“…The clinical efficacy of berberine is mediated by interacting with a mixture of biological pathways, which are involved in metabolism ( Moghaddam et al, 2014 ; Zhang et al, 2014 ), transmission of signals ( Chen et al, 2017 ; Spatuzza et al, 2014 ; Yue et al, 2017 ) and regulation of gene expression ( Bhadra and Kumar, 2011 ). Increasing evidences indicate that berberine can act on a diverse range of molecular targets by binding to the active cavities that are to have certain structural and physiochemical properties, such as QacR ( Schumacher et al, 2001 ), BmrR ( Newberry et al, 2008 ), RamR ( Yamasaki et al, 2013 ), phospholipase A 2 (PLA 2 ) ( Chandra et al, 2012 ) and double helix DNA d(CGTACG) 2 ( Ferraroni et al, 2011 ). According to the co-crystal structures of these targets in complex with berberine, berberine binds highly site-specifically by interacting with residues flanking a hydrophobic groove in the pocket.…”