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Published in: Chinese Medicine 1/2018

Open Access 01-12-2018 | Research

A network pharmacology approach to explore the mechanisms of Erxian decoction in polycystic ovary syndrome

Authors: Lihong Liu, Bo Du, Haiying Zhang, Xiaofei Guo, Zheng Zhou, Aihui Xiu, Chang Liu, Shiyu Su, Hao Ai

Published in: Chinese Medicine | Issue 1/2018

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Abstract

Background

Polycystic ovary syndrome (PCOS) significantly affects women’s health and well-being. To explore the pharmacological basis of the Erxian decoction (EXD) action in PCOS therapy, a network interaction analysis was conducted at the molecular level.

Methods

The active elements of EXD were identified according to the oral bioavailability and drug-likeness filters from three databases: traditional Chinese medicine system pharmacology analysis platform, TCM@taiwan and TCMID, and their potential targets were also identified. Genes associated with PCOS and established protein–protein interaction networks were mined from the NCBI database. Finally, significant pathways and functions of these networks were identified using Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses to determine the mechanism of action of EXD.

Results

Seventy active compounds were obtained from 981 ingredients present in the EXD decoction, corresponding to 247 targets. In addition, 262 genes were found to be closely related with PCOS, of which 50 overlapped with EXD and were thus considered therapeutically relevant. Pathway enrichment analysis identified PI3k-Akt, insulin resistance, Toll-like receptor, MAPK and AGE-RAGE from a total of 15 significant pathways in PCOS and its treatment.

Conclusions

EXD can effectively improve the symptoms of PCOS and our systemic pharmacological analysis lays the experimental foundation for further clinical applications of EXD.
Literature
1.
go back to reference Azziz R, Carmina E, Chen Z, Dunaif A, Laven JS, Legro RS, Lizneva D, Natterson-Horowtiz B, Teede HJ, Yildiz BO. Polycystic ovary syndrome. Nat Rev Dis Primers. 2016;2:16057.CrossRefPubMed Azziz R, Carmina E, Chen Z, Dunaif A, Laven JS, Legro RS, Lizneva D, Natterson-Horowtiz B, Teede HJ, Yildiz BO. Polycystic ovary syndrome. Nat Rev Dis Primers. 2016;2:16057.CrossRefPubMed
3.
go back to reference Ouyang X. Drug treatment of clinical application development of polycystic ovary syndrome. J Mod Med Health Care. 2017;33(11):1667–9 (in Chinese). Ouyang X. Drug treatment of clinical application development of polycystic ovary syndrome. J Mod Med Health Care. 2017;33(11):1667–9 (in Chinese).
4.
go back to reference Wang F, Wang SB, Zhang ZH, Lin QQ, Liu YP, Xiao YJ, Xiao KJ, Wang Z. Defective insulin signaling and the protective effects of dimethyldiguanide during follicular development in the ovaries of polycystic ovary syndrome. Mol Med Rep. 2017;16(6):8164–70.CrossRefPubMedPubMedCentral Wang F, Wang SB, Zhang ZH, Lin QQ, Liu YP, Xiao YJ, Xiao KJ, Wang Z. Defective insulin signaling and the protective effects of dimethyldiguanide during follicular development in the ovaries of polycystic ovary syndrome. Mol Med Rep. 2017;16(6):8164–70.CrossRefPubMedPubMedCentral
5.
go back to reference Li TT, Mo H, Chen WF. Role of the PI3K-Akt signaling pathway in the pathogenesis of polycystic ovary syndrome. Reprod Sci. 2017;24(5):646–55.CrossRefPubMed Li TT, Mo H, Chen WF. Role of the PI3K-Akt signaling pathway in the pathogenesis of polycystic ovary syndrome. Reprod Sci. 2017;24(5):646–55.CrossRefPubMed
6.
go back to reference Li N, Wang XY, Wang XJ, Yu HN, Lin L, Sun CM, Liu P, Chu YL, Hou JQ. Upregulation of FoxO 1 signaling mediates the proinflammatory cytokine upregulation in the macrophage from polycystic ovary syndrome patients. Clin Lab. 2017;63(2):301–11.PubMed Li N, Wang XY, Wang XJ, Yu HN, Lin L, Sun CM, Liu P, Chu YL, Hou JQ. Upregulation of FoxO 1 signaling mediates the proinflammatory cytokine upregulation in the macrophage from polycystic ovary syndrome patients. Clin Lab. 2017;63(2):301–11.PubMed
7.
go back to reference Anzai A, Marcondes RR, Gonçalves TH, Carvalho KC, Simões MJ, Garcia N, Soares JM Jr, Padmanabhan V, Baracat EC, Silva IDCG, Maciel GAR. Impaired branched-chain amino acid metabolism may underlie the nonalcoholic fatty liver disease-like pathology of neonatal testosterone-treated female rats. Sci Rep. 2017;7(1):13167.CrossRefPubMedPubMedCentral Anzai A, Marcondes RR, Gonçalves TH, Carvalho KC, Simões MJ, Garcia N, Soares JM Jr, Padmanabhan V, Baracat EC, Silva IDCG, Maciel GAR. Impaired branched-chain amino acid metabolism may underlie the nonalcoholic fatty liver disease-like pathology of neonatal testosterone-treated female rats. Sci Rep. 2017;7(1):13167.CrossRefPubMedPubMedCentral
8.
go back to reference Sze SC, Cheung HP, Ng TB, Zhang ZJ, Wong KL, Wong HK, Hu YM, Yow CM, Tong Y. Effects of Erxian decoction, a Chinese medicinal formulation, on serum lipid profile in a rat model of menopause. Chin Med. 2011;6(1):40.CrossRefPubMedPubMedCentral Sze SC, Cheung HP, Ng TB, Zhang ZJ, Wong KL, Wong HK, Hu YM, Yow CM, Tong Y. Effects of Erxian decoction, a Chinese medicinal formulation, on serum lipid profile in a rat model of menopause. Chin Med. 2011;6(1):40.CrossRefPubMedPubMedCentral
9.
go back to reference Sze SC, Ip CW, Ng TB, Zhang KY, Zhang ZJ, Cheung HP, Cheng CL, Tong Y. Compatibility of multiple herbal components in Erxian Decoction, a Chinese medicinal formula, for treating osteoporosis. Eur J Integr Med. 2012;4(2):187–96.CrossRef Sze SC, Ip CW, Ng TB, Zhang KY, Zhang ZJ, Cheung HP, Cheng CL, Tong Y. Compatibility of multiple herbal components in Erxian Decoction, a Chinese medicinal formula, for treating osteoporosis. Eur J Integr Med. 2012;4(2):187–96.CrossRef
10.
go back to reference Wang FY, Xie C, Cheng WW, Han W, Lai DM. Establishment of mouse model of cyclophosphamide-induced ovarian failure. J Shanghai Jiaotong Univ. 2011;31(10):1398–402. Wang FY, Xie C, Cheng WW, Han W, Lai DM. Establishment of mouse model of cyclophosphamide-induced ovarian failure. J Shanghai Jiaotong Univ. 2011;31(10):1398–402.
11.
go back to reference Ai H, Zhang HY, Zhang YL, Xue XO. Effect of Er Xian decoction on ovary function after injury of cisplatin in mic. Tianjin J Tradit Chin Med. 2013;30(5):498–500 (in Chinese). Ai H, Zhang HY, Zhang YL, Xue XO. Effect of Er Xian decoction on ovary function after injury of cisplatin in mic. Tianjin J Tradit Chin Med. 2013;30(5):498–500 (in Chinese).
12.
go back to reference Mao XL, Bao WQ, Zhao PW, Niu JZ, Zhao FJ, Tao SY. Influence of Erxian Decoction on ovarian reserve of rats suffered from premature ovarian failure. Chin J Tradit Chin Med. 2017;32(2):771–3 (in Chinese). Mao XL, Bao WQ, Zhao PW, Niu JZ, Zhao FJ, Tao SY. Influence of Erxian Decoction on ovarian reserve of rats suffered from premature ovarian failure. Chin J Tradit Chin Med. 2017;32(2):771–3 (in Chinese).
14.
go back to reference Ru JL, Li P, Wang JN, Zhou W, Li BH, Huang C, Li PD, Guo ZH, Tao WY, Yang YF, Xu X, Li Y, Wang YH, Yang L. TCMSP: a database of systems pharmacology for drug discovery from herbal medicines. J Cheminform. 2014;6(1):13.CrossRefPubMedPubMedCentral Ru JL, Li P, Wang JN, Zhou W, Li BH, Huang C, Li PD, Guo ZH, Tao WY, Yang YF, Xu X, Li Y, Wang YH, Yang L. TCMSP: a database of systems pharmacology for drug discovery from herbal medicines. J Cheminform. 2014;6(1):13.CrossRefPubMedPubMedCentral
15.
go back to reference Li S, Zhang B, Jiang D, Wei Y, Zhang N. Herb network construction and co-module analysis for uncovering the combination rule of traditional Chinese herbal formulae. BMC Bioinform. 2010;11(S11):1–12. Li S, Zhang B, Jiang D, Wei Y, Zhang N. Herb network construction and co-module analysis for uncovering the combination rule of traditional Chinese herbal formulae. BMC Bioinform. 2010;11(S11):1–12.
16.
go back to reference Wang S, Tong Y, Ng TB, Lao L, Lam JK, Zhang KY, Zhang ZJ, et al. Network pharmacological identification of active compounds and potential actions of Erxian decoction in alleviating menopause-related symptoms. Chin Med. 2015;10:19.CrossRefPubMedPubMedCentral Wang S, Tong Y, Ng TB, Lao L, Lam JK, Zhang KY, Zhang ZJ, et al. Network pharmacological identification of active compounds and potential actions of Erxian decoction in alleviating menopause-related symptoms. Chin Med. 2015;10:19.CrossRefPubMedPubMedCentral
17.
go back to reference Wu L, Wang Y, Li Z, Zhang B, Cheng Y, Fan X. Identifying roles of “Jun-Chen-Zuo-Shi” component herbs of QiShenYiQi formula in treating acute myocardial ischemia by network pharmacology. Chin Med. 2014;9(1):24.CrossRefPubMedPubMedCentral Wu L, Wang Y, Li Z, Zhang B, Cheng Y, Fan X. Identifying roles of “Jun-Chen-Zuo-Shi” component herbs of QiShenYiQi formula in treating acute myocardial ischemia by network pharmacology. Chin Med. 2014;9(1):24.CrossRefPubMedPubMedCentral
18.
go back to reference Baertschi SW, Olsen BA, Alsante KM, Ree RA. Stress testing: relation to the development timeline. Boca Raton: CRC Press; 2011. Baertschi SW, Olsen BA, Alsante KM, Ree RA. Stress testing: relation to the development timeline. Boca Raton: CRC Press; 2011.
19.
go back to reference Fromm MF. P-glycoprotein: a defense mechanism limiting oral bioavailability and CNS accumulation of drugs. Int J Clin Pharmacol Ther. 2000;38:69–74.CrossRefPubMed Fromm MF. P-glycoprotein: a defense mechanism limiting oral bioavailability and CNS accumulation of drugs. Int J Clin Pharmacol Ther. 2000;38:69–74.CrossRefPubMed
20.
go back to reference Van Waterschoot RA, Lagas JS, Wagenaar E, Wagenaar E, van der Kruijssen CM, van Herwaarden AE, et al. Absence of both cytochrome P450 3A and P-glycoprotein dramatically increases docetaxel oral bioavailability and risk of intestinal toxicity. Cancer Res. 2009;69(23):8996–9002.CrossRefPubMed Van Waterschoot RA, Lagas JS, Wagenaar E, Wagenaar E, van der Kruijssen CM, van Herwaarden AE, et al. Absence of both cytochrome P450 3A and P-glycoprotein dramatically increases docetaxel oral bioavailability and risk of intestinal toxicity. Cancer Res. 2009;69(23):8996–9002.CrossRefPubMed
21.
go back to reference Xu X, Zhang W, Huang C, Li Y, Yu H, Wang Y, Duan J, Ling Y. A novel chemometric method for the prediction of human oral bioavailability. Int J Mol Sci. 2012;13(6):6964–82.CrossRefPubMedPubMedCentral Xu X, Zhang W, Huang C, Li Y, Yu H, Wang Y, Duan J, Ling Y. A novel chemometric method for the prediction of human oral bioavailability. Int J Mol Sci. 2012;13(6):6964–82.CrossRefPubMedPubMedCentral
22.
go back to reference Jadhav PB, Yadav AR, Gore MG. Concept of drug likeness in pharmaceutical research. Int J Pharm Biol Sci. 2015;6:142–54. Jadhav PB, Yadav AR, Gore MG. Concept of drug likeness in pharmaceutical research. Int J Pharm Biol Sci. 2015;6:142–54.
23.
24.
go back to reference Schenone M, Dančík V, Wagner BK, Clemons PA. Target identification and mechanism of action in chemical biology and drug discovery. Nat Chem Biol. 2013;9(4):232–40.CrossRefPubMedPubMedCentral Schenone M, Dančík V, Wagner BK, Clemons PA. Target identification and mechanism of action in chemical biology and drug discovery. Nat Chem Biol. 2013;9(4):232–40.CrossRefPubMedPubMedCentral
25.
go back to reference Yue SJ, Liu J, Feng WW, Zhang FL, Chen JX, Xin LT, Peng C, Guan HS, Wang CY, Yan D. System pharmacology-based dissection of the synergistic mechanism of Huangqi and Huanglian for diabetes mellitus. Front Pharmacol. 2017;8:694.CrossRefPubMedPubMedCentral Yue SJ, Liu J, Feng WW, Zhang FL, Chen JX, Xin LT, Peng C, Guan HS, Wang CY, Yan D. System pharmacology-based dissection of the synergistic mechanism of Huangqi and Huanglian for diabetes mellitus. Front Pharmacol. 2017;8:694.CrossRefPubMedPubMedCentral
26.
go back to reference Apweiler R, UniProt Consortium. UniProt: the universal protein knowledgebase. Nucleic Acids Res. 2018;35(Database issue):2699. Apweiler R, UniProt Consortium. UniProt: the universal protein knowledgebase. Nucleic Acids Res. 2018;35(Database issue):2699.
27.
go back to reference Svetnik V, Liaw A, Tong C, Culberson JC, Sheridan RP, Feuston BP. Random forest: a classification and regression tool for compound classification and QSAR modeling. J Chem Inf Comput Sci. 2003;43(6):1947–58.CrossRefPubMed Svetnik V, Liaw A, Tong C, Culberson JC, Sheridan RP, Feuston BP. Random forest: a classification and regression tool for compound classification and QSAR modeling. J Chem Inf Comput Sci. 2003;43(6):1947–58.CrossRefPubMed
28.
go back to reference Tong S, Koller D. Support vector machine active learning with applications to text classification. J Mach Learn Res. 2002;11(2):45–66. Tong S, Koller D. Support vector machine active learning with applications to text classification. J Mach Learn Res. 2002;11(2):45–66.
29.
go back to reference Li S, Zhang B. Traditional Chinese medicine network pharmacology: theory, methodology and application. Chin J Nat Med. 2013;11(2):110–20.CrossRefPubMed Li S, Zhang B. Traditional Chinese medicine network pharmacology: theory, methodology and application. Chin J Nat Med. 2013;11(2):110–20.CrossRefPubMed
30.
go back to reference Kuhn M, Szklarczyk D, Franceschini A, von Mering C, Jensen LJ, Bork P. STITCH 3: zooming in on protein–chemical interactions. Nucleic Acids Res. 2012;40(Database issue):876–80.CrossRef Kuhn M, Szklarczyk D, Franceschini A, von Mering C, Jensen LJ, Bork P. STITCH 3: zooming in on protein–chemical interactions. Nucleic Acids Res. 2012;40(Database issue):876–80.CrossRef
31.
go back to reference Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D, Amin N, Schwikowski B, Ideker T. Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome Res. 2003;13(11):2498–504.CrossRefPubMedPubMedCentral Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D, Amin N, Schwikowski B, Ideker T. Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome Res. 2003;13(11):2498–504.CrossRefPubMedPubMedCentral
32.
go back to reference Smoot ME, Ono K, Ruscheinski J, Wang PL, Ideker T. Cytoscape 2.8: new features for data integration and network visualization. Bioinformatics. 2011;27(3):431–2.CrossRefPubMed Smoot ME, Ono K, Ruscheinski J, Wang PL, Ideker T. Cytoscape 2.8: new features for data integration and network visualization. Bioinformatics. 2011;27(3):431–2.CrossRefPubMed
33.
go back to reference Maglott D, Ostell J, Pruitt KD, Tatusova T. Entrez Gene: gene-centered information at NCBI. Nucleic Acids Res. 2005;33(S1):54–8. Maglott D, Ostell J, Pruitt KD, Tatusova T. Entrez Gene: gene-centered information at NCBI. Nucleic Acids Res. 2005;33(S1):54–8.
34.
go back to reference Ashburner M, Ball CA, Blake JA, Botstein D, Butler H, Cherry JM, The Gene Ontology Consortium, et al. Gene ontology: tool for the unification of biology. Nat Genet. 2000;25:25–9.CrossRefPubMedPubMedCentral Ashburner M, Ball CA, Blake JA, Botstein D, Butler H, Cherry JM, The Gene Ontology Consortium, et al. Gene ontology: tool for the unification of biology. Nat Genet. 2000;25:25–9.CrossRefPubMedPubMedCentral
35.
go back to reference Ogata H, Goto S, Sato K, Fujibuchi W, Bono H, Kanehisa M. KEGG: Kyoto Encyclopedia of Genes and Genomes. Nucleic Acids Res. 1999;1(1):27–30. Ogata H, Goto S, Sato K, Fujibuchi W, Bono H, Kanehisa M. KEGG: Kyoto Encyclopedia of Genes and Genomes. Nucleic Acids Res. 1999;1(1):27–30.
36.
go back to reference Bindea G, Mlecnik B, Hackl H, Charoentong P, Tosolini M, Kirilovsky A, Fridman WH, Pagès F, Trajanoski Z, Galon J. ClueGO: a Cytoscape plug-into decipher functionally grouped gene ontology and pathway annotation networks. Bioinformatics. 2009;25(8):1091–3.CrossRefPubMedPubMedCentral Bindea G, Mlecnik B, Hackl H, Charoentong P, Tosolini M, Kirilovsky A, Fridman WH, Pagès F, Trajanoski Z, Galon J. ClueGO: a Cytoscape plug-into decipher functionally grouped gene ontology and pathway annotation networks. Bioinformatics. 2009;25(8):1091–3.CrossRefPubMedPubMedCentral
38.
go back to reference Roubalová L, Purchartová K, Papoušková B, Vacek J, Křen V, Ulrichová J, Vrba J. Sulfation modulates the cell uptake, antiradical activity and biological effects of flavonoids in vitro: an examination of quercetin, isoquercitrin and taxifolin. Bioorg Med Chem. 2015;23(17):5402–9.CrossRefPubMed Roubalová L, Purchartová K, Papoušková B, Vacek J, Křen V, Ulrichová J, Vrba J. Sulfation modulates the cell uptake, antiradical activity and biological effects of flavonoids in vitro: an examination of quercetin, isoquercitrin and taxifolin. Bioorg Med Chem. 2015;23(17):5402–9.CrossRefPubMed
39.
go back to reference Rezvan N, Moini A, Gorgani-Firuzjaee S, Hosseinzadeh-Attar MJ. Oral quercetin supplementation enhances adiponectin receptor transcript expression in polycystic ovary syndrome patients: a randomized placebo-controlled double-blind clinical trial. Cell J. 2018;19(4):627–33.PubMed Rezvan N, Moini A, Gorgani-Firuzjaee S, Hosseinzadeh-Attar MJ. Oral quercetin supplementation enhances adiponectin receptor transcript expression in polycystic ovary syndrome patients: a randomized placebo-controlled double-blind clinical trial. Cell J. 2018;19(4):627–33.PubMed
40.
go back to reference Wang ZZ, Zhai DX, Zhang DY, Bai LL, Yao RP, Yu J, et al. Quercetin decreases insulin resistance in a polycystic ovary syndrome rat model by improving inflammatory microenvironment. Reprod Sci. 2017;24(5):682–90.CrossRefPubMed Wang ZZ, Zhai DX, Zhang DY, Bai LL, Yao RP, Yu J, et al. Quercetin decreases insulin resistance in a polycystic ovary syndrome rat model by improving inflammatory microenvironment. Reprod Sci. 2017;24(5):682–90.CrossRefPubMed
41.
go back to reference Calderónmontaño JM, Burgosmorón E, Pérezguerrero C, López-Lázaro M. A review on the dietary flavonoid kaempferol. Mini Rev Med Chem. 2011;11(4):298–344.CrossRef Calderónmontaño JM, Burgosmorón E, Pérezguerrero C, López-Lázaro M. A review on the dietary flavonoid kaempferol. Mini Rev Med Chem. 2011;11(4):298–344.CrossRef
42.
go back to reference Suchal K, Malik S, Gamad N, Malhotra RK, Goyal SN, Chaudhary U, et al. Kaempferol attenuates myocardial ischemic injury via inhibition of mapk signaling pathway in experimental model of myocardial ischemia-reperfusion injury. Oxid Med Cell Longev. 2016;2016(9):1–10.CrossRef Suchal K, Malik S, Gamad N, Malhotra RK, Goyal SN, Chaudhary U, et al. Kaempferol attenuates myocardial ischemic injury via inhibition of mapk signaling pathway in experimental model of myocardial ischemia-reperfusion injury. Oxid Med Cell Longev. 2016;2016(9):1–10.CrossRef
43.
go back to reference Nekoonam S, Naji M, Nashtaei MS, Mortezaee K, Koruji M, Safdarian L, Amidi F. Expression of AKT1 along with AKT2 in granulosa-lutein cells of hyperandrogenic PCOS patients. Arch Gynecol Obstet. 2017;295(4):1041–50.CrossRefPubMed Nekoonam S, Naji M, Nashtaei MS, Mortezaee K, Koruji M, Safdarian L, Amidi F. Expression of AKT1 along with AKT2 in granulosa-lutein cells of hyperandrogenic PCOS patients. Arch Gynecol Obstet. 2017;295(4):1041–50.CrossRefPubMed
44.
go back to reference de Alencar JB, Alves HV, Elpidio LN, Visentainer JE, Sell AM. Polymorphisms of cytokine genes and polycystic ovary syndrome: a review. Metab Syndr Relat Disord. 2016;14(10):468–74.CrossRefPubMed de Alencar JB, Alves HV, Elpidio LN, Visentainer JE, Sell AM. Polymorphisms of cytokine genes and polycystic ovary syndrome: a review. Metab Syndr Relat Disord. 2016;14(10):468–74.CrossRefPubMed
45.
go back to reference Chiofalo B, Laganà AS, Palmara V, Granese R, Corrado G, Mancini E, Vitale SG, Ban Frangež H, Vrtačnik-Bokal E, Triolo O. Fasting as possible complementary approach for polycystic ovary syndrome: Hope or hype? Med Hypotheses. 2017;105:1–3.CrossRefPubMed Chiofalo B, Laganà AS, Palmara V, Granese R, Corrado G, Mancini E, Vitale SG, Ban Frangež H, Vrtačnik-Bokal E, Triolo O. Fasting as possible complementary approach for polycystic ovary syndrome: Hope or hype? Med Hypotheses. 2017;105:1–3.CrossRefPubMed
46.
go back to reference Zhang HY, Zhang YF, Han YK, Xue FX, Zhao XH, Zhang XL. Activation and significance of the PI3K/Akt pathway in endometrium with polycystic ovary syndrome patients. Zhonghua Fu Chan Ke Za Zhi. 2012;47(1):19–23.PubMed Zhang HY, Zhang YF, Han YK, Xue FX, Zhao XH, Zhang XL. Activation and significance of the PI3K/Akt pathway in endometrium with polycystic ovary syndrome patients. Zhonghua Fu Chan Ke Za Zhi. 2012;47(1):19–23.PubMed
47.
go back to reference Kelley CE, Brown AJ, Diehl AM, Setji TL. Review of nonalcoholic fatty liver disease in women with polycystic ovary syndrome. World J Gastroenterol. 2014;20(39):14172–84.CrossRefPubMedPubMedCentral Kelley CE, Brown AJ, Diehl AM, Setji TL. Review of nonalcoholic fatty liver disease in women with polycystic ovary syndrome. World J Gastroenterol. 2014;20(39):14172–84.CrossRefPubMedPubMedCentral
48.
go back to reference Makker A, Goel MM, Das V, Agarwal A. PI3K-Akt-mTOR and MAPK signaling pathways in polycystic ovarian syndrome, uterine leiomyomas and endometriosis: an update. Gynecol Endocrinol. 2012;28(3):175–81.CrossRefPubMed Makker A, Goel MM, Das V, Agarwal A. PI3K-Akt-mTOR and MAPK signaling pathways in polycystic ovarian syndrome, uterine leiomyomas and endometriosis: an update. Gynecol Endocrinol. 2012;28(3):175–81.CrossRefPubMed
Metadata
Title
A network pharmacology approach to explore the mechanisms of Erxian decoction in polycystic ovary syndrome
Authors
Lihong Liu
Bo Du
Haiying Zhang
Xiaofei Guo
Zheng Zhou
Aihui Xiu
Chang Liu
Shiyu Su
Hao Ai
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Chinese Medicine / Issue 1/2018
Electronic ISSN: 1749-8546
DOI
https://doi.org/10.1186/s13020-018-0201-1

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