Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway

Xiao Luo,1,2,* Ling Chen,2,* Jingsong Xu,1 Juxiang Li1 1Department of Cardiovascular Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330000, People’s Republic of China; 2Department of Cardiovascular Medicine, Jiujiang City Ke...

Full description

Saved in:
Bibliographic Details
Main Authors: Luo X, Chen L, Xu J, Li J
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Pharmacogenomics and Personalized Medicine
Subjects:
Online Access:https://www.dovepress.com/naoxintong-is-involved-in-the-coagulation-regulation-of-warfarin-throu-peer-reviewed-fulltext-article-PGPM
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832570242712207360
author Luo X
Chen L
Xu J
Li J
author_facet Luo X
Chen L
Xu J
Li J
author_sort Luo X
collection DOAJ
description Xiao Luo,1,2,* Ling Chen,2,* Jingsong Xu,1 Juxiang Li1 1Department of Cardiovascular Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330000, People’s Republic of China; 2Department of Cardiovascular Medicine, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People’s Hospital, Jiujiang, Jiangxi, 332000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Juxiang Li, Department of Cardiovascular Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 1, Minde Road, Donghu District, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 15707923841, Email ndefy87008@ncu.edu.cnObjective: To explore the effect of Naoxintong (NXT) on warfarin anticoagulation therapy and its potential mechanism.Methods: TCSMP, SwissTargetprediction, SuperPred, SEA, and Batmanic-TCM were used to search for active ingredients and targets of NXT and warfarin; the DisGENT database was used to find disease targets of coagulation disorders. Cytoscape software was applied to construct the “drug-target”network; the protein interaction network (PPI) was used to study the protein-protein interaction. GO and KEGG were used for functional analysis. The effect of NXT on warfarin anticoagulation was then tested in rats by analyzing coagulation factors in blood before and after drug administration. The expression of MAPK in the liver tissue was determined by Western blot.Results: The top five components of NXT affecting warfarin anticoagulation degree value were MOL000098, MOL000422, MOL000006, MOL000358, and MOL000449. TP53, AKT1, SRC, TNF, HSP90AA1, STAT3, JUN, IL6, EGFR, and ESR1 were the core targets of NXT, while MAPK9, MAP3K5, MAPK8, and MAPK1 in the MAPK family were important targets of NXT in the coagulation process. In vivo testing indicated that NXT may be able to participate in the regulation of the warfarin coagulation process through multiple targets and multiple pathways, which may be related to MAPK.Conclusion: Our data suggests that NXT is involved in the coagulation regulation of warfarin through the MAPK pathway.Keywords: Naoxintong, Warfarin, coagulation dysfunction, network pharmacology, mechanism research
format Article
id doaj-art-e07b270c617e4d66b93671439cb6bdc1
institution Kabale University
issn 1178-7066
language English
publishDate 2025-01-01
publisher Dove Medical Press
record_format Article
series Pharmacogenomics and Personalized Medicine
spelling doaj-art-e07b270c617e4d66b93671439cb6bdc12025-02-02T15:59:40ZengDove Medical PressPharmacogenomics and Personalized Medicine1178-70662025-01-01Volume 18354699771Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK PathwayLuo XChen LXu JLi JXiao Luo,1,2,* Ling Chen,2,* Jingsong Xu,1 Juxiang Li1 1Department of Cardiovascular Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330000, People’s Republic of China; 2Department of Cardiovascular Medicine, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No. 1 People’s Hospital, Jiujiang, Jiangxi, 332000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Juxiang Li, Department of Cardiovascular Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 1, Minde Road, Donghu District, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 15707923841, Email ndefy87008@ncu.edu.cnObjective: To explore the effect of Naoxintong (NXT) on warfarin anticoagulation therapy and its potential mechanism.Methods: TCSMP, SwissTargetprediction, SuperPred, SEA, and Batmanic-TCM were used to search for active ingredients and targets of NXT and warfarin; the DisGENT database was used to find disease targets of coagulation disorders. Cytoscape software was applied to construct the “drug-target”network; the protein interaction network (PPI) was used to study the protein-protein interaction. GO and KEGG were used for functional analysis. The effect of NXT on warfarin anticoagulation was then tested in rats by analyzing coagulation factors in blood before and after drug administration. The expression of MAPK in the liver tissue was determined by Western blot.Results: The top five components of NXT affecting warfarin anticoagulation degree value were MOL000098, MOL000422, MOL000006, MOL000358, and MOL000449. TP53, AKT1, SRC, TNF, HSP90AA1, STAT3, JUN, IL6, EGFR, and ESR1 were the core targets of NXT, while MAPK9, MAP3K5, MAPK8, and MAPK1 in the MAPK family were important targets of NXT in the coagulation process. In vivo testing indicated that NXT may be able to participate in the regulation of the warfarin coagulation process through multiple targets and multiple pathways, which may be related to MAPK.Conclusion: Our data suggests that NXT is involved in the coagulation regulation of warfarin through the MAPK pathway.Keywords: Naoxintong, Warfarin, coagulation dysfunction, network pharmacology, mechanism researchhttps://www.dovepress.com/naoxintong-is-involved-in-the-coagulation-regulation-of-warfarin-throu-peer-reviewed-fulltext-article-PGPMnaoxintongwarfarincoagulation dysfunctionnetwork pharmacologymechanism research
spellingShingle Luo X
Chen L
Xu J
Li J
Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
Pharmacogenomics and Personalized Medicine
naoxintong
warfarin
coagulation dysfunction
network pharmacology
mechanism research
title Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
title_full Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
title_fullStr Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
title_full_unstemmed Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
title_short Naoxintong Is Involved in the Coagulation Regulation of Warfarin Through the MAPK Pathway
title_sort naoxintong is involved in the coagulation regulation of warfarin through the mapk pathway
topic naoxintong
warfarin
coagulation dysfunction
network pharmacology
mechanism research
url https://www.dovepress.com/naoxintong-is-involved-in-the-coagulation-regulation-of-warfarin-throu-peer-reviewed-fulltext-article-PGPM
work_keys_str_mv AT luox naoxintongisinvolvedinthecoagulationregulationofwarfarinthroughthemapkpathway
AT chenl naoxintongisinvolvedinthecoagulationregulationofwarfarinthroughthemapkpathway
AT xuj naoxintongisinvolvedinthecoagulationregulationofwarfarinthroughthemapkpathway
AT lij naoxintongisinvolvedinthecoagulationregulationofwarfarinthroughthemapkpathway