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American Journal of Translational Research logoLink to American Journal of Translational Research
. 2019 Nov 15;11(11):6790–6811.

Unraveling the action mechanism of polygonum cuspidatum by a network pharmacology approach

Boyu Pan 1, Xiaona Shi 3, Tingting Ding 2, Liren Liu 1
PMCID: PMC6895524  PMID: 31814888

Abstract

As a popular Chinese herbal medicine (CHM), polygonum cuspidatum is widely used to treat various diseases in China. However, its biological function and action mechanism have yet to be systematically explored. In the present study, we first identified 14 potential active ingredients of polygonum cuspidatum using the TCMSP server and then conducted an in silico target prediction for these ingredients using PharmMapper. The subsequent KEGG pathway enrichment analysis of the 57 identified potential targets revealed that they were closely associated with cancer and gynecological disorders. Furthermore, a protein-protein interaction network of these targets was constructed using STRING and Cytoscape, through which 11 core targets were excavated according to degree, a key topological parameter. Meanwhile, we developed a novel formula, in which the “R value” is determined by average shortest path length and closeness centrality, two other key topological parameters, to evaluate the reliability of these predicted core targets. Intriguingly, among the top 10 core targets excavated using this new formula, 7 overlapped with the former 11 core targets, showing a good consistency in these core targets between the different prediction algorithms. Next, 7 ingredients were identified/validated from the crude extract of polygonum cuspidatum using UPLC-MS/MS. Noteworthy, 6 potential targets predicted for these 7 ingredients overlapped with the 7 core targets excavated from the previous in silico analyses. Further molecular docking and druggability analyses suggested that polydatin may play a pivotal role in manifesting the therapeutic effects of polygonum cuspidatum. Finally, we carried out a series of cell functional assays, which validated the anti-proliferative effects of polygonum cuspidatum on gynecological cancer cells, thus demonstrating our network pharmacology approach is reliable and powerful enough to guide the CHM mechanism study.

Keywords: Polygonum cuspidatum (Hu Zhang), Chinese herb medicine, network pharmacology, UPLC-MS/MS, polydatin

Introduction

From ancient times to the present, Chinese herbal medicine (CHM) has been applied to prevent and treat various diseases in China. Nowadays, owing to its distinct therapeutic effects, CHM has been attracting more and more attention worldwide [1-3]. Polygonum cuspidatum (Hu Zhang), widely distributed in southern China, is a popular CHM with a wide range of pharmacological and biological activities. To date, > 100 prescriptions containing this plant have been used to treat a large variety of diseases, such as infection, inflammation, skin burns and hyperlipemia [4,5]. However, current knowledge about the medicinal characteristics of polygonum cuspidatum is incomplete, and a deeper understanding of its system-level action mechanism is required.

Composed of multiple ingredients, CHM has holistic and synergistic effects on complicated diseases. However, the action mechanism study of CHM is hindered by the complicated interactions among its “multi-ingredients” and the affected “multi-targets”. Network pharmacology has been lately applied to CHM research and is considered to be a promising approach to overcoming the above obstacle. Based on the network of “drug-target-disease-pathway” interactions, network pharmacology can reveal the synergistic effects on human systems by complex CHM. Meanwhile, with the recent advances in computational methods, bioinformatics has been used for the target prediction for CHM, which has significantly promoted the mechanism study of CHM [6,7]. Thus, in conjunction with bioinformatics, network pharmacology is now a powerful tool for untangling the disease-disease, disease-target protein, target protein-drug and drug-drug interactions among multi-ingredient CHM and complicated diseases [8-11].

Herein, in order to unravel the action mechanism of polygonum cuspidatum, we first screened active ingredients in polygonum cuspidatum using the TCMSP server and a literature search, followed with ingredient-target prediction by reverse docking analysis. GO functional and KEGG pathway enrichment analyses of the potential protein targets were then performed and the following constructed drug-target-pathway network revealed a great diversity of biological functions of polygonum cuspidatum. Thus, by taking advantage of the recent advances in network pharmacology and bioinformatics, we provided an overview on the action mechanism of active ingredients in polygonum cuspidatum, achieving a comprehensive understanding of its holistic therapeutic effect on specific diseases.

Materials and methods

Cell culture and reagents

Human breast cancer MDA-MB-231 cells and ovarian cancer SKOV-3 cells were obtained from the China Infrastructure of Cell Line Resources (School of Basic Medicine Peking Union Medical College, China) and were maintained in RPMI-1640 medium supplemented with 10% (v/v) FBS and 100 U/ml streptomycin/penicillin in the humidified atmosphere of 5% CO2 at 37°C. RPMI-1640 medium were purchased from GIBCO (USA). Fetal bovine serum (FBS) was purchased from ThermoFisher (USA). Cell Counting Kit-8 (CCK-8) reagent was bought from Dojindo (Japan). Annexin-V FITC apoptosis detection kit (#556547) was purchased from BD Biosciences Pharmingen (USA). The standard of polygonum cuspidatum was obtained from China National Institutes for Food and Drug Control.

Screening of active ingredients and relative target prediction

The value of oral bioavailability (OB) was evaluated by the OBioavail 1.1 model in the TCMSP database (http://ibts.hkbu.edu.hk/LSPtcmsp.php). Meanwhile, drug-likeness (DL) was analyzed using a model from the TCMSP database, which was constructed on account of the molecular descriptors and Tanimoto coefficient [12,13]. The parameters for the selection of active ingredients were set as follows: OB ≥ 30% and DL ≥ 0.18. The Tripos mol2 type files of the selected active ingredients were searched using the TCMSP database. Next, the potential protein targets were predicted by importing each component file with mol2 format into the PharmMapper reverse docking database in May 2018. By normalized fit score, the top 10 high-matching targets for each of the active ingredients were selected and the overlapped ones were excluded. The selected targets were then searched in the Uniprot database to identify their human-related protein target codes.

GO and KEGG enrichment analysis, and systematic network construction

Functional enrichment of GO was performed using OmicShare tools, a free online platform for data analysis (http://www.omicshare.com/tools) [14]. Meanwhile, potential protein targets were uploaded to the DAVID Bioinformatics Resources 6.8 server (https://david.ncifcrf.gov/summary.jsp) for KEGG pathway enrichment analysis. In order to obtain a deeper understanding of the complex relationships among drug, protein targets and pathways, a systematic network was constructed using Cytoscape 3.2.1. In GO and KEGG analysis, P < 0.05 was defined as significantly enriched.

PPI network construction and excavation of core genes

All potential protein targets were uploaded to the STRING database (http://string-db.org/) to analyze their interactions. Comprehensive information on the interactions of these protein targets was downloaded from STRING, and the interactions with a combined score of > 0.4 were selected for the construction of the PPI network using Cytoscape 3.2.1. The core genes from the PPI network were excavated using Degree, a key topological parameter, with the cut-off criteria of DC scores of ≥ 10. Furthermore, the average shortest path length and closeness centrality, another two topological parameters, were calculated by NetworkAnalyzer [15]. R-value was used to determine the ranks of the targets of polygonum cuspidatum using the following formula:

graphic file with name ajtr0011-6790-f9.jpg

This formula used the idea of normalization, where xa was the average shortest path length, xb was the closeness centrality, and R was an indicator to evaluate the importance of a target.

Cellular functional assays

The cell viability was assessed by the CCK-8 assay, in which 10 μl of CCK-8 was added to each well, and the cells were incubated for an additional two hours before the absorbance value was measured at a wavelength of 450 nm using an automated microplate reader. Apoptosis detection and Western Blot assay were performed according to the manufacturer’s instructions.

Liquid chromatography, mass spectrometric conditions and sample extraction preparation

Liquid chromatographic separation and mass spectrometric detection were performed using Waters Quattro Premier XE/Acquity UPLC system coupled to a tandem quadrupole mass spectrometer (Waters Corporation, Milford, MA, USA). Lab solutions LCMS software (Masslynx V4.1) was used to control the instruments and process the data. This instrument was equipped with both ESI and APCI sources. Chromatographic separation was performed using an Agilent Eclipse PlusC18 column (100 × 4.6 mm, 3.5 µm) at a flow rate of 0.4 ml/min in ESI source. The isocratic mobile phase consisted of methanol and 0.01% formic acid with gradient elution; run times were from 0-20 min with 10-90% B, 20-22 min with 90% B, 22-25 min with 90-10% B and 25-30 min with 10% B. The mass spectrometer operating parameters were optimized as follows: Interface voltage, 3.2 kV; desolvation temperature, 450°C; source temperature, 120°C. Analyst software version Masslynx V4.1 was used to control all parameters of liquid chromatography and mass spectrometry (MS).

Total RNA extraction and quantitative real-time PCR

Total RNA from breast cancer and ovarian cancer cells were extracted using the TRIzol reagent. The total RNA was quantified using Nano-drop 1000 (Thermo Fisher Scientific, USA). Two microgram of the total RNA from each sample was used for cDNA synthesis with PrimeScript RT Master Mix reagent according to the manufacturer’s protocol. By using the specific primer pairs (Table 1) and SYBR GREEN Premix reagent, qRT-PCR was performed on the QuantStudio 5 real-time PCR system (Thermo Fisher Scientific, USA). Expression data were normalized to the geometric mean of the housekeeping GAPDH gene to control the variability in mRNA expression levels.

Table 1.

Primer sequences of mRNA structural components used in q-PCR

Components Position Sequence
EGFR Forward AGGCACGAGTAACAAGCTCAC
Reverse ATGAGGACATAACCAGCCACC
CASP3 Forward CATGGAAGCGAATCAATGGACT
Reverse CTGTACCAGACCGAGATGTCA
ALB Forward TCGGCTTATTCCAGGGGTGT
Reverse AAGGCAATCAACACCAAGGCT
MAPK14 Forward GCACTGAAGAAGCTGTCGAG
Reverse GAACGTGGTCATCGGTAAGC
F2 Forward CTGAGGGTCTGGGTACGAACT
Reverse TGGGTAGCGACTCCTCCATAG
ESR1 Forward GGGAAGTATGGCTATGGAATCTG
Reverse TGGCTGGACACATATAGTCGTT
GAPDH Forward TGCACCACCAACTGCTTAGC
Reverse GGCATGGACTGTGGTCATGAG

Systemsdock analysis

SystemsDock online tools were first utilized to check the docking efficiency between the 6 core genes and 7 key ingredients. The PDB ID of 6 core targets and Tripos mol2 type files of these ingredients was inputted simultaneously into the system for further analysis. Next polydatin and CASP3 (PDB ID: 4QUJ) were re-docked by Autodock software, and the top 30 docking conformations were extracted and selected as the best phase of docking energy for further analysis.

Statistical analysis

All data were analyzed using SPSS17.0 software (SPSS, Inc., Chicago, IL, USA). Results are represented as the mean ± standard deviation. Student’s t-test is used for comparisons between different groups. P < 0.05 was considered to indicate a statistically significant difference.

Results

Selection of the potential active ingredients in polygonum cuspidatum and prediction of their potential protein targets

First, using the TCMSP server, a unique systems-level pharmacology platform for CHM, we calculated ADME-related characteristics for all ingredients of polygonum cuspidatum. The specific pharmacokinetic properties of these ingredients undergoing evaluation included OB, DL, CaCo-2 permeability, blood-brain barrier permeability and Lipinski’s rule of five (MW, AlogP, TPSA, Hdon and Hacc). Since OB and DL represent the most important pharmacokinetic properties, the selection parameter for the active ingredients was set as follows: OB ≥ 30% and DL ≥ 0.18 [12,13,16]. Based on this threshold, we obtained 9/62 active ingredients of polygonum cuspidatum, namely physovenine, rhein, catechin, quercetin, beta-sitosterol, picralinal, physciondiglucoside, torachrysone-8-O-beta-D-(6’-oxayl)-glucoside and luteolin. Another 5 key active ingredients, namely emodin, chrysophanol, resveratrol, polydatin and apigenin were also included for further analysis referring to previous studies [17,18], although they did not meet all aforementioned criteria. We therefore finally screened out 14 active ingredients of polygonum cuspidatum for further protein target prediction. The structure and ADME-related characteristics of the above ingredients are shown in Figure 1 and Table 2, respectively.

Figure 1.

Figure 1

Chemical structure of fourteen active ingredients of polygonum cuspidatum downloaded from the TCMSP database. These fourteen active ingredients are: physovenine (MOL013287), rhein (MOL002268), catechin (MOL000492), quercetin (MOL000098), beta-sitosterol (MOL000359), picralinal (MOL013288), physciondiglucoside (MOL002259), torachrysone-8-O-beta-D-(6’-oxayl)-glucoside (MOL002280), luteolin (MOL000006), emodin (MOL000472), chrysophanol (MOL001729), resveratrol (MOL012744), polydatin (MOL013289) and apigenin (MOL000008).

Table 2.

Pharmacological and molecular parameters of Polygonum cuspidatum

MOL_ID Name MW AlogP Hdon Hacc OB (%) CaCo-2 BBB DL TPSA RBN
MOL013287 Physovenine 262.34 2.08 1 5 106.21 0.51 0.20 0.19 50.80 2
MOL002268 Rhein 284.23 1.88 3 6 47.07 -0.20 -0.99 0.28 111.90 1
MOL000492 Catechin 290.29 1.92 5 6 54.83 -0.03 -0.73 0.24 110.38 1
MOL000098 Quercetin 302.25 1.50 5 7 46.43 0.05 -0.77 0.28 131.36 1
MOL000359 Beta-sitosterol 414.79 8.08 1 1 36.91 1.32 0.87 0.75 20.23 6
MOL013288 Picralinal 366.45 1.80 1 6 58.01 0.23 -0.21 0.75 67.87 3
MOL002259 Physciondiglucoside 608.60 -0.91 8 15 41.65 -2.64 -3.43 0.63 242.13 7
MOL002280 Torachrysone-8-O-beta-D-(6’-oxayl)-glucoside 480.46 0.64 5 12 43.02 -1.23 -1.84 0.74 189.28 8
MOL000006 Luteolin 286.25 2.07 4 6 36.16 0.19 -0.84 0.25 111.13 1
MOL000472 Emodin 270.25 2.49 3 5 24.40 0.22 -0.66 0.24 94.83 0
MOL001729 Chrysophanol 254.25 2.76 2 4 18.64 0.62 -0.20 0.21 74.60 0
MOL012744 Resveratrol 228.26 3.01 3 3 19.07 0.80 -0.01 0.11 60.69 2
MOL013289 Polydatin 390.42 1.11 6 8 21.44 -0.90 -1.81 0.50 139.84 5
MOL000008 Apigenin 270.25 2.33 3 5 23.06 0.43 -0.61 0.21 90.90 1

Next, we predicted the potential targets for each of these 14 ingredients using the PharmMapper reverse docking database. By normalized fit score, the top 10 high-matching targets for each of the 14 ingredients were selected for further analysis. After ruling out the ones that overlapped, we finally obtained a total of 57 potential protein targets for these 14 ingredients (Table 3).

Table 3.

The potential protein targets of 14 active ingredients in Polygonum cuspidatum

No. Compound Protein code Protein name Normalized Fit Score
1 physovenine P12643 BMP2_HUMAN 1
2 physovenine P00918 CAH2_HUMAN 0.9951
3 physovenine P09211 GSTP1_HUMAN 0.9721
4 physovenine P20701 ITAL_HUMAN 0.9492
5 physovenine P62937 PPIA_HUMAN 0.947
6 physovenine P06276 CHLE_HUMAN 0.9338
7 physovenine P52895 AK1C2_HUMAN 0.9275
8 physovenine P15121 ALDR_HUMAN 0.9
9 physovenine Q8NBQ5 DHB11_HUMAN 0.8863
10 physovenine P23946 CMA1_HUMAN 0.8543
11 rhein P00751 CFAB_HUMAN 0.9897
12 rhein P45983 MK08_HUMAN 0.9685
13 rhein P53779 MK10_HUMAN 0.9645
14 rhein Q16539 MK14_HUMAN 0.9632
15 rhein P08254 MMP3_HUMAN 0.9579
16 rhein P62937 PPIA_HUMAN 0.9431
17 rhein P11511 CP19A_HUMAN 0.9312
18 rhein O14965 AURKA_HUMAN 0.9268
19 rhein O14757 CHK1_HUMAN 0.9137
20 rhein Q8NBQ5 DHB11_HUMAN 0.9066
21 (+)-catechin P10275 ANDR_HUMAN 0.9896
22 (+)-catechin P00751 CFAB_HUMAN 0.9833
23 (+)-catechin P08631 HCK_HUMAN 0.9827
24 (+)-catechin P11309 PIM1_HUMAN 0.982
25 (+)-catechin P11511 CP19A_HUMAN 0.98
26 (+)-catechin P02766 TTHY_HUMAN 0.9791
27 (+)-catechin P00734 THRB_HUMAN 0.9761
28 (+)-catechin P56817 BACE1_HUMAN 0.9732
29 (+)-catechin P03372 ESR1_HUMAN 0.9552
30 (+)-catechin P00390 GSHR_HUMAN 0.9544
31 quercetin P11309 PIM1_HUMAN 0.989
32 quercetin P08631 HCK_HUMAN 0.9854
33 quercetin P03372 ESR1_HUMAN 0.9615
34 quercetin P06276 CHLE_HUMAN 0.9492
35 quercetin P00734 THRB_HUMAN 0.9491
36 quercetin P06401 PRGR_HUMAN 0.9356
37 quercetin P00533 EGFR_HUMAN 0.9333
38 quercetin P02766 TTHY_HUMAN 0.9264
39 quercetin P00918 CAH2_HUMAN 0.9077
40 quercetin P04062 GLCM_HUMAN 0.8908
41 beta-sitosterol P52895 AK1C2_HUMAN 0.9987
42 beta-sitosterol P28482 MK01_HUMAN 0.9959
43 beta-sitosterol P49137 MAPK2_HUMAN 0.9954
44 beta-sitosterol P11309 PIM1_HUMAN 0.9921
45 beta-sitosterol P12643 BMP2_HUMAN 0.9914
46 beta-sitosterol P00918 CAH2_HUMAN 0.9893
47 beta-sitosterol P10828 THB_HUMAN 0.9845
48 beta-sitosterol P02768 ALBU_HUMAN 0.9838
49 beta-sitosterol P27338 AOFB_HUMAN 0.9779
50 beta-sitosterol P08842 STS_HUMAN 0.9734
51 picralinal P08254 MMP3_HUMAN 0.9695
52 picralinal P23141 EST1_HUMAN 0.9578
53 picralinal Q15078 CD5R1_HUMAN 0.8947
54 picralinal P53779 MK10_HUMAN 0.8889
55 picralinal P06276 CHLE_HUMAN 0.8705
56 picralinal P26196 DDX6_HUMAN 0.8705
57 picralinal P00747 PLMN_HUMAN 0.8672
58 picralinal P45983 MK08_HUMAN 0.8601
59 picralinal P55055 NR1H2_HUMAN 0.8567
60 picralinal P00918 CAH2_HUMAN 0.8265
61 physciondiglucoside P04062 GLCM_HUMAN 0.9965
62 physciondiglucoside Q9BW91 NUDT9_HUMAN 0.9911
63 physciondiglucoside Q12884 SEPR_HUMAN 0.9909
64 physciondiglucoside P17342 ANPRC_HUMAN 0.9886
65 physciondiglucoside P12643 BMP2_HUMAN 0.9881
66 physciondiglucoside P08631 HCK_HUMAN 0.9771
67 physciondiglucoside Q07343 PDE4B_HUMAN 0.9762
68 physciondiglucoside P11309 PIM1_HUMAN 0.974
69 physciondiglucoside P08254 MMP3_HUMAN 0.9713
70 physciondiglucoside P00915 CAH1_HUMAN 0.9709
71 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P07339 CATD_HUMAN 0.986
72 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P53582 MAP11_HUMAN 0.9859
73 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P09211 GSTP1_HUMAN 0.9845
74 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside Q12884 SEPR_HUMAN 0.9818
75 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P09012 SNRPA_HUMAN 0.9816
76 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P25774 CATS_HUMAN 0.9809
77 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P26196 DDX6_HUMAN 0.9808
78 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P04062 GLCM_HUMAN 0.9802
79 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P06276 CHLE_HUMAN 0.9775
80 torachrysone-8-O-beta-D-(6’-oxayl)-glucoside P62937 PPIA_HUMAN 0.9774
81 luteolin P08631 HCK_HUMAN 0.9897
82 luteolin P03372 ESR1_HUMAN 0.9684
83 luteolin P06276 CHLE_HUMAN 0.9571
84 luteolin P00734 THRB_HUMAN 0.9418
85 luteolin Q12884 SEPR_HUMAN 0.9349
86 luteolin P02766 TTHY_HUMAN 0.9242
87 luteolin P00918 CAH2_HUMAN 0.9239
88 luteolin P11309 PIM1_HUMAN 0.8977
89 luteolin Q00534 CDK6_HUMAN 0.8816
90 luteolin P00533 EGFR_HUMAN 0.8601
91 emodin P45983 MK08_HUMAN 0.974
92 emodin P02652 APOA2_HUMAN 0.9728
93 emodin P08842 STS_HUMAN 0.9697
94 emodin P53779 MK10_HUMAN 0.9658
95 emodin Q15078 CD5R1_HUMAN 0.9655
96 emodin P06276 CHLE_HUMAN 0.9651
97 emodin P03372 ESR1_HUMAN 0.9642
98 emodin P00918 CAH2_HUMAN 0.9526
99 emodin P02768 ALBU_HUMAN 0.9517
100 emodin P00915 CAH1_HUMAN 0.9411
101 chrysophanol P08254 MMP3_HUMAN 0.9971
102 chrysophanol P56817 BACE1_HUMAN 0.9635
103 chrysophanol P00751 CFAB_HUMAN 0.961
104 chrysophanol P45983 MK08_HUMAN 0.9487
105 chrysophanol P06276 CHLE_HUMAN 0.9482
106 chrysophanol P53779 MK10_HUMAN 0.9449
107 chrysophanol P62937 PPIA_HUMAN 0.9429
108 chrysophanol P00734 THRB_HUMAN 0.9402
109 chrysophanol Q16539 MK14_HUMAN 0.9333
110 chrysophanol P03372 ESR1_HUMAN 0.9302
111 resveratrol P08631 HCK_HUMAN 0.9869
112 resveratrol P02652 APOA2_HUMAN 0.9784
113 resveratrol P03372 ESR1_HUMAN 0.9764
114 resveratrol P08842 STS_HUMAN 0.9671
115 resveratrol P56817 BACE1_HUMAN 0.9609
116 resveratrol P11309 PIM1_HUMAN 0.9573
117 resveratrol P00918 CAH2_HUMAN 0.9552
118 resveratrol P02768 ALBU_HUMAN 0.9518
119 resveratrol P20248 CCNA2_HUMAN 0.8837
120 resveratrol P02766 TTHY_HUMAN 0.8764
121 polydatin Q9BW91 NUDT9_HUMAN 0.991
122 polydatin P54760 EPHB4_HUMAN 0.9847
123 polydatin P02652 APOA2_HUMAN 0.9802
124 polydatin P08631 HCK_HUMAN 0.9783
125 polydatin Q13126 MTAP_HUMAN 0.9767
126 polydatin P03372 ESR1_HUMAN 0.9762
127 polydatin Q9NP99 TREM1_HUMAN 0.9762
128 polydatin P04062 GLCM_HUMAN 0.976
129 polydatin P09211 GSTP1_HUMAN 0.9739
130 polydatin P42574 CASP3_HUMAN 0.9716
131 apigenin P08631 HCK_HUMAN 0.9931
132 apigenin P03372 ESR1_HUMAN 0.981
133 apigenin P11309 PIM1_HUMAN 0.9718
134 apigenin P06276 CHLE_HUMAN 0.9705
135 apigenin P04062 GLCM_HUMAN 0.9521
136 apigenin Q00534 CDK6_HUMAN 0.9
137 apigenin P02766 TTHY_HUMAN 0.8903
138 apigenin P00918 CAH2_HUMAN 0.8389
139 apigenin P27338 AOFB_HUMAN 0.7953
140 apigenin Q92731 ESR2_HUMAN 0.773

Enrichment analysis and systematic network construction for the putative protein targets

To explore the potential action mechanism of polygonum cuspidatum, GO functional and KEGG pathway enrichment analyses were performed for these 57 targets using OmicShare online tools and DAVID Bioinformatics Resources 6.8, respectively. Based on P < 0.05, the top 5 terms associated with gene counts in biological process were metabolic process, cellular process, single-organism process, response to stimulus and biological regulation. The top 5 terms associated with gene counts in cellular component were cell, cell part, organelle, extracellular region, and membrane. The top 5 terms associated with gene counts in molecular function were binding, catalytic activity, molecular transducer activity, signal transducer activity, and molecular function regulator. These predictive results showed a great diversity in biological functions of polygonum cuspidatum (Figure 2A). Based on P < 0.05, the top 8 KEGG pathways associated with gene counts were pathways in cancer, tuberculosis, mitogen-activated protein kinase 1 (MAPK) signaling pathway, prolactin signaling pathway, progesterone-mediated oocyte-maturation pathway, tumor necrosis factor (TNF) signaling pathway, pathways in hepatitis B and viral carcinogenesis. Of note, we found that the above pathways were closely associated with cancer and gynecological disorders. In fact, previous studies have shown that certain active ingredients in polygonum cuspidatum, such as polydatin, resveratrol and emodin, exhibit potential therapeutic effects against these diseases [4,19-21] (See Table 4 and Figure 2B for details). Further, to provide a systematic overview of the involved signaling pathways and the potential molecular action mechanism of polygonum cuspidatum, we constructed a comprehensive network composed of drug, protein targets and pathways using Cytoscape 3.2.1, based on the results of the above target prediction and pathway enrichment analysis (Figure 2C). The red diamond, orange oval and green rectangle represent 14 active ingredients, protein targets and associated pathways, respectively.

Figure 2.

Figure 2

GO and KEGG enrichment analyses, and systematic network construction. A. GO enrichment analysis map of polygonum cuspidatum potential drug targets by Omicshare tools, containingBiological Process (BP), Cellular Component (CC) and Molecular Function (MF). B. KEGG enrichment analysis map of polygonum cuspidatum potential drug targets by DAVID Bioinformatics Resources 6.8. The size of the dots indicated the number of enriched genes, and the color of the dots represented the degree of significance based on the p-value. C. Drug-target-pathway network construction by Cytoscape 3.2.1. Red diamond: fourteen active ingredients in polygonum cuspidatum; Orange oval: protein targets; Green rectangle: pathways.

Table 4.

The potential pathways targeted by 14 active ingredients in Polygonum cuspidatum

No. of pathway Pathway name Gene count P-Value
P1 hsa05200: Pathways in cancer 8 0.014268208
P2 hsa05152: Tuberculosis 7 0.001037853
P3 hsa04010: MAPK signaling pathway 7 0.006458276
P4 hsa04917: Prolactin signaling pathway 6 9.82E-05
P5 hsa04914: Progesterone-mediated oocyte maturation 6 2.57E-04
P6 hsa04668: TNF signaling pathway 6 6.42E-04
P7 hsa05161: Hepatitis B 6 0.002604716
P8 hsa05203: Viral carcinogenesis 6 0.011172984
P9 hsa05212: Pancreatic cancer 5 8.65E-04
P10 hsa05120: Epithelial cell signaling in Helicobacter pylori infection 5 9.70E-04
P11 hsa05133: Pertussis 5 0.001479731
P12 hsa04912: GnRH signaling pathway 5 0.003011311
P13 hsa05145: Toxoplasmosis 5 0.007589309
P14 hsa04071: Sphingolipid signaling pathway 5 0.008046143
P15 hsa04722: Neurotrophin signaling pathway 5 0.008046143
P16 hsa05160: Hepatitis C 5 0.011461535
P17 hsa04068: FoxO signaling pathway 5 0.01175749
P18 hsa05164: Influenza A 5 0.027878996
P19 hsa05169: Epstein-Barr virus infection 5 0.036826594
P20 hsa05205: Proteoglycans in cancer 5 0.043176273
P21 hsa04621: NOD-like receptor signaling pathway 4 0.005687485
P22 hsa05210: Colorectal cancer 4 0.007937757
P23 hsa05131: Shigellosis 4 0.008664099
P24 hsa04664: Fc epsilon RI signaling pathway 4 0.010230966
P25 hsa05132: Salmonella infection 4 0.017504498
P26 hsa04012: ErbB signaling pathway 4 0.019825453
P27 hsa04915: Estrogen signaling pathway 4 0.02776564
P28 hsa05231: Choline metabolism in cancer 4 0.029231619
P29 hsa04723: Retrograde endocannabinoid signaling 4 0.029231619
P30 hsa05142: Chagas disease (American trypanosomiasis) 4 0.031506722
P31 hsa04620: Toll-like receptor signaling pathway 4 0.033074068
P32 hsa04114: Oocyte meiosis 4 0.035500697
P33 hsa04930: Type II diabetes mellitus 3 0.040291089
P34 hsa05150: Staphylococcus aureus infection 3 0.049852736

PPI network construction and core gene enrichment analysis

PPI modulation has been attracting increasing attention, and the properties of PPI, such as all osteric sites and hotspots, have been considered by various modern drug-design strategies. We therefore visualized the potential interactions between the 57 protein targets by constructing a PPI network using degree, a key topological parameter, with ‘DC’ scores of ≥ 10 as the cut-off criteria. In total, 50 nodes and 176 edges were generated in this network (Figure 3). The warm color nodes represented a higher degree of core, compared to the cold color nodes within the network. According to the ‘DC’ levels, the 11 core nodes were: Serum albumin (ALB; degree, 34), epidermal growth factor receptor (EGFR; degree, 22), ESR1 (degree, 21), MAPK1 (degree, 19), prothrombin (F2; degree, 17), caspase-3 (CASP3; degree, 17), MAPK8 (degree, 16), MAPK14 (degree, 16), progesterone receptor (degree, 14), androgen receptor (degree, 12) and plasminogen (degree, 12) (Table 5).

Figure 3.

Figure 3

PPI network construction and core targets excavation. The dark nodes represented the core position in this network. The 11 core targets were excavated according to the Degree. PPI, protein-protein interaction.

Table 5.

Hub genes of the PPI network with higher node degrees

Hub gene Protein name Node degree
ALB Serum albumin 34
EGFR Epidermal growth factor receptor 22
ESR1 Estrogen receptor 21
MAPK1 Mitogen-activated protein kinase 1 19
F2 Prothrombin 17
CASP3 Caspase-3 17
MAPK8 Mitogen-activated protein kinase 8 16
MAPK14 Mitogen-activated protein kinase 14 16
PGR Progesterone receptor 14
AR Androgen receptor 12
PLG Plasminogen 12

To evaluate the reliability of these core targets, we conducted another core target prediction using a novel formula, which takes the average shortest path length and closeness centrality as the key topological parameters. According to the R-value calculated by this formula, the top 10 core targets of polygonum cuspidatumare presented in Table 6. Of note, 7 core targets, namely EGFR, MAPK1, CASP3, ALB, MAPK14, F2 and ESR1, were overlapping in both topological analyses, demonstrating a good consistency among the different prediction algorithms.

Table 6.

Top 10 targets of polygonum cuspidatum with average shortest path length and closeness centrality

Protein code Genes Description Average shortest path length Closeness centrality R
P17342 NPR3 Atrial natriuretic peptide receptor 3 1.000000 1.000000 0.000000
P02768 ALB Serum albumin 1.260869 0.793103 0.122449
P04062 GBA Lysosomal acid glucosylceramidase, Lysosomal acid GCase 1.500000 0.666667 0.234694
Q07343 PDE4B cAMP-specific 3’,5’-cyclic phosphodiesterase 4B 1.500000 0.666667 0.234694
P00533 EGFR Epidermal growth factor receptor 1.608695 0.621622 0.285714
P03372 ESR1 Estrogen receptor 1.608695 0.621622 0.285714
P28482 MAPK1 Mitogen-activated protein kinase 1, MAP kinase 1, MAPK 1 1.695652 0.589744 0.326531
P42574 CASP3 Caspase-3, CASP-3 1.695652 0.589744 0.326531
P00734 F2 Prothrombin 1.695652 0.589744 0.326531
Q16539 MAPK14 Mitogen-activated protein kinase 14, MAP kinase 14, MAPK 14 1.739130 0.575000 0.346939

Identification of the key ingredients in polygonum cuspidatum by UPLC-MS/MS and prediction of their potential drug targets

To validate the 14 key ingredients previously selected based on the ADME-related characteristics and literature search, we next set out to identify the ingredients from the crude extract of polygonum cuspidatum using the UPLC-MS/MS method. Seven main ingredients of polygonum cuspidatum were identified, including resveratrol (tR: 11.89 min), emodin (tR: 23.70 min), apigenin (tR: 17.52 min), rhein (tR: 19.54 min), catechin (tR: 10.37 min), quercetin (tR: 17.08 min) and polydatin (tR: 11.73 min) (Figure 4A-D; see Table 7 for details).

Figure 4.

Figure 4

Seven main ingredients obtained from the crude extract of polygonum cuspidatum by using the UPLC-MS/MS method. A. Ultraviolet absorption wavelength map. B. Total Ion Chromatography (TICs) in positive ion modes. C. Total Ion Chromatography (TICs) in negative ion modes. D. Identification maps of the 7 main ingredients by secondary mass spectrometry. E. Venn diagram (6 core targets from 7 main ingredients and topological analysis). F. KEGG enrichment analysis map of 6 core targets by DAVID Bioinformatics Resources 6.8. The size of the dots indicated the number of enriched genes, and the color of the dots represented the degree of significance based on the p-value.

Table 7.

Identification of compounds in Polygonum cuspidatum by UPLC-MS data

No. tR (min) Molecular formula Selected ion Theoretical Experimental MS/MS fragmentions Compounds
1 11.89 C14H12O3 [M+H]+ 228.24 229.24 211.07, 183.11, 165.01, 134.89, 118.94, 106.80, 90.85 Resveratrol
2 23.70 C15H10O5 [M-H]- 270.24 269.32 241.24, 225.30, 181.72 Emodin
3 17.52 C15H10O5 [M-H]- 270.24 269.51 159.10, 132.86, 106.99, 63.14 Apigenin
4 19.54 C15H8O6 [M-H]- 284.22 283.36 240.29 Rhein
5 10.37 C15H14O6 [M+H]+ 290.27 291.04 138.57, 123.01 Catechin
6 17.08 C15H10O7 [M-H]- 302.24 301.05 283.64, 152.06, 124.99, 106.70, 82.46 Quercetin
7 11.73 C20H22O8 [M-H]- 390.39 389.53 227.36 Polydatin

The potential drug targets for each of these 7 ingredients were then predicted using PharmMapper, and a total of 38 potential protein targets for these 7 ingredients were finally obtained. Interestingly, among these targets, 6 overlapped with the 7 core targets excavated from the previous topological analyses, including EGFR, CASP3, ALB, MAPK14, F2 and ESR1, demonstrating that the network pharmacology approach is a reliable and powerful tool for the study of the CHM mechanism (Figure 4E).

Subsequent pathway enrichment analysis revealed that these 6 core genes were mainly enriched in proteoglycans in cancer and the MAPK signaling pathway (Figure 4F). Meanwhile, other pathways, such as the prolactin, estrogen and TNF signaling pathways, as well as pathways in cancer, were also enriched in this analysis, which was consistent with the results of the aforementioned pathway enrichment analysis for the 57 putative targets. These results suggested that these core genes are closely correlated with cancer and gynecological diseases, which was also in line with previous reports [22,23].

Polygonum cuspidatum decreased the cell viability and induced the apoptosis of MDA-MB-231 and SKOV-3 cells

To validate the potential therapeutic effects of polygonum cuspidatum on cancer and gynecological disorders, we next carried out a series of cell functional assays, using human breast cancer MDA-MB-231 and ovarian cancer SKOV-3 cells as the experimental models of these diseases. The results of the CCK-8 assay revealed that the viability of both cells was significantly inhibited by polygonum cuspidatum in a dose and time dependent manner (Figure 5A, 5B). After treating these cells for 24 h, IC50 analysis indicated that polygonum cuspidatum exerted its 50% inhibitory effect on MDA-MB-231 cells at 31.18 ± 1.95 μg/ml and SKOV-3 cells at 28.12 ± 1.07 μg/ml, respectively. Based on the above IC50 values, we next evaluated the apoptotic ratio of these cells upon polygonum cuspidatum treatment. The flow cytometry results showed that the apoptotic population stained with Annexin V-FITC was dramatically increased following the treatment (Figure 5C). Furthermore, the immunoblotting results revealed that some of the key factors associated with MAPK and TNF signaling pathways in these cells, such as p-ERK (T202/Y204), NF-κB (p65) and IKK α/β, were significantly decreased in a dose dependent manner upon polygonum cuspidatum treatment, which was consistent with our previous KEGG enrichment analysis (Figure 5D).

Figure 5.

Figure 5

Polygonum cuspidatum decreased the viability and induced apoptosis of MDA-MB-231 and SKOV-3 cells. A, B. CCK-8 assay was performed to measure cell proliferation rate at 24 and 48 h after polygonum cuspidatum treatment at different dosages (0, 25, 50, 100, 200 and 400 μg/ml). C. Induction of apoptosis of MDA-MB-231 and SKOV-3 cells after polygonum cuspidatum treatment. MDA-MB-231 cells were treated with polygonum cuspidatum at different concentrations (0 and 31 μg/ml) for 24 h, and SKOV-3 cells were also treated with polygonum cuspidatum at different concentrations (0 and 28 μg/ml) for 24 h, when apoptotic events were assessed by flow cytometry. Statistical analysis of the percentage of apoptosis in MDA-MB-231 and SKOV-3 cells **P < 0.01 based on Student’s t-test. D. MDA-MB-231 and SKOV-3 cells were treated with polygonum cuspidatum at different concentrations (0, 31, 62 μg/ml or 0, 28, 56 μg/ml) for 24 h. After proteins were extracted, the protein levels of p-ERK (T202/Y204), ERK, NF-κB, IKK-α and IKK-β were analyzed by western blot.

Next, the levels of the aforementioned 6 core targets were determined upon polygonum cuspidatum treatment. The quantitative real time polymerase chain reaction (qRT-PCR) results revealed that the mRNA levels of EGFR, CASP3 and F2 were significantly downregulated by polygonum cuspidatum in SKOV-3 cells (P < 0.05; Figure 6A). Consistently, the protein level of EGFR was down-regulated by polygonum cuspidatum in a dose-dependent manner. Meanwhile, the total protein level of CASP3 was also slightly decreased, while the cleaved CASP3, a well-known apoptotic maker, accumulated significantly upon polygonum cuspidatum treatment (Figure 6B).

Figure 6.

Figure 6

The mRNA and protein expression levels of six core targets. A. The mRNA expression levels of 6 core targets were analyzed by qRT-PCR in human ovarian cancer SKOV-3 cells. **P < 0.01 based on Student’s t-test. qRT-PCR, quantitative real time polymerase chain reaction. B. SKOV-3 cells were treated with polygonum cuspidatum at different concentrations (0, 28, 56 μg/ml) for 24 h. After proteins were extracted, the protein levels of EGFR and CASP3 were analyzed by western blot.

Systemsdock analysis of key ingredients and core targets

To further explore the action mechanism of polygonum cuspidatum at the protein level, we performed molecular docking analysis for its key ingredients and the corresponding core targets using SystemsDock, a unique web server that applies docking simulation for the comprehensive characterization of ligand selectivity and interpretation of ligand action on a complex molecular network [24,25]. The docking efficiency between the UPLC-MS/MS derived 7 key ingredients (quercetin, polydatin, resveratrol, emodin, apigenin, rhein and catechin) and the 6 core targets (EGFR, CASP3, ALB, MAPK14, F2 and ESR1) were predicted. The results showed that the overall binding affinity of polydatin with the 6 core targets (scores: 6.78, 6.58, 6.74, 6.63, 6.50 and 6.19, respectively) was greater than those of the other 6 ingredients (Figure 7A-G). Therefore, this result suggested that polydatin possesses a potential pharmacological activity.

Figure 7.

Figure 7

Molecular docking analysis by SystemsDock. Scores of molecular docking between 6 core targets and (A) quercetin, (B) polydatin, (C) resveratrol, (D) emodin, (E) apigenin, (F) rhein and (G) catechin, respectively. Black column: native ligand; Red column: seven main ingredients.

Next, we further explored the druggability of polydatin using Autodock. Since our previous prediction showed that CASP3 was both a direct target of polydatin and one of the core targets of polygonum cuspidatum, CASP3 was selected as an example for the next docking analysis. The results showed that the physical and chemical properties of polydatin in the protein binding pocket were stable due to its rich hydroxyl groups with a good hydrophilic property. Meanwhile, the surrounding amino acids interacting with polydatin were all polar amino acids, such as Ser, Thr, Arg, Glu and Gln, which could form a strong hydrogen bond between polydatin and the protein binding pocket of CASP3 (Figure 8). Thus, polydatin may play a pivotal role in manifesting the therapeutic effects of polygonum cuspidatum via binding with CASP3. However, further experimental verification is warranted.

Figure 8.

Figure 8

Binding modes from Autodock. Hydrophilic-hydrophobic interaction between (A) Polydatin and CASP3 in protein binding pocket, and (B) Polydatin and relative amino acids. CASP3, caspase-3.

Discussion

Nowadays, a myriad of in silico target predicting methods have been used in the field of drug development [26]. In the present study, the PharmMapper database, which is based on 7,000 pharmacophore models, was utilized to search for the potential targets for the key ingredients of polygonum cuspidatum. The subsequent GO functional enrichment analysis of the 57 potential targets revealed a great variety of biological functions of polygonum cuspidatum. Furthermore, the KEGG pathway enrichment results showed that these targets were mainly involved in carcinogenesis and gynecological diseases. Indeed, accumulating evidence have shown that polygonum cuspidatum and its active ingredients exhibit anti-cancer effects either through direct inhibition of cancer cell growth or through the modulation of the host immune-system [27-31]. In addition, recent pharmacological studies showed that polygonum cuspidatum extractor its major ingredients possessed anti-virus and anti-inflammatory activities, which may, at least partially, reflect the therapeutic effects of polygonum cuspidatum on those cancerous and gynecological diseases attributed to viral infection or inflammation [32-35]. Of note, different active ingredients of polygonum cuspidatum, such as resveratrol and polydatin, may exert their therapeutic functions via distinct mechanisms. For instance, polydatin could inhibit cell growth and induce the apoptosis of HCC cells by blocking the STAT3 signaling pathway, while resveratrol inhibiting the epithelial mesenchymal transition through inactivation of the PI-3K/Akt/NF-κB and hedgehog signaling pathways [36-39]. Therefore, the present action mechanism study guided by network pharmacology may help provide a deeper insight into the “multi-component, multi-target and multi-function” characteristics of polygonum cuspidatum in cancerous and gynecological diseases.

To untangle the complicated interactions among the potential targets of the key ingredients in polygonum cuspidatum, a PPI network was constructed based on a key topological parameter, degree, using STRING and Cytoscape 3.2.1. Eleven core targets were found to have higher degrees of connectivity within this network. Besides the degree, other topological parameters, such as shortest path length and closeness centrality, could also be used for assessing the importance of key nodes (core targets) within a network. The nodes with a small average shortest path length and a large closeness centrality (R-value) were usually considered as the important targets in the network [40]. We therefore developed a novel formula, in which the “R value” is determined by the average shortest path length and closeness centrality, to validate the reliability of the above 11 predicted core targets. Notably, among the top 10 core targets (ranked based on R-values) excavated using this new formula, 7 overlapped with the former 11 core targets, showing a good consistency among the different prediction algorithms.

Noteworthy, 7 ingredients of polygonum cuspidatum were validated by UPLC-MS/MS, among the 14 putative ones derived from the network pharmacological prediction. Of these 7 ingredients, only 3 met the medicinal criteria for the selection of active ingredients (OB ≥ 30% and DL ≥ 0.18), indicating the importance of literature mining to the selection of active ingredients by network pharmacology. Interestingly, 6 potential targets derived from these 7 ingredients overlapped with the 7 core targets excavated from the previous PPI network analyses, underscoring the pivotal role of these 6 targets in the action mechanism of polygonum cuspidatum. Our further molecular docking analysis between these 6 targets and 7 ingredients showed that polydatin possesses a better pharmacological activity, as compared to the other 6 ingredients, implying a leading role of polydatin in delivering the therapeutic effects of polygonum cuspidatum. Indeed, among the 6 aforementioned potential targets of polygonum cuspidatum, EGFR and CASP3 have previously been identified as the putative targets of polydatin using PharmMapper and ChemMapper algorithms (7). In the present study, we confirmed that EGFR and CASP3 were down-regulated at both mRNA and protein levels by qRT-PCR and western blot in polygonum cuspidatum-treated cells, accompany with the accumulation of the cleaved CASP3, which was in line with the apoptotic phenotype induced by polydatin in this and other studies [36,41]. These results further suggested that polydatin could exert its inhibitory effects on these two targets at both mRNA and protein levels. Nevertheless, polydatin exhibited its antiproliferation effect on different cancerous cells via distinct mechanisms. For instance, polydatin could arrest the leukemia cells in the S-phase by inhibiting the expression of cyclins D1 and B1, while inhibiting the proliferation of breast cancer cells by inactivating Creb [42,43]. Therefore, the detailed action mechanism of polydatin underlying its therapeutic effect on specific cell types warrants further investigation.

Acknowledgements

This study was funded by the National Natural Science Foundation of China (grant no. 81572416), the National Key Technologies R & D Program of China (grant no. 2016YFC1303200) and the Tianjin Medical University Cancer Institute & Hospital Cancer Translational Medicine Seed Funds (grant no. 1701-1).

Disclosure of conflict of interest

None.

Abbreviations

CHM

Chinese herb medicine

PPI

protein-protein interaction

OB

oral bioavailability

DL

drug-likeness

EGFR

epidermal growth factor receptor

CASP3

caspase-3

TICs

Total Ion Chromatography

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