PMID- 38403323 OWN - NLM STAT- MEDLINE DCOM- 20240227 LR - 20240227 IS - 1001-5302 (Print) IS - 1001-5302 (Linking) VI - 49 IP - 2 DP - 2024 Jan TI - [Mechanism of n-butanol fraction of Wenxia Formula combining with gefitinib in treating non-small cell lung cancer based on network pharmacology and in vitro experiment]. PG - 471-486 LID - 10.19540/j.cnki.cjcmm.20230914.704 [doi] AB - This study combined network pharmacology, molecular docking, and in vitro experiments to explore the potential mechanism of the active components of the n-butanol fraction of Wenxia Formula(NWXF) combined with gefitinib(GEF) in treating non-small cell lung cancer(NSCLC). Ultra-performance liquid chromatography-quadrupole Orbitrap mass spectrometry(UPLC-Q-Orbitrap MS) was employed to detect the main chemical components of NWXF. The active components of NWXF were retrieved from SwissADME, and the candidate targets of these active components were retrieved from SwissTargetPrediction. Online Mendelian Inheritance in Man(OMIM) and GeneCards were searched for the targets of NSCLC. Cytoscape 3.9.0 and STRING were employed to build the protein-protein interaction(PPI) network with the common targets shared by NWXF and NSCLC. Gene Ontology(GO) annotation and Kyoto Encyclopedia of Genes and Genomes(KEGG) enrichment were performed in DAVID to predict the potential mechanisms. Finally, molecular docking between the main active ingredients and key targets was conducted in SYBYL-X 2.0. The methyl thiazolyl tetrazolium(MTT) assay was employed to evaluate the inhibitory effects of NWXF and/or GEF on the proliferation of human non-small cell lung cancer cells(A549 and PC-9). Additionally, the impact of NWXF on human embryonic lung fibroblast cells(MRC-5) was assessed. The effectiveness of the drug combination was evaluated based on the Q value. The terminal-deoxynucleoitidyl transferase mediated nick-end labeling(TUNEL) assay was employed to examine the apoptosis of A549 and PC-9 cells treated with NWXF and/or GEF. Quantitative real-time PCR(qRT-PCR) was employed to measure the mRNA levels of epidermal growth factor receptor(EGFR), c-Jun N-terminal kinase(JNK), and Bcl2-associated X protein(Bax) in the A549 and PC-9 cells treated with NWXF and/or GEF. Western blot was employed to determine the protein levels of EGFR, p-EGFR, JNK, p-JNK, and Bax in the A549 and PC-9 cells treated with NWXF and/or GEF. A total of 77 active components, 488 potential targets, and 49 key targets involved in the treatment of NSCLC with NWXF were predicted. The results of GO annotation showed that NWXF may treat NSCLC by regulating the biological processes such as cell proliferation, apoptosis, and protein phosphorylation. KEGG enrichment revealed that the key targets of NWXF in treating NSCLC were enriched in the mitogen-activated protein kinase(MAPK), phosphatidylinositol 3-kinase(PI3K)-protein kinase B(AKT), hypoxia-inducible factor-1(HIF-1), and microRNA-related signaling pathways. Molecular docking results showed that 91.9% of the docking scores were greater than 5, indicating the strong binding capability between main active components and key targets. The cell experiments demonstrated that NWXF combined with GEF synergistically inhibited the proliferation, promoted the apoptosis, decreased p-EGFR/EGFR and p-JNK/JNK values, down-regulated the mRNA levels of EGFR and JNK, and up-regulated the mRNA and protein levels of Bax in A549 and PC-9 cells. In conclusion, NWXF combined with GEF can regulate the EGFR/JNK pathway to promote the apoptosis of NSCLC cells, thus treating NSCLC. FAU - Chen, Rui-Jie AU - Chen RJ AD - Huzhou Central Hospital Huzhou 313000, China. FAU - Bi, Qian-Yu AU - Bi QY AD - School of Basic Medicine, Zhejiang Chinese Medical University Hangzhou 310053, China. FAU - Shi, Jie-Min AU - Shi JM AD - Huzhou Central Hospital Huzhou 313000, China. FAU - Zhong, Jing AU - Zhong J AD - Huzhou Central Hospital Huzhou 313000, China. FAU - Han, Jin-Tao AU - Han JT AD - Huzhou Central Hospital Huzhou 313000, China. FAU - Ji, Xu-Ming AU - Ji XM AD - Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province Hangzhou 310053, China Academy of Chinese Medical Sciences, Zhejiang Chinese Medical University Hangzhou 310053, China. LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Zhong Yao Za Zhi JT - Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica JID - 8913656 RN - S65743JHBS (Gefitinib) RN - 8PJ61P6TS3 (1-Butanol) RN - 0 (bcl-2-Associated X Protein) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.10.1 (ErbB Receptors) RN - 0 (RNA, Messenger) RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Humans MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics MH - Gefitinib/pharmacology MH - 1-Butanol MH - bcl-2-Associated X Protein MH - Network Pharmacology MH - Molecular Docking Simulation MH - Phosphatidylinositol 3-Kinases MH - *Lung Neoplasms/drug therapy/genetics MH - ErbB Receptors MH - RNA, Messenger MH - *Drugs, Chinese Herbal/pharmacology OTO - NOTNLM OT - apoptosis OT - gefitinib OT - mechanism OT - mole-cular docking OT - n-butanol fraction of Wenxia Formula OT - network pharmacology OT - non-small cell lung cancer EDAT- 2024/02/26 00:42 MHDA- 2024/02/27 06:44 CRDT- 2024/02/25 20:52 PHST- 2024/02/27 06:44 [medline] PHST- 2024/02/26 00:42 [pubmed] PHST- 2024/02/25 20:52 [entrez] AID - 10.19540/j.cnki.cjcmm.20230914.704 [doi] PST - ppublish SO - Zhongguo Zhong Yao Za Zhi. 2024 Jan;49(2):471-486. doi: 10.19540/j.cnki.cjcmm.20230914.704.