Abstract:
OBJECTIVE To investigate the anti-benign prostatic hyperplasia(BPH) effect of Huang’e capsule and its mechanism through the phosphatidylinositol 3-kinase(PI3K)/protein kinase B(AKT)/mTOR signalling pathway used network-based pharmacological approach.
METHODS Testosterone propionate-induced BPH was established as a rat model. The body weight, prostate wet weight, and prostate index of the rats were measured to evaluate the inhibitory effect of the capsule on BPH. HE staining test was performed to observe the glandular cavity of the rat prostate, and the thickness of the epithelium, glandular cavity area, and length of the papillae were detected in each group. ELISA was performed to examine the expression of prostate-specific antigens in the sera of rats, and TCMSP and TCMID databases were used to screen for the main chemical components and potential targets of the capsule. Integration of OMIM, GeneCards, and DisGeNET databases to obtain BPH-related targets, construction of protein interaction networks using Cytoscape 3.7.2, GO and KEGG pathway enrichment analysis using the Metascape database, validation of the mechanism of action of Huang’e capsule in anti-prostate hyperplasia KEGG screening by immunoblotting.
RESULTS The capsule reduced the wet weight and index of the prostate gland in BPH rats, and significantly improved the morphology of prostate tissue, which resulted in a reduction in the thickness of the epithelium of the prostate, a reduction in the number of papillae protrusions, an increase in the area of the gland lumen, and reduced the expression of prostate-specific antigens in BPH model rats. The 85 active ingredients of the Huang’e capsule were screened; 137 potentially effective targets were related to BPH, and the relevant targets were TP53, AKT1, ESR1, CASP3, JUN, MYC, TNF, and IL6.The active ingredients for the treatment of BPH were quercetin, kaempferol, luteolin and β-sitosterol, which yielded 2193 GO functions and 195 KEGG functions. The key signalling pathways of anti-BPH were mainly involved in the phosphatidylinositol 3-kinase, PI3K, protein kinase B, and AKT signalling pathways. The key anti-BPH signalling pathways are mainly related to the PI3K/AKT signalling pathway. The protein expression in prostate tissues was verified, it was found that Huang’e capsules could significantly reduce the expression of PI3K/AKT/mTOR signalling pathway-related proteins in prostate tissues.
CONCLUSION Huang’e capsule can improve BPH through PI3K/AKT/mTOR signalling pathway.