Abstract
Feng Shi Gu Tong (FSGT) capsule is a commonly used Chinese Traditional Patent Medicine in clinical practice, which has been proven to be effective for the treatment of active rheumatoid arthritis (RA). However, due to its complex composition, the precise molecular mechanism of the FSGT capsule in the treatment of RA is still indistinct. Therefore, the method of systemic pharmacology was used to obtain candidate compounds through absorption, distribution, metabolism, elimination (ADME) parameters, and supplementation of references. Network construction and analysis were also included to reveal the potential mechanism of FSGT capsule in treating RA. A total of 119 compounds were obtained in FSGT capsule, and a total of 107 compounds with targets were included in the study. These compounds acted on 267 targets in total. In addition, there were 317 targets related to RA disease. All constructed networks included four major networks and four minor networks. In addition, the clusters of RA disease protein-protein interaction (PPI) network and FSGT capsule-RA disease targets network revealed that the biological process involved in these clusters including immune response and apoptosis, etc. The pathways enriched by the direct targets of FSGT capsule acted on RA also highly overlapped with the pathways enriched by the RA PPI network, such as the TNF signaling pathway. Our research has managed to predict and explain the pharmacological effects and the molecular mechanisms of the FSGT capsule in RA, and provided a realistic exploration method for studying the potentially active ingredients of traditional Chinese medicines simultaneously.
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Acknowledgments
The authors thank Dr. Yingjie Zhao from Anhui Medical University for his assistance in data review.
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This work was supported by grants from the National Natural Science Foundation of China (no. 82071591)
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XW and WJF conceived and designed the study, WJF, XW, and CL performed research. XW and WJF analyzed the data. RPZ and YC researched the literature. XW wrote the manuscript. WH revised the manuscript. The authors declare that all data were generated in-house and that no paper mill was used. All authors approved the final version of the manuscript.
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Wei, X., Fu, W., Zhou, R. et al. Systemic pharmacological investigation of the Feng Shi Gu Tong capsule in the treatment of rheumatoid arthritis. Naunyn-Schmiedeberg's Arch Pharmacol 394, 1285–1299 (2021). https://doi.org/10.1007/s00210-021-02048-8
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DOI: https://doi.org/10.1007/s00210-021-02048-8