Exploration of the Danggui Buxue Decoction Mechanism Regulating the Balance of ESR and AR in the TP53-AKT Signaling Pathway in the Prevention and Treatment of POF

Abstract

Objective. The purpose of this study was to explore the molecular mechanism of Danggui Buxue Decoction (DBD) intervening premature ovarian failure (POF). Methods. The active compounds-targets network, active compounds-POF-targets network, and protein-protein interaction (PPI) network were constructed by a network pharmacology approach: Gene Ontology (GO) function and Kyoto Encyclopedia of Gene and Genome (KEGG) pathway analysis by DAVID 6.8 database. The molecular docking method was used to verify the interaction between core components of DBD and targets. Then, High-Performance Liquid Chromatography (HPLC) analysis was used to determine whether the DBD contained two key components including quercetin and kaempferol. Finally, the estrous cycle, organ index, ELISA, and western blot were used to verify that mechanism of DBD improved POF induced by cyclophosphamide (CTX) in rats. Results. Based on the network database including TCMSP, Swiss Target Prediction, DisGeNET, DrugBank, OMIM, and Malacard, we built the active compounds-targets network and active compounds-POF-targets network. We found that 2 core compounds (quercetin and kaempferol) and 5 critical targets (TP53, IL6, ESR1, AKT1, and AR) play an important role in the treatment of POF with DBD. The GO and KEGG enrichment analysis showed that the common targets involved a variety of signaling pathways, including the reactive oxygen species metabolic process, release of Cytochrome C from mitochondria and apoptotic signaling pathway, p53 signaling pathway, the PI3K-Akt signaling pathway, and the estrogen signaling pathway. The molecular docking showed that quercetin, kaempferol, and 5 critical targets had good results regarding the binding energy. Chromatography showed that DBD contained quercetin and kaempferol compounds, which was consistent with the database prediction results. Based on the above results, we found that the process of DBD interfering POF is closely related to the balance of ESR and AR in TP53-AKT signaling pathway and verified animal experiments. In animal experiments, we have shown that DBD and its active compounds can effectively improve estrus cycle of POF rats, inhibit serum levels of FSH and LH, protein expression levels of Cytochrome C, BAX, p53, and IL6, and promote ovary index, uterine index, serum levels of E2 and AMH, and protein expression levels of AKT1, ESR1, AR, and BCL2. Conclusions. DBD and its active components could treat POF by regulating the balance of ESR and AR in TP53-AKT signaling pathway.

Classical music restored fertility status in rat model of premature ovarian failure

“…Chemical compounds like Busulfan, Cisplatin, and CTX are shown to cause follicular atresia and depletion in ovarian tissue, mimicking POF-like conditions [44][45][46]. Here, we successfully induced a rat model for POF using CTX [47]. Biochemical analysis showed that the levels of FSH and LH hormones were significantly increased in the POF conditions.…”

Identification of Hub Genes Associated With the Development of Stomach Adenocarcinoma by Integrated Bioinformatics Analysis

“…HDAC1 and ESR1 genes play an important role in regulating the Notch signal transduction pathway ( 63 ). Premature ovarian failure (POF) can also be treated by regulating the balance of ESR in the TP53 – AKT signaling pathway ( 64 ). Studies have shown that loss of heterozygosity (LOH) of TP53 and ESR is higher in ovarian serous cystadenocarcinoma (SCA) and more common in clear cell carcinoma (CCA) and serous tumor with low malignant potential (SLMP), which has been observed in primary ovarian tumors and metastases ( 65 ).…”

Classical music restored fertility status in rat model of premature ovarian failure

“…Chemical compounds like Busulfan, Cisplatin, and CTX are shown to cause follicular atresia and depletion in ovarian tissue, mimicking POF-like conditions [44][45][46]. Here, we successfully induced a rat model for POF using CTX [47]. Biochemical analysis showed that the levels of FSH and LH hormones were signi cantly increased in the POF conditions.…”