Network Pharmacology and Molecular Docking-Based Analysis on Bioactive Anticoronary Heart Disease Compounds in Trichosanthes kirilowii Maxim and Bulbus allii Macrostemi

Trichosanthes kirilowii Maxim. and Bulbus allii Macrostemi are the components of Gualou Xiebai decoction (GLXB), a commonly used herbal combination for the treatment of coronary heart disease (CHD) in traditional Chinese medicine. Although GLXB is associated with a good clinical effect, its active compounds and mechanism of action remain unclear, which limits its clinical application and the development of novel drugs. In this study, we explored key compounds, targets, and mechanisms of action for GLXB in the treatment of CHD using the network pharmacology approach. We identified 18 compounds and 21 action targets via database screening. Enrichment analysis indicated that the effects of GLXB in patients with CHD are primarily associated with the regulation of signalling pathways for tumour necrosis factor, nuclear factor-kappa B, hypoxia-inducible factor-1, arachidonic acid metabolism, and insulin resistance. GLXB thus exerts anti-inflammatory, antihypoxic, and antiagglutinating effects; regulates lipid metabolism; and combats insulin resistance in CHD via these pathways, respectively. After reverse targeting, we observed that the main active compounds of GLXB in the treatment of CHD were quercetin, naringenin, β-sitosterol, ethyl linolenate, ethyl linoleate, and prostaglandin B1. To explore the potential of these compounds in the treatment of CHD, we verified the affinity of the compounds and targets via molecular docking analysis. Our study provides a bridge for the transformation of natural herbs and molecular compounds into novel drug therapies for CHD.

First Report of Anthracnose Caused by Colletotrichum liaoningense on Trichosanthes kirilowii in China

Trichosanthes kirilowii Maxim (T. kirilowii) is widely grown in central China for its medicinal and edible value. In August 2020, an anthracnose-like disease was observed on fruit of T. kirilowii (cv. Wanlou9) in four fields (0.9 ha) located in Taihu county, Anhui Province of China. Approximately 60% of the T. kirilowii plants were affected in the fields. The symptoms initially consisted of small off-white necrotic spots, and later became larger, irregular gray necrotic lesions on green fruit, causing fruit rot and sometimes fruit drop. More than 10 symptomatic fruits were sampled, and small pieces of diseased tissue were surface sterilized in 0.1% HgCl2 for 2 min, 75% ethanol for 45 s, rinsed three times with sterile distilled water, then placed on potato dextrose agar (PDA) and incubated at 25℃in the dark. A fungus was consistently (80%) isolated from symptomatic fruit samples. Aerial mycelia were light gray, and radially black with white in reverse medium. Conidia were rarely produced on PDA, but prolific on water agar. The conidia were cylindrical to clavate, both ends rounded, had obvious circular granule in the center, and ranged from 14.6 to 19.9 μm × 5.4 to 7.3 μm. The morphological characteristics were similar to the descriptions of C. liaoningense by Diao et al. (2017). For molecular identification, representative isolates LG5-4 and LG9-6 were selected. Genomic DNA was extracted, and the internal transcribed spacer (ITS) region, actin (ACT), glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and β-tubulin (TUB2) genes were amplified by PCR (White et al. 1990; Duan et al. 2018), and sequenced bidirectionally. A BLAST search of GenBank revealed the ACT and TUB sequences had 95.83% (KP890097), 99.20%, 95.33% (KP890111) and 99.84%, respectively, to C. liaoningense CAUOS2. A phylogenetic analysis was conducted using MEGA7 based on concatenated sequences of the four genes, indicating that the isolates were closely clustered with reference strains of C. liaoningense (98% bootstrap value). The two strains were deposited in the China General Microbiological Culture Collection Center as CGMCC3.20344 and CGMCC3.20345, and their sequences deposited in GeneBank (Accession nos. MW082811-12, MW117926-31), respectively. Pathogenicity tests were conducted on healthy fruit of T. kirilowii (cv. Wanlou9) using the wound inoculation by pinpricking and droplet (106 conidia/mL) on fruit surface. The experiments were done with three fruit per isolate (LG5-4 and LG9-6), and replicated three times. The controls were inoculated with sterile water. The fruit were covered with plastic bags and kept in a chamber (>90% RH, 28 to 30°C) for 14 days. Typical symptoms of yellow-brown lesions appeared 14 days after inoculation. No symptoms were observed on the controls. The fungus was re-isolated from the diseased tissues and identified as C. liaoningense by sequencing of the four genes, confirming Koch’s postulates. C. liaoningense has been reported to cause anthracnose of mango and chili in China (Diao et al. 2017; Li et al. 2019). To our knowledge, this is the first report of C. liaoningense causing anthracnose on T. kirilowii. Due to cultivation of T. kirilowii in the region, further studies are required to develop management strategy of this disease.

Plastid Phylogenomic Data Offers Novel Insights Into the Taxonomic Status of the Trichosanthes kirilowii Complex (Cucurbitaceae) in South Korea

Trichosanthes is a genus in Cucurbitaceae comprising 90–100 species. Trichosanthes species are valuable as herbaceous medicinal ingredients. The fruits, seeds, and roots of species such as T. kirilowii and T. rosthornii are used in Korean traditional herbal medicines. T. rosthornii is only found in China, whereas in South Korea two varieties, T. kirilowii var. kirilowii and T. kirilowii var. japonica, are distributed. T. kirilowii var. kirilowii and T. kirilowii var. japonica have different fruit and leaf shapes but are recognized as belonging to the same species. Furthermore, although its members have herbal medicine applications, genomic information of the genus is still limited. The broad goals of this study were (i) to evaluate the taxonomy of Trichosanthes using plastid phylogenomic data and (ii) provide molecular markers specific for T. kirilowii var. kirilowii and T. kirilowii var. japonica, as these have differences in their pharmacological effectiveness and thus should not be confused and adulterated. Comparison of five Trichosanthes plastid genomes revealed locally divergent regions, mainly within intergenic spacer regions (trnT-UGU–trnL-UAA: marker name Tri, rrn4.5–rrn5: TRr, trnE-UUC–trnT-GGU: TRtt). Using these three markers as DNA-barcodes for important herbal medicine species in Trichosanthes, the identity of Trichosanthes material in commercial medicinal products in South Korea could be successfully determined. Phylogenetic analysis of the five Trichosanthes species revealed that the species are clustered within tribe Sicyoeae. T. kirilowii var. kirilowii and T. rosthornii formed a clade with T. kirilowii var. japonica as their sister group. As T. kirilowii in its current circumscription is paraphyletic and as the two varieties can be readily distinguished morphologically (e.g., in leaf shape), T. kirilowii var. japonica should be treated (again) as an independent species, T. japonica.

Effect of Chinese Herbal Medicine Therapy on Overall and Cancer Related Mortality in Patients With Advanced Nasopharyngeal Carcinoma in Taiwan

Nasopharyngeal carcinoma (NPC) is a head and neck cancer involving epithelial squamous-cell carcinoma of the nasopharynx that mainly occurs in individuals from East and Southeast Asia. We investigated whether Chinese herbal medicine (CHM) as a complementary therapy offers benefits to these patients. We retrospectively evaluated the Taiwan Cancer Registry (Long Form) database for patients with advanced NPC, using or not using CHM, between 2007–2013. Cox proportional-hazard model and Kaplan‒Meier survival analyses were applied for patient survival. CHM-users showed a lower overall and cancer-related mortality risk than non-users. For advanced NPC patients, the overall mortality risk was 0.799-fold for CHM-users, after controlling for age, gender, and Charlson comorbidity index (CCI) score (Cancer stages 3 + 4: adjusted hazard ratio [aHR]: 0.799, 95% confidence interval [CI]: 0.676–0.943, p = 0.008). CHM-users also showed a lower cancer-related mortality risk than non-users (aHR: 0.71, 95% CI: 0.53–0.96, p = 0.0273). Association rule analysis showed that CHM pairs were Ban-Zhi-Lian (BZL; Scutellaria barbata D.Don) and For single herbs, Bai-Hua-She-She-Cao (Herba Hedyotis Diffusae; Scleromitrion diffusum (Willd.) R.J.Wang (syn. Hedyotis diffusa Willd.) and Mai-Men-Dong (MMD; Ophiopogon japonicus (Thunb.) Ker Gawl.), and Gan-Lu-Yin (GLY) and BHSSC. Network analysis revealed that BHSSC was the core CHM, and BZL, GLY, and Xin-Yi-Qing-Fei-Tang (XYQFT) were important CHMs in cluster 1. In cluster 2, ShengDH, MMD, Xuan-Shen (XS; Scrophularia ningpoensis Hensl.), and Gua-Lou-Gen (GLG; Trichosanthes kirilowii Maxim.) were important CHMs. Thus, as a complementary therapy, CHM, and particularly the 8 CHMs identified, are important for the treatment of advanced NPC patients.