Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2023

Open Access 01-12-2023 | Research

Integrated network pharmacology and experimental validation to explore the potential pharmacological mechanism of Qihuang Granule and its main ingredients in regulating ferroptosis in AMD

Authors: Lu Wang, Canyang Zhang, Long Pang, Yan Wang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2023

Login to get access

Abstract

Background

Qihuang Granule (QHG) is a traditional prescription  that has exhibited potential in safeguarding against age-related maculopathy (AMD). Salvia miltiorrhiza (SM) and Fructus lycii (FL) are the main components of QHG. Ferroptosis, a newly discovered, iron-dependent, regulated cell death pathway, have been implicated in the pathogenesis of AMD. This study delves into the intricate mechanism by which SM/FL and QHG confer protection against AMD by modulating the ferroptosis pathway, employing a combination of network pharmacology and experimental validation.

Methods

Bioactive compounds and potential targets of SM and FL were gathered from databases such as TCMSP, GeneCard, OMIM, and FerrDb, along with AMD-related genes and key genes responsible for ferroptosis regulation. Gene ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis and protein–protein interaction (PPI) network were performed to discover the potential mechanism. The construction of an interaction network involving AMD, ferroptosis, SM/FL potential target genes was facilitated by the STRING database and realized using Cytoscape software. Subsequent validation was accomplished through molecular docking and in vitro cell experiments.

Results

Noteworthy active compounds including quercetin, tanshinone IIA, luteolin, cryptotanshinone, and hub targets such as HIF-1α, EGFR, IL6, and VEGFA were identified. KEGG enrichment unveiled the HIF-1 signalling pathway as profoundly enriched, and IL6 and VEGF were involved. The molecular docking revealed the significant active compounds with hub genes and quercetin showed good binding to HIF-1α, which is involved in inflammation and angiogenesis. Experimental results verified that both herbs and QHG could regulate key ferroptosis-related targets in the retinal pigment epithelium and inhibit the expression of HIF-1α, VEGFA, and IL-6, subsequently increase cell viability and decrease the ROS content induced by H2O2.

Conclusion

This study demonstrates the molecular mechanism through which SM/FL and QHG protect against AMD and emerges as a plausible mechanism underlying this protection.
Appendix
Available only for authorised users
Literature
1.
go back to reference Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health. 2014;2(2):e106–16.CrossRefPubMed Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health. 2014;2(2):e106–16.CrossRefPubMed
3.
go back to reference van Lookeren CM, LeCouter J, Yaspan BL, Ye W. Mechanisms of age-related macular degeneration and therapeutic opportunities. J Pathol. 2014;232(2):151–64.CrossRef van Lookeren CM, LeCouter J, Yaspan BL, Ye W. Mechanisms of age-related macular degeneration and therapeutic opportunities. J Pathol. 2014;232(2):151–64.CrossRef
4.
go back to reference Nowak JZ. Age-related macular degeneration (AMD): pathogenesis and therapy. Pharmacol Rep. 2006;58(3):353–63.PubMed Nowak JZ. Age-related macular degeneration (AMD): pathogenesis and therapy. Pharmacol Rep. 2006;58(3):353–63.PubMed
7.
go back to reference Schultz NM, Bhardwaj S, Barclay C, Gaspar L, Schwartz J. Global burden of dry age-related macular degeneration: a targeted literature review. Clin Ther. 2021;43(10):1792–818.CrossRefPubMed Schultz NM, Bhardwaj S, Barclay C, Gaspar L, Schwartz J. Global burden of dry age-related macular degeneration: a targeted literature review. Clin Ther. 2021;43(10):1792–818.CrossRefPubMed
8.
go back to reference Evans JR, Lawrenson JG. Antioxidant vitamin and mineral supplements for preventing age-related macular degeneration. Cochrane Database Syst Rev. 2017;7(7):CD000253.PubMed Evans JR, Lawrenson JG. Antioxidant vitamin and mineral supplements for preventing age-related macular degeneration. Cochrane Database Syst Rev. 2017;7(7):CD000253.PubMed
11.
go back to reference Li Y, Cao Y, Xiao J, et al. Inhibitor of apoptosis-stimulating protein of p53 inhibits ferroptosis and alleviates intestinal ischemia/reperfusion-induced acute lung injury. Cell Death Differ. 2020;27(9):2635–50.CrossRefPubMedPubMedCentral Li Y, Cao Y, Xiao J, et al. Inhibitor of apoptosis-stimulating protein of p53 inhibits ferroptosis and alleviates intestinal ischemia/reperfusion-induced acute lung injury. Cell Death Differ. 2020;27(9):2635–50.CrossRefPubMedPubMedCentral
12.
go back to reference Lane D, Metselaar B, Greenough M, Bush AI, Ayton SJ. Ferroptosis and NRF2: an emerging battlefield in the neurodegeneration of Alzheimer’s disease. Essays Biochem. 2021;65(7):925–40.CrossRefPubMed Lane D, Metselaar B, Greenough M, Bush AI, Ayton SJ. Ferroptosis and NRF2: an emerging battlefield in the neurodegeneration of Alzheimer’s disease. Essays Biochem. 2021;65(7):925–40.CrossRefPubMed
13.
go back to reference Zhao T, Guo X, Sun Y. Iron accumulation and lipid peroxidation in the aging retina: implication of ferroptosis in age-related macular degeneration. Aging Dis. 2021;12(2):529–51.CrossRefPubMedPubMedCentral Zhao T, Guo X, Sun Y. Iron accumulation and lipid peroxidation in the aging retina: implication of ferroptosis in age-related macular degeneration. Aging Dis. 2021;12(2):529–51.CrossRefPubMedPubMedCentral
14.
go back to reference Sato H, Tamba M, Ishii T, Bannai S. Cloning and expression of a plasma membrane cystine/glutamate exchange transporter composed of two distinct proteins. J Biol Chem. 1999;274(17):11455–8.CrossRefPubMed Sato H, Tamba M, Ishii T, Bannai S. Cloning and expression of a plasma membrane cystine/glutamate exchange transporter composed of two distinct proteins. J Biol Chem. 1999;274(17):11455–8.CrossRefPubMed
16.
go back to reference Xu H, Zhang Y, Wang P, et al. A comprehensive review of integrative pharmacology-based investigation: a paradigm shift in traditional Chinese medicine. Acta Pharm Sin B. 2021;11(6):1379–99.CrossRefPubMedPubMedCentral Xu H, Zhang Y, Wang P, et al. A comprehensive review of integrative pharmacology-based investigation: a paradigm shift in traditional Chinese medicine. Acta Pharm Sin B. 2021;11(6):1379–99.CrossRefPubMedPubMedCentral
18.
go back to reference Bai LL, Chen H, Zhou P, Yu J. Identification of tumor necrosis factor-alpha (TNF-α) inhibitor in rheumatoid arthritis using network pharmacology and molecular docking. Front Pharmacol. 2021;12:690118.CrossRefPubMedPubMedCentral Bai LL, Chen H, Zhou P, Yu J. Identification of tumor necrosis factor-alpha (TNF-α) inhibitor in rheumatoid arthritis using network pharmacology and molecular docking. Front Pharmacol. 2021;12:690118.CrossRefPubMedPubMedCentral
19.
go back to reference Amberger JS, Hamosh A. Searching Online Mendelian Inheritance in Man (OMIM): a knowledgebase of human genes and genetic phenotypes. Curr Protoc Bioinformatics. 2017;58:1.2.1–1.2.12.CrossRefPubMed Amberger JS, Hamosh A. Searching Online Mendelian Inheritance in Man (OMIM): a knowledgebase of human genes and genetic phenotypes. Curr Protoc Bioinformatics. 2017;58:1.2.1–1.2.12.CrossRefPubMed
20.
go back to reference Zhou N, Bao J. FerrDb: a manually curated resource for regulators and markers of ferroptosis and ferroptosis-disease associations. Database (Oxford). 2020;2020:baaa021.CrossRefPubMedPubMedCentral Zhou N, Bao J. FerrDb: a manually curated resource for regulators and markers of ferroptosis and ferroptosis-disease associations. Database (Oxford). 2020;2020:baaa021.CrossRefPubMedPubMedCentral
21.
go back to reference Szklarczyk D, Gable AL, Lyon D, et al. STRING v11: protein-protein association networks with increased coverage, supporting functional discovery in genome-wide experimental datasets. Nucleic Acids Res. 2019;47(D1):D607–13.CrossRefPubMed Szklarczyk D, Gable AL, Lyon D, et al. STRING v11: protein-protein association networks with increased coverage, supporting functional discovery in genome-wide experimental datasets. Nucleic Acids Res. 2019;47(D1):D607–13.CrossRefPubMed
22.
go back to reference Meng XY, Zhang HX, Mezei M, Cui M. Molecular docking: a powerful approach for structure-based drug discovery. Curr Comput Aided Drug Des. 2011;7(2):146–57.CrossRefPubMedPubMedCentral Meng XY, Zhang HX, Mezei M, Cui M. Molecular docking: a powerful approach for structure-based drug discovery. Curr Comput Aided Drug Des. 2011;7(2):146–57.CrossRefPubMedPubMedCentral
23.
25.
go back to reference Trott O, Olson AJ. AutoDock Vina: improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading. J Comput Chem. 2010;31(2):455–61.CrossRefPubMedPubMedCentral Trott O, Olson AJ. AutoDock Vina: improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading. J Comput Chem. 2010;31(2):455–61.CrossRefPubMedPubMedCentral
26.
go back to reference Jiashuo WU, Fangqing Z, Zhuangzhuang LI, Weiyi J, Yue S. Integration strategy of network pharmacology in Traditional Chinese Medicine: a narrative review. J Tradit Chin Med. 2022;42(3):479–86.PubMed Jiashuo WU, Fangqing Z, Zhuangzhuang LI, Weiyi J, Yue S. Integration strategy of network pharmacology in Traditional Chinese Medicine: a narrative review. J Tradit Chin Med. 2022;42(3):479–86.PubMed
27.
go back to reference Wei TT, Zhang MY, Zheng XH, et al. Interferon-γ induces retinal pigment epithelial cell Ferroptosis by a JAK1-2/STAT1/SLC7A11 signaling pathway in Age-related Macular Degeneration. FEBS J. 2022;289(7):1968–83.CrossRefPubMed Wei TT, Zhang MY, Zheng XH, et al. Interferon-γ induces retinal pigment epithelial cell Ferroptosis by a JAK1-2/STAT1/SLC7A11 signaling pathway in Age-related Macular Degeneration. FEBS J. 2022;289(7):1968–83.CrossRefPubMed
28.
go back to reference Fu J, Huang H, Liu J, Pi R, Chen J, Liu P. Tanshinone IIA protects cardiac myocytes against oxidative stress-triggered damage and apoptosis. Eur J Pharmacol. 2007;568(1–3):213–21.CrossRefPubMed Fu J, Huang H, Liu J, Pi R, Chen J, Liu P. Tanshinone IIA protects cardiac myocytes against oxidative stress-triggered damage and apoptosis. Eur J Pharmacol. 2007;568(1–3):213–21.CrossRefPubMed
29.
go back to reference Han JY, Fan JY, Horie Y, et al. Ameliorating effects of compounds derived from Salvia miltiorrhiza root extract on microcirculatory disturbance and target organ injury by ischemia and reperfusion. Pharmacol Ther. 2008;117(2):280–95.CrossRefPubMed Han JY, Fan JY, Horie Y, et al. Ameliorating effects of compounds derived from Salvia miltiorrhiza root extract on microcirculatory disturbance and target organ injury by ischemia and reperfusion. Pharmacol Ther. 2008;117(2):280–95.CrossRefPubMed
30.
go back to reference Su CY, Ming QL, Rahman K, Han T, Qin LP. Salvia miltiorrhiza: Traditional medicinal uses, chemistry, and pharmacology. Chin J Nat Med. 2015;13(3):163–82.PubMed Su CY, Ming QL, Rahman K, Han T, Qin LP. Salvia miltiorrhiza: Traditional medicinal uses, chemistry, and pharmacology. Chin J Nat Med. 2015;13(3):163–82.PubMed
31.
go back to reference Gu Y, Liu W, Liu G, Li X, Lu P. Assessing the protective effects of cryptotanshinone on CoCl(2)-induced hypoxia in RPE cells. Mol Med Rep. 2021;24(4):739.CrossRefPubMedPubMedCentral Gu Y, Liu W, Liu G, Li X, Lu P. Assessing the protective effects of cryptotanshinone on CoCl(2)-induced hypoxia in RPE cells. Mol Med Rep. 2021;24(4):739.CrossRefPubMedPubMedCentral
32.
go back to reference Ou C, Xie W, Jiang P, et al. Lycium barbarum L. and Salvia miltiorrhiza Bunge protect retinal pigment epithelial cells through endoplasmic reticulum stress. J Ethnopharmacol. 2022;296:115519.CrossRef Ou C, Xie W, Jiang P, et al. Lycium barbarum L. and Salvia miltiorrhiza Bunge protect retinal pigment epithelial cells through endoplasmic reticulum stress. J Ethnopharmacol. 2022;296:115519.CrossRef
33.
go back to reference Neelam K, Dey S, Sim R, Lee J, Au Eong KG. Fructus lycii: a natural dietary supplement for amelioration of retinal diseases. Nutrients. 2021;13(1):246.CrossRefPubMedPubMedCentral Neelam K, Dey S, Sim R, Lee J, Au Eong KG. Fructus lycii: a natural dietary supplement for amelioration of retinal diseases. Nutrients. 2021;13(1):246.CrossRefPubMedPubMedCentral
34.
go back to reference Zhang F, Zhang X, Gu Y, et al. Hepatoprotection of Lycii Fructus Polysaccharide against Oxidative Stress in Hepatocytes and Larval Zebrafish. Oxid Med Cell Longev. 2021;2021:3923625.PubMedPubMedCentral Zhang F, Zhang X, Gu Y, et al. Hepatoprotection of Lycii Fructus Polysaccharide against Oxidative Stress in Hepatocytes and Larval Zebrafish. Oxid Med Cell Longev. 2021;2021:3923625.PubMedPubMedCentral
35.
go back to reference Chen X, Zuo J, Hu T, et al. Exploration of the effect and mechanism of fructus lycii, rehmanniae radix praeparata, and paeonia lactiflora in the treatment of AMD based on network pharmacology and in vitro experimental verification. Drug Des Devel Ther. 2021;15:2831–42.CrossRefPubMedPubMedCentral Chen X, Zuo J, Hu T, et al. Exploration of the effect and mechanism of fructus lycii, rehmanniae radix praeparata, and paeonia lactiflora in the treatment of AMD based on network pharmacology and in vitro experimental verification. Drug Des Devel Ther. 2021;15:2831–42.CrossRefPubMedPubMedCentral
36.
38.
go back to reference Sul OJ, Ra SW. Quercetin prevents LPS-induced oxidative stress and inflammation by modulating NOX2/ROS/NF-kB in lung epithelial cells. Molecules. 2021;26(22):6949.CrossRefPubMedPubMedCentral Sul OJ, Ra SW. Quercetin prevents LPS-induced oxidative stress and inflammation by modulating NOX2/ROS/NF-kB in lung epithelial cells. Molecules. 2021;26(22):6949.CrossRefPubMedPubMedCentral
39.
go back to reference Wang Y, Quan F, Cao Q, et al. Quercetin alleviates acute kidney injury by inhibiting ferroptosis. J Adv Res. 2021;28:231–43.CrossRefPubMed Wang Y, Quan F, Cao Q, et al. Quercetin alleviates acute kidney injury by inhibiting ferroptosis. J Adv Res. 2021;28:231–43.CrossRefPubMed
40.
go back to reference Wang ZX, Ma J, Li XY, et al. Quercetin induces p53-independent cancer cell death through lysosome activation by the transcription factor EB and Reactive Oxygen Species-dependent ferroptosis. Br J Pharmacol. 2021;178(5):1133–48.CrossRefPubMed Wang ZX, Ma J, Li XY, et al. Quercetin induces p53-independent cancer cell death through lysosome activation by the transcription factor EB and Reactive Oxygen Species-dependent ferroptosis. Br J Pharmacol. 2021;178(5):1133–48.CrossRefPubMed
41.
go back to reference Cui Z, Zhao X, Amevor FK, et al. Therapeutic application of quercetin in aging-related diseases: SIRT1 as a potential mechanism. Front Immunol. 2022;13:943321.CrossRefPubMedPubMedCentral Cui Z, Zhao X, Amevor FK, et al. Therapeutic application of quercetin in aging-related diseases: SIRT1 as a potential mechanism. Front Immunol. 2022;13:943321.CrossRefPubMedPubMedCentral
42.
go back to reference Kook D, Wolf AH, Yu AL, et al. The protective effect of quercetin against oxidative stress in the human RPE in vitro. Invest Ophthalmol Vis Sci. 2008;49(4):1712–20.CrossRefPubMed Kook D, Wolf AH, Yu AL, et al. The protective effect of quercetin against oxidative stress in the human RPE in vitro. Invest Ophthalmol Vis Sci. 2008;49(4):1712–20.CrossRefPubMed
43.
go back to reference Shao Y, Yu H, Yang Y, Li M, Hang L, Xu X. A solid dispersion of quercetin shows enhanced Nrf2 activation and protective effects against oxidative injury in a mouse model of dry age-related macular degeneration. Oxid Med Cell Longev. 2019;2019:1479571.CrossRefPubMedPubMedCentral Shao Y, Yu H, Yang Y, Li M, Hang L, Xu X. A solid dispersion of quercetin shows enhanced Nrf2 activation and protective effects against oxidative injury in a mouse model of dry age-related macular degeneration. Oxid Med Cell Longev. 2019;2019:1479571.CrossRefPubMedPubMedCentral
45.
go back to reference He L, Liu YY, Wang K, et al. Tanshinone IIA protects human coronary artery endothelial cells from ferroptosis by activating the NRF2 pathway. Biochem Biophys Res Commun. 2021;575:1–7.CrossRefPubMed He L, Liu YY, Wang K, et al. Tanshinone IIA protects human coronary artery endothelial cells from ferroptosis by activating the NRF2 pathway. Biochem Biophys Res Commun. 2021;575:1–7.CrossRefPubMed
46.
go back to reference Alzhrani RM, Alhadidi Q, Bachu RD, Shah Z, Dey S, Boddu SH. Tanshinone IIA inhibits VEGF secretion and HIF-1α expression in cultured human retinal pigment epithelial cells under hypoxia. Curr Eye Res. 2017;42(12):1667–73.CrossRefPubMed Alzhrani RM, Alhadidi Q, Bachu RD, Shah Z, Dey S, Boddu SH. Tanshinone IIA inhibits VEGF secretion and HIF-1α expression in cultured human retinal pigment epithelial cells under hypoxia. Curr Eye Res. 2017;42(12):1667–73.CrossRefPubMed
47.
go back to reference Han D, Wu X, Liu L, Shu W, Huang Z. Sodium tanshinone IIA sulfonate protects ARPE-19 cells against oxidative stress by inhibiting autophagy and apoptosis. Sci Rep. 2018;8(1):15137.CrossRefPubMedPubMedCentral Han D, Wu X, Liu L, Shu W, Huang Z. Sodium tanshinone IIA sulfonate protects ARPE-19 cells against oxidative stress by inhibiting autophagy and apoptosis. Sci Rep. 2018;8(1):15137.CrossRefPubMedPubMedCentral
48.
go back to reference Aziz N, Kim MY, Cho JY. Anti-inflammatory effects of luteolin: a review of in vitro, in vivo, and in silico studies. J Ethnopharmacol. 2018;225:342–58.CrossRefPubMed Aziz N, Kim MY, Cho JY. Anti-inflammatory effects of luteolin: a review of in vitro, in vivo, and in silico studies. J Ethnopharmacol. 2018;225:342–58.CrossRefPubMed
49.
go back to reference Huang WC, Liou CJ, Shen SC, Hu S, Hsiao CY, Wu SJ. Luteolin attenuates IL-1β-Induced THP-1 adhesion to ARPE-19 cells via suppression of NF-κB and MAPK pathways. Mediators Inflamm. 2020;2020:9421340.CrossRefPubMedPubMedCentral Huang WC, Liou CJ, Shen SC, Hu S, Hsiao CY, Wu SJ. Luteolin attenuates IL-1β-Induced THP-1 adhesion to ARPE-19 cells via suppression of NF-κB and MAPK pathways. Mediators Inflamm. 2020;2020:9421340.CrossRefPubMedPubMedCentral
50.
go back to reference Chen L, Zhu Y, Zhou J, et al. Luteolin alleviates epithelial-mesenchymal transformation induced by oxidative injury in ARPE-19 Cell via Nrf2 and AKT/GSK-3β pathway. Oxid Med Cell Longev. 2022;2022:2265725.PubMedPubMedCentral Chen L, Zhu Y, Zhou J, et al. Luteolin alleviates epithelial-mesenchymal transformation induced by oxidative injury in ARPE-19 Cell via Nrf2 and AKT/GSK-3β pathway. Oxid Med Cell Longev. 2022;2022:2265725.PubMedPubMedCentral
51.
go back to reference Liu H, Zhan X, Xu G, et al. Cryptotanshinone specifically suppresses NLRP3 inflammasome activation and protects against inflammasome-mediated diseases. Pharmacol Res. 2021;164:105384.CrossRefPubMed Liu H, Zhan X, Xu G, et al. Cryptotanshinone specifically suppresses NLRP3 inflammasome activation and protects against inflammasome-mediated diseases. Pharmacol Res. 2021;164:105384.CrossRefPubMed
52.
go back to reference Lee JW, Bae SH, Jeong JW, Kim SH, Kim KW. Hypoxia-inducible factor (HIF-1)alpha: its protein stability and biological functions. Exp Mol Med. 2004;36(1):1–12.CrossRefPubMed Lee JW, Bae SH, Jeong JW, Kim SH, Kim KW. Hypoxia-inducible factor (HIF-1)alpha: its protein stability and biological functions. Exp Mol Med. 2004;36(1):1–12.CrossRefPubMed
53.
go back to reference Feng X, Wang S, Sun Z, et al. Ferroptosis enhanced diabetic renal tubular injury via HIF-1α/HO-1 pathway in db/db mice. Front Endocrinol (Lausanne). 2021;12:626390.CrossRefPubMed Feng X, Wang S, Sun Z, et al. Ferroptosis enhanced diabetic renal tubular injury via HIF-1α/HO-1 pathway in db/db mice. Front Endocrinol (Lausanne). 2021;12:626390.CrossRefPubMed
54.
go back to reference Ananth S, Babu E, Veeranan-Karmegam R, Bozard Baldowski BR, Boettger T, Martin PM. Induction of the cystine/glutamate exchanger SLC7A11 in retinal pigment epithelial cells by the antipsoriatic drug monomethylfumarate. Invest Ophthalmol Vis Sci. 2013;54(3):1592–602.CrossRefPubMed Ananth S, Babu E, Veeranan-Karmegam R, Bozard Baldowski BR, Boettger T, Martin PM. Induction of the cystine/glutamate exchanger SLC7A11 in retinal pigment epithelial cells by the antipsoriatic drug monomethylfumarate. Invest Ophthalmol Vis Sci. 2013;54(3):1592–602.CrossRefPubMed
55.
go back to reference Kurihara T, Kubota Y, Ozawa Y, et al. von Hippel-Lindau protein regulates transition from the fetal to the adult circulatory system in retina. Development. 2010;137(9):1563–71.CrossRefPubMed Kurihara T, Kubota Y, Ozawa Y, et al. von Hippel-Lindau protein regulates transition from the fetal to the adult circulatory system in retina. Development. 2010;137(9):1563–71.CrossRefPubMed
56.
go back to reference Metelitsina TI, Grunwald JE, DuPont JC, Ying GS, Brucker AJ, Dunaief JL. Foveolar choroidal circulation and choroidal neovascularization in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2008;49(1):358–63.CrossRefPubMed Metelitsina TI, Grunwald JE, DuPont JC, Ying GS, Brucker AJ, Dunaief JL. Foveolar choroidal circulation and choroidal neovascularization in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2008;49(1):358–63.CrossRefPubMed
57.
58.
go back to reference Shimada H, Kawamura A, Mori R, Yuzawa M. Clinicopathological findings of retinal angiomatous proliferation. Graefes Arch Clin Exp Ophthalmol. 2007;245(2):295–300.CrossRefPubMed Shimada H, Kawamura A, Mori R, Yuzawa M. Clinicopathological findings of retinal angiomatous proliferation. Graefes Arch Clin Exp Ophthalmol. 2007;245(2):295–300.CrossRefPubMed
60.
go back to reference Chen Q, Tang L, Zhang Y, et al. STING up-regulates VEGF expression in oxidative stress-induced senescence of retinal pigment epithelium via NF-κB/HIF-1α pathway. Life Sci. 2022;293:120089.CrossRefPubMed Chen Q, Tang L, Zhang Y, et al. STING up-regulates VEGF expression in oxidative stress-induced senescence of retinal pigment epithelium via NF-κB/HIF-1α pathway. Life Sci. 2022;293:120089.CrossRefPubMed
61.
go back to reference Chang WT, Bow YD, Fu PJ, et al. A marine terpenoid, heteronemin, induces both the apoptosis and ferroptosis of hepatocellular carcinoma cells and involves the ROS and MAPK pathways. Oxid Med Cell Longev. 2021;2021:7689045.CrossRefPubMedPubMedCentral Chang WT, Bow YD, Fu PJ, et al. A marine terpenoid, heteronemin, induces both the apoptosis and ferroptosis of hepatocellular carcinoma cells and involves the ROS and MAPK pathways. Oxid Med Cell Longev. 2021;2021:7689045.CrossRefPubMedPubMedCentral
62.
go back to reference Luo X, Gu S, Zhang Y, Zhang J. Kinsenoside ameliorates oxidative stress-induced RPE cell apoptosis and Inhibits angiogenesis via Erk/p38/NF-κB/VEGF signaling. Front Pharmacol. 2018;9:240.CrossRefPubMedPubMedCentral Luo X, Gu S, Zhang Y, Zhang J. Kinsenoside ameliorates oxidative stress-induced RPE cell apoptosis and Inhibits angiogenesis via Erk/p38/NF-κB/VEGF signaling. Front Pharmacol. 2018;9:240.CrossRefPubMedPubMedCentral
Metadata
Title
Integrated network pharmacology and experimental validation to explore the potential pharmacological mechanism of Qihuang Granule and its main ingredients in regulating ferroptosis in AMD
Authors
Lu Wang
Canyang Zhang
Long Pang
Yan Wang
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2023
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-023-04205-3

Other articles of this Issue 1/2023

BMC Complementary Medicine and Therapies 1/2023 Go to the issue