Journal of Traditional Chinese Medicine ›› 2026, Vol. 46 ›› Issue (1): 149-159.DOI: 10.19852/j.cnki.jtcm.2026.01.014
• Original Articles • Previous Articles Next Articles
JIA Ao1, LIU Shuang1, GAO Tingting1, ZHANG Haoran1, GAO Wenyuan2(
), WU Xiongzhi3(
)
Received:2024-10-26
Accepted:2025-02-22
Online:2026-02-15
Published:2026-01-28
Contact:
Prof. WU Xiongzhi, Tianjin NanKai Hospital, Tianjin Medical University, Tianjin 300000, China. About author:Supported by:JIA Ao, LIU Shuang, GAO Tingting, ZHANG Haoran, GAO Wenyuan, WU Xiongzhi. Mechanisms of Gualou Beimu Yin (瓜蒌贝母饮) in suppressing the development and metastasis of triple-negative breast cancer: an integrated study based on network pharmacology, transcriptomics, and metabolomics[J]. Journal of Traditional Chinese Medicine, 2026, 46(1): 149-159.
Figure 1 Cell experiments demonstrating that GLBMY has an inhibitory effect on TNBC A: wound healing assay showing the migratory ability of MDA-MB-231 cells under different GLBMY concentrations (n = 4, × 200, scale bar = 100 μm); B: wound healing assay showing the migratory ability of BT549 cells under different GLBMY concentrations (n = 4, × 200, scale bar = 100 μm); C: Western blot analysis of BCL2, BAX protein expression in MDA-MB-231 cells (n = 4); D: Western blot analysis of RIPK3, MLKL and P-MLKL protein expression in MDA-MB-231 cells (n = 4); E: Western blot analysis of BCL2, BAX protein expression in BT549 cells (n = 4); F: Western blot analysis of RIPK3, MLKL and P-MLKL protein expression in BT549 cells (n = 4). A1, A4, A7, A10, B1, B4, B7, B10: 0 h; A2, A5, A8, A11, B2, B5, B8, B11: 24 h; A3, A6, A9, A12, B3, B6, B9, B12: 48 h; A1, A2, A3, B1, B2, B3: Negative Control group; A4, A5, A6, B4, B5, B6: GLBMY (75 μg/mL ) group; A7, A8, A9, B7, B8, B9: GLBMY (150 μg/mL ) group; A10, A11, A12, B10, B11, B12: GLBMY (250 μg/mL ) group. C-F: cells were treated with lyophilized GLBMY powder dissolved in complete DMEM at final concentrations of 0, 75, 150, and 250 μg/mL for 24 h. The control group received vehicle only (0 μg/mL GLBMY). GLBMY: Gualou Beimu Yin; β-actin: beta-actin; BCL-2: b-cell lymphoma 2; BAX: bcl-2-associated x protein; RIPK3: receptor-interacting serine/threonine-protein kinase 3; MLKL: mixed lineage kinase domain-like protein; p-MLKL: phosphorylated mixed lineage kinase domain-like protein.
Figure 2 GLBMY suppresses TNBC tumor growth and lung metastasis in vivo A: representative images of tumors excised from mice in each treatment group (n = 6); B: representative images of lung metastases in each treatment group; C: HE staining of lung tissues (× 50, scale bar = 100 μm); D: Western blot analysis of BCL2, BAX protein expression in tumor tissues from mice treated with GLBMY and cisplatin (n = 4); E: Western blot analysis of RIPK3, MLKL, and P-MLKL protein expression in tumor tissues from mice treated with GLBMY and cisplatin (n = 4); F: Western blot analysis of MMP9, E-CAD, α-SMA, and VIM protein expression in tumor tissues treated with GLBMY and cisplatin (n = 4). A1, B1, C1: Negative Control group; A2, B2, C2: GLBMY-L (6.43 g·kg?1·d?1) group; A3, B3, C3: GLBMY-H (12.86 g·kg?1·d?1) group; A4, B4, C4: cisplatin (2 mg/kg every 3 d) group; A5, B5, C5: Cisplatin + GLBMY (H) group. NC group: mice received vehicle by oral gavage once daily throughout the experimental period; GLBMY-L group: mice were orally administered Gualou Beimu Yin (GLBMY) at a dose of 6.43 g·kg?1·d?1 by gavage once daily throughout the treatment period; GLBMY-H group: mice were orally administered GLBMY at a dose of 12.86 g·kg?1·d?1 by gavage once daily throughout the treatment period; Cisplatin group: mice received cisplatin (2 mg/kg) by intraperitoneal injection once every 3 d throughout the treatment period; Cisplatin + GLBMY-H group: mice were treated with cisplatin (2 mg/kg, intraperitoneally once every 3 d) in combination with GLBMY (12.86 g·kg?1·d?1, orally once daily) throughout the experimental period. NC: negative control; GLBMY: Gualou Beimu Yin; β-actin: beta-actin; BCL-2: b-cell lymphoma 2; BAX: bcl-2-associated x protein; RIPK3: receptor-interacting serine/threonine-protein kinase 3; MLKL: mixed lineage kinase domain-like protein; p-MLKL: phosphorylated mixed lineage kinase domain-like protein; MMP9: matrix metalloproteinase-9; α-SMA: alpha-smooth muscle actin; E-CAD: e-cadherin; VIM: vimentin.
Figure 3 Multi-omics analysis reveals the molecular mechanisms underlying the antitumor effects of GLBMY A: KEGG pathway enrichment analyses in Network pharmacology; B: molecular docking of selected active ingredients with target proteins; C: KEGG pathway enrichment analyses in RNA-seq; D: VIP statistics of key differentially abundant metabolites; E: MetPA enrichment analysis. B1: tubeimoside I-Il6; B2: tubeimoside I-MAPK3; B3: tubeimoside I-STAT3. GLBMY: Gualou Beimu Yin; KEGG: kyoto encyclopedia of genes and genomes; VIP: variable importance in projection; MetPA: metabolomics pathway analysis; PI3K: phosphoinositide 3-kinase; Akt: protein kinase b; AGE: advanced glycation end-products; RAGE: receptor for advanced glycation end-products; NF-kappa B: nuclear factor kappa-light-chain-enhancer of activated b cells; Ras: rat sarcoma virus oncogene; Wnt: wingless-related integration site; Rap1: ras-proximate-1; MAPK: mitogen-activated protein kinase; VEGF: vascular endothelial growth factor; JAK: janus kinase; STAT: signal transducer and activator of transcription; CGMP: cyclic guanosine monophosphate; PKG: protein kinase g; CAMP: cyclic adenosine monophosphate; MTOR: mechanistic target of rapamycin; HIF-1: hypoxia-inducible factor 1; FoxO: forkhead box o; ErbB: erythroblastic leukemia viral oncogene homolog; TGF-beta: transforming growth factor beta; TNF: tumor necrosis factor; dTMP: deoxythymidine monophosphate; TCA cycle: tricarboxylic acid cycle; CoA: coenzyme A.
Figure 4 Integrated multi-omics analysis identifies key signaling pathways and validates GLBMY-regulated genes A: expression profiles of DEGs in MAPK/ERK pathway identified through network pharmacology and RNA-seq; B: expression profiles of DEGs in IL6-STAT pathway identified through network pharmacology and RNA-seq; C: Western blot analysis of MAPK/ERK pathway proteins in MDA-MB-231 cells (n = 4); D: Western blot analysis of MAPK/ERK pathway proteins in BT549 cells (n = 4); E: Western blot analysis of MAPK/ERK pathway proteins in vivo (n = 4); F: Western blot analysis of IL6-STAT pathway proteins in MDA-MB-231 cells (n = 4); G: Western blot analysis of IL6-STAT pathway proteins in BT549 cells (n = 4); H: Western blot analysis of IL6-STAT pathway proteins in vivo (n = 4). Cells were treated with lyophilized GLBMY powder dissolved in complete DMEM at final concentrations of 0, 75, 150, and 250 μg/mL for 24 h. The control group received vehicle only (0 μg/mL GLBMY). NC group: mice received vehicle by oral gavage once daily throughout the experimental period; GLBMY-L group: mice were orally administered Gualou Beimu Yin (GLBMY) at a dose of 6.43 g·kg?1·d?1 by gavage once daily throughout the treatment period; GLBMY-H group: mice were orally administered GLBMY at a dose of 12.86 g·kg?1·d?1 by gavage once daily throughout the treatment period; Cisplatin group: mice received cisplatin (2 mg/kg) by intraperitoneal injection once every 3 d throughout the treatment period; Cisplatin + GLBMY-H group: mice were treated with cisplatin (2 mg/kg, intraperitoneally once every 3 d) in combination with GLBMY (12.86 g·kg?1·d?1, orally once daily) throughout the experimental period. DEGs: differentially expressed genes; MAPK/ERK: mitogen-activated protein kinase/extracellular signal-regulated kinase; Ntrk1: neurotrophic tyrosine kinase receptor type 1; Rasgrp1: ras guanyl releasing protein 1; Rasgrp2: ras guanyl releasing protein 2; Cacna1i: calcium voltage-gated channel subunit alpha1 i; Prkcb: protein kinase c beta; Cntfr: ciliary neurotrophic factor receptor; Il9r: interleukin 9 receptor; Il22ra2: interleukin 22 receptor subunit alpha 2; Gfap: glial fibrillary acidic protein; Il27ra: interleukin 27 receptor subunit alpha; NC: negative control; GLBMY: Gualou Beimu Yin; β-actin: beta-actin; ERK1/2: extracellular signal-regulated kinase 1/2; p-ERK1/2: phosphorylated extracellular signal-regulated kinase 1/2; IL6: interleukin-6; STAT3: signal transducer and activator of transcription 3; p-STAT3: phosphorylated signal transducer and activator of transcription 3. The 2-△△CT method was used to analyse relative gene expression. Data are presented as mean ± standard deviation. Two-group comparisons used Student’s t-test. Compared with the Negative Control group, aP < 0.05.
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