Metabolomic mechanism and pharmacodynamic material basis of Buxue Yimu pills in the treatment of anaemia in women of reproductive age

补血益母丸治疗育龄妇女贫血的代谢组学机制及药效物质基础

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作者:Guo Ying-Ying, Wang Yan-Fang, Deng Yan, Zhang Su-Ying, Liu Dong, Luo Bin, Wang Xue, Deng Miao, Ma Rui-Lin, Liu Xiao-Hui, Jiao Yu-Pei, Sun Ai-Jun

Conclusion

BYP can inhibit inflammation and oxidative stress as well as promote haematopoiesis, potentially improving anaemia.

Methods

Forty-six women of reproductive age with haemoglobin 70-110 g/L were recruited. Blood samples were collected before and after 4 weeks of oral BYP treatment to assess the changes in haemoglobin, coagulation function, and iron metabolism indices. An integrated analysis of metabolomics (liquid chromatography mass spectrometry) and network analysis was performed to identify the potential pharmacodynamic mechanisms of BYP.

Objective

To explore the pharmacological basis and mechanism of Buxue Yimu pills (BYP) in the treatment of anaemia in women from the perspective of metabolomics and network analysis. Materials and

Results

After BYP treatment, the haemoglobin level of patients significantly increased from 93.67 ± 9.77 g/L to 109.28 ± 12.62 g/L (p < 0.01), while no significant changes were found in iron metabolism and coagulation-related indicators. A total of 22 differential metabolites were identified after metabolomics analysis, which were mainly related to the inhibition of inflammation and oxidative stress. Integrating pharmacodynamics and metabolomics, a network of drug-active components-targets-metabolic pathways-metabolomics was established. Acetylcholinesterase, phospholipase A2 group IIA, and phospholipase A2 group IVA may be the most promising therapeutic targets.

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