A Network Pharmacological Study of Qianjin Sanhuang Decoction in the Treatment of Osteoarthritic Knee Disease

Objective: To predict the action targets of Qianjin Sanhuang decoction in the treatment of knee osteoarthritis through network pharmacology, to explore its potential multi component, multi target, multi, pathway mechanism of action, and to elaborate the relationship between the pharmacological effects of the drug and the disease from the perspective of molecular mechanism. Methods: The Chinese herbal composition of Qianjin Sanhuang decoction was determined by reading ancient texts and reviewing data, and the chemical components of Qianjin Sanhuang decoction were collected through the Traditional Chinese Medicine Systematic Pharmacology Database and Analysis Platform (TCMSP), and the active ingredients of the drug were obtained after oral utilization (OB) and drug-like properties (DL) screening, and the active ingredient target prediction was performed, while the active ingredient targets were retrieved from GeneCards, OMIM, and DisGeNet database to retrieve knee osteoarthritis-related targets. After taking the intersecting targets, a software called cytoscape 3.9.0 was used for mapping, with the goal of constructing a component-target network map, followed by a string database for mapping, with the goal of making a network map of target protein-target protein interactions, and finally, a gene ontology (GO) enrichment analysis and a Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis, this analysis process was performed in the metascape database. Results: A total of 1272 targets related to osteoarthritis of the knee were collected in this study, 89 active ingredients of Qianjin Sanhuang decoction, involving 267 targets, and 121 therapeutic targets involving osteoarthritis of the knee, and the results of GO enrichment analysis showed that it involved the response to inorganic substances, positive regulation of cell migration, response to oxygen content, response to lipopolysaccharide, response to peptides, regulation of cell adhesion, response to extracellular stimuli, negative regulation of cell differentiation, positive regulation of cell death, glandular development, regulation of apoptotic signaling pathways, development of reproductive structures, response to trauma, response to growth factors, regulation of inflammatory response, cellular response to organic recycling compounds, regulation of proteolysis, etc. After KEGG analysis, the results showed that signaling pathways such as AGE-RAGE pathway and HIF-1 pathway were involved. Conclusion: Qianjin Sanhuang decoction can improve the inflammatory response of knee osteoarthritis through potential multi-pathways, multi-targets and multi-pathways, and can have potential therapeutic effects on osteoarthritis.