Journal of Traditional Chinese Medicine ›› 2025, Vol. 45 ›› Issue (2): 376-384.DOI: 10.19852/j.cnki.jtcm.2025.02.012
• Original articles • Previous Articles Next Articles
HAN Shuai1,2,3, Du Zhikang1,2, WANG Zirui1,2, HUANG Tianfeng3, GE Yali3, SHI Jianwen4,5(), GAO Ju3(
)
Received:
2023-12-15
Accepted:
2024-05-23
Online:
2025-04-15
Published:
2025-03-10
Contact:
Prof. GAO Ju, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou 225009, China. doctor2227@163.com; Prof. SHI Jianwen, Peking University People's Hospital, Qingdao; Women and Children's Hospital, Qingdao University, Qingdao 266034, China. javen0523@163.com, Telephone: +86-15618135070; +86-18553263171
Supported by:
HAN Shuai, Du Zhikang, WANG Zirui, HUANG Tianfeng, GE Yali, SHI Jianwen, GAO Ju. Network pharmacology approach to unveiling the mechanism of berberine in the amelioration of morphine tolerance[J]. Journal of Traditional Chinese Medicine, 2025, 45(2): 376-384.
Figure 1 Inhibitory effect of berberine on spinal dorsal horn microglial activation and inflammatory factors in morphine-tolerant mice A: the protein expression of CD86 was detected by western blot; B: the relative expression of CD86 level was quantified; C: the production of TNF-α was detected by ELISA assays; D: the production of IL-1β was detected by ELISA assays. Mice were pretreated with BBR (5.0 mg/kg) i.p. and then injected with morphine (10.0 mg/kg) s.c. 30 min later, this was performed once per day for eight consecutive days. On day nine, except for the control group, each group was injected with morphine 10.0 mg/kg. i.p.: intraperitoneal, s.c.: subcutaneous, BBR: berberine; Mor: morphine; TNF-α: tumor necrosis factor-alpha; IL-β: Interleukin-β; ELISA: enzymelinked immunosorbent assay. All values are expressed as the mean ± standard deviation (n = 6). One-way analysis of variance followed by Dunnett's multiple comparison for (B, C, D). aP < 0.01 compared with the control group; bP < 0.01 compared with the morphine group.
Figure 2 Inhibitory effect of berberine on morphine-mediated the activation of brain vascular 2 (BV2) cells A: effect of BBR on morphine-induced proliferation of BV2 cells (× 200). Scale bar: 50 μm. For A1: control group, A2: morphine group (200 μmol/L), and morphine (200 μmol/L) combined with BBR groups based on BBR dose (A3: 5.0, A4: 10.0, and A5: 20.0 μmol/L); B: the cell viability was evaluated by Cell Counting Kit-8 assay. BV2 cells were treated with BBR (5, 10, and 20 μmol/L) 2 h prior to morphine (200 μmol/L) induction. BBR: berberine; Mor: morphine; L-BBR: BBR dose 5.0 μmol/L; M-BBR: BBR dose 10.0 μmol/L; H-BBR: BBR dose 20.0 μmol/L. All values are expressed as the mean ± standard deviation (n = 6). One-way analysis of variance followed by Dunnett's multiple comparison for B. aP < 0.001 compared with the control group; bP < 0.01 compared with the morphine group.
Figure 3 Inhibitory effect of berberine on morphine induced activation of brain vascular 2 (BV2) cells A: the protein expression of CD86 was detected by western blot; B: the relative expression of CD86 level was quantified; C: the protein expression of NF-κB p65 was detected by Western blot; D: the relative expression of NF-κB p65 level was quantified. BV2 cells were treated with BBR (20 μmol/L) prior to morphine (200 μmol/L) induction. BBR: berberine dose 20 μmol/L; Mor: morphine dose 200 μmol/L; CD86: Cluster of Differentiation 86; NF-κB: nuclear factor kappa B. All values are expressed as the mean ± standard deviation (n = 6). One-way analysis of variance followed by Dunnett's multiple comparison for (B, D). aP < 0.05 compared with the control group; bP < 0.05 compared with the morphine group.
Figure 4 Inhibitory effect of berberine on morphine-mediated apoptosis and oxidative stress in brain vascular 2 (BV2) cells A: effect of BBR on apoptosis in BV2 cells induced by morphine (× 200). Scale bar: 50 μm. A1: control group, A2: morphine group (200 μmol/L), and morphine (200 μmol/L) combined with BBR groups based on BBR dose (A3: 5.0, A4: 10.0, and A5: 20.0 μmol/L). B: effect of BBR on ROS in BV2 cells induced by morphine (× 200). Scale bar: 50 μm. B1: control group, B2: morphine group (200 μmol/L), and morphine (200 μmol/L) combined with BBR groups based on BBR dose (B3: 5.0, B4: 10.0, and B5: 20.0 μmol/L). C: BV2 cells were treated with BBR (20 μmol/L) prior to morphine (200 μmol/L) induction. The protein expression of Caspase-3, Bax and Bcl-2 were detected by Western blot; D: the relative expression of Caspase-3 level was quantified; E: the relative expression of Bax level was quantified; F: the relative expression of Bcl-2 level was quantified. BBR: berberine dose 20 μmol/L; Mor: morphine dose 200 μmol/L; ROS: reactive oxygen species; Bcl-2: B-cell lymphoma 2. All values are expressed as the mean ± standard deviation (n = 6). One-way analysis of variance followed by Dunnett's multiple comparison for (D, E, F). aP < 0.05, cP < 0.01 compared with the control group; bP < 0.05 compared with the morphine group.
1. | Jiao Y, Gao P, Dong L, et al. Molecular identification of bulbospinal on neurons by GPER which drives pain and morphine tolerance. J Clin Invest 2022; e154588. |
2. | Gao ZS. Berberine-loaded M2 macrophage-derived exosomes for spinal cord injury therapy. Acta Biomater 2021; 126: 211-23. |
3. |
Zhang Q, Ren Y, Mo Y, et al. Inhibiting Hv1 channel in peripheral sensory neurons attenuates chronic inflammatory pain and opioid side effects. Cell research 2022; 32: 461-76.
DOI PMID |
4. |
Jokinen V. Differential spinal and supraspinal activation of glia in a rat model of morphine tolerance. Neuroscience 2018; 375: 10-24.
DOI PMID |
5. | Tu HA, Chu HC, Guan S, et al. The role of the M1/M2 microglia in the process from cancer pain to morphine tolerance. Tissue Cell 2021; 68: 101438. |
6. | Martyn JAJ, Mao J, Bittner EA. Opioid tolerance in critical illness. N Engl J Med 2019; 380: 365-78. |
7. |
Wang CG, Wang QQ, Lou YT, et al. Salidroside attenuates neuroinflammation and improves functional recovery after spinal cord injury through microglia polarization regulation. J Cell Mol Med 2018; 22: 1148-66.
DOI PMID |
8. | Zhang Q, Wang XB, Cao SJ, et al. Berberine represses human gastric cancer cell growth in vitro and in vivo by inducing cytostatic autophagy via inhibition of MAPK/mTOR/p70S6K and Akt signaling pathways. Biomed Pharmacother 2020; 128: 110245. |
9. | Chen J, Wang G, Sun T, et al. Involvement of TCF7L2 in generation of morphine-induced antinociceptive tolerance and hyperalgesia by modulating TLR4/NF-κB/NLRP3 in microglia. Toxicol Appl Pharmacol 2021; 416: 115458. |
10. | Ouyang H, Zhang J, Chi D, et al. The YTHDF1-TRAF 6 pathway regulates the neuroinflammatory response and contributes to morphine tolerance and hyperalgesia in the periaqueductal gray. J Neuroinflammation 2022; 19: 310. |
11. | Zhang B, Wang X, Li S. An integrative platform of TCM network pharmacology and its application on a herbal formula, Qing-Luo-Yin. Evid Based Complement Alternat Med 2013; 2013: 456747. |
12. | Li S, Zhang B. Traditional Chinese Medicine network pharmacology: theory, methodology and application. Chin J Nat Med 2013; 11: 110-20. |
13. |
Fengtao P, Kesong LI, Yi Z, et al. Efficacy of Lushi Runzao decoction on ameliorating Sjogren's syndrome: a network pharmacology and experimental verification-based study. J Tradit Chin Med 2023; 43: 751-9.
DOI |
14. | Shang L, Wang Y, Li J, et al. Mechanism of Sijunzi decoction in the treatment of colorectal cancer based on network pharmacology and experimental validation. J Ethnopharmacol 2023; 302: 115876. |
15. | Zhou W, Zhang H, Wang X, et al. Network pharmacology to unveil the mechanism of Moluodan in the treatment of chronic atrophic gastritis. Phytomedicine 2022; 95: 153837. |
16. | Zhou W, Yang K, Zeng J, et al. FordNet: recommending Traditional Chinese Medicine formula via deep neural network integrating phenotype and molecule. Pharmacol Res 2021; 173: 105752. |
17. |
Shuai H, Hua M, Tingting J, et al. Inhibitory effect of berberine on morphine tolerance and hyperalgesia in mice. J Tradit Chin Med 2023; 43: 915-24.
DOI |
18. |
Guan S, Jin TT, Han S, et al. Dihydroartemisinin alleviates morphine-induced neuroinflammation in BV2 cells. Bioengineered 2021; 12: 9401-10.
DOI PMID |
19. |
Guan S, Miao F, Wang D, et al. Corilagin attenuates morphine-induced BV2 microglial activation and inflammation via regulating TLR2-mediated endoplasmic reticulum stress. J Toxicol Sci 2023; 48: 387-98.
DOI PMID |
20. |
Kaski SW, White AN, Gross JD, et al. Preclinical testing of nalfurafine as an opioid-sparing adjuvant that potentiates analgesia by the mu opioid receptor-targeting agonist morphine. J Pharmacol Exp Ther 2019; 371: 487-99.
DOI PMID |
21. | Borrelli EP, Morphis B, Youssef R, et al. Concurrent utilization of prescription opioids and non-opioid controlled substances: rhode island prescription drug monitoring program, 2018. R I Med J 2020; 103: 53-8. |
22. | Li X, Li H, Wang T, et al. Network pharmacology-based analysis of the mechanism of Saposhnikovia divaricata for the treatment of type Ⅰ allergy. Pharm Biol 2022; 60: 1224-36. |
23. | Zhao W, Shen F, Yao J, et al. Angiotensin Ⅱ receptor type 1 blocker candesartan improves morphine tolerance by reducing morphine-induced inflammatory response and cellular activation of BV2 cells via the PPARγ/AMPK signaling pathway. Mol Med Rep 2022; 26: 318. |
24. |
Khorsandi L, Orazizadeh M, Niazvand F, et al. Quercetin induces apoptosis and necroptosis in MCF-7 breast cancer cells. Bratisl Lek Listy 2017; 118: 123-8.
DOI PMID |
25. | Qu Y, Li X, Xu F, et al. Kaempferol alleviates murine experimental colitis by restoring gut microbiota and inhibiting the LPS-TLR4-NF-κB axis. Front Immunol 2021; 12: 679897. |
26. |
Cicero AF, Baggioni A. Berberine and its role in chronic disease. Adv Exp Med Biol 2016; 928: 27-45.
PMID |
27. |
Magdy S, Gamal M, Samir NF, et al. IκB kinase inhibition remodeled connexins, pannexin-1, and excitatory amino-acid transporters expressions to promote neuroprotection of galantamine and morphine. J Cell Physiol 2021; 236: 7516-32.
DOI PMID |
28. | Wang W, Ning JZ, He Y, et al. Unveiling the mechanism of Astragalus membranaceus in the treatment of gastrointestinal cancers based on network pharmacology. Eur J Integr Med 2020; 40: 101249. |
29. | Suski M, Bujak-Gizycka B, Madej J, et al. Co-administration of dextromethorphan and morphine:reduction of post-operative pain and lack of influence on morphine metabolism. Basic Clin Pharmacol Toxicol 2010; 107: 680-4. |
30. |
Säwe J. High-dose morphine and methadone in cancer patients. Clinical pharmacokinetic considerations of oral treatment. Clinical pharmacokinetics 1986; 11: 87-106.
PMID |
31. |
Staahl C, Upton R, Foster DJ, et al. Pharmacokinetic-pharmacodynamic modeling of morphine and oxycodone concentrations and analgesic effect in a multimodal experimental pain model. J Clin Pharmacol 2008; 48: 619-31.
DOI PMID |
32. |
Zelcer N, van de Wetering K, Hillebrand M, et al. Mice lacking multidrug resistance protein 3 show altered morphine pharmacokinetics and morphine-6-glucuronide antinociception. Proc Natl Acad Sci USA 2005; 102: 7274-9.
DOI PMID |
33. | Lim SY, Cengiz P. Opioid tolerance and opioid-induced hyperalgesia: Is TrkB modulation a potential pharmacological solution? Neuropharmacology 2022; 220: 109260. |
34. |
Bai L, Zhai C, Han K, et al. Toll-like receptor 4-mediated nuclear factor-κB activation in spinal cord contributes to chronic morphine-induced analgesic tolerance and hyperalgesia in rats. Neurosci Bull 2014; 30: 936-48.
DOI PMID |
35. | Oeckinghaus A, Ghosh S. The NF-kappaB family of transcription factors and its regulation. Cold Spring Harb Perspect Biol 2009; 1: a000034. |
36. | Ju M, Liu B, He H, et al. MicroRNA-27a alleviates LPS-induced acute lung injury in mice via inhibiting inflammation and apoptosis through modulating TLR4/MyD88/NF-κB pathway. Cell Cycle 2018; 17: 2001-18. |
37. |
Shafie A, Moradi F, Izadpanah E, et al. Neuroprotection of donepezil against morphine-induced apoptosis is mediated through toll-like receptors. Eur J Pharmacol 2015; 764: 292-7.
DOI PMID |
38. | Zeng XS, Geng WS, Wang ZQ, et al. Morphine addiction and oxidative stress: the potential effects of thioredoxin-1. Front Pharmacol 2020; 11: 82. |
39. |
Jang EY, Yang CH, Hedges DM, et al. The role of reactive oxygen species in methamphetamine self-administration and dopamine release in the nucleus accumbens. Addict Biol 2017; 22: 1304-15.
DOI PMID |
40. | Skrabalova J, Drastichova Z, Novotny J. Morphine as a potential oxidative stress-causing agent. Mini Rev Org Chem 2013; 10: 367-72. |
41. |
Ma J, Yuan X, Qu H, et al. The role of reactive oxygen species in morphine addiction of SH-SY5Y cells. Life Sci 2015; 124: 128-35.
DOI PMID |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
Sponsored by China Association of Chinese Medicine
& China Academy of Chinese Medical Sciences
16 Nanxiaojie, Dongzhimen Nei, Beijing, China. 100700 Email: jtcmen@126.com
Copyright 2020 Journal of Traditional Chinese Medicine. All rights reserved.