In our study, we integrated network pharmacology and molecular docking to reveal the mechanism of Jinqiaomai tablet on asthma. Research on TCM has widely used network pharmacology to predict pharmacological mechanisms so that drug research can be guided(20). Molecular networks have been used to study the interaction between drugs, targets, and diseases in network pharmacology(21). In this study, an investigation of putative active compounds and herb targets was conducted using network pharmacology, and the mechanism of Jinqiaomai tablet against asthma was investigated utilized by network pharmacology. According to a molecular docking study, these active compounds and major targets had good binding interactions.
The pathogenesis of asthma is complex, involving environmental factors and heterogeneous genetic which result in phenotypic heterogeneity among asthmatics(22). Many cytokines are involved in the development of asthma, and these cytokines constitute the cytokine network interactions. It may be possible to modify this cytokine network in order to gain a better understanding of asthma pathogenesis and develop more effective therapeutics(23). This study provided insights into the complex pathogenesis of asthma, starting with functional classification and PPI network analysis of the identified proteins in combination with disease and drug. To our knowledge, it is the first study that incorporates network pharmacology with molecular docking in order to reveal the pharmacological mechanisms of Jinqiaomai tablet against asthma.
In our study, we found 3701 pathogenic genes related to asthma and a total of 15 active components and 208 targets of Jinqiaomai tablet. It was found that the identified proteins were involved in CCKR signaling map, inflammation mediated by chemokine and cytokine signaling pathway, apoptosis signaling pathway, angiogenesis, and so forth in KEGG pathway. This was also consistent with the pathological changes and pathogenesis of asthma that have been found. Airway inflammation, airway hyperresponsiveness and airway remodeling are hallmarks of asthma (24). Airway remodeling involves the degeneration of the epithelium, the formation of subepithelial fibrosis, hypertrophy of mucous cells, proliferation of smooth muscle cells, and angiogenesis(25). Inflammation is usually mediated by cytokines(26). Asthma is mainly driven by cytokines, which are known as inflammation drivers(27). Similarly, apoptosis is involved in the development of asthma. In asthma, T cells and eosinophils produce IFN-gamma and TNF-alpha together to induce apoptosis in bronchial epithelial cells(28).
In our study, we identified AKT1, VEGFA, PTGS2, MMP9, CASP3, TNF, IL6, EGF, IL1B and NFKBIA as potential therapeutic targets in the host system. Many studies had also confirmed the involvement of these targets in the occurrence of asthma. Study found that Akt activation induced hypertrophy without contractile phenotypic maturation in airway smooth muscle. Therefore, Akt1 might be a useful therapeutic target for preventing or perhaps reversing ASM hypertrophy in asthmatic patients(29). VEGFA was identified as promising diagnostic biomarkers of asthma-COPD overlap syndrome with highly specificity(30). VEGFA polymorphisms was associated with asthma treatment outcome in children(31). PTGS2 gene was associated with diisocyanate-induced asthma(32). MMP9 was involved in airway inflammation in cough variant asthma(33). In asthma related airway inflammation, eosinophils were also a source of MMP9 and MMP9 expression correlated with eosinophil counts(34). Increasing level of CASP3 had been reported in bronchial epithelium and lung tissues associated with allergic asthma. CASP3 may be involved in allergic asthma(35). Despite their broad immune effects, TNF and IL-6 can be considered pathogenic in the context of asthma. Combined IL-6/TNF inhibition in severe steroid-resistant asthma was confirmed to have therapeutic potential(36). Similarly, EGF had been shown to play a role in both inflammation and airway remodeling in asthma. It can induce bronchial epithelial cells to drive neutrophil chemotactic and anti-apoptotic activity in asthma(37). Catalpol prevents asthmatic airway remodeling by inhibiting TGF-β1 and EGF(38). Furthermore, genetic studies had found that IL1B TT haplotypes (3962T and − 511T) were associated with atopy and asthma with moderate persistence(39). NFKBIA/IκBα played a central role in transcriptional responses associated with respiratory syncytial virus infection, asthma, and bronchopulmonary dysplasia among children. Airway hyperresponsiveness is associated with immunologically relevant genetic variations in the NFKBIA promoter(40).
In the molecular docking section, we found that the active component luteolin and quercetin had the highest frequency with hub gene proteins. Studies had shown their role in asthma treatment. Luteolin had an anti-allergic effect in a murine model of allergic asthma and rhinitis. In a murine model of allergic asthma and rhinitis, luteolin had an anti-allergic effect(41). Lutein can inhibit allergic asthma autophagy through activation of PI3K/Akt/mTOR signaling and inhibition of Beclin-1-PI3KC3 receptors(42). In experimental mice, luteolin treatment significantly reduced asthmatic features during and after sensitization(43). For quercetin, it can reduce airway hyperreactivity in allergic asthma(44) and can regulate the Th1/Th2 balance in a murine asthma model(45). Quercetin showed anti-inflammatory activity in experimental mice with allergic asthma(46). In addition, it can acutely relax airway smooth muscle and enhance β-agonist-induced relaxation(47). Thus, luteolin and quercetin could be used as either lead molecule for the identification of effective asthma therapies or as means to identify novel asthma targets.