Orientin Reduces the Effects of Repeated Procedural Neonatal Pain in Adulthood: Network Pharmacology Analysis,

Dong-Dong Guo1, Hai-Yan Huang2, Hai-E Liu1

  • 1Department of Anesthesiology, National Children's Medical Center, Children's Hospital of Fudan University, Shanghai 201102, China.

PubMed

Insights

Orientin effectively reduces neonatal pain and associated hyperalgesia and cognitive impairment in mice. This flavonoid targets the mitogen-activated protein kinase (MAPK) signaling pathway, offering a potential therapeutic strategy for neonatal pain.

Area of Science:

  • Pharmacology
  • Neuroscience
  • Biochemistry

Background:

  • Premature infants experience repeated procedural pain, leading to hyperalgesia and cognitive deficits later in life.
  • Current treatments for neonatal pain are limited, necessitating the exploration of novel therapeutic agents.
  • Orientin, a flavonoid, exhibits known pharmacological effects and is investigated for its potential in managing neonatal pain.

Purpose of the Study:

  • To systematically investigate the effects of orientin on repeated procedural neonatal pain.
  • To elucidate the underlying molecular mechanisms of orientin's action using network pharmacology and molecular docking.
  • To validate the therapeutic potential of orientin through experimental studies in a mouse model.

Main Methods:

  • Network pharmacology identified 286 proteins targeted by orientin and involved in neonatal pain.
  • Protein-protein interaction network, Gene Ontology (GO), and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses explored mechanisms.
  • Molecular docking assessed orientin's binding affinity to key proteins; experimental validation used a mouse model of neonatal pain and cognitive tests.

Main Results:

  • Orientin demonstrated significant inhibition of hyperalgesia in neonate and adult mice and ameliorated cognitive impairment in adults.
  • The mitogen-activated protein kinase (MAPK) signaling pathway was identified as a key mechanism via KEGG analysis.
  • Orientin reduced phosphorylated MAPK1 (p-ERK) levels in the hippocampus and spinal dorsal horn, indicating pathway modulation.

Conclusions:

  • Orientin effectively alleviates neonatal pain, hyperalgesia, and associated cognitive impairment.
  • The therapeutic effects of orientin are mediated through the modulation of the MAPK signaling pathway.
  • Orientin presents a promising therapeutic candidate for managing neonatal pain and its long-term consequences.
Abstract