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Network Analysis Using the Established Database (K-herb Network) on Herbal Medicines Used in Clinical Research on Heart Failure

심부전의 한약 임상연구에 활용된 한약재에 대한 기구축 DB(K-HERB NETWORK)를 활용한 네트워크 분석

  • Subin Park (College of Korean Medicine, Wonkwang University) ;
  • Ye-ji Kim (College of Korean Medicine, Wonkwang University) ;
  • Gi-Sang Bae (Dept. of Pharmacology, School of Korean Medicine, Wonkwang University) ;
  • Cheol-Hyun Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Inae Youn (Division of Acupuncture and Moxibustion, Dept. of Korean Medicine, National Medical Center) ;
  • Jungtae Leem (Hanbang Cardio-Renal Syndrome Research Center, School of Korean Medicine, Wonkwang University) ;
  • Hongmin Chu (College of Korean Medicine, Wonkwang University)
  • 박수빈 (원광대학교 한의과대학) ;
  • 김예지 (원광대학교 한의과대학) ;
  • 배기상 (원광대학교 한의과대학 약리학교실) ;
  • 김철현 (원광대학교 한의과대학 내과학교실) ;
  • 윤인애 (국립중앙의료원) ;
  • 임정태 (원광대학교 한방 심신증후군연구센터) ;
  • 추홍민 (원광대학교 한의과대학)
  • Received : 2023.03.16
  • Accepted : 2023.06.28
  • Published : 2023.06.30

Abstract

Objectives: Heart failure is a chronic disease with increasing prevalence rates despite advancements in medical technology. Korean medicine utilizes herbal prescriptions to treat heart failure, but little is known about the specific herbal medicines comprising the network of herbal prescriptions for heart failure. This study proposes a novel methodology that can efficiently develop prescriptions and facilitate experimental research on heart failure by utilizing existing databases. Methods: Herbal medicine prescriptions for heart failure were identified through a PubMed search and compiled into a Google Sheet database. NetMiner 4 was used for network analysis, and the individual networks were classified according to the herbal medicine classification system to identify trends. K-HERB NETWORK was utilized to derive related prescriptions. Results: Network analysis of heart failure prescriptions and herbal medicines using NetMiner 4 produced 16 individual networks. Uhwangcheongsim-won (牛黃淸心元), Gamiondam-tang (加味溫膽湯), Bangpungtongseong-san (防風通聖散), and Bunsimgi-eum (分心氣飮) were identified as prescriptions with high similarity in the entire network. A total of 16 individual networks utilized K-HERB NETWORK to present prescriptions that were most similar to existing prescriptions. The results provide 1) an indication of existing prescriptions with potential for use to treat heart failure and 2) a basis for developing new prescriptions for heart failure treatment. Conclusion: The proposed methodology presents an efficient approach to developing new heart failure prescriptions and facilitating experimental research. This study highlights the potential of network pharmacology methodology and its possible applications in other diseases. Further studies on network pharmacology methodology are recommended.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea grant funded by the Korea government (No NRF-2022R1C1C2008738). This work was also supported by a National Medical Center (NMC2023-MS-02).

References

  1. Home cardiac rehabilitation for congestive heart failure: a nursing case management approach - PubMed. Accessed January 25, 2023. https://pubmed.ncbi.nlm.nih.gov/10754901/ 
  2. Lee HH, Cho SMJ, Lee HK, Baek JM, Bae JH, Chun WJ, et al. Korea Heart Disease Fact Sheet 2020: Analysis of Nationwide Data. Korean Circulation Journal 2021;51(6):495-503. doi:10.4070/kcj.2021.0097 
  3. Karwi QG, Ho KL, Pherwani S, Ketema EB, Sun Q, Lopaschuk GD. Concurrent diabetes and heart failure: interplay and novel therapeutic approaches. Cardiovascular Research 2022;118(3):686-715. doi:10.1093/cvr/cvab120 
  4. Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2022;145(18):e876-e894. doi:10.1161/ CIR.0000000000001062 
  5. Taylor CJ, Ryan R, Nichols L, Gale N, Hobbs FR, Marshall T. Survival following a diagnosis of heart failure in primary care. Fam Pract 2017;34(2):161-8. doi:10.1093/fampra/cmw145 
  6. Health Care Bigdata Hub/National Concern Disease Statistics. Accessed January 25, 2023. http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do 
  7. Na MH, Yao CZ, Yu XT, Jiang MX. [Effects of added therapy with Chinese herbal medicine Kanli Granule on skeletal muscle dysfunction in patients with chronic heart failure]. Zhong Xi Yi Jie He Xue Bao 2012;10(3):324-9. doi:10.3736/jcim20120312 
  8. Li X, Zhang J, Huang J, Ma A, Yang J, Li W, et al. A multicenter, randomized, double-blind, parallel-group, placebo-controlled study of the effects of qili qiangxin capsules in patients with chronic heart failure. J Am Coll Cardiol 2013;62(12):1065-72. doi:10.1016/j.jacc.2013.05.035 
  9. Shengmai (a traditional Chinese herbal medicine) for heart failure - Zhou, Q - 2014 | Cochrane Library. Accessed October 6, 2022. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005052.pub5/full 
  10. Wang Y, Wang Q, Li C, Lu L, Zhang Q, Zhu R, et al. A Review of Chinese Herbal Medicine for the Treatment of Chronic Heart Failure. Curr Pharm Des 2017;23(34):5115-24. doi:10.2174/1381612823666170925163427 
  11. Kim CH, Chu HM, Moon YJ, Sung KK, Lee SK. The Major Causes and Prescriptions for Head Symptoms in Donguibogam Simplified by Network Analysis. J Int Korean Med 2017;38(6):1000-6. doi:10.22246/jikm.2017.38.6.1000 
  12. Kim AN, Kim HJ, Song BY, Lee SH, Cho YH, Oh Y. Network Analysis on Herbal Combinations in Korean Medicine for Insomnia. Journal of Korean Medical classics 2018;31(4):69-78. doi:10.14369/JKMC.2018.31.4.069 
  13. Jeong YK, Kim HS, Kim HH, Park YJ, Park YB. Exploratory Structural Analysis on Eight Positions for New Formulations in Jingyuequanshu by Network Analysis. J Korean Med 2014;35(3):49-59. doi:10.13048/jkm.14030 
  14. Shin SM, Ko H. Network Analysis of Herbs that are Frequently Prescribed for Osteoporosis with a Focus on Oasis Platform Research. The Journal of Korean Oriental Internal Medicine 2021;42(4):628-44. doi:10.22246/jikm.2021.42.4.628 
  15. Chu HM, Kim CH, Moon YJ, Sung KK, Lee SK. A Comparative Study on the Herb Network of Prescriptions in the Dongui-Bogam Wind Chapter. J Int Korean Med 2017;38(6):1007-20. doi:10.22246/jikm.2017.38.6.1007 
  16. National Korean Medical University Common Textbook Compilation Committee. 本草學. 4th ed. Seoul: Yeongnimsa; 2006, p. 603-12. 
  17. Kim HJ, Yoon KM, Byun JS, Kim DJ, Im EY, Kwak MA. Three Case Report of Bangpungtongsung -san Effect on Improvement of Hypertension Patients. Journal of Physiology & Pathology in Korean Medicine 2009;23(3):740-44. 
  18. Tsai MY, Hu WL, Lin CC, Lee YC, Chen SY, Hung YC, et al. Prescription pattern of Chinese herbal products for heart failure in Taiwan: A population-based study. International Journal of Cardiology 2017;228:90-6. doi:10.1016/j.ijcard.2016.11.172 
  19. Park JJ, Ko SW, Kong KH, Go HY, Moon JH. Case Study of Patient with Pleural Effusion Due to Congestive Heart Failure. Journal of Physiology & Pathology in Korean Medicine 2013;27(4):460-4. 
  20. Soe YR, Lee JE, Jin C, Park JY, Lim JW, Kim YS, et al. A case of a patient with dyspnea diagnosed as chonic heart failure treated with Mokbangkitang. The Journal of Internal Korean Medicine 2012;spr:302-6. 
  21. Baek IS, Park CG, Lii SY, Yoon HD, Shin WC, Park CS. An Experimental Study of Effect on ECV 304 Cells, Platelet Rich Plasma and Rats treated with L-NAME by Ondamtang extract. Herbal formula science 2004;12(2):175-202. 
  22. Jeong HJ, Jeon SY. A Case Report of the Treatment of an Unstable Angina Pectoris Patient with Chest Pain, Insomnia, and Dyspnea by Gamiondam-tang-gagam. J Int Korean Med 2019;40(3):525-33. doi:10.22246/jikm.2019.40.3.525 
  23. Noh JW, Jeong SM, Kim DH, Yoo JH, Ahn YM, Ahn SY, et al. A Retrospective Study on the Effect of Daeshiho-tang on the Lipid Profile in Patients with Uncontrolled Dyslipidemia by Statins. The Journal of Korean Oriental Internal Medicine 2019;40(6):1026-34. doi:10.22246/jikm.2019.40.6.1026 
  24. Choi Y, Lee S, Kim JY, Lee KE. Current Guidelines on the Management of Dyslipidemia. Korean J Clin Pharm 2017;27(4):276-83. doi:10.24304/kjcp.2017.27.4.276 
  25. Seol SH, Jung I, Lim JH, Kang W, Ryong LS. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Jing Ji and Zheng Chong. The Korean Society of Oriental Neuropsychiatry 2010;21(3):1-18. 
  26. Kang RY, Kim HJ, Han HJ, Park EY, Jang JA, Seo HS, et al. A Pilot Study about The Effect of Chunwangbosim-dan(天王補心丹) on Heart Rate Variability of Healthy Subjects. The Korean Society of Oriental Neuropsychiatry 2009;20(4):127-35. 
  27. Yang X, Xiong X, Yang G, Wang J. Chinese patent medicine Xuefu Zhuyu capsule for the treatment of unstable angina pectoris: A systematic review of randomized controlled trials. Complement Ther Med 2014;22(2):391-9. doi:10.1016/j.ctim.2014.01.003 
  28. Liu H, Wang J, Zhou W, Wang Y, Yang L. Systems approaches and polypharmacology for drug discovery from herbal medicines: an example using licorice. J Ethnopharmacol 2013;146(3):773-93. doi:10.1016/j.jep.2013.02.004 
  29. Kim SH, Seo YN, Bae IH, Cho KH, Moon SK, Jung WS, et al. Effects of Dangui-jakyak-san on Common Carotid Artery Elasticity in Healthy Subjects; A Randomized controlled crossover study. The Journal of the Society of Stroke on Korean Medicine 2020;21(1):21-32. 
  30. Network pharmacology combined with metabolomics reveals the mechanism of Fuzi decoction against chronic heart failure in rats - PubMed. Accessed January 25, 2023. https://pubmed.ncbi.nlm.nih.gov/36063700/ 
  31. Kan M, Wang J, Ming S, Sui X, Zhang Z, Yang Q, et al. Investigating the Mechanism of Shengmaiyin (Codonopsis pilosula) in the Treatment of Heart Failure Based on Network Pharmacology. Comb Chem High Throughput Screen 2022;25(13):2191-202. doi:10.2174/1386207325666220221093415