Article(id=1292126562741154427, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126460546929080, articleNumber=null, orderNo=null, doi=10.13699/j.cnki.1001-6821.2026.03.014, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1764172800000, receivedDateStr=2025-11-27, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1785996579107, onlineDateStr=2026-08-06, pubDate=1771257600000, pubDateStr=2026-02-17, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1785996579107, onlineIssueDateStr=2026-08-06, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1785996579107, creator=13701087609, updateTime=1785996579107, updator=13701087609, issue=Issue{id=1292126460546929080, tenantId=1146029695717560320, journalId=1246415772164075586, year='2026', volume='42', issue='3', pageStart='301', pageEnd='450', issueExtLink='null', onlineDate='null', pubDate='1771257600000', pubDateStr='2026-02-17', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1785996554742, creator='13701087609', updateTime=1786014541627, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1292201903060963536, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126460546929080, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1292201903060963537, tenantId=1146029695717560320, journalId=1246415772164075586, issueId=1292126460546929080, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=386, endPage=392, ext={EN=ArticleExt(id=1292126562929898108, articleId=1292126562741154427, tenantId=1146029695717560320, journalId=1246415772164075586, language=EN, title=Mechanism of xuesaitong injection (lyophilized) in the treatment of cerebral infarction based on network pharmacology and molecular docking, columnId=1246531412438966969, journalTitle=Chinese Journal of Clinical Pharmacology, columnName=Reader’s Field, runingTitle=null, highlight=null, articleAbstract=
Objective To analyze the role mechanism of xuesaitong injection (lyophilized) in the treatment of cerebral infarction by network pharmacology and molecular docking technology.
Methods The intersection targets of five important active ingredients (Ginsenoside Rg1, Ginsenoside Rb1, Ginsenoside Re, Notoginsenoside R1, Ginsenoside Rd) in xuesaitong injection (lyophilized) and acute cerebral infarction were screened by database, and the target action network was constructed. Gene ontology (GO) pathway analysis and Kyoto encyclopedia of genes and genomes (KEGG) pathway enrichment analysis were performed by using digital-audio-video internet devince (DAVID) database, and molecular docking verification was performed.
Results A total of 61 non-redundant targets were screened for Panax notoginseng saponins, and 5 737 non-redundant targets were identified for cerebral infarction. The intersection of three databases yielded 64 common targets. After intersecting the drug targets with the disease targets, two overlapping targets were obtained: protein kinase C beta (PRKCB) and tumor necrosis factor (TNF). Intersection with the non-redundant disease targets yielded 51 overlapping targets. Based on network topology parameters and the intersection target results, caspase-3 (CASP3), TNF, nuclear factor kappa B subunit 1 (NFKB1), matrix metalloproteinase-9 (MMP9), tumor protein p53 (TP53), and PRKCB were selected for subsequent molecular docking. The results of GO functional enrichment analysis showed that in terms of biological processes, the target genes were mainly involved in the positive regulation of gene expression, the negative regulation of apoptosis process, and the positive regulation of miRNA transcription. In terms of cell components, the target genes were mainly located in extracellular space, extracellular region, blood, axon and protein complex. In terms of molecular function, the target proteins mainly had the same protein binding, protease binding, Heat shock protein 90 (HSP90) protein binding and other functions, and the enrichment results were statistically significant (all P<0.05). The results of KEGG enrichment analysis revealed that the potential targets of xuesaitong injection (lyophilized) in the treatment of cerebral infarction were enriched in advanced glycation end products-receptor for advanced glycation end products (AGE-RAGE) signaling pathway, lipid and atherosclerosis, fluid shear stress and atherosclerosis, proteoglycans in cancer, MAPK signaling pathway, thyroid hormone signaling pathway, apoptosis pathway and other signaling pathways, and the enrichment results were statistically significant (P<0.05). The results of molecular docking displayed that the main active ingredients of xuesaitong injection (lyophilized) had good binding ability with the core target protein, among which Ginsenoside Rg1 had the lowest binding energy with TNF, and CASP3, PRKCB showed strong binding with various active ingredients.
Conclusion Xuesaitong injection (lyophilized) may play a multi-target comprehensive role in the treatment of cerebral infarction by regulating CASP3, TNF, NFKB1, MMP9, TP53, PRKCB and other key targets, acting on pathways such as apoptosis, inflammation and atherosclerosis.
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目的 用网络药理学及分子对接技术分析注射用析血塞通（冻干）治疗脑梗死的作用机制。
方法 通过数据库筛选注射用血塞通（冻干）中5种重要活性成分（人参皂苷Rg1、人参皂苷Rb1、人参皂苷Re、三七皂苷R1、人参皂苷Rd）与急性脑梗死的交集靶点，构建靶点作用网络。用数字音频互联网设备（DAVID）数据库进行基因本体通路（GO）分析及京都基因与基因组百科全书（KEGG）通路富集分析，并进行分子对接验证。
结果 三七总皂苷共筛选出非重复靶点61个，筛选出脑梗死非重复靶点5 737个，3个数据库的交集靶点共64个。药物作用靶点与疾病作用靶点取交集后获得交集靶点2个，分别为蛋白激酶Cβ（PRKCB）、肿瘤坏死因子（TNF），与疾病非重复靶点取交集后获得交集靶点51个；根据网络拓扑参数以及交集靶点结果，选取胱天蛋白酶3（CASP3）、TNF、核因子KappaB亚基1（NFKB1）、基质金属蛋白酶9（MMP9）、肿瘤蛋白p53（TP53）、PRKCB进行后续分子对接；GO功能富集分析显示，在生物过程方面，靶点基因主要参与基因表达的正向调控、细胞凋亡过程的负调控、miRNA转录的正向调控等条目，在细胞组分方面，靶点基因主要定位于细胞外空间、细胞外区域、血液为例、轴突和蛋白质复合物等区域，在分子功能方面，靶点蛋白主要具有相同蛋白结合、蛋白酶结合、热休克蛋白90（HSP90）蛋白结合等功能，富集结果在统计学上差异均具有统计学意义（均P<0.05）；KEGG富集分析显示，注射用血塞通（冻干）治疗脑梗死的潜在作用靶点富集于晚期糖基化终产物-晚期糖基化终产物受体（AGE-RAGE）信号通路、脂质与动脉粥样硬化、流体剪切应力与动脉粥样硬化、癌症中的蛋白聚糖、丝裂原活化蛋白激酶（MAPK）信号通路、甲状腺激素信号通路、细胞凋亡通路等信号通路中，富集结果在统计学上差异均具有统计学意义（均P<0.05）；分子对接显示，注射用血塞通（冻干）的主要活性成分与核心靶点蛋白的结合能力较好，其中人参皂苷Rg1与TNF的结合能最低，CASP3、PRKCB与多种活性成分均表现出较强的结合。
结论 注射用血塞通（冻干）可能通过调控CASP3、TNF、NFKB1、MMP9、TP53、PRKCB等关键靶点，作用于细胞凋亡、炎症及动脉粥样硬化等通路，从而发挥治疗脑梗死的多靶点综合作用。
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王一平（1985-），女，主管药师，主要从事药学方面的工作和研究
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