PMID- 37035395 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230411 IS - 2224-4344 (Print) IS - 2224-4344 (Electronic) IS - 2224-4336 (Linking) VI - 12 IP - 3 DP - 2023 Mar 31 TI - Analysis of the efficacy of Dabuyin pill combined with gonadotropin-releasing hormone analogue in the treatment of central precocious puberty girls based on network pharmacology. PG - 364-374 LID - 10.21037/tp-23-111 [doi] AB - BACKGROUND: Traditional Chinese medicine (TCM) believes that central precocious puberty (CPP) is affected by the imbalance of kidney Yin and Yang. Dabuyin pill is a recipe for nourishing Yin and lowering fire. The network pharmacology method was used to analyze the active components, action targets, and molecular pathways of Dabuyin pill in the treatment of CPP. METHODS: The main chemical components of Dabuyin pill were obtained from the Integrative database of Traditional Chinese Medicine enhanced by Symptom Mapping (SymMap) database and Traditional Chinese Medicine Systems Pharmacology (TCMSP), and compound targets were retrieved from SymMap and the Encyclopedia of Traditional Chinese Medicine (ETCM). Disease targets were retrieved from the DisGeNET and Gene Expression Omnibus (GEO) databases, and the intersection of compound targets and disease targets was performed to obtain the prediction targets of Dabuyin pill acting on CPP. The key targets enriched by Database for Annotation, Visualization, and Integrated Discovery (DAVID) were then used for Gene Ontology (GO) functional enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis. RESULTS: GO analysis showed that the biological functions of Dabuyin pill in the treatment of key targets of CPP mainly involved apoptosis, nitric oxide synthesis, estradiol response, angiogenesis, inflammation, and so on. KEGG pathway analysis was mainly enriched in the tumor necrosis factor (TNF) signaling pathway, phosphatidylinositol-3 kinase/protein kinase B (PI3K/Akt) signaling pathway, hypoxia-inducible factor-1 (HIF-1) signaling pathway, and apoptosis. Among them, the regulation effect of Dabuyin pill prescription on apoptosis may both act on TP53 and different signaling pathways of apoptosis, thus playing a synergistic role. CONCLUSIONS: Dabuyin pill combined with GnRHa for the prevention and treatment of CPP in girls can effectively intervene CPP, and the effect of Dabuyin pill on sex hormones is one of its protective mechanisms against CPP. CI - 2023 Translational Pediatrics. All rights reserved. FAU - Chen, Xiaohong AU - Chen X AD - Department of Pediatrics, Central Hospital of Haining, Haining, China. FAU - Zheng, Min AU - Zheng M AD - Day Surgery Center, Children's Hospital of Wuhan, Wuhan, China. FAU - Fei, Xiaoling AU - Fei X AD - Department of Pediatrics, Central Hospital of Haining, Haining, China. FAU - Ma, Xiaohui AU - Ma X AD - Department of Pediatrics, Central Hospital of Haining, Haining, China. LA - eng PT - Journal Article DEP - 20230330 PL - China TA - Transl Pediatr JT - Translational pediatrics JID - 101649179 PMC - PMC10080485 OTO - NOTNLM OT - Dabuyin pill OT - bioinformatics analysis OT - central precocious puberty (CPP) OT - network pharmacology COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tp.amegroups.com/article/view/10.21037/tp-23-111/coif). The authors have no conflicts of interest to declare. EDAT- 2023/04/11 06:00 MHDA- 2023/04/11 06:01 PMCR- 2023/03/31 CRDT- 2023/04/10 04:20 PHST- 2022/12/11 00:00 [received] PHST- 2023/03/23 00:00 [accepted] PHST- 2023/04/11 06:01 [medline] PHST- 2023/04/10 04:20 [entrez] PHST- 2023/04/11 06:00 [pubmed] PHST- 2023/03/31 00:00 [pmc-release] AID - tp-12-03-364 [pii] AID - 10.21037/tp-23-111 [doi] PST - ppublish SO - Transl Pediatr. 2023 Mar 31;12(3):364-374. doi: 10.21037/tp-23-111. Epub 2023 Mar 30.