Dual-Algorithm Integration Framework Reveals Qing-Wei-Zhi-Tong’s Dual Mechanisms in Chronic Gastritis Article Swipe
Zhijie Shu
,
Ying Huang
,
Yujie Xi
,
Bo Zhang
,
Rui Cai
,
He Xu
,
Feifei Guo
,
Zhijie Shu
,
Ying Huang
,
Yujie Xi
,
Bo Zhang
,
Rui Cai
,
He Xu
,
Feifei Guo
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ph18111743
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ph18111743
Background: Chronic gastritis (CG) involves gastric mucosal imbalance, with H. pylori (>90% cases), acid-pepsin imbalance, and bile reflux as druggable mechanisms. FDA-approved drugs show limited efficacy against antibiotic-resistant strains and fail to target undruggable pathways (e.g., inflammation, autoimmune atrophy). Traditional Chinese Medicine (TCM), particularly Qing-Wei-Zhi-Tong micro-pills (QWZT), offers multi-target advantages, though its mechanisms remain poorly understood. Methods: The dual-algorithm integration framework predicts QWZT’s pharmacological effects to treat gastritis. For druggable processes (pathways targeted by existing drugs), the structure–target–pathway similarity algorithm quantifies QWZT similar activities to FDA drugs, validated by gastrointestinal smooth muscle experiments. For undruggable processes (novel biological mechanisms not addressed by current therapies), the multi-target perturbation algorithm predicts QWZT’s unique capacity to undruggable processes and is validated via LPS-induced inflammation in RAW264.7 and GES-1 cells. Results: Structure–target–pathway similarity algorithm identified QWZT compounds sharing prokinetic mechanisms with FDA drugs, validated by dopamine-induced relaxations and acetylcholine-induced contractions in gastrointestinal smooth muscle. Multi-target perturbation algorithm quantified QWZT’s superior disruption of undruggable immune/inflammation networks, confirmed by restored cell viability in LPS-injured GES-1 cells and significantly reduced the expression of NO, IL-6, and TNF-α in RAW264.7 cells via key compounds (paeoniflorin and berberine). Conclusions: QWZT may exert its regulatory effects on gastrointestinal smooth muscle by mediating muscarinic and dopamine receptor D2 (DRD2), and reduce the expression of NO, IL-6, and TNF-α to achieve anti-inflammatory effects, thereby effectively treating CG. The integration strategy that integrates algorithms and experiments to reveal the common and distinct mechanisms of QWZT compared to FDA-approved drugs, offering a novel approach for studying Traditional Chinese Medicine mechanisms.
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- en
- Landing Page
- https://doi.org/10.3390/ph18111743
- https://www.mdpi.com/1424-8247/18/11/1743/pdf?version=1763376865
- OA Status
- gold
- References
- 72
- OpenAlex ID
- https://openalex.org/W7105836023
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https://openalex.org/W7105836023Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/ph18111743Digital Object Identifier
- Title
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Dual-Algorithm Integration Framework Reveals Qing-Wei-Zhi-Tong’s Dual Mechanisms in Chronic GastritisWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-17Full publication date if available
- Authors
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Zhijie Shu, Ying Huang, Yujie Xi, Bo Zhang, Rui Cai, He Xu, Feifei Guo, Zhijie Shu, Ying Huang, Yujie Xi, Bo Zhang, Rui Cai, He Xu, Feifei GuoList of authors in order
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https://doi.org/10.3390/ph18111743Publisher landing page
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https://www.mdpi.com/1424-8247/18/11/1743/pdf?version=1763376865Direct link to full text PDF
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goldOpen access status per OpenAlex
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https://www.mdpi.com/1424-8247/18/11/1743/pdf?version=1763376865Direct OA link when available
- Concepts
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Druggability, Medicine, Chronic gastritis, Bioinformatics, Computational biology, Pharmacology, Precision medicine, Gastritis, Helicobacter pylori, Traditional Chinese medicine, Systems biology, Drug discovery, Biology, Mechanism (biology), Personalized medicine, InflammationTop concepts (fields/topics) attached by OpenAlex
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