Abstract
Backgrounds: Post-stroke depression is the most common and serious neuropsychiatric complication occurring after cerebrovascular accidents, seriously endangering human health while also imposing a heavy burden on society. Even so, it is difficult to have drugs to contain the progression of the disease. It’s reported that Gan-Mai-Da-Zao decoction was effective to PSD, but it is unknown on its mechanism of action for PSD. In this study, we aimed to explore the possible mechanisms of action of Gan-Mai-Da-Zao decoction in the treatment of PSD using network pharmacology and molecular docking.Material and methods: We obtained the active components and their targets of all drugs from the public database TCMSP and published articles. Then, we collected the PSD-related targets from GeneCards and OMIM databases. Cytoscape 3.8.2 was applied to construct PPI and composite target disease networks. In parallel, the DAVID database was used to perform GO and KEGG enrichment analysis to obtain the biological processes involved in drug treatment diseases in vivo. Finally, molecular docking was used to verify the association between the main active ingredients and the targets.Results: The network pharmacological analysis of Gan-Mai-Da-Zao decoction for PSD identified 107 active ingredients with important biological effects, including quercetin, luteolin, kaempferol, naringenin, isorhamnetin, etc. A total of 203 potential targets for drug treatment of diseases were screened, including STAT3, JUN, TNF, TPT53, AKT1, EGFR, etc. They were found to be widely enriched in a series of signaling pathways such as TNF, HIF-1, and the Toll-Like receptor. Meanwhile, molecular docking analysis showed that the core active components were tightly bound to the core targets, further confirming their anti-PSD effects.Conclusion: This is a prospective study based on the integration and analysis of large data, using the technology of network pharmacology to explore the feasibility of Gan-Mai-Da-Zao decoction for the treatment of PSD, and successfully validated by molecular docking. It reflects the multi-component and multi-target characteristics of Chinese medicine, and more importantly, it also brings hope to the clinical treatment of PSD.