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Gene & Protein in Disease                                  A prediction on how Epimedii herba treat periodontitis



                                                               systemic diseases through subgingival plaque and its
                                                               products.  Therefore, timely treatment of periodontitis is
                                                                      25
                                                               of considerable importance to improve the quality of life
                                                               of patients with periodontitis. With the development of
                                                               bioinformatics, network pharmacology provides us with
                                                               a new entry point for research. Furthermore, molecular
                                                               docking  and molecular dynamics  are neoteric means of
                                                               new drug research and development, as they are cost-
                                                               effective, can save more time, and provide an accurate
                                                               possibility to identify new targeted drugs for periodontitis.
                                                               As a disease caused by microorganisms and mediated by
                                                               host inflammation, the treatment of periodontitis should
                                                               not only exert anti-inflammatory effects but also increase
                                                               the body’s immune regulation to promote the regeneration
            Figure 2. Intersection targets of Epimedii herba (EH) and periodontitis.   of periodontal tissue.  TCM can not only inhibit the
                                                                                 6,26
            Blue represents the target number for the active ingredients of EH, yellow
            represents the target number for periodontitis, and the middle part   inflammatory response but also control the elimination
            represents the intersection targets                of dental plaque (the initial factor of periodontitis) to kill
                                                               microorganisms and promote the body’s immune regulation
            showed that the number of H-bonds gradually increased   to achieve periodontal tissue regeneration. 27-29  EH, a TCM
            after 10 ns, and the system tended to be stable, as depicted   that has been used for several years worldwide, has recently
            in  Figure  8D. Solvent accessible surface area (SASA) is   been proven to exert anti-inflammatory and immune-
            another key factor of protein stabilization, which similarly   regulating effects. 16,30  In this study, network pharmacology,
            stabilized after 10 ns, as illustrated in Figure 8E.  molecular docking, and molecular dynamics methods
                                                               were used to screen the pharmacological components
              Molecular mechanics Poisson–Boltzmann surface    of EH for the prevention and treatment of periodontitis,
            area (MMPBSA) is one of the most common methods    explore its molecular mechanism, and provide novel ideas
            to estimate binding free energies, which can be used to   for the clinical treatment of periodontitis.
            accurately estimate the affinity of ligand–protein binding
            and calculate the binding free energy generated by the   OB and DL screening revealed 8-(3-methylbut-2-
            docking  of  the  ligand–protein  complex. 23,24   The  total   enyl)-2-phenyl-chromone,  8-isopentenyl-kaempferol,
            binding free energies of MMPBSA included GGAS and   anhydroicaritin, chryseriol, DFV, kaempferol, luteolin,
            GSOLV. The GGAS is composed of van der Waals force and   quercetin, and Yinyanghuo C as the major active
            electrostatic energy, which are −38.31 and −8.42 kcal/mol,   ingredients of EH. According to the PPI network,
            respectively. The GSOLV consists of a polar solvation   AKT1, TNF, IL6, TP53, VEGFA, IL1B, CASP3, PTGS2,
            energy of 30.99 kcal/mol and a non-polar solvation energy   MMP9, and ESR1 were screened as the top 10 key
            of −5.59 kcal/mol. Therefore, the total binding free energy   targets,  through which EH may play a vital role in
            was 21.33 kcal/mol, indicating that the binding was   periodontitis treatment. GO enrichment analysis
                                                               revealed that EH participated in the processes of cellular
            relatively stable, as depicted in Figure 9A.
                                                               response to organic cyclic compounds, membrane raft,
              During the binding process, the amino acid residues   DNA-binding transcription factor binding, and other
            participate in the formation of the binding site pocket.   reaction processes. KEGG pathway enrichment analysis
            The total contributing energy of the amino acid residues   revealed that pathways related to cancer, lipid, and
            was  7.67  kcal/mol,  and  LEU:346,  MET:421,  LEU:387,   atherosclerosis as well as AGE–RAGE signaling pathways
            MET:388, LEU:391, PHE:404, ILE:424, LEU:349, and   in diabetic complications might be primarily involved
            LEU:384 contributed significantly to the binding free   in periodontitis treatment with EH. The results of
            energies, as illustrated in Figure 9B. LEU:346 and MET:421   molecular docking and molecular dynamics simulation
            contributed prominently with the binding energies of   demonstrated that the active components of EH had
            −2.69 and −2.20 kcal/mol, respectively.            good binding ability to the key targets, suggesting that
                                                               EH plays a vital role in periodontitis treatment. These
            4. Discussion                                      methods also confirmed the predicted results of network
            Periodontitis is a widespread disease worldwide that can   pharmacology to a certain extent.
            induce an inflammatory response and cause tooth loss,   Regarding  the  anti-inflammatory  effects  of  EH,
            destruction of periodontal supporting tissues, and other   previous studies have reported that icariin can alleviate


            Volume 3 Issue 4 (2024)                         6                               doi: 10.36922/gpd.4427
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