Exploring the Mechanism of Lingzhu Decoction in the Treatment of Type 2 Diabetes Mellitus Based on Network Pharmacology Molecular Docking and Molecular Dynamics Simulation

Expand
  • 1.Dongzhimen Hospital Beijing University of Chinese Medicine Beijing 100010, China
    2.Anshun Technical College Guizhou Anshun 561000, China

Received date: 2025-08-14

  Revised date: 2026-01-18

  Accepted date: 2026-05-26

  Online published: 2026-05-26

Abstract

Objective: This study analyzed the mechanism of action of Lingzhu decoction in the treatment of type 2 diabetes mellitus T2DM by integrating network pharmacology and molecular docking technology and clarified its pharmacodynamic material basis and core targets so as to provide scientific basis for clinical application.Methods: The TCMSP database was used to screen the active constituents of the ten Chinese medicines in Lingzhu decoction and the corresponding targets were screened in the Uniprot database. Subsequently the T2DM gene targets were obtained from the GeneCards and DisGeNet databases and the intersection with the drug targets was taken to determine the common target of action. The active ingredient-diseasetarget pharmacodynamic network construction relied on Cytoscape software. Utilize the String database to conduct PPI network analysis and derive the key target genes. Introduced the co-intersected targets into R software for GO/KEGG enrichment analysis. Finally molecular docking and molecular dynamics simulation of key components and targets were performed for validation.Results: A total of 181 active ingredients and 228 potential targets were screened out of which 165 co-interacting targets were intersected. Multidimensional network analysis revealed key components such as quercetin and soy isoflavones as well as eight core targets including CTNNB1 and FOS. GO enrichment showed that the targets were significantly associated with lipid metabolism inflammation and other biological processes and KEGG analysis showed that the core pathways included PI3K-Akt signaling pathway and lipids and atherosclerosis-related pathways. Molecular docking and molecular dynamics simulations confirmed the strong stability of baicalin binding to FOS protein.Conclusion: Lingzhu decoction exerts anti-T2DM effects through multiple pathways and its core mechanism involves cell-related effects and regulation of PI3K-Akt pathway and lipid metabolism. The study provides pharmacological mechanism support for the clinical application and subsequent research of Lingzhu decoction.


Cite this article

YANG Yaoming, WANG Xinbao, CHEN Ran, WU Liuqing, ZHAO Shihua, TAN Qingyun, YUAN Yi, YU Guoyong .

Exploring the Mechanism of Lingzhu Decoction in the Treatment of Type 2 Diabetes Mellitus Based on Network Pharmacology Molecular Docking and Molecular Dynamics Simulation

[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2026 , 28(4) : 472 -472-480 . DOI: 10.1009-0959.2026.050005

References

   [1 Tripathi BK Srivastava AK. Diabetes mellitus complications and therapeuticsJ.Med Sci Monit 2006127):RA130-RA147.

         2  GBD 2021 Diabetes Collaborators. Global regional and national burden of diabetes from 1990 to 2021 with projections of prevalence to 2050 a systematic analysis for the global burden of disease study 2021J.Lancet 202340210397):203-234.

         3  Chaudhury A Duvoor C Reddy Dendi VS et al. Clinical review of antidiabetic drugs implications for type 2 diabetes mellitus managementJ.Front Endocrinol 2017 8 6.

         4  葛翼锋,张彦忠.中医药调控AMPK信号通路防治2型糖尿病胰岛素抵抗作用机制进展[J.山西中医,2024409):67-70.

         5  葛翼锋,张彦忠.中医药治疗2型糖尿病胰岛素抵抗的研究进展[J.内蒙古中医药,20244310):146-147.

         6  胡峻豪,刘明军.2型糖尿病的发病机制及中医药干预进展[J.长春中医药大学学报,2024409):1049-1053.

         7  Hess B. P-LINCS a parallel linear constraint solver for molecular simulationJ.J Chem Theory Comput 200841):116-122.

         8  刘颖,张天婵,张梦颖.基于网络药理学和分子对接探究桂枝茯苓丸治疗异位妊娠的作用机制[J.中医学报,20233812):2647-2658.

         9  Hsin KY Ghosh S Kitano H. Combining machine learning systems and multiple docking simulation packages to improve docking prediction reliability for network pharmacologyJ.PloS One2013812):e83922.

         10 何燕珊,王秋红.白术及其复方治疗糖尿病的药理研究及临床应用研究进展[J.广东药科大学学报,2020361):155-159.

         11 曹蕾.中药青皮中挥发油的提取与化学成分分析[D.兰州:甘肃农业大学,2007.

         12 耿晓桐,刘琦,花娇娇,等.半夏化学成分及药理作用研究进展[J.山西化工,2023439):53-5461.

         13 张淑静,宁真真.茯苓多糖对糖尿病小鼠糖脂代谢和氧化应激紊乱的影响[J.天然产物研究与开发,2025372):195-203.

         14 王建礼,杨作成,王聪,等.槲皮素对糖尿病大鼠的降糖作用及机制研究[J.济宁医学院学报,2018412):135-138.

         15 Roshanravan N Askari SF Fazelian S et al. The roles of quercetin in diabetes mellitus and related metabolic disorders special focus on the modulation of gut microbiota a comprehensive reviewJ.Crit Rev Food Sci Nutr 20236317):2990-3003.

         16 孟新静,杨旭,孟德尚,等.大豆次生代谢产物结构、生物活性及其作用机制研究进展[J.食品科学,20244520):35-47.

         17 苑慧敏,李小琼,朱立颖,等.大豆异黄酮对2型糖尿病小鼠脂代谢及肠道菌群结构的影响[J.营养学报,2021436):556-565.

         18 Yang Y Chen Z Zhao X et al. Mechanisms of Kaempferol in the treatment of diabetes a comprehensive and latest reviewJ.Front Endocrinol 2022 13990299.

         19 Bakrim S Benkhaira N Bourais I et al. Health benefits and pharmacological properties of stigmasterolJ.Antioxidants Basel), 20221110):1912.

         20 许文镨,张佳瑜,汪逗逗,等.甘草查尔酮A缓解2型糖尿病所致异常糖异生及内质网应激分子机制研究[J.药学学报,20245912):3291-3303.

         21 Bagchi DP Macdougald OA. Wnt signaling from mesenchymal cell fate to lipogenesis and other mature adipocyte functionsJ.Diabetes 2021707):1419-1430.

         22 Xie S Choudhari S Wu CL et al. Aging and obesity prime the methylome and transcriptome of adipose stem cells for disease and dysfunctionJ.FASEB J 2023373):e22785.

         23 Xu Y Song R Long W et al. CREB1 functional polymorphisms modulating promoter transcriptional activity are associated with type 2 diabetes mellitus risk in Chinese populationJ.Gene 2018665133-140.

         24 Zhang F Wei L Wang L et al. FAR591 promotes the pathogenesis and progression of SONFH by regulating Fos expression to mediate the apoptosis of bone microvascular endothelial cellsJ.Bone Res 2023111):27.

         25 Bhaskar PT Hay N. The two TORCs and AktJ.Dev Cell 2007124): 487-502.

         26 Bozulic L Hemmings BA. PIKKing on PKB regulation of PKB activity by phosphorylationJ.Curr Opin Cell Biol 2009212):256-261.

         27 Carnero A Blanco-Aparicio C Renner O et al. The PTEN/PI3K/AKT signalling pathway in cancer therapeutic implicationsJ.Curr Cancer Drug Targets 200883):187-198.

         28 叶圣莹, 秦燕. 糖尿病致肝损伤机制的研究进展[J.肝脏,2023286):737-739.

Outlines

/