- 1School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, China
- 2Center for standardization and functional engineering of traditional Chinese medicine in Hunan province, Changsha, Hunan, China
- 3Key Laboratory of Modern Research of TCM, Education Department of Hunan Province, Changsha, Hunan, China
- 4School of Informatics, Hunan University of Chinese Medicine, Changsha, Hunan, China
Background: Paeoniae Radix Rubra (PRR) has been used widely to promote blood circulation and eliminate blood stasis in China clinical practice owing to its extensive pharmacological effects. However, the “quality markers” (Q-markers) of the antioxidant effects remains unknown.
Object: To explore the Q-markers of antioxidant activity based on multiple strategies, which would provide reference for the quality evaluation of PRR based on specific pharmacodynamic-oriented.
Methods: Firstly, the “fingerprint” profiles of 15 batches of PRR were acquired and identified by ultrahigh performance liquid chromatography-quadrupole time-of-flight tandem mass spectrometry (UHPLC-Q-TOF MS/MS) and the common peaks extracted. Meanwhile, the MTT assay was used to evaluate the effect of 15 batches of PRR on H2O2-induced oxidative stress in HT-22 cells. The antioxidant activity of PRR was investigated simultaneously by superoxide dismutase (SOD), glutathione (GSH), and malondialdehyde (MDA) commercial kits. The relationship between common peaks and antioxidant indexes were constructed by grey relational analysis (GRA) and partial least squares-discriminant analysis (PLS-DA) for the identification of preselected Q-markers. Secondly, experimental verification was conducted to investigate the protective effect of the preliminary components on HT-22 cells undergoing oxidative stress. Finally, for the further validation of effectiveness of antioxidant Q-markers, network pharmacology was applied to explore potential targets, and the molecular docking technology was used to value the binding ability of the potential active components of PRR to the antioxidant targets.
Results: Thirty-seven common peaks from 15 batches of PRR were identified qualitatively by UHPLC-Q-TOF MS/MS. The MTT assay showed that PRR could reduce the oxidative damage induced by H2O2 upon HT-22 cells according to the index of MDA, SOD and GSH. Eight potential antioxidant components were screened by spectrum-effect correlation analysis: paeoniflorin, galloylpaeoniflorin, albiflorin, 1,2,3,4,6-o-pentagalloylglucose, benzoylpaeoniflorin, pinocembrin, oleanic acid, and isorhamnetin-3-o-nehesperidine. Each of these preliminary components showed significant protections on cellular oxidative stress (P < 0.05). Interleukin-6 (IL-6), protein kinase B (AKT1), and tumor necrosis factor (TNF) were predicted to be the major potential targets of PRR, and the good binding ability were presented between the potential active components of PRR and each target as a whole.
Conclusion: Eight components were identified as the antioxidant Q-markers of PRR based on an integrated multimodal strategy.
1 Introduction
Paeoniae Radix Rubra (PRR) is the root of Paeonia lactiflora Pall or Paeonia veitchii Lynch. It was first recorded in ShenMungHerbal. PRR has been used widely to promote blood circulation and eliminate blood stasis in clinical practice in China because it has anti-thrombotic (Ye et al., 2016), anti-ischemic (Zhao et al., 2022), anti-inflammatory (Zhang and Wei, 2020), and antioxidant properties (Li S. et al., 2018). Our previous studies have shown that PRR exerts neuroprotective effects against cerebral ischemia by inhibiting neuronal ferroptosis via antioxidant pathways. (Zhao et al., 2023). Deficiency in anti-oxidative function has been postulated to be associated with various diseases. Excessive accumulation of free radicals is a crucial process in the pathogenesis of ischemic diseases, aging, and cancer. PRR has been shown to counteract the accumulation of free radicals, which is associated with the effect of stasis-dispersing probably (Xu et al., 2022). PRR exerts therapeutic effects on liver damage (Liu T. et al., 2022), atherosclerosis (Li C. et al., 2018), cognitive dysfunction (Liu et al., 2020), and pulmonary fibrosis (Liu et al., 2017) by inhibiting excessive cellular oxidation. This phenomenon indicates that screening for the active components in PRR responsible for its antioxidant effects is a rational approach. In addition, the quality of PRR affects its efficacy directly. The strength of an antioxidant can reflect intuitively the specific bioactive components. However, the quantity and content of chemical components are different if PRR is extracted from different parts of the host plant or if different preparation technologies are adopted. For instance, Tong and colleagues (Tong N.-N. et al., 2021) investigated the chemical composition and antioxidant activity of stems and leaves separately, as well as 10 parts, of PRR. They found that different parts of PRR had different levels of antioxidant activity. However, studies on the PRR components that are efficacious against different diseases are scarce. Therefore, it is particularly essential to establish a direct correlation among components, effects, and diseases, which would serve as a scientific approach to evaluate the quality of traditional Chinese medicine (TCM).
“Chemical fingerprinting” and qualitative analysis of multiple chemical components have been shown to be powerful methods to judge the efficacy and safety of TCM (Noviana et al., 2022). High-performance liquid chromatography (HPLC) and ultrahigh-pressure liquid chromatography/tandem mass spectrometry (UPLC-MS/MS) have been used widely to identify and evaluate the quality of complex multicomponent TCM. However, these methods characterize (qualitatively and quantitatively) the chemical components contained in a TCM without detailing the correlations between specific effects and chemical components. Therefore, clearly identifying the pharmacological-material basis responsible for specific effects is challenging. Also, there are limitations in evaluating the quality of a TCM from a clinical medication.
As a promising concept, “quality markers” (Q-markers) are derived from the “nature–effect–component” theory proposed by Liu et al. (2016). This theory closely links the relationship among the material basis, efficacy, and Q-markers of a TCM. Analyses of the spectrum–effect can reflect the correlation between chemical components and pharmacological activities (He et al., 2023). This is a commonly used and convenient concept for screening Q-markers. It is significant to further identify the potential pharmacological material bases and provide feasible solutions for evaluating the quality standards of TCM, also clarifying the material basis.
We integrated multiple strategies based on Q-marker screening. Initially, we characterized the chemical components and evaluated the antioxidant activity of PRR. Subsequently, spectrum–effect relationships were established using various chemometric methods to preliminarily screen out the bioactive components associated with the antioxidant activity of PRR. In vitro experiments were conducted to evaluate the antioxidant effect of each bioactive component using mouse hippocampal neuronal (HT-22) cells. Network pharmacology was employed to explore the biological targets of antioxidant activity. Molecular docking was conducted to confirm the relationship between components and targets. Ultimately, the Q-markers for the antioxidant effects of PRR were identified. This strategy for the screening of Q-markers could provide a reference for efficacy-oriented quality evaluation of PRR. The graphical abstract is shown in Figure 1.
2 Materials and methods
2.1 Materials
Fifteen batches of P. lactiflora Pall or P. veitchii Lynch. Herbs were identified by Professor Zhou Xiao Jiang (Hunan University of Chinese Medicine, Changsha, China) according to the 2020 edition of Chinese Pharmacopoeia (Chinese Pharmacopoeia Commission, 2020). The batch numbers for sample production corresponding to numbers are shown in Table 1. Samples were stored in the Center for Standardization and Functional Engineering of Traditional Chinese Medicine in Hunan Province (Changsha, China).
Eight types of reference standards were purchased from Chengdu Aifa Biotechnology (Chengdu, China): paeoniflorin, galloylpaeoniflorin, albiflorin, 1,2,3,4,6-o-pentagalloylglucose, benzoylpaeoniflorin, pinocembrin, oleanic acid, and isorhamnetin 3-o-neohesperidoside. The purity of all reference standards were higher than 98%. The H2O2 solution was obtained from Sigma (Shanghai, China). Chromatography-grade acetonitrile and methanol were purchased from Merck (Darmstadt, Germany). Deionized water was purified by the Milli-Q™ system (Millipore, Bedford, MA, United States). Superoxide dismutase (SOD), glutathione (GSH), and malondialdehyde (MDA) assay kits (S0021) with batch numbers of E-BC-K020-M, E-BC-K030-M, and E-BC-K028-M, respectively, were from Elabscience Biotechnology (Wuhan, China).
2.2 Qualitative analyses of PRR
2.2.1 Preparation of the sample solution of PRR
Fifteen batches of PRR were extracted ultrasonically thrice with 70% ethanol. The filtrate was collected after suction filtration to remove impurities. Ethanol was recovered by vacuum distillation with a rotary evaporator, and then dried in vacuo to obtain the dry extract. Each gram was equivalent to 4 g of crude drug. Methanol (100%) was used to dissolve PRR extracts. After ultrasonic treatment for 30 min and passage through a 0.22 μm filter membrane, solution samples for UHPLC were obtained. DMEM was added to dissolve the PRR extracts at appropriate concentrations for cell experiments.
2.2.2 Ultrahigh performance liquid chromatography-quadrupole time-of-flight tandem mass spectrometry (UHPLC-Q-TOF MS/MS)
Chromatographic separation was undertaken using an Ultimate UPLC XB-C18 column (1.8 µm, 2.1 × 100 mm). The mobile phase consisted of pure water with 0.1% formic acid solution (A) and acetonitrile (B) at a flow rate of 0.3 mL/min. The gradient program was: (A:B, v/v): 0–26.67 min, 10%–15% (B); 26.67–93.35 min, 15%–22% (B); 93.35–120.21 min, 22%–55% (B); 120.21–146.92 min, 45%–50% (B). The volume of sample for injection was 3 μL.
The high-resolution quadrupole time-of-flight mass spectrometer equipped with an ESI source was used as the detector. Positive and negative ionization modes were used at the following MS parameters: first cone voltage, −80 V to −80 V; first collision voltage, −10 V to −10 V; second cone voltage, −80 V to −80 V; second collision voltage, −50 V to −20 V. Data analysis was done using SCIEX OS 1.2 software.
2.3 In vitro cell experiments
2.3.1 Cell culture and model of oxidative stress
HT-22 cells (STR identification confirmed, CL-0697) were purchased from Hunan Kangheyi Biotechnology (Hunan, China) and cultured in DMEM supplemented with 10% fetal bovine serum and 1% antibiotics at 37°C in an incubator in an atmosphere of 5% CO2. After reaching 80% confluence, cells were seeded into 96-well plates at 103–104 per well. Cells were allowed to react with H2O2 (0.9 μM) for 2 h to create a model of oxidative stress according to a previous study (Supplementary Figure S1) to permit 60%–70% of cells to become injured.
2.3.2 Cell activity
After completing cell culture, cells were pretreated for 2 h with PRR (120 μg⋅mL−1) or vehicle (DMEM) as the drug-intervention group and control group, respectively. Then, H2O2 (0.9 μM) was added to the model group and drug-intervention group for 2 h. Cell viability was quantified using the MTT assay. Data were normalized to vehicle-treated cells (100%) and five replicates were set up in parallel in each group.
Cell viability based on optical density (OD) was evaluated using the MTT assay as described previously using this equation:
2.3.3 Antioxidant activity
Cells were cultured using the same method as described in Section 2.3.1. SOD activity and levels of GSH and MDA were measured according to instructions set on the respective assay kits.
2.4 Spectrum–effect relationship
The spectrum–effect relationship between the UHPLC fingerprints and the SOD, GSH and MDA of PRR extracts were analyzed by the grey relational analysis (GRA) and partial least squares-discriminant analysis (PLS-DA). The indexes of antioxidant effect were used as the reference sequence, and the common characteristic peaks of the fingerprint profile (S1–S15) were listed as the comparative sequence. The contribution of each common peak to the efficacy was determined by comparing the gray correlation between the comparative sequence and the reference sequence. SPSS AU (https://spssau-com/) and SIMCA was undertaken by Umetrics (Stockholm, Sweden) software were used to analyze the gray correlation degree and partial least squares method respectively.
2.5 Verification of the antioxidant effect of eight monomer components in vitro
Oxidative stress model was constructed on HT-22 cells by H2O2. To investigate the effect of each preliminary compound on the survival rate of oxidative stress cell model, HT-22 cells were divided into the three groups: control (normal conditions), oxidative-stress model (treated with H2O2 for 2 h at the concentration of 0.9 μM) (Supplementary Figure S1), and each monomer component pretreated groups. According to the literature analysis, cells were respectively treated with paeoniflorin (5, 10, 20, 40, 80, 160 μM) (Liu Y.-F. et al., 2022), galloylpaeoniflorin (5, 10, 20, 40, 80, 160 μM) (Wen et al., 2018), oleanolic acid (5, 10, 20, 40, 80, 160 μM) (Jiang et al., 2020), albiflorin (25, 50, 75, 100, 125, 150 μM) (Xue et al., 2023), benzoylpaeoniflorin (2.5, 5, 10, 20, 40, 80 μM) (Kim et al., 2022), 1,2,3,4,6-o-pentagalloylglucose (5, 10, 20, 40, 80, 160 μM) (Tong J. et al., 2021), pinocembrin (2.5, 5, 10, 20, 40, 80 μM) (Wang T. et al., 2022), or isorhamnetin 3-o-neohesperidoside (5, 10, 20, 40, 80, 160 μM).
2.6 Network pharmacology
Target information of the active compounds in PRR was collected from PubChem (https://pubchem.ncbi.nlm.nih.gov/) and Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP; http://tcmspw.com/) databases. All PRR targets collected were combined and de-duplicated, then corrected on the Universal Protein database (https://www.uniprot.org/), and converted into the official gene symbol of Homo sapiens. Oxidation-related targets were obtained from GeneCards (www.genecards.org/), Online Mendelian Inheritance in Man (OMIM; www.omim.org/), TherapeuticTargetDatabase (www.idrblab.net/), and DrugBank (https://go.drugbank.com/). They were obtained by using “oxidation” as the keyword and removing duplicate and false-positive genes, and the intersection target genes of the two (PRR–oxidation targets) were collected as the potential targets of PRR for antioxidants. Then, we imported the PRR–oxidation targets into the Search Tool for the Retrieval of Interacting Genes/Proteins database (https://cn.string-db.org/) setting the condition as “human” (H. sapiens). Selected data with a combined score ≥0.9 was imported into Cytoscape 3.9.1 (https://cytoscape.org/), and we constructed a protein–protein interaction (PPI) network. The degree values of the topological parameter in the network were used to identify the core target genes in the PPI network.
2.7 Molecular docking
The 3D structures of proteins interleukin (IL)-6, protein kinase B (AKT1), and tumor necrosis factor (TNF) were obtained from Structural Bioinformatics Protein Data Bank (www.rcsb.org/). AutoDock Vina (Trott and Olson 2010) was used for molecular docking of active components with protein IL-6, TNF, AKT1. During the docking process, the protein structures were converted to a PDBQT file, which contained all the polar residues with hydrogen. The bioactive components were also converted to a PDBQT file and all the bonds were set to be rotatable. The receptor was set to be fixed while the ligand was allowed to have a certain flexibility, and this flexible docking simulation was carried out using the Lamarcian genetic algorithm. A search of possible conformations of the ligand was performed within the confines of the grid box and the conformation with the lowest binding free energy was finally identified as the best probable conformation. The models of the complex were analyzed using Discovery Studio (BIOVIA Dassault Systèmes 2017). Surflex-Dock scores (total scores) were expressed in kcal/mol units to represent binding affinities (Feinstein and Brylinski, 2015).
2.8 Statistical analyses
SPSSAU and SIMCA were used for GRA and PLS-DA. Data from cell experiments were analyzed using Prism 9.0 (GraphPad, La Jolla, CA, United States). The Student’s t-test and one-way analysis of variance were applied for statistical analyses.
3 Results
3.1 Chemical fingerprinting and phytochemical analysis of PRR
The total ion chromatograms of the PRR extract acquired by UPLC-Q-TOF MS/MS in positive and negative ion modes are shown in Supplementary Figure S2. The retention time, accurate quality database, and mass-spectrum library of PRR were established by SCIEXOS1.2 software. The resultant 43 compounds were identified qualitatively (Table 2) by comparison of information of primary MS and secondary MS, as well as information in the literature.
In order to more intuitively observe the content distribution of components in PRR and distinguish between principal and differential components, a heat map analysis was performed on 15 batches of PRR. The content distribution was expressed in the degree of color depth, and gray indicated that the peak did not exist in the batch of PRR. The results showed that the color differences of peaks 1, 2, 3, 4, 5, 10, 11, 12, and 18 in each batch of PRR were large, indicating that the content distribution was not uniform. The disappearance of peaks 16, 20, 29, 30, 33, 42, 44, and 45 in some batches of PRR can be defined as differential components (Supplementary Figure S3). In order to further understand the distribution of 37 common peaks in each batch of PRR, a probability distribution analysis was carried out (Figure 2). The peaks 1, 2, 3, 4, 5, 10, 11, and 12 were unevenly distributed, and the peaks 14, 16, 17, 19, and 28 were distributed to the right. The remaining peaks were approximately normally distributed, indicating that most of the components were uniformly and stably distributed in the PRR. The results were consistent with the heat map analysis.
3.2 Protective effects of PRR on oxidative stress in cells
The protective effects of 15 batches of PRR extracts on cell survival are shown in Figure 3A. The percentage of cells that survived in the H2O2-induced model group decreased to 60%–70%, and this difference was significant compared with the normal control group (P < 0.001). Each PRR extracts displayed favorable proliferation of HT-22 cells undergoing oxidative stress injure, which indicated the potential antioxidant bioactive of PRR. Additional results on the antioxidant bioactive of PRR are shown in Figures 3B–D. The activity level of GSH and SOD in the model group were reduced significantly compared with those in the control group (P < 0.001), but MDA content was increased significantly (P < 0.001), which demonstrated that a cellular model of oxidative stress had been created. The PRR extracts could prompt the three antioxidant index to a normal level, except for the second batch. Though the differences were existed among in the different batches of PRR, the all displayed a significant difference compared with model group, even up to the viability of normal control group. The comprehensive results showed that PRR exerts a protection against oxidative stress cells induced by H2O2.
Figure 3. Protective effect of 15 batches of PRR on oxidant stress cells model (A) cell viability; (B) SOD activity; (C) GSH content; (D) MDA content.mean ± SD, n = 3 ###P < 0.001 vs. control group; *P < 0.05, **P < 0.01, ***P < 0.001 vs. model group.
3.3 Spectrum−effect relationship analysis by GRA and PLS-DA
The degree of correlation obtained according to GRA is shown in Supplementary Tables S1–S3. The correlation coefficients of the antioxidant activities of SOD, GSH, and MDA were >0.6 (Table 3), indicating that SOD, GSH, and MDA were correlated with the common peaks of PRR. A correlation coefficient >0.85 represented a strong correlation. The gray correlation coefficients of the three antioxidant activities were sorted in order. The results are shown in Figure 4A. Twenty-five peaks with a correlation coefficient >0.85 (Figure 4B) (1, 2, 3, 5, 8, 10, 11, 12, 13, 17, 20, 21, 23, 24, 26, 27, 28, 29, 30, 31, 32, 33, 34, 36, 37) were obtained.
Figure 4. SOD, GSH and MDA gray correlation coefficient greater than 0.85 (A). the intersection peaks with gray correlation coefficients of the three greater than 0.85 (B).
The variable influence on projection (VIP) denotes the contribution of an independent variable to a dependent variable. The larger of VIP value, the greater contribution of the independent variable to a dependent variable. VIP >1 indicates a significant contribution to the dependent variable. SOD, GSH, and MDA were used as efficacy indices for VIP (Figures 5A–C, respectively). Components with VIP >1 for SOD and GSH were intersected. MDA has a negative correlation, so coefficient analysis was carried out while projecting important variables on MDA (Figure 5D). PRR components with VIP >1 and a negative correlation were selected. Then, the PRR components with VIP >1 for SOD and GSH were intersected. Peaks 8, 11, 17, 21, and 31 had a favorable inhibitory effects on cells experiencing oxidative stress.
Figure 5. The VIP contribution of 37 common peaks to the antioxidant activity of PRR. SOD (A); GSH (B); MDA (C); standardized regression coefficient of MDA of 37 common peaks (D).
By cross-enriching the peaks screened by GRA and PLS-DA, peaks of 8 (paeoniflorin, galloylpaeoniflorin, albiflorin), 11 (1,2,3,4,6-o-pentagalloylglucose), 17 (benzoylpaeoniflorin), 21 (pinocembrin), and 31 (oleanic acid, isorhamnetin 3-o-neohesperidoside) were screened out, and were considered to be the preliminary Q-markers of the antioxidant bioactive of PRR.
3.4 Protective effects of monomeric components on cellular oxidative stress
To further validate the correlation between preliminary Q-markers and antioxidant bioactive, the MTT assay was applied to measure the viability of HT-22 cells. H2O2 (0.9 μM for 2 h) damaged HT-22 cells significantly, and the active components of PRR reduced the oxidative damage caused by H2O2 (Figure 6). Increasing numbers of cells survived when the concentration of paeoniflorin and 1,2,3,4,6-o-pentagalloylglucose was increased, and the minimum effective concentration was 10 μM and 5 μM, respectively. Also, benzoylpaeoniflorin (5 μM) and gallylpaeoniflorin (10 μM) had protective effects against the cellular damage under oxidative stress. Another four kinds of monomeric components also had antioxidant activities at different concentrations. These data highlighted the protective effects of PRR components on HT-22 cells injured by H2O2.
3.5 Potential targets screened by a PPI network
The chemical components of PRR were gathered from TCMSP and Pubchem databases, and the screening conditions were set as oral bioavailability ≥30% and drug likeness ≥0.18. After removing repeated and false-positive components and targets, 349 potential PRR targets were predicted. To search and integrate oxidation-related targets, databases (GeneCards, OMIM, TTD, DrugBank) were used. Repeated targets were removed, and 1740 target proteins were predicted associated with antioxidants. PRR targets were cross-referenced with oxidation targets and yielded 128 target genes. Targets with degree >50 were selected to establish a PPI network of potential targets (Figure 7). According to the degree value, the top-three targets were IL-6, AKT1, and TNF.
3.6 Molecular docking
Based on the results of network pharmacology, molecular docking was undertaken to validate the binding modes of the active components and the top-three oxidation targets (AKT1, TNF, IL-6). A low binding energy indicates good binding affinity with an active site. A binding energy < −5.0 kcal/mol indicates that the drug component has “good” binding activity to a target, and a binding energy < −7 kcal/mol indicates a “strong” binding effect. Values for the binding energy are shown in Supplementary Table S4. The heat map in Figure 8 shows the binding affinity of the PRR components to the target proteins. The colors in the figure range from red to blue, and the blue range from light to dark represents the binding energy is getting smaller and smaller. The numbers in the figure are the specific values of the binding energy. It can be seen that the binding energy of the active components of PRR to the potential targets is less than −5 kcal/mol. Two-dimensional (2D) and 3D visualizations of the molecular docking of paeoniflorin, galloylpaeoniflorin, albiflorin, 1,2,3,4,6-o-pentagalloylglucose, benzoylpaeoniflorin, pinocembrin, oleanic acid, and isorhamnetin-3-o-nehesperidineand with AKT1, TNF, and IL-6 are presented in Supplementary Figure S4, the results exhibited good binding.
4 Discussion
The concept of Q-markers has transitioned from theory to practice, guiding a large amount of fragmented research work form an increasingly mature system. Exploring the Q-markers of TCM has become a focal point of research, but a singular method is not sufficient to ensure their scientific validity. So the integrate various methods for a comprehensive study is becoming more and more intensively. For example, the Q-markers of Astragali Radix were predicted based on network pharmacology and fingerprint (Zhang et al., 2021). Q-markers of Wenxin Formula were discoveried based on a Chinmedomics strategy (Wang Z.-W. et al., 2022). Besides, “Q-markers targeted screening” strategy were applied for comprehensive qualitative and quantitative analysis in fingerprints combined with chemometric methods (Gao et al., 2021).
As a well-known TCM, PRR is widely used in the treatment of depression (Chen et al., 2023), cerebral ischemia (Zhong et al., 2015), liver fibrosis (Song et al., 2024), and other diseases. Unfortunately, Q-markers for the antioxidant effect of PRR has not been conducted so far. The present work was carried out to find the material basis of antioxidant bioactive of PRR based on Q-Markers.
Chromatographic fingerprinting plays an important role in the quality control of TCM. It can give an overall view of the characteristics of nearly all components (Lu et al., 2022). We employed UHPLC-Q-TOF/MS to analyze the chemical components of 15 batches of PRR extracts. Chromatographic parameters (preparation of sample solution, temperature, mobile phase, detection wavelength) were optimized and thirty-seven common peaks were identified. The distribution of each common peak was, in general, stable, which supported the “specificity” and “detectability” of Q-markers. It was consistent with the “five principles” of Q-markers, also conducted to anticipate the potential Q-markers for the neuroprotective effects of JKZP (Wu Q. et al., 2024).
Oxidative stress occurs when oxidative and antioxidant components in cells are out of balance, causing cellular and tissue damage (Rotariu et al., 2022). It is gratifying that a favorable antioxidant capacity of PRR was observed by measuring the viability, activity of SOD, and levels of GSH and MDA in cells, which preliminarily confirmed the “effectiveness” of Q-markers. The effectiveness of TCM in clinical practice is directly related to the quality, which was regarded as a pivotal issue in the “five principles” of Q-marker (Jiang et al., 2018).
Grey relational analysis (GRA) is a comprehensive model of evaluation and prediction from a holistic perspective. It has a simple principle, convenient operation, and low requirements for data. By observing changes in some independent variables in different datasets, the magnitude of the association between common peaks and the corresponding efficacy data was obtained, it was also used for the spectrum-effect relationship in the research of Q-markers of antioxidant activity of Kai-Xin-San (Shan et al., 2023). However, GRA could not be used to describe the positivity or negativity of a correlation (Wu D. et al., 2024). For instance, a large negative correlation should be selected when conducting a correlation analysis for MDA. Therefore, another widely used method, partial least squares discrimination analysis (PLS-DA) was introduced. PLS-DA compensated for the deficiency of GRA, but also clarified the contribution of each component of PRR on the efficacy of PRR. Thus, combined use of GRA and PLS-DA could screen out the components that make outstanding contributions to the antioxidant effects of PRR. We attempted to use Pearson correlation analysis (Supplementary Figure S5), but no contributory components could be identified for the antioxidant activity of PRR with regard to SOD. Considering the possible differences in data processing among various methods, we incorporated and optimized the results of multimodal analysis. Eight components of PRR were found to contribute to the antioxidant effects of PRR: paeoniflorin, galloylpaeoniflorin, albiflorin, 1,2,3,4,6-o-pentagalloylglucose, benzoylpaeoniflorin, pinocembrin, oleanic acid, and isorhamnetin-3-o-nehesperidine.
Monoterpenes and their glycosides (including the four monomeric compounds of paeoniflorin, galloylpaeoniflorin, albiflorin and benzoylpaeoniflorin in PRR) possess antioxidant effects. For example, paeoniflorin has been reported to play an important part in the treatment of various diseases primarily through antioxidation (Ma et al., 2017; Lu et al., 2020; Yuan et al., 2020; Liu et al., 2021). Galloylpaeoniflorin can inhibit reactive oxygen species (ROS) production during ovariectomy-induced osteoporosis. It has a neuroprotective role by interfering with the phosphoinositide 3-kinase/AKT/nuclear factor-erythroid factor 2-related factor 2 pathway to upregulate or downregulate oxidative-stress indicators in cells and animals (Wen et al., 2018). Albiflorin has been shown to exert therapeutic effects upon enteritis by regulating levels of MDA, glutathione peroxidase, and ROS(Zhang H. et al., 2022). Benzoylpaeoniflorin has an inhibitory effect on early atherosclerosis owing to an antioxidant effect (Kim et al., 2021). The reports stated above offer further evidence that monoterpenes and their glycosides are antioxidative Q-markers.
The flavonoid pinocembrin has been shown to inhibit hepatocyte apoptosis and proinflammatory responses by reducing the ROS level (P et al., 2022). Pinocembrin has an antioxidant role and so can reduce cardiac arrhythmia and infarct size by diminishing the tissue level of MDA (Lungkaphin et al., 2015). Studies on the therapeutic effect of isorhamnetin-3-o-nehesperidine have been scarce, and studies only stay at the quantitative analysis (Xue et al., 2018). 1,2,3,4,6-o-pentagalloylglucose is a tannin. It has been reported to reduce acute lung injury mainly through anti-inflammatory and antioxidant effects. Kim et al. postulated that PRR elicits anti-atherosclerosis actions through anti-inflammatory and antioxidative effects, and that 1,2,3,4,6-o-pentagalloylglucose can reduce ROS production (Kim et al., 2021). Oleanolic acid has been used in the treatment of subarachnoid hemorrhage (Han et al., 2022), liver fibrosis (Leilei et al., 2022), diabetic nephropathy (Lee et al., 2016), and osteoarthritis (Pang et al., 2021) by inhibiting oxidative stress.
In addition to albiflorin, paeoniflorin, and 1,2,3,4,6-o-pentagalloylglucose, which we found to be major bioactive compounds in PRR, the metabolic products generated from a series of reactions in an organism must be considered. Hence, the active constituents in vivo may differ significantly from the inherent components of a medicinal material. For example, various metabolic products from the primitive composition of paeoniflorin, such as Paeonimetabolin I (Chen et al., 2021), oxypaeoniflorin, paeonimetabolin II glucoside (Zhang J. et al., 2022), and benzoic acid (Yu et al., 2019) have been identified in plasma. Studies have shown that Paeonimetabolin I has a significant inhibitory effect on thrombi formation via accelerating blood flow (Chen et al., 2021). Benzoic acid exerts pharmacological effects in the central nervous system by entering the bloodstream and penetrating the blood–brain barrier (Yu et al., 2019). These data suggest that some of the metabolic products from paeoniflorin have therapeutic roles in diseases, further verifying the accuracy of paeoniflorin as Q-marker.
Experimental verification is a further guarantee of the effectiveness of Q-markers. The viability of cells undergoing oxidative stress (induced by H2O2) was investigated by treatment with each monomer component at different concentrations. These monomer components displayed protective effects and indicated the reliability of screening for preliminary Q-markers.
Overall, a variety of strategies were used to study the Q-Markers of antioxidant of PRR in this paper. Although this study finally screened out chemical antioxidant Q-markers, there are also some limitations. Firstly, there is no further evidence to verify whether the antioxidant effect of eight components were equal to the whole PRR, with the possibility of some active components has been ignored. Secondly, the pharmacodynamic index of anti-oxidant was just based on the level of SOD, GSH and MDA in oxidative stress cell model, and the anti-oxidant activity in vivo using animal model needs to be further explored in future research. In addition, PRR also has many kinds of bio-activities include antiviral, anti-inflammatory, anti-bacterial, anti-tumor, anti-infective, except for anti-oxidant. Therefore, Q-markers that can comprehensively reflect varies kinds of biological activities of PRR need to be studied classified. Also, the negative control of Q-markers knock out from PRR experiments should be carried out, which would offer more powerful evidence for the screening results of Q-Markers.
5 Conclusion
Thirty-seven common peaks were identified from 15 batches of PRR by UPLC-Q-TOF-MS. Each PRR extracts could improve the survival rate of HT-22 cells suffering from H2O2-induced oxidative stress. PRR extracts could increase SOD activity and the GSH level, and reduce the MDA level, displayed a remarkable antioxidant bioactive. The preliminary antioxidant Q-markers in PRR were screened out (paeoniflorin, galloylpaeoniflorin, albiflorin, 1,2,3,4,6-o-pentagalloylglucose, benzoylpaeoniflorin, pinocembrin, oleanic acid, isorhamnetin 3-o-neohesperidoside). Experimental validation offered the evidence of protective effect of each monomer active ingredient on HT-22 cells under oxidative stress. Also, the Q-markers were all well docked with the potential antioxidant targets. Our research revealed the material basis for efficacy-oriented evaluation of PRR, as well as a reference for quality control of PRR.
Data availability statement
The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.
Author contributions
HL: Data curation, Formal Analysis, Methodology, Validation, Writing–original draft, Writing–review and editing. YZ: Methodology, Writing–review and editing. JW: Data curation, Writing–review and editing. CP: Supervision, Writing–review and editing. KT: Investigation, Writing–review and editing. MS: Investigation, Writing–review and editing. YY: Supervision, Writing–review and editing. QL: Supervision, Writing–review and editing. FL: Funding acquisition, Methodology, Resources, Supervision, Writing–review and editing, Project administration.
Funding
The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Natural Science Foundation of China (Grant numbers U2202214), Key research projects of Hunan University of Traditional Chinese Medicine (2024XJZA002), Key scientific research project of Education Department of Hunan Province (Grant numbers 23A0309), Natural Science Foundation of Changsha City (Grant numbers kq2202259), Hunan University of Chinese Medicine discipline construction project; 2023 Hunan University of Traditional Chinese Medicine Graduate Innovation Project (Grant numbers 2023CX151), Degree and postgraduate education innovation project of Hunan Province (2023JGYB151).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
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Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphar.2024.1447959/full#supplementary-material
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Keywords: quality markers (Q-markers), paeoniae radix rubra (PRR), antioxidant, spectrum-efficacy correlation, network pharmacology, molecular docking
Citation: Li H, Zhao Y, Wang J, Peng C, Tang K, Sun M, Yang Y, Liu Q and Liu F (2024) Screening of potential antioxidant bioactive Q-markers of paeoniae radix rubra based on an integrated multimodal strategy. Front. Pharmacol. 15:1447959. doi: 10.3389/fphar.2024.1447959
Received: 14 June 2024; Accepted: 06 August 2024;
Published: 15 August 2024.
Edited by:
Agnieszka Szopa, Jagiellonian University Medical College, PolandReviewed by:
Fan Xiankang, Hunan Agricultural University, ChinaYassine Kaddouri, Mohamed Premier University, Morocco
Milena Milošević, University of Belgrade, Serbia
Copyright © 2024 Li, Zhao, Wang, Peng, Tang, Sun, Yang, Liu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Fang Liu, bGl1ZmFuZ0BobnVjbS5lZHUuY24=; Qingping Liu, bGl1bGl1QGhudWNtLmVkdS5jbg==