key: cord-0070634-f9m7v2il authors: Wang, Kexin; Li, Kai; Chen, Yupeng; Wei, Genxia; Yu, Hailang; Li, Yi; Meng, Wei; Wang, Handuo; Gao, Li; Lu, Aiping; Peng, Junxiang; Guan, Daogang title: Computational Network Pharmacology–Based Strategy to Capture Key Functional Components and Decode the Mechanism of Chai-Hu-Shu-Gan-San in Treating Depression date: 2021-11-12 journal: Front Pharmacol DOI: 10.3389/fphar.2021.782060 sha: 6cd3ca84446632dc3ca729bf1e52143e1444b1f5 doc_id: 70634 cord_uid: f9m7v2il Traditional Chinese medicine (TCM) usually plays therapeutic roles on complex diseases in the form of formulas. However, the multicomponent and multitarget characteristics of formulas bring great challenges to the mechanism analysis and secondary development of TCM in treating complex diseases. Modern bioinformatics provides a new opportunity for the optimization of TCM formulas. In this report, a new bioinformatics analysis of a computational network pharmacology model was designed, which takes Chai-Hu-Shu-Gan-San (CHSGS) treatment of depression as the case. In this model, effective intervention space was constructed to depict the core network of the intervention effect transferred from component targets to pathogenic genes based on a novel node importance calculation method. The intervention-response proteins were selected from the effective intervention space, and the core group of functional components (CGFC) was selected based on these intervention-response proteins. Results show that the enriched pathways and GO terms of intervention-response proteins in effective intervention space could cover 95.3 and 95.7% of the common pathways and GO terms that respond to the major functional therapeutic effects. Additionally, 71 components from 1,012 components were predicted as CGFC, the targets of CGFC enriched in 174 pathways which cover the 86.19% enriched pathways of pathogenic genes. Based on the CGFC, two major mechanism chains were inferred and validated. Finally, the core components in CGFC were evaluated by in vitro experiments. These results indicate that the proposed model with good accuracy in screening the CGFC and inferring potential mechanisms in the formula of TCM, which provides reference for the optimization and mechanism analysis of the formula in TCM. Depression belongs to the mental health disorder, which is an emotional disorder that causes persistent sadness and loss of interest, and is the leading cause of worldwide disability (Malhi and Mann, 2018) . Previous reports have estimated that one in six people will develop the disorder during their lifetime (Kessler et al., 2005) . Many studies show that depression may be associated with genetic, environmental, psychological factors, and environmental factors (Virtanen et al., 2019) . Currently, western medicine mainly adopts selective serotonin reuptake inhibitor (SSRI) (Bondar et al., 2020) , serotonin norepinephrine reuptake inhibitor (SNRI) (Bondar et al., 2020) , norepinephrine, noradrenergic and specific serotonergic antidepressants (NaSSA), tricyclic antidepressants, and monoamine oxidase inhibitor (MAOI) for treating depression (Delgado and Moreno, 2000; Narasingam et al., 2017) . However, western medicine, as the mainstream drug for treating depression, has a single mechanism of action, which leads to certain side effects and drug resistance. Traditional Chinese medicine (TCM), as a new antidepressant, can make up for the deficiency of western medicine because of its multicomponent, multitarget, and multi-mechanism pharmacological mechanism, with relatively small side effects and can be used for a long time Zong et al., 2019; Ren et al., 2021) . Chai-Hu-Shu-Gan-San (CHSGS) is comprised of seven botanical drugs and were extracted with water solution: Bupleurum scorzonerifolium Willd. (Bupleuri Radix, Chaihu) (6 g), Citrus reticulata Blanco (Pericarpium Citri Tangerinae, Chenpi) (6 g), Ligusticum striatum DC. (Rhizoma Ligustici Chuanxiong, Chuanxiong) (4.5 g), Cyperus rotundus L. (Rhizoma Cyperi, Xiangfu) (4.5 g), Citrus × aurantium L. (Fructus Aurantii, Zhiqiao) (4.5 g), Paeonia lactiflora Pall. (Radix Paeoniae, Shaoyao) (4.5 g), and Glycyrrhiza uralensis Fisch. ex DC. (Glycyrrhrizae Radix, Gancao) (1.5 g). CHSGS has been widely applied in treating depression and has achieved remarkable results (Meng et al., 2018; Wang et al., 2019a; Huang et al., 2019) . Previous pharmacological studies have indicated that CHSGS treatment markedly prevented the ethological changes in the chronic variable stress (CVS)-induced depression rat model, including the open-field test, body weight changes, and sucrose preference test (Su et al., 2011) . It has been found that CHSGS treatment can alleviate depression behavior by improving sugar water consumption and the ERK1/2 mRNA expression in the hippocampus of chronic unpredictable mild stress (CUMS) depression model rats (Wang et al., 2011) . In addition, the pharmacological experimental study has found that orally administered CHSGS to depression mice models had higher SOD and catalase CAT activities, lower malondialdehyde MDA values, and higher glutathione GSH levels compared with those of the mice in the model group, suggesting that antioxidant activity of CHSGS should make contributions to its antidepression effect (Li et al., 2010) . These experimental pharmacology results showed that CHSGS had evident beneficial effects in treating depression. TCM usually plays therapeutic roles in the form of formulas in treating complex diseases. The formula has a multicomponent and multitarget mode of action during the therapy process, and these components and targets constitute the all-to-all effect network of TCM formulas in treating diseases. In the treatment procedure, some components in the effect network have auxiliary function, while others have major therapeutic actions, which were defined as the core group of functional components (CGFC) . It refers to the components with suitable pharmacological features and closely associated with the effectual response to diseases. Detecting the CGFC that takes fundamental function in treating complex diseases is a big challenge due to the incomplete comprehending of the complex mechanism of multicomponents and multitargets in TCM. Optimizing formulas and obtaining CGFC are the key steps to reduce components with side effects or without activity and analyze the treatment mechanism of Chinese botanical drug formulas. Several network pharmacology-based formula optimization models have been proposed. However, these models mainly focus on the analysis of the component-target network and ignore the construction of the effect propagation space which links the drug targets to the pathogenic genes (Lee et al., 2018; Wang et al., 2018; Li et al., 2019) . Studies showed that the components of Chinese medicine could play pharmacological roles through protein-protein interactions (PPI), which means the therapeutic effect of components in TCM can be transmitted through the PPI network (Chen and Cui, 2017; Gan et al., 2018; Guo et al., 2019b) . Thus, it is reasonable to design a strategy to capture the CGFC based on component analysis, target prediction, and effect propagation space construction. Currently, a new system pharmacology strategy was developed to capture the CGFC and clarify the molecular mechanisms of CHSGS in treating depression. The potential pathogenic genes of depression were extracted by analyzing the literature reports and published databases. All components of CHSGS were obtained from the database and literature and were further screened to obtain the potential active components. Three prediction tools were utilized to predict the targets of these active components. And then, the potential pathogenic genes and active component-target networks were utilized to establish effective intervention space to identify the intervention-response proteins. The intervention-response proteins selected from the effective intervention space were utilized to screen the CGFC by using the cumulative contribution coefficient (CCC) module. The CGFC was utilized to speculate the mechanisms of CHSGS in the therapy of depression. Genes related to depression reported in DisGeNET (Pinero et al., 2017) , GeneCards (Safran et al., 2010) , and OMIM (Amberger et al., 2015) databases were extracted, and the number of published reports was recorded as the number of evidence, which was used to indicate the correlation between a gene and depression. The comprehensive PPI data were downloaded and integrated from Dip (Salwinski et al., 2004) , HPRD (Keshava Prasad et al., 2009) , Intact (Kerrien et al., 2012) , Mint (Licata et al., 2012) , BioGRID (Oughtred et al., 2019) , and STRING (Szklarczyk et al., 2019) , which were used for mapping the pathogenic genes and targets of active components. Nine ADME models, including Lipinski's rules of five Daina et al., 2017 , oral bioavailability (OB (%F)), GI absorption Daina and Zoete, 2016, human Ether-à-go-go-Related Gene (hERG) inhibition, and carcinogenicity evaluation of components were utilized to select the active components from CHSGS. The Lipinski's rules specifically includes molecular weight <500 Da, number of donor hydrogen bonds <5, number of acceptor hydrogen bonds <10, −2