-20200508-00570.
Tuberculosis Branch of Chinese Medical Association. Guidelines for diagnosis and treatment of nontuberculous mycobacterial diseases (2020 edition)[J]. Chin J Tuberc Respir Dis, 2020, 43(11): 918-946. DOI: 10.3760/cma.j.cn112147-20200508-00570.
FENG X C, CAO S J, QIU F, et al . Traditional application and modern pharmacological research of Artemisia annua L[J ] . Pharmacol Ther, 2020, 216: 107650. DOI: 10.1016/j.pharmthera.2020.107650..
ROLTA R, SHARMA A, SOURIRAJAN A, et al . Combination between antibacterial and antifungal antibiotics with phytocompounds of Artemisia annua L: a strategy to control drug resistance pathogens[J ] . J Ethnopharmacol, 2021, 266: 113420. DOI: 10.1016/j.jep.2020.113420..
MARTINI M C, ZHANG T B, WILLIAMS J T, et al . Artemisia annua and Artemisia afra extracts exhibit strong bactericidal activity against Mycobacterium tuberculosis [J ] . J Ethnopharmacol, 2020, 262: 113191. DOI: 10.1016/j.jep.2020.113191..
YUAN H D, MA Q Q, CUI H Y, et al . How can synergism of traditional medicines benefit from network pharmacology?[J ] .Molecules, 2017, 22(7): 1135. DOI: 10.3390/molecules22071135.
BOEZIO B, AUDOUZE K, DUCROT P, et al . Network-based approaches in pharmacology[J ] . Mol Inform, 2017, 36(10): 1700048. DOI: 10.1002/minf.201700048.
SAIKIA S, BORDOLOI M. Molecular docking: challenges, advances and its use in drug discovery perspective[J]. Curr Drug Targets, 2019, 20(5): 501-521. DOI: 10.2174/1389450119666181022153016.
RU J L, LI P, WANG J N, et al . TCMSP: a database of systems pharmacology for drug discovery from herbal medicines[J ] . J Cheminform, 2014, 6: 13. DOI: 10.1186/1758-2946-6-13.
O'BOYLE N M, BANCK M, JAMES C A, et al . Open Babel: an open chemical toolbox[J ] . J Cheminform, 2011, 3: 33. DOI: 10.1186/1758-2946-3-33.
WANG X, SHEN Y H, WANG S W, et al . PharmMapper 2017 update: a web server for potential drug target identification with a comprehensive target pha rmacophore database[J ] . Nucleic Acids Res, 2017, 45(W1): W356-W360. DOI: 10.1093/nar/gkx374.
DAINA A, MICHIELIN O, ZOETE V. SwissTargetPrediction: updated data and new features for efficient prediction of protein targets of small molecules[J]. Nucleic Acids Res, 2019, 47(W1): W357-W364. DOI: 10.1093/nar/gkz382.
PAOLACCI S, PRECONE V, ACQUAVIVA F, et al . Genetics of lipedema: new perspectives on genetic research and molecular diagnoses[J ] . Eur Rev Med Pharmacol Sci, 2019, 23(13): 5581-5594. DOI: 10.26355/eurrev_201907_18292.
AMBERGER J S, BOCCHINI C A, SCHIETTECATTE F, et al . OMIM. org: Online Mendelian Inheritance in Man (OMIM Ⓡ ), an online catalog of human genes and genetic disorders[J ] . Nucleic Acids Res, 2015, 43(Database issue): D789-D798. DOI: 10.1093/nar/gku1205..
SHANNON P, MARKIEL A, OZIER O, et al . Cytoscape: a software environment for integrated models of biomolecular interaction networks[J ] . Genome Res, 2003, 13(11): 2498-2504. DOI: 10.1101/gr.1239303.
ZHOU Y Y, ZHOU B, PACHE L, et al . Metascape provides a biologist-oriented re source for the analysis of systems-level datasets[J ] . Nat Commun, 2019, 10(1): 1523. DOI: 10.1038/s41467-019-09234-6.
HUEY R, MORRIS G M, OLSON A J, et al . A semiempirical free energy force field with charge-based desolvation[J ] . J Comput Chem, 2007, 28(6): 1145-1152. DOI: 10.1002/jcc.20634.
BOUDEHEN Y M, KREMER L. Mycobacterium abscessus [J ] . Trends Microbiol, 2021, 29(10): 951-952. DOI: 10.1016/j.tim.2021.06.006.
KUMAR C, SHRIVASTAVA K, SINGH A, et al . Skin and soft-tissue infections due to rapidly growing mycobacteria: an overview[J ] . Int J Mycobacteriology, 2021, 10(3): 293-300. DOI: 10.4103/ijmy.ijmy_110_21.
MIRBEHBAHANI F S, HEJAZI F, NAJMODDIN N, et al . Artemisia annua L. as a promising medicinal plant for powerful wound healing applications[J ] . Prog Biomater, 2020, 9(3): 139-151. DOI: 10.1007/s40204-020-00138-z..
VERMA R P, HANSCH C. Matrix metalloproteinases (MMPs): chemical-biological functions and (Q)SARs[J]. Bioorg Med Chem, 2007, 15(6): 2223-2268. DOI: 10.1016/j.bmc.2007.01.011.
MAJTAN J, BOHOVA J, GARCIA-VILLALBA R, et al . Fir honeydew honey flavonoids inhibit TNF-α-induced MMP-9 expression in human keratinocytes: a new action of honey in wound healing[J ] . Arch Dermatol Res, 2013, 305(7): 619-627. DOI: 10.1007/s00403-013-1385-y.
EMING S, SMOLA H, HARTMANN B, et al . The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber[J ] . Biomaterials, 2008, 29(19): 2932-2940. DOI: 10.1016/j.biomaterials.2008.03.029.
WIEGAND C, SCHÖNFELDER U, ABEL M, et al . Protease and pro-inflammatory cytokine concentrations are elevated in chronic compared to acute wounds and can be modulated by collagen type I in vitro [J ] . Arch Dermatol Res, 2010, 302(6): 419-428. DOI: 10.1007/s00403-009-1011-1..
THORNBERRY N A, BULL H G, CALAYCAY J R, et al . A novel heterodimeric cysteine protease is required for interleukin-1 beta processing in monocytes[J ] . Nature, 1992, 356(6372): 768-774. DOI: 10.1038/356768a0.
BALL D P, TAABAZUING C Y, GRISWOLD A R, et al . Caspase-1 interdomain linker cleavage is required for pyroptosis[J ] . Life Sci Alliance, 2020, 3(3): e202000664. DOI: 10.26508/lsa.202000664.
NICHOLSON D W, ALI A, THORNBERRY N A, et al . Identification and inhibition of the ICE/CED-3 protease necessary for mammalian apoptosis[J ] . Nature, 1995, 376(6535): 37-43. DOI: 10.1038/376037a0.
YUE J C, LÓPEZ J M. Understanding MAPK signaling pathways in apoptosis[J]. Int J Mol Sci, 2020, 21(7): 2346. DOI: 10.3390/ijms21072346.
MAUCH R, JENSEN P Ø, QVIST T, et al . Adaptive immune response to Mycobacterium abscessus complex (MABSC) in cystic fibrosis and the implications of cross-reactivity[J ] . Front Cell Infect Microbiol, 2022, 12: 858398. DOI: 10.3389/fcimb.2022.858398..
LIAO W, LIN J X, LEONARD W J. IL-2 family cytokines: new insights into the complex roles of IL-2 as a broad regulator of T helper cell differentiation[J]. Curr Opin Immunol, 2011, 23(5): 598-604. DOI: 10.1016/j.coi.2011.08.003.
MALCOLM K C, CACERES S M, POHL K, et al . Neutrophil killing of Mycobacterium abscessus by intra-and extracellular mechanisms[J ] . PLoS One, 2018, 13(4): e0196120. DOI: 10.1 371/journal.pone.0196120..
AUDREY B, MAI N C, IMAN H, et al . Mycobacterium abscessus -induced granuloma formation is strictly dependent on TNF signaling and neutrophil trafficking[J ] . PLoS Pathog, 2016, 12(11): e1005986..
KAM J Y, HORTLE E, KROGMAN E, et al . Rough and smooth variants of Mycobacterium abscessus are differentially controlled by host immunity during chronic infection of adult zebrafish[J ] . Nat Commun, 2022, 13(1): 952. DOI: 10.1038/s41467-022-28638-5..
BONAY M, ROUX A L, FLOQUET J, et al . Caspase-independent apoptosis in infected macrophages triggered by sulforaphane via Nrf2/p38 signaling pathways[J ] . Cell Death Discov, 2015, 1: 15022. DOI: 10.1038/cddiscovery.2015.22.
AULICINO A, DINAN A M, MIRANDA-CASOLUENGO A A, et al . High-throughput transcriptomics reveals common and strain-specific responses of human macrophages to infection with Mycobacterium abscessus Smooth and Rough variants[J ] . BMC Genomics, 2015, 16: 1046. DOI: 10.1186/s12864-015-2246-1..
LEE S J, SHIN S J, LEE S J, et al . Mycobacterium abscessus MAB2560 induces maturation of dendritic cells via Toll-like receptor 4 and drives Th1 immune response[J ] . BMB Rep, 2014, 47(9): 512-517. DOI: 10.5483/bmbrep.2014.47.9.001..
JÖNSSON B, RIDELL M, WOLD A E. Non-tuberculous mycobacteria and their surface lipids efficiently induced IL-17 production in human T cells[J]. Microbes Infect, 2012, 14(13): 1186-1195. DOI: 10.1016/j.micinf.2012.07.021.
ASSEFA D, YISMAW G, MAKONNEN E. Comparative effect of dihydroartemisinin-piperaquine and artemether-lumefantrine on gametocyte clearance and haemoglobin recovery in children with uncomplicated Plasmodium falciparum malaria in Africa: a systematic review and meta-analysis of randomized control trials[J ] . Int J Infect Dis IJID Off Publ Int Soc Infect Dis, 2021, 113: 136-147. DOI: 10.1016/j.ijid.2021.10.013.
DAI X S, ZHANG X Y, CHEN W, et al . Dihydroartemisinin: a potential natural anticancer drug[J ] . Int J Biol Sci, 2021, 17(2): 603-622. DOI:10.7150/ijbs.50364.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
