Exploring Molecular Mechanism of Huangqi in Treating Heart Failure Using Network Pharmacology

Yan-Gu Tao1,2, Xiu-Fang Huang1, Jun-Yan Wang1

  • 1The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Insights

Huangqi shows potential for treating heart failure (HF) by impacting multiple targets and pathways, including AGE-RAGE signaling. Network pharmacology identified key compounds and molecular mechanisms for this cardiovascular disease treatment.

Area of Science:

  • Herbal medicine research
  • Systems pharmacology
  • Cardiovascular disease mechanisms

Background:

  • Heart failure (HF) is an advanced stage of cardiovascular diseases with high incidence.
  • Huangqi is recognized for its multitarget, multipathway efficacy in cardiovascular disease treatment.

Purpose of the Study:

  • To elucidate the molecular mechanisms of Huangqi in treating heart failure (HF) using network pharmacology.
  • To identify key compounds and molecular targets of Huangqi relevant to HF treatment.

Main Methods:

  • Network pharmacology approach utilizing TCMSP, PubChem, Cytoscape, STRING, and Metascape databases.
  • Construction of compound-target and protein-protein interaction networks.
  • Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses.
  • Molecular docking simulations to assess compound-target binding affinity.

Main Results:

  • Identified 407 targets for 21 Huangqi compounds and 378 targets for HF.
  • Discovered 46 overlapping targets, enriched in pathways like AGE-RAGE signaling, IL-17, and HIF-1 signaling.
  • Top Huangqi compounds demonstrated favorable binding activities with key targets compared to digoxin.

Conclusions:

  • Huangqi exhibits potential as a multitarget, multipathway therapeutic agent for heart failure (HF).
  • The study highlights Huangqi's ability to modulate critical signaling pathways involved in HF pathogenesis.
  • Further investigation into Huangqi's molecular mechanisms could lead to novel HF treatment strategies.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
807
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
154
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
727
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
583
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.5K
Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
1.1K