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Exploring the mechanism of Wendan Decoction in the treatment of schizophrenia based on network pharmacology and molecular docking

Published on Mar. 02, 2026Total Views: 11 times Total Downloads: 3 times Download Mobile

Author: XIAO Huizhong 1 PU Yuxin 1 XU Xinyi 1 ZHU Meiling 1 XU Yiyong 2

Affiliation: 1. School of Traditional Chinese Medicine, Jiangxi University of Chinese Medicine, Nanchang 330004, China 2. School of Nursing, Jiangxi University of Chinese Medicine, Nanchang 330004, China

Keywords: Wendan Decoction Schizophrenia Network pharmacology Molecular docking Mechanism

DOI: 10.12173/j.issn.1005-0698.202508023

Reference: Xiao HZ, Pu YX, Xu XY, Zhu ML, Xu YY. Exploring the mechanism of Wendan Decoction in the treatment of schizophrenia based on network pharmacology and molecular docking[J]. Journal of Mathematical Medicine, 2026, 39(2): 114-123. DOI: 10.12173/j.issn.1005-0698.202508023[Article in Chinese]

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Abstract

Objective  To explore the mechanism of effective ingredients in Wendan Decoction for the treatment of schizophrenia based on network pharmacology and molecular docking technology.

Methods  The active ingredients and related targets of Wendan Decoction  were obtained through Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP), Traditional Chinese Medicine Integrated Database (TCMID), UniProt database, PubChem and SwissTargetPrediction database. The multiple screenings of target genes for schizophrenia were conducted through the GeneCard human gene database, OMIM database and TTD database, and the final disease targets were obtained through deduplication. The common targets of drug-disease were obtained by using Venny 2.1.0 software. The free targets were excluded by inputting into the STRING database, and the protein-protein interaction (PPI) network was constructed by Cytoscape 3.9.1 software. The core targets were screened based on the degree values. Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed on core targets using DAVID database. Finally, the top 6 core targets with the highest degree values were selected as docking proteins and the top 5 active compounds of Wendan Decoction for molecular docking to verify the credibility of the network pharmacological results.

Results  A total of 134 active ingredients of Wendan Decoction and 213 common targets of drug-disease were obtained. GO analysis obtained 1 114 entries, including 852 biological processes, 108 cellular components and 181 molecular functions. KEGG analysis yielded 196 signaling pathways. The molecular docking results showed that the molecular docking between the core targets and active ingredients had a strong affinity.

Conclusion  Wendan Decoction contains active ingredients such as quercetin, naringenin and nobiletin. It may play a role in the treatment of schizophrenia by regulating the targets such as TP53, AKT1 and STAT3, as well as key signaling pathways such as IL-17, PI3K-Akt and HIF-1, providing a reference basis for the research and application of Wendan Decoction in the treatment of schizophrenia.

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References

1.Chen X, Liu Y, Cue J, et al. Classification of schizophrenia, bipolar disorder and major depressive disorder with comorbid traits and deep learning algorithms[J]. Schizophrenia (Heidelb), 2025, 11(1): 14. DOI: 10.1038/s41537-025-00564-7.

2.Heydarikhayat N, Darban F, Farokhzadian J. Putting the broken pieces of life together, Balo-ch family caregivers' confrontation with schizophrenia: a phenomenological study[J]. BMC Psychol, 2025, 13(1): 87. DOI: 10.1186/s40359-025-02358-z.

3.张廷开, 王梁梁, 徐楷, 等. 神经炎症在精神分裂症发病机制中的研究进展[J]. 国际精神病学杂志, 2025, 52(3): 673-677. [Zhang TK, Wang LL, Xu K, et al. Research progress on the role of neuroinflammation in the pathogenesis of schizophrenia[J]. Journal of International Psychiatry, 2025, 52(3): 673-677.] DOI: 10.13479/j.cnki.jip.2025.03.077.

4.俞天悦, 郭茜, 胡昊, 等. 精神分裂症中氧化应激相关通路与诊断和预测价值的研究进展[J]. 实用医学杂志, 2024, 40(20): 2935-2940. [Yu TY, Guo Q, Hu H, et al. Advances in oxidative stress-related pathways with diagnostic and predictive value in schizophrenia[J]. The Journal of Practical Medicine, 2024, 40(20): 2935-2940.] DOI: 10.3969/j.issn.1006-5725.2024.20.019.

5.Brodeur S, Chiu YM, Courteau J, et al. Medication exposure and mortality in patients with schizophrenia[J]. JAMA Netw Open, 2024, 7(11): e2447137. DOI: 10.1001/jamanetworkopen.2024.47137.

6.何杰, 张瑶, 余奇. 743例精神分裂症住院患者用药情况及不良反应分析[J]. 国际精神病学杂志, 2024, 51(3): 728-731. [He J, Zhang Y, Yu Q. Analysis of drug use and adverse reactions in 743 hospitalized patients with schizophrenia[J]. Journal of International Psychiatry, 2024, 51(3): 728-731.] DOI: 10.13479/j.cnki.jip.2024.03.061.

7.旷振中, 李燕, 欧阳喆. 不同新型非典型抗精神病药治疗精神分裂症的临床对比研究[J]. 基层医学论坛, 2024, 28(7): 54-56. [Kuang ZZ, Li Y, Ouyang Z. A clinical comparative study of different new types of atypical antipsychotic drugs in the treatment of schizophrenia[J]. The Medical Forum, 2024, 28(7): 54-56.] DOI: 10.19435/j.1672-1721.2024.07.018.

8.付康, 蒋新新, 王新莉, 等. 宁神温胆汤对发生精神残疾的精神分裂症患者听幻觉评分量表评分及认知功能的影响分析[J/OL]. 中华中医药学刊. (2025-05-22). [Fu K, Jiang X, Wang XL, et al. Analysis of the effect of Ning Shen Wen Dan Decoction on auditory hallucination rating scale scores and cognitive function in schizophrenia patients with psychiatric disabilities[J/OL]. Chinese Archives of Traditional Chinese Medicine. (2025-05-22).] https://link.cnki.net/urlid/21.1546.R.20250522.1545.071.

9.王安江, 王昆, 汪敏. 黄连温胆汤加减治疗痰火内扰型精神分裂症的临床研究[J]. 辽宁中医杂志, 2022, 49(7): 132-134. [Wang AJ, Wang K, Wang M. Clinical study on modified Huanglian Wendan Decoction in treatment of schizophrenia of phlegm-fire disturbance syndrome[J]. Liaoning Journal of Traditional Chinese Medicine, 2022, 49(7): 132-134.] DOI: 10.13192/j.issn.1000-1719.2022.07.038.

10.李涛, 王凤杰. 宁神温胆汤治疗精神分裂症的疗效观察[J]. 辽宁中医杂志, 2025, 52(5): 124-128. [Li T, Wang FJ. Observation on therapeutic effect of Ningshen Wendan Decoction on schizophrenia[J]. Liaoning Journal of Traditional Chinese Medicine, 2025, 52(5): 124-128.] DOI: 10.13192/j.issn.1000-1719.2025.05.034.

11.邓丽, 谢艳利. 温胆汤联合奥氮平治疗精神分裂症的疗效及患者记忆、行为变化观察[J]. 中医药学报, 2024, 52(6): 75-78. [Deng L, Xie YL. Effect of gallbladder-warming decoction combined with olanzapine in the treatment of schizophrenia and the changes of patient memory and behavior[J]. Acta Chinese Medicine and Pharmacology, 2024, 52(6): 75-78.] DOI: 10.19664/j.cnki.1002-2392.240120.

12.李一兰, 李淑云, 朱志敏, 等. 加味温胆汤联合利培酮对痰湿内阻型精神分裂症阴性症状及对执行功能的影响[J]. 中医临床研究, 2023, 15(35): 55-59. [Li YL, Li SY, Zhu ZM, et al. Efficacy of the Wendan decoction plus risperidone on negative symptoms and executive function of patients with phlegm-dampness internal obstruction type of schizophrenia[J]. Clinical Journal of Chinese Medicine, 2023, 15(35): 55-59.] DOI: 10.3969/j.issn.1674-7860.2023.35.011.

13.苏方勇. 温胆汤联合氨磺必利治疗难治性精神分裂症临床观察[J]. 光明中医, 2022, 37(19): 3575-3577. [Su FY. Clinical observation on the treatment of refractory schizophrenia with Wen Dan Decoction combined with amisulpride[J]. Guangming Journal of Chinese Medicine, 2022, 37(19): 3575-3577.] DOI: 10.3969/j.issn.1003-8914.2022.19.039.

14.廖韵诺, 赵凯丽, 郭宏伟. 中药网络药理学的研究应用与挑战[J]. 中草药, 2024, 55(12): 4204-4213. [Liao YL, Zhao KL, Guo HW. Application and challenges of network pharmacology research in traditional Chinese medicine[J]. Chinese Traditional and Herbal Drugs, 2024, 55(12): 4204-4213.] DOI: 10.7501/j.issn.0253-2670.2024.12.027.

15.朱金华, 邴慧昕, 杨威, 等. 温胆汤治疗精神分裂症的分子机制研究进展[J/OL]. 中药药理与临床. (2025-07-16). [Zhu JH, Bing HX, Yang W, et al. Molecular mechanism of Wendan Decoction in preventing and treating schizophrenia: a review[J/ OL]. Pharmacology and Clinics of Chinese Materia Medica. (2025-07-16).] DOI: 10.13412/j.cnki.zyyl.20250711.002.

16.封俨宸, 宋佳斌, 李金瑶, 等. 基于“化痰利胆”法探讨中药复方治疗精神分裂症的研究进展[J/OL]. 中国实验方剂学杂志. (2025-11-12). [Feng YC, Song JB, Li JY, et al. Research progress on traditional Chinese medicine compound prescriptions for schizophrenia based on "phlegm-resolving and gallbladder-regulating" method[J/OL]. Chinese Journal of Experimental Traditional Medical Formulae. (2025-11-12). DOI: 10.13422/j.cnki.syfjx.20252322.

17.Islam MR, Al-Imran MIK, Zehravi M, et al. Targeting signaling pathways in neurodegenerative diseases: Quercetin's cellular and molecular mechanisms for neuroprotection[J]. Animal Model Exp Med, 2025, 8(5):798-818. DOI: 10.1002/ame2.12551.

18.Shahzad S, Batool Z, Afzal A, et al. Reversal of oxidative stress, cytokine toxicity and DNA fragmentation by quercetin in dizocilpine-induced animal model of Schizophrenia[J]. Metab Brain Dis, 2022, 37(8): 2793-2805. DOI: 10.1007/s11011-022-01090-6.

19.Emran TB, Islam F, Nath N, et al. Naringin and naringenin polyphenols in neurological diseases: understandings from a therapeutic viewpoint[J]. Life (Basel), 2022, 13(1): 99. DOI: 10.3390/life13010099.

20.Li M, Liu Y, Sun M, et al. SEP-363856 exerts neuroprotection through the PI3K/AKT/GSK-3β signaling pathway in a dual-hit neurodevelopmental model of schizophrenia-like mice[J]. Drug Dev Res, 2024, 85(4): e22225. DOI: 10.1002/ddr.22225.

21.徐义勇, 黄四碧, 田真真, 等. 温胆汤对精神分裂症模型大鼠学习记忆及PI3K/Akt/mTOR信号通路的影响[J]. 中药材, 2022, 45(10): 2466-2470. [Xu YY, Huang SB, Tian ZZ, et al. Effect of Wendan Decoction on learning and memory and PI3K/Akt/mTOR signaling pathway in schizophrenia model rats[J]. Journal of Chinese Medicinal Materials, 2022, 45(10): 2466-2470.] DOI: 10.13863/j.issn1001-4454.2022.10.033.

22.Chen M, Li H, Zheng S, et al. Nobiletin targets SREBP1/ACLY to induce autophagy-dependent cell death of gastric cancer cells through PI3K/Akt/mTOR signaling pathway[J]. Phytomedicine, 2024, 128: 155360. DOI: 10.1016/j.phymed.2024.155360.

23.El-Kott AF, Bin-Meferij MM, Eleawa SM, et al. Kaempferol protects against cadmium chloride-induced memory loss and hippocampal apoptosis by increased intracellular glutathione stores and activation of PTEN/AMPK induced inhibition of Akt/mTOR signaling[J]. Neurochem Res, 2020, 45(2): 295-309. DOI: 10.1007/s11064-019-02911-4.

24.布凡, 赵永厚, 柴剑波, 等. 基于数据挖掘中药治疗精神分裂症用药规律及机制研究[J]. 中医药导报, 2022, 28(5): 132-137, 151. [Bu F, Zhao YH, Chai JB, et al. Study on the regularity and mechanism of medication in the treatment of schizophrenia based on data mining[J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy, 2022, 28(5): 132-137, 151.] DOI: 10.13862/j.cn43-1446/r.2022.05.027.

25.Zhu M, Sun Y, Su Y, et al. Luteolin: a promising multifunctional natural flavonoid for human diseases[J]. Phytother Res, 2024, 38(7): 3417-3443. DOI: 10.1002/ptr.8217.

26.Yang Y, Xiao Z, Chen W, et al. Tumor suppressor gene TP53 is genetically associated with schizophrenia in the Chinese population[J]. Neurosci Lett, 2004, 369(2): 126-131. DOI: 10.1016/j.neulet.2004.07.068.

27.Yang J, Wu X, Huang J, et al. TP53 Polymorphism Contributes to the Susceptibility to Bipolar Disorder but Not to Schizophrenia in the Chinese Han Population[J]. J Mol Neurosci, 2019, 68(4): 679-687. DOI: 10.1007/s12031-019-01330-y.

28.Devine EA, Imami AS, Eby H, et al. Neuronal alterations in AKT isotype expression in schizophrenia[J]. Mol Psychiatry, 2025, 30(4): 1573-1584. DOI: 10.1038/s41380-024-02770-8.

29.杨铠冰, 冀燃, 王美琴, 等. 基于数据融合算法的精神分裂症易感基因排序及其信号通路研究[J]. 北京生物医学工程, 2015, 34(2): 151-155. [Yang KB, Ji R, Wang MQ, et al. Gene ranking and signaling pathway of schizophrenia susceptible genes based on data fusion arithmetic[J]. Beijing Biomedical Engineering, 2015, 34(2): 151-155.] DOI: 10.3969/j.issn.1002-3208.2015.02.07.

30.Wang P, Nan S, Zhang Y, et al. Effects of GABAB receptor positive allosteric modulator BHF177 and IRS-1 on apoptosis of hippocampal neurons in rats with refractory epilepsy via the PI3K/Akt pathway[J]. Cell Biol Int, 2022, 46(11): 1775-1786. DOI: 10.1002/cbin.11839.

31.Subbanna M, Shivakumar V, Venugopal D, et al. Impact of antipsychotic medication on IL-6/STAT3 signaling axis in peripheral blood mononuclear cells of drug-naive schizophrenia patients[J]. Psychiatry Clin Neurosci, 2020, 74(1): 64-69. DOI: 10.1111/pcn.12938.

32.Luo J, Li L, Niu M, et al. Genetic regulation of human brain proteome reveals proteins implicated in psychiatric disorders[J]. Mol Psychiatry, 2024, 29(11): 3330-3343. DOI: 10.1038/s41380-024-02576-8.

33.Kim DY, Park JS, Leem YH, et al. The potent PDE10A inhibitor MP-10 (PF-2545920) suppresses microglial activation in LPS-induced neuroinflammation and MPTP-induced Parkinson's disease mouse models[J]. J Neuroimmune Pharmacol, 2021, 16(2): 470-482. DOI: 10.1007/s11481-020-09943-6.

34.Chiosis G, Digwal CS, Trepel JB, et al. Structural and functional complexity of HSP90 in cellular homeostasis and disease[J]. Nat Rev Mol Cell Biol, 2023, 24(11): 797-815. DOI: 10.1038/s41580-023-00640-9.

35.梁静文, 余卓恒, 叶彩虹, 等. 首发精神分裂症相关血浆外泌体蛋白标志物的筛查[J]. 国际精神病学杂志, 2024, 51(1): 42-48. [Liang JW, Yu ZH, Ye CH, et al. Screening of protein markers on the plasma exosome of first episode schizophrenic patients[J]. Journal of International Psychiatry, 2024, 51(1): 42-48.] DOI: 10.13479/j.cnki.jip.2024.01.030.

36.Brand BA, de Boer JN, Sommer IEC. Estrogens in schizophrenia: progress, current challenges and opportunities[J]. Curr Opin Psychiatry, 2021, 34(3): 228-237. DOI: 10.1097/YCO.0000000000000699.

37.Brand BA, Boer AJ, de Boer JN, et al. Genetic variants in COMT and ESR1 genes shape treatment response to raloxifene in schizophrenia-spectrum disorders[J]. Psychoneuroendocrinology, 2025, 172: 107274. DOI: 10.1016/j.psyneuen.2024.107274.

38.严辞, 汪彦博. 血清IL-1β、IL-17水平与首发精神分裂症患者治疗效果的关系[J]. 中国医药导报, 2019, 16(36): 178-181. [Yan C, Wang YB. Relationship between serum IL-1β, IL-17 levels and the therapeutic effect in patients with first-episode schizophrenia[J]. China Medical Herald, 2019, 16(36): 178-181.] https://d.wanfangdata.com.cn/periodical/CiBQZXJpb2RpY2FsQ0hJU29scjkyMDI1MTExNzE2MDExNxIPeXljeXp4MjAxOTM2MDQ1Ggh5d29kcnhoaQ%3D%3D

39.周中华. 氯氮平联合利培酮对精神分裂症患者血脂代谢及血清IL-6、IL-1β、IL-17水平的影响[J]. 医学理论与实践, 2021, 34(17): 2981-2983. [Zhou ZH. The influence of clozapine combined with risperidone on lipid metabolism and serum levels of IL-6, IL-1β, and IL-17 in patients with schizophrenia[J]. The Journal of Medical Theory and Practice, 2021, 34(17): 2981-2983.] DOI: 10.19381/j.issn.1001-7585.2021.17.020.

40.Samoud S, Mtiraoui A, Zamali I, et al. Comparative analysis of serum BAFF and IL-17 levels pre-and post-antipsychotic treatment for acute schizophrenia[J]. Int J Mol Sci, 2025, 26(1): 385. DOI: 10.3390/ijms26010385.

41.Yu S, Qu Y, Du Z, et al. The expression of immune related genes and potential regulatory mechanisms in schizophrenia[J]. Schizophr Res, 2024, 267: 507-518. DOI: 10.1016/j.schres.2023.11.007.

42.吴海源, 柴剑波, 于明, 等. 中医药调控PI3K/Akt信号通路防治精神分裂症的研究进展[J]. 中国实验方剂学杂志, 2024, 30(8): 280-289. [Wu HY, Chai JB, Yu M, et al. Prevention and treatment of schizophrenia by traditional Chinese medicine targeting PI3K/Akt signaling pathway: a review[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2024, 30(8): 280-289.] DOI: 10.13422/j.cnki.syfjx.20240205.

43.Okazaki S, Boku S, Watanabe Y, et al. Polymorphisms in the hypoxia inducible factor binding site of the macrophage migration inhibitory factor gene promoter in schizophrenia[J]. PLoS One, 2022, 17(3): e0265738. DOI: 10.1371/journal.pone.0265738.

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