基于网络药理学探讨荷叶治疗肥胖的 作用机制
Exploring the Mechanism of Lotus Leaf in Treating Obesity Based on Network Pharmacology
DOI: 10.12677/acm.2026.1651881, PDF,   
作者: 唐钦连:深圳市宝安区松岗人民医院塘下涌社区健康服务站,广东 深圳;杨胜男:深圳市宝安区松岗人民医院满京华社区健康服务站,广东 深圳
关键词: 荷叶肥胖网络药理学活性成分关键靶点Lotus Leaf Obesity Network Pharmacology Active Ingredients Key Targets
摘要: 目的:采用网络药理学探讨荷叶治疗肥胖的作用机制。方法:检索TCMSP数据库,获取荷叶中的活性成分及其靶点,通过UniProt数据库和查找相关文献规范靶点,在GeneCards、Disgenet数据库中检索肥胖(Obesity)相关基因,运用Venn图获得两者作用的交集靶点,将其导入String数据库,导出蛋白互作关系,使用CytoscapeV3.8.2进行可视化分析获取核心靶点并构建“药物–成分–靶点–疾病”网络。借助DAVID数据库对交集靶点基因进行基因本体(GO)功能注释及KEGG通路富集。结果:筛选出荷叶活性成分共15种,对应靶点206个,与肥胖交集靶点141个,关键靶点为AKT1、TNF、MAPK1、IL6等;共获得200条GO分析条目和80条KEGG信号通路,得到以上靶点主要参与了癌症通路、肿瘤坏死因子信号通路、乙型肝炎、癌症中的蛋白多糖、PI3K-Akt信号通路等相关通路的调控。结论:本研究初步分析了荷叶治疗肥胖的作用机制,为其在临床的应用提供了理论基础。
Abstract: Objective: To explore the mechanism of action of lotus leaf in the treatment of obesity by using network pharmacology. Methods: Search the TCMSP database to obtain the active ingredients and their targets in the lotus leaf, use the UniProt database and search for related literature standard targets, search for obesity-related genes in the GeneCards and Disgenet databases, and use the Venn diagram to obtain the intersection targets of effects of both, import them into the String database, export the protein interaction relationship, use CytoscapeV3.8.2 to perform visual analysis to obtain the core targets and construct the “drug-component-target-disease” network. With the help of DAVID database, the gene ontology (GO) function annotation and KEGG pathway enrichment of the intersection target genes are carried out. Results: A total of 15 active ingredients in lotus leaves were screened, corresponding to 206 targets, and 141 targets that intersect with obesity. The key targets are AKT1, TNF, MAPK1, IL6, etc.; a total of 200 GO analysis items and 80 KEGG signals were obtained. The above targets are mainly involved in the regulation of cancer pathways, tumor necrosis factor signaling pathways, hepatitis B, proteoglycans in cancer, PI3K-Akt signaling pathways and other related pathways. Conclusion: This study preliminarily analyzed the mechanism of lotus leaf in the treatment of obesity, and provided a theoretical basis for its clinical application.
文章引用:唐钦连, 杨胜男. 基于网络药理学探讨荷叶治疗肥胖的 作用机制[J]. 临床医学进展, 2026, 16(5): 846-856. https://doi.org/10.12677/acm.2026.1651881

参考文献

[1] World Health Organization (2024) Obesity and Overweight. WHO.
https://www.who.int/health-topics/obesity
[2] Caballero, B. (2007) The Global Epidemic of Obesity: An Overview. Epidemiologic Reviews, 29, 1-5. [Google Scholar] [CrossRef] [PubMed]
[3] Wolf, H., Tuomilehto, J., Kuulasmaa, K., Domarkiene, S., Cepaitis, Z., Molarius, A., et al. (1997) Blood Pressure Levels in the 41 Populations of the WHO MONICA Project. Journal of Human Hypertension, 11, 733-742. [Google Scholar] [CrossRef] [PubMed]
[4] Tu, D.Y., Li, J.R. and Wang, J.M. (2026) Obesity Trajectories Based on the European Association for the Study Diagnostic Framework and Their Associations with Cardiovascular Disease: Evidence from Two Longitudinal Cohorts. BMC Public Health. [Google Scholar] [CrossRef
[5] Maggio, C.A. and Pi-Sunyer, F.X. (1997) The Prevention and Treatment of Obesity: Application to Type 2 Diabetes. Diabetes Care, 20, 1744-1766. [Google Scholar] [CrossRef] [PubMed]
[6] Tang, X., Liebeskind, D. and Towfighi, A. (2017) The Role of Diabetes, Obesity, and Metabolic Syndrome in Stroke. Seminars in Neurology, 37, 267-273. [Google Scholar] [CrossRef] [PubMed]
[7] Kolb, R., Sutterwala, F.S. and Zhang, W. (2016) Obesity and Cancer: Inflammation Bridges the Two. Current Opinion in Pharmacology, 29, 77-89. [Google Scholar] [CrossRef] [PubMed]
[8] Rimm, A.A., Werner, L.H., Van Yserloo, B., et al. (1975) Relationship of Obesity and Disease in 73,532 Weight-Conscious Women. Public Health Reports, 90, 44-54.
[9] Demeulemeester, F., de Punder, K., van Heijningen, M. and van Doesburg, F. (2021) Obesity as a Risk Factor for Severe COVID-19 and Complications: A Review. Cells, 10, Article 933. [Google Scholar] [CrossRef] [PubMed]
[10] Prospective Studies Collaboration (2009) Body-Mass Index and Cause-Specific Mortality in 900 000 Adults: Collaborative Analyses of 57 Prospective Studies. The Lancet, 373, 1083-1096. [Google Scholar] [CrossRef] [PubMed]
[11] 李卉, 林莹宣, 倪青, 等. 单纯性肥胖中医综合诊疗思路与方法[J]. 实用中医内科杂志, 2019, 33(11): 105-108.
[12] 龚海洋, 张惠敏, 王睿林, 等. 古代医家对肥胖的认识[J]. 北京中医, 2004(6): 336-338.
[13] Ono, Y., Hattori, E., Fukaya, Y., Imai, S. and Ohizumi, Y. (2006) Anti-Obesity Effect of Nelumbo Nucifera Leaves Extract in Mice and Rats. Journal of Ethnopharmacology, 106, 238-244. [Google Scholar] [CrossRef] [PubMed]
[14] 杨胜富, 吴东波. 肥胖的流行病学、病理生理及治疗的研究进展[J]. 中国临床新医学, 2016, 9(4): 358-362.
[15] Mathieu, P., Lemieux, I. and Després, J. (2010) Obesity, Inflammation, and Cardiovascular Risk. Clinical Pharmacology & Therapeutics, 87, 407-416. [Google Scholar] [CrossRef] [PubMed]
[16] Gregor, M.F. and Hotamisligil, G.S. (2011) Inflammatory Mechanisms in Obesity. Annual Review of Immunology, 29, 415-445. [Google Scholar] [CrossRef] [PubMed]
[17] Lee, B. and Lee, J. (2014) Cellular and Molecular Players in Adipose Tissue Inflammation in the Development of Obesity-Induced Insulin Resistance. Biochimica et Biophysica Acta (BBA)—Molecular Basis of Disease, 1842, 446-462. [Google Scholar] [CrossRef] [PubMed]
[18] Jensen, M.D., Ryan, D.H., Apovian, C.M., Ard, J.D., Comuzzie, A.G., Donato, K.A., et al. (2014) 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation, 129, S102-S138. [Google Scholar] [CrossRef] [PubMed]
[19] Colquitt, J.L., Pickett, K., Loveman, E. and Frampton, G.K. (2014) Surgery for Weight Loss in Adults. Cochrane Database of Systematic Reviews, No. 8, CD003641. [Google Scholar] [CrossRef] [PubMed]
[20] Zeinali, M., Rezaee, S.A. and Hosseinzadeh, H. (2017) An Overview on Immunoregulatory and Anti-Inflammatory Properties of Chrysin and Flavonoids Substances. Biomedicine & Pharmacotherapy, 92, 998-1009. [Google Scholar] [CrossRef] [PubMed]
[21] 孙晨光. 论荷叶的减肥降脂作用[J]. 中医临床研究, 2014, 6(3): 100-102.
[22] 赵兴旺, 周慢, 朱宇溪, 等. 陈秋教授“以通为法”并巧配桑叶荷叶治疗肥胖经验[J]. 云南中医中药杂志, 2018, 39(5): 3-5.
[23] 张焱, 崔海善, 聂金娜, 等. 近10年人参荷叶防治气虚肥胖证的研究概述[J]. 吉林中医药, 2011, 31(12): 1229-1231.
[24] 孙卉, 滕浩, 杜密英, 等. 槲皮素降脂减肥机制研究进展[J]. 食品工业科技, 2019, 40(16): 349-353, 362.
[25] Zhao, Y., Chen, B., Shen, J., Wan, L., Zhu, Y., Yi, T., et al. (2017) The Beneficial Effects of Quercetin, Curcumin, and Resveratrol in Obesity. Oxidative Medicine and Cellular Longevity, 2017, Article ID: 1459497. [Google Scholar] [CrossRef] [PubMed]
[26] Chen, S., Jiang, H., Wu, X. and Fang, J. (2016) Therapeutic Effects of Quercetin on Inflammation, Obesity, and Type 2 Diabetes. Mediators of Inflammation, 2016, Article ID: 9340637. [Google Scholar] [CrossRef] [PubMed]
[27] Torres-Villarreal, D., Camacho, A., Castro, H., Ortiz-Lopez, R. and de la Garza, A.L. (2019) Anti-Obesity Effects of Kaempferol by Inhibiting Adipogenesis and Increasing Lipolysis in 3T3-L1 Cells. Journal of Physiology and Biochemistry, 75, 83-88. [Google Scholar] [CrossRef] [PubMed]
[28] Imran, M., Rauf, A., Shah, Z.A., Saeed, F., Imran, A., Arshad, M.U., et al. (2019) Chemo‐Preventive and Therapeutic Effect of the Dietary Flavonoid Kaempferol: A Comprehensive Review. Phytotherapy Research, 33, 263-275. [Google Scholar] [CrossRef] [PubMed]
[29] Gong, G., Guan, Y., Zhang, Z., Rahman, K., Wang, S., Zhou, S., et al. (2020) Isorhamnetin: A Review of Pharmacological Effects. Biomedicine & Pharmacotherapy, 128, Article ID: 110301. [Google Scholar] [CrossRef] [PubMed]
[30] Lee, J., Jung, E., Lee, J., Kim, S., Huh, S., Kim, Y., et al. (2009) Isorhamnetin Represses Adipogenesis in 3T3‐L1 Cells. Obesity, 17, 226-232. [Google Scholar] [CrossRef] [PubMed]
[31] Zhang, Y., Gu, M., Cai, W., Yu, L., Feng, L., Zhang, L., et al. (2016) Dietary Component Isorhamnetin Is a PPARγ Antagonist and Ameliorates Metabolic Disorders Induced by Diet or Leptin Deficiency. Scientific Reports, 6, Article No. 19288. [Google Scholar] [CrossRef] [PubMed]
[32] Ma, C., Li, G., He, Y., Xu, B., Mi, X., Wang, H., et al. (2015) Pronuciferine and Nuciferine Inhibit Lipogenesis in 3T3-L1 Adipocytes by Activating the AMPK Signaling Pathway. Life Sciences, 136, 120-125. [Google Scholar] [CrossRef] [PubMed]
[33] Wang, Y., Yao, W., Li, B., Qian, S., Wei, B., Gong, S., et al. (2020) Nuciferine Modulates the Gut Microbiota and Prevents Obesity in High-Fat Diet-Fed Rats. Experimental & Molecular Medicine, 52, 1959-1975. [Google Scholar] [CrossRef] [PubMed]
[34] Shearin, A.L., Monks, B.R., Seale, P. and Birnbaum, M.J. (2016) Lack of AKT in Adipocytes Causes Severe Lipodystrophy. Molecular Metabolism, 5, 472-479. [Google Scholar] [CrossRef] [PubMed]
[35] Jia, X., Chang, T., Wilson, T.W. and Wu, L. (2012) Methylglyoxal Mediates Adipocyte Proliferation by Increasing Phosphorylation of Akt1. PLOS ONE, 7, e36610. [Google Scholar] [CrossRef] [PubMed]
[36] Pamir, N., McMillen, T.S., Kaiyala, K.J., Schwartz, M.W. and LeBoeuf, R.C. (2009) Receptors for Tumor Necrosis Factor-Α Play a Protective Role against Obesity and Alter Adipose Tissue Macrophage Status. Endocrinology, 150, 4124-4134. [Google Scholar] [CrossRef] [PubMed]
[37] Hube, F. and Hauner, H. (1999) The Role of TNF-α in Human Adipose Tissue: Prevention of Weight Gain at the Expense of Insulin Resistance? Hormone and Metabolic Research, 31, 626-631.
[38] Lyngsø, D., Simonsen, L. and Bülow, J. (2002) Metabolic Effects of Interleukin‐6 in Human Splanchnic and Adipose Tissue. The Journal of Physiology, 543, 379-386. [Google Scholar] [CrossRef] [PubMed]
[39] Fatima, L.A., Campello, R.S., Barreto-Andrade, J.N., Passarelli, M., Santos, R.S., Clegg, D.J., et al. (2019) Estradiol Stimulates Adipogenesis and Slc2a4/GLUT4 Expression via Esr1-Mediated Activation of CEBPA. Molecular and Cellular Endocrinology, 498, Article ID: 110447. [Google Scholar] [CrossRef] [PubMed]
[40] 芦小单. 血管内皮生长因子参与脂肪组织分化和能量代谢的调节机制[D]: [博士学位论文]. 长春: 东北师范大学, 2012.
[41] Hopkins, B.D., Goncalves, M.D. and Cantley, L.C. (2016) Obesity and Cancer Mechanisms: Cancer Metabolism. Journal of Clinical Oncology, 34, 4277-4283. [Google Scholar] [CrossRef
[42] Fukumura, D., Incio, J., Shankaraiah, R.C. and Jain, R.K. (2016) Obesity and Cancer: An Angiogenic and Inflammatory Link. Microcirculation, 23, 191-206. [Google Scholar] [CrossRef] [PubMed]
[43] Huang, X., Liu, G., Guo, J. and Su, Z. (2018) The PI3K/AKT Pathway in Obesity and Type 2 Diabetes. International Journal of Biological Sciences, 14, 1483-1496. [Google Scholar] [CrossRef] [PubMed]
[44] Zhang, F., Chen, Y., Heiman, M. and DiMarchi, R. (2005) Leptin: Structure, Function and Biology. Vitamins & Hormones, 71, 345-372. [Google Scholar] [CrossRef] [PubMed]
[45] Jun, J.C., Devera, R., Unnikrishnan, D., Shin, M., Bevans-Fonti, S., Yao, Q., et al. (2017) Adipose HIF-1α Causes Obesity by Suppressing Brown Adipose Tissue Thermogenesis. Journal of Molecular Medicine, 95, 287-297. [Google Scholar] [CrossRef] [PubMed]
[46] Blüthgen, N. and Legewie, S. (2008) Systems Analysis of MAPK Signal Transduction. Essays in Biochemistry, 45, 95-107. [Google Scholar] [CrossRef] [PubMed]
[47] Ahn, J., Lee, H., Kim, S., Park, J. and Ha, T. (2008) The Anti-Obesity Effect of Quercetin Is Mediated by the AMPK and MAPK Signaling Pathways. Biochemical and Biophysical Research Communications, 373, 545-549. [Google Scholar] [CrossRef] [PubMed]