目的系统评价银翘散治疗急性上呼吸道感染有效性,为其临床应用提供依据。方法计算机检索中国知网学术期刊(CNKI)、万方数据库服务平台(WanFangData)、维普科技期刊全文数据库(VIP)、中文生物医学文献数据库(CBM)、Pubmed数据库、Web of ...目的系统评价银翘散治疗急性上呼吸道感染有效性,为其临床应用提供依据。方法计算机检索中国知网学术期刊(CNKI)、万方数据库服务平台(WanFangData)、维普科技期刊全文数据库(VIP)、中文生物医学文献数据库(CBM)、Pubmed数据库、Web of Science数据库、The Cochrane Library及Clinical Trials.gov数据库关于银翘散治疗急性上呼吸道感染的随机对照试验,对所纳入研究进行质量筛选、数据提取,并采用RevMan5.3软件进行Meta分析。结果共纳入有效研究17项。Meta分析结果显示:银翘散试验组的临床总有效率优于对照组[相对危险度(RR)=1.19,95%置信区间(CI)(1.15,1.22),P<0.00001];退热时间短于对照组[标准化均数差(SMD)=-0.36,95%CI(-0.71,-0.01),P=0.04];治愈疗程短于对照组[SMD=-2.02,95%CI(-3.24,-0.80),P=0.001];体温恢复正常时间短于对照组[SMD=-2.67,95%CI(-4.06,-1.28),P=0.0002];痊愈率优于对照组[RR=1.54,95%CI(1.35,1.75),P<0.00001];复发率低于对照组[RR=0.06,95%CI(0.01,0.30),P=0.0008];咽喉疼痛消失时间短于[SMD=-3.93,95%CI(-7.70,-0.17),P=0.04];2组差异均具有统计学意义。结论基于目前临床证据,银翘散治疗急性上呼吸道感染具有较好的疗效和安全性;但是由于纳入研究样本较少,质量偏低,可能会影响此结论的真实性和可靠性,因此还需要更多大样本、高质量的随机对照试验来加以证实。展开更多
目的:基于网络药理学及分子对接技术探讨银翘散“异病同治”小儿急性上呼吸道感染(AURIC)与川崎病(KD)的共同潜在靶点及作用机制。方法:通过TCMSP数据库中查找银翘散中药物的潜在的活性化合物及靶点,通过Drug Bank,Gene Cards,TTD,OMIM...目的:基于网络药理学及分子对接技术探讨银翘散“异病同治”小儿急性上呼吸道感染(AURIC)与川崎病(KD)的共同潜在靶点及作用机制。方法:通过TCMSP数据库中查找银翘散中药物的潜在的活性化合物及靶点,通过Drug Bank,Gene Cards,TTD,OMIM和Pharm GKB数据库得到与AURIC、KD相关的靶基因。构建“药物–成分–靶点”网络,对交集靶蛋白进行GO和KEGG分析。最后对预测靶标和化合物进行分子对接验证。结果:获得108个活性成分,对应靶点257个,筛选疾病药物共同靶标142个,KEGG通路富集显示IL-17、PI3K/Akt、TNF是AURIC、KD相关的疾病通路。分子对接结果表明银翘散与BCL2、ESR1、TP53、MAPK1、AKT1均具有较强的结合活性。结论:银翘散对治疗AURIC、KD的异病同治作用具有多成分、靶点、多通路的特点。Objective: To investigate the common potential targets and mechanisms of action of Yin Qiao San in the treatment of paediatric acute upper respiratory tract infection (AURIC) and Kawasaki disease (KD) based on network pharmacology and molecular docking technology. Methods: The potential active compounds and targets of Yin Qiao San were identified in TCMSP database, and the target genes related to AURIC and KD were obtained from Drug Bank, Gene Cards, TTD, OMIM and Pharm GKB databases. A drug-component-target network was constructed, and GO and KEGG analyses were performed on the intersecting target proteins. Finally, the predicted targets and compounds were verified by molecular docking. Result: The results showed that 108 active ingredients were obtained, corresponding to 257 targets, and 142 common targets were screened. KEGG pathway enrichment showed that IL-17, PI3K/Akt, and TNF were the disease pathways related to AURIC and KD. The molecular docking results showed that Yin Qiao San had strong binding activity with BCL2, ESR1, TP53, MAPK1, AKT1. Conclusion: The heterogeneous and homoeopathic effects of Yin Qiao San on the treatment of AURIC and KD are characterised by multiple components, targets and pathways.展开更多
文摘目的:基于网络药理学及分子对接技术探讨银翘散“异病同治”小儿急性上呼吸道感染(AURIC)与川崎病(KD)的共同潜在靶点及作用机制。方法:通过TCMSP数据库中查找银翘散中药物的潜在的活性化合物及靶点,通过Drug Bank,Gene Cards,TTD,OMIM和Pharm GKB数据库得到与AURIC、KD相关的靶基因。构建“药物–成分–靶点”网络,对交集靶蛋白进行GO和KEGG分析。最后对预测靶标和化合物进行分子对接验证。结果:获得108个活性成分,对应靶点257个,筛选疾病药物共同靶标142个,KEGG通路富集显示IL-17、PI3K/Akt、TNF是AURIC、KD相关的疾病通路。分子对接结果表明银翘散与BCL2、ESR1、TP53、MAPK1、AKT1均具有较强的结合活性。结论:银翘散对治疗AURIC、KD的异病同治作用具有多成分、靶点、多通路的特点。Objective: To investigate the common potential targets and mechanisms of action of Yin Qiao San in the treatment of paediatric acute upper respiratory tract infection (AURIC) and Kawasaki disease (KD) based on network pharmacology and molecular docking technology. Methods: The potential active compounds and targets of Yin Qiao San were identified in TCMSP database, and the target genes related to AURIC and KD were obtained from Drug Bank, Gene Cards, TTD, OMIM and Pharm GKB databases. A drug-component-target network was constructed, and GO and KEGG analyses were performed on the intersecting target proteins. Finally, the predicted targets and compounds were verified by molecular docking. Result: The results showed that 108 active ingredients were obtained, corresponding to 257 targets, and 142 common targets were screened. KEGG pathway enrichment showed that IL-17, PI3K/Akt, and TNF were the disease pathways related to AURIC and KD. The molecular docking results showed that Yin Qiao San had strong binding activity with BCL2, ESR1, TP53, MAPK1, AKT1. Conclusion: The heterogeneous and homoeopathic effects of Yin Qiao San on the treatment of AURIC and KD are characterised by multiple components, targets and pathways.