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<front>
<journal-meta>
<journal-id journal-id-type="pmc">BIOCELL</journal-id>
<journal-id journal-id-type="nlm-ta">BIOCELL</journal-id>
<journal-id journal-id-type="publisher-id">BIOCELL</journal-id>
<journal-title-group>
<journal-title>BIOCELL</journal-title>
</journal-title-group>
<issn pub-type="epub">1667-5746</issn>
<issn pub-type="ppub">0327-9545</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">28381</article-id>
<article-id pub-id-type="doi">10.32604/biocell.2023.028381</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Therapeutic targets and signal transduction mechanisms of medicinal plant formula Gancao Xiexin decoction against ulcerative colitis: A network pharmacological study</article-title><alt-title alt-title-type="left-running-head">Therapeutic targets and signal transduction mechanisms of medicinal plant formula Gancao Xiexin decoction against ulcerative colitis: A network pharmacological study</alt-title><alt-title alt-title-type="right-running-head">GXD ameliorates UC</alt-title>
</title-group>
<contrib-group>
<contrib id="author-1" contrib-type="author">
<name name-style="western"><surname>SHI</surname><given-names>CHENHAO</given-names></name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western"><surname>HUA</surname><given-names>MAOHONG</given-names></name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-3" contrib-type="author" corresp="yes">
<name name-style="western"><surname>XU</surname><given-names>GUANHUA</given-names></name>
<xref ref-type="aff" rid="aff-3">3</xref><email>guanxi5220@163.com</email>
</contrib>
<aff id="aff-1"><label>1</label><institution>The First School of Clinical Medicine, Zhejiang Chinese Medical University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff-2"><label>2</label><institution>Department of Respiratory Medicine, Xiaoshan Third People&#x2019;s Hospital</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff-3"><label>3</label><institution>Department of Emergency Medicine, Xiaoshan Third People&#x2019;s Hospital</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
</contrib-group><author-notes><corresp id="cor1"><label>&#x002A;</label>Address correspondence to: Guanhua Xu, <email>guanxi5220@163.com</email></corresp></author-notes>
<pub-date date-type="collection" publication-format="electronic"><year>2023</year></pub-date>
<pub-date date-type="pub" publication-format="electronic"><day>22</day><month>5</month><year>2023</year></pub-date>
<volume>47</volume>
<issue>6</issue>
<fpage>1329</fpage>
<lpage>1344</lpage>
<history>
<date date-type="received"><day>15</day><month>12</month><year>2022</year></date>
<date date-type="accepted"><day>30</day><month>1</month><year>2023</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2023 Shi, Hua and Xu</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Shi, Hua and Xu</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_BIOCELL_28381.pdf"></self-uri>
<abstract>
<sec>
<title>Background</title>
<p>Ulcerative colitis (UC) is a chronic disease that often presents with abdominal pain, diarrhea, hematochezia, and significant morbidity. Gancao Xiexin decoction (GXD), a traditional Chinese medicine, has been applied for the clinical treatment of UC, while its action mechanisms are unclear.</p>
</sec>
<sec>
<title>Methods</title>
<p>The active ingredients and their targets of GXD, and UC-related targets, were derived from public databases. Protein-protein interaction, Gene Ontology (GO), and the Kyoto Encyclopedia of Genes and Genomes (KEGG) were used to analyze the important active compounds, key targets, and signaling pathways. Then, molecular docking and animal experiments were performed to verify the findings. A total of 213 active compounds and 89 common targets of GXD for UC were obtained.</p>
</sec>
<sec>
<title>Results</title>
<p>The hub gene network showed <italic>ALB</italic>, <italic>AKT1</italic>, <italic>IL6</italic>, <italic>TNF</italic>, <italic>VEGFA</italic>, <italic>TP53</italic>, <italic>CXCL8</italic>, <italic>MAPK1</italic>, <italic>PTGS2</italic>, and <italic>IL1&#x03B2;</italic> may be potential targets of GXD against UC. GO and KEGG pathway enrichment analyses suggested that the action of GXD against UC was mainly related to response to oxygen levels, lipopolysaccharide, and molecule of bacterial origin, etc., and achieved by advanced glycation endproducts/receptors for advanced glycation endproducts signaling pathway in diabetic complications, hypoxia-inducible factor (HIF)-1 signaling pathway, interleukin-17/HIF-1 signaling pathway, TNF signaling pathway, etc. Molecular docking results showed that the GXD had good potency of action with the hub target. <italic>In vivo</italic> experiments showed that GXD significantly alleviated the symptoms of UC and down-regulated the expression of inflammatory factors, nuclear factor-&#x03BA;B and signal transducer and activator of transcription 3.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The anti-UC action of GXD is mainly attributed to its anti-oxidative stress, anti-inflammatory, and immunomodulatory functions.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>Gancao Xiexin decoction</kwd>
<kwd>Ulcerative colitis</kwd>
<kwd>Network pharmacology</kwd>
<kwd>Immunomodulatory function</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Ulcerative colitis (UC) is a chronic inflammatory colon disease that often presents with abdominal pain, diarrhea, and hematochezia (<xref ref-type="bibr" rid="ref-13">Kobayashi <italic>et al</italic>., 2020</xref>). The incidence and prevalence of UC are on the rise in many developing countries in Asia and the Middle East (<xref ref-type="bibr" rid="ref-23">Ng <italic>et al</italic>., 2019</xref>; <xref ref-type="bibr" rid="ref-14">Kotze <italic>et al</italic>., 2020</xref>), and its causative factors involve genetic background, environmental factors, and immune dysfunction (<xref ref-type="bibr" rid="ref-33">Wei <italic>et al</italic>., 2021</xref>). Currently, drugs commonly used in the clinical treatment of UC include 5-aminosalicylates, corticosteroids, cyclosporine, etc. (<xref ref-type="bibr" rid="ref-18">Luo and Luo, 2021</xref>); however, these drugs have limited therapeutic effects and have notable side effects. Therefore, finding a new drug for the treatment of UC has become an urgent clinical problem.</p>
<p>To date, traditional Chinese medicine (TCM) has had an influence on various diseases, including UC. Gancao Xiexin decoction (GXD) consists of six herbs, namely Gancao (<italic>licorice</italic>), Banxia (<italic>Arum Ternatum Thunb</italic>.), Huanglian (<italic>Coptidis Rhizoma</italic>), Ganjiang (<italic>Zingiberis Rhizoma</italic>), Huangqin (<italic>Scutellariae Radix</italic>), and Dazao (<italic>Jujubae Fructus</italic>), was first recorded in the &#x2018;Shanghanlun,&#x2019; written by Zhang Zhongjing (<xref ref-type="bibr" rid="ref-19">Luo <italic>et al</italic>., 2022</xref>). Modern pharmacological studies have found that GXD has the ability to regulate the immune function of the body, enhance anti-hypoxia ability (<xref ref-type="bibr" rid="ref-37">Zhang <italic>et al</italic>., 1997</xref>), regulate gastric mucosal secretion (<xref ref-type="bibr" rid="ref-8">Gao <italic>et al</italic>., 2005</xref>), and anti-ulcer (<xref ref-type="bibr" rid="ref-11">Hu and Zhang, 2008</xref>). It is widely used in the clinical treatment of diseases of the digestive and immune systems (<xref ref-type="bibr" rid="ref-34">Zhao <italic>et al</italic>., 2013a</xref>; <xref ref-type="bibr" rid="ref-34">Yan <italic>et al</italic>., 2021</xref>). Meanwhile, some studies have suggested that GXD can treat UC, but the exact mechanism of action is not clear.</p>
<p>In the present study, we systematically introduced the compounds, targets, and action mechanisms of GXD to alleviate UC through a network pharmacology approach and then performed molecular docking simulation analysis to verify the binding affinity of the compounds and hub targets. Finally, we constructed a mouse model of UC to verify the effects of GXD on UC. Our study will lay the theoretical research foundation for subsequent studies of GXD for the treatment of UC and also provide potential clinical therapeutic targets for the treatment of UC.</p>
</sec>
<sec id="s2">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Collection of targets for ulcerative colitis</title>
<p>Therapeutic targets for UC were mined from GeneCard (<ext-link ext-link-type="uri" xlink:href="https://www.genecards.org/">https://www.genecards.org/</ext-link>) (<xref ref-type="bibr" rid="ref-27">Safran <italic>et al</italic>., 2010</xref>), Searching Online Mendelian Inheritance in Man (OMIM, <ext-link ext-link-type="uri" xlink:href="http://www.omim.org/">http://www.omim.org/</ext-link>) (<xref ref-type="bibr" rid="ref-1">Amberger and Hamosh, 2017</xref>), and DisGeNET (<ext-link ext-link-type="uri" xlink:href="http://www.disgenet.org">http://www.disgenet.org</ext-link>) (<xref ref-type="bibr" rid="ref-25">Pi&#x00F1;ero <italic>et al</italic>., 2017</xref>) databases with &#x201C;ulcerative colitis&#x201D; as index word and limiting to &#x201C;<italic>Homo sapiens</italic>&#x201D; species. The overlapped targets from these three databases were removed.</p>
</sec>
<sec id="s2_2">
<title>Prediction of active compounds and targets of Gancao Xiexin decoction</title>
<p>The active compounds of GXD were screened from public databases, including TCM Integrated Database (TCMID, <ext-link ext-link-type="uri" xlink:href="http://www.bidd.group/TCMID/">http://www.bidd.group/TCMID/</ext-link>) (<xref ref-type="bibr" rid="ref-12">Huang <italic>et al</italic>., 2018</xref>), TCM system pharmacology technology platform (TCMSP, <ext-link ext-link-type="uri" xlink:href="https://tcmsp-e.com/">https://tcmsp-e.com/</ext-link>) (<xref ref-type="bibr" rid="ref-26">Ru <italic>et al</italic>., 2014</xref>), and Herb Ingredient&#x2019; Targets (HIT, <ext-link ext-link-type="uri" xlink:href="http://hit2.badd-cao.net/">http://hit2.badd-cao.net/</ext-link>) (<xref ref-type="bibr" rid="ref-36">Ye <italic>et al</italic>., 2011</xref>) and deleted some active compounds, for which no targets information is available.</p>
<p>Subsequently, the potential targets of GXD active ingredients were retrieved from TCMID, TCMSP, HIT, and Search Tool for Interacting Chemicals (STITCH, <ext-link ext-link-type="uri" xlink:href="http://stitch.embl.de">http://stitch.embl.de</ext-link>) (<xref ref-type="bibr" rid="ref-30">Szklarczyk <italic>et al</italic>., 2016</xref>) databases. Then, the targets with compound-target associated scores &#x003E;400 in STITCH databases remained and were normalized the name with the Gene module of the NCBI database.</p>
<p>To further screen the active compounds and potential targets of GXD, several fishing methods were implemented. Drug-likeness (DL) is usually used to signify whether the compound has acceptable ADME (absorption, distribution, metabolism, and elimination) properties, and DL assessment of compounds helps to identify the active ingredients in TCM formulas (<xref ref-type="bibr" rid="ref-35">Yang <italic>et al</italic>., 2018</xref>). The quantitative estimate of DL (QED) (<xref ref-type="bibr" rid="ref-2">Bickerton <italic>et al</italic>., 2012</xref>) was used to further screen pharmaceutically active compounds in GXD and set 0.2 as the threshold value in this work. Then, the potential targets of GXD were evaluated using binomial statistical mode (<xref ref-type="bibr" rid="ref-35">Yang <italic>et al</italic>., 2018</xref>; <xref ref-type="bibr" rid="ref-16">Liang <italic>et al</italic>., 2014</xref>).</p>
</sec>
<sec id="s2_3">
<title>Protein-protein interaction (PPI) network</title>
<p>The common targets related to GXD and UC were retrieved by Venny 2.1.0 database (<ext-link ext-link-type="uri" xlink:href="https://bioinfogp.cnb.csic.es/tools/venny/">https://bioinfogp.cnb.csic.es/tools/venny/</ext-link>) and then analyzed using the STRING database (<ext-link ext-link-type="uri" xlink:href="https://string-db.org/">https://string-db.org/</ext-link>). Subsequently, files of the PPI network were input into Cytoscape 3.8.0 software to visualize it.</p>
</sec>
<sec id="s2_4">
<title>Function enrichment analysis</title>
<p>Gene ontology (GO) and Kyoto Encyclopedia of Gene and Genomes (KEGG) pathway enrichment analysis was carried out by DAVID 6.8 (<ext-link ext-link-type="uri" xlink:href="https://david.ncifcrf.gov/tools.jsp">https://david.ncifcrf.gov/tools.jsp</ext-link>). In this study, the GO and KEGG analysis results were thought as significant using adjusted <italic>p</italic> &#x003C; 0.01 corrected by the Bonferroni algorithm for each term.</p>
</sec>
<sec id="s2_5">
<title>Molecular docking analysis</title>
<p>Chemical structures of the active compounds were derived from the Zinc website (<ext-link ext-link-type="uri" xlink:href="http://zinc15.docking.org">http://zinc15.docking.org</ext-link>) (<xref ref-type="bibr" rid="ref-29">Sterling and Irwin, 2015</xref>). Crystal structures of the hub proteins were obtained from the RCSB Protein Data Bank (PDB, <ext-link ext-link-type="uri" xlink:href="http://www.rcsb.org/">http://www.rcsb.org/</ext-link>) (<xref ref-type="bibr" rid="ref-3">Burley <italic>et al</italic>., 2017</xref>). Then, molecular docking was analyzed using PyMol 2.3.0 (<xref ref-type="bibr" rid="ref-28">Seeliger and de Groot, 2010</xref>), AutoDockTools 1.5.6 (<xref ref-type="bibr" rid="ref-20">Morris <italic>et al</italic>., 2009</xref>), and AutoDock Vina 1.1.2 (<xref ref-type="bibr" rid="ref-31">Trott and Olson, 2010</xref>).</p>
</sec>
<sec id="s2_6">
<title>Construction of the mouse model for ulcerative colitis</title>
<p>All animal protocols were approved by the Animal Experimental Ethics Committee of Xiaoshan Third People&#x2019;s Hospital. Thirty female C57BL/6 mice (6&#x2013;8 weeks old, 18&#x2013;20 g, from GemPharmatech Co., Ltd., Nanjing, China) were housed at room temperature (24&#x00B0;C&#x2013;26&#x00B0;C) with free access to food and the water cycle.</p>
<p>After 7 days, mice were randomized into six groups (n &#x003D; 5), including control, model, low-dose GXD, middle-dose GXD, high-dose GXD, and positive control-sulfasalazine (SASP) groups. Mice in the control group received sterile water, while mice in other groups were treated with 2.5% dextran sodium sulfate (DSS, MP Biomedicals, CA, USA) for 7 days. Meanwhile, the mice in the GXD and SASP administer groups were given GXD at 3.7 g/kg (low-dose), 7.4 g/kg (middle-dose), 14.8 g/kg (high-dose), and SASP at 125 mg/kg, respectively. In comparison, mice in the control and model groups received 0.5% CMC-Na.</p>
</sec>
<sec id="s2_7">
<title>Disease activity index (DAI)</title>
<p>Weight assessment: no loss was scored as 0 points, 1%&#x2013;5% loss: 1-point, 6%&#x2013;10% loss: 2-points, 11%&#x2013;15% loss: 3-points, more than 15% loss: 4-points. Stool assessment: good stool pattern was scored as 0-points, a loose stool: 2-points, and diarrhea: 4-points. Bleeding assessment: no rectal bleeding was scored as 0-point, no rectal bleeding: 2&#x003D;points and heavy bleeding: 4-points.</p>
</sec>
<sec id="s2_8">
<title>Hematoxylin and eosin (H<italic>&#x0026;</italic>E) staining</title>
<p>Colon tissues were fixed in 4% paraformaldehyde, dehydrated in a different concentration of ethanol, embedded in paraffin, and cut into 5 &#x03BC;m thick slices. Slices were stained with H&#x0026;E (Beijing Solarbio Science &#x0026; Technology, Beijing, China). The pathological morphology of colon tissue was observed under a microscope (Olympus, Tokyo, Japan).</p>
</sec>
<sec id="s2_9">
<title>Quantitative real-time polymerase chain reaction (qRT-PCR) assay</title>
<p>Total RNA from colon tissues was isolated and reverse-transcribed into cDNA by TRIzol reagent (Invitrogen, Carlsbad, CA, USA) and PrimeScript RT Master Mix (TaKaRa, Dalian, China), respectively. Each well (20 &#x03BC;L PCR reaction volume) included 10 &#x03BC;L of SYBR Green Mix (Applied Biosystems, CA, USA), 1 &#x03BC;L of cDNA, 2 &#x03BC;L of primer pair mix, and 7 &#x03BC;L of ddH2O. PCR was carried out on a system (MX3000P, Agilent Stratagene, Santa Clara, CA, USA) with the thermocycling conditions as follows: Initial denaturation at 95&#x00B0;C for 3 min, followed by 40 cycles of 95&#x00B0;C for 12 s and 62&#x00B0;C for 40 s. The levels of specific genes were calculated by the 2<sup>&#x2212;&#x2206;&#x2206;CT</sup> method. <italic>GAPDH</italic> worked as a reference gene. Primer sequences are listed in <xref ref-type="table" rid="table-5">Suppl. Table S1</xref>.</p>
</sec>
<sec id="s2_10">
<title>Western blotting</title>
<p>Total proteins were extracted from colon tissues using RIPA lysis buffer (Beyotime, Shanghai, China), separated by gel electrophoresis, and transferred to membranes. Membranes were blocked by 5% fat-free milk for 1 h and incubated with p65-nuclear factor-(NF)-&#x0138;B (1:1000, ab207297, Abcam, Cambridge, UK), phosphorylated Signal transducer and activator of transcription 3 (p-STAT3; 1:1000, ab76315, Abcam), STAT3 (1:1000, ab68153, Abcam), and glyceraldehyde 3-phosphate dehydrogenase (GAPDH; 1:10000, ab181602, Abcam) antibodies at 4&#x00B0;C overnight, followed by incubation of secondary antibody (1:2000, ab6721, Abcam) for 1 h. Finally, the bands were visualized using an enhanced chemiluminescent reagents kit (Millipore, Darmstadt, Germany).</p>
</sec>
<sec id="s2_11">
<title>Statistical analysis</title>
<p>The Prism 8 (GraphPad, San Diego, CA, USA) software was used for statistical analyses. All data were exhibited with mean and standard deviation and analyzed using one-way ANOVA, followed by Tukey&#x2019;s test. <italic>p</italic> &#x003C; 0.05 was considered to reflect a significant difference.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>Collection of therapeutic targets for ulcerative colitis</title>
<p>We found 63, 322, and 521 therapeutic targets for UC from GeneCard, OMIM, and DisGeNET databases, respectively. Then, 804 UC-related targets were finally retrieved after removing duplicate targets.</p>
</sec>
<sec id="s3_2">
<title>Identification of potential targets and potential targets of Gancao Xiexin decoction</title>
<p>From TCMID, TCMSP, and HIT databases, 371 active compounds of GXD were obtained. A total of 7154 potential targets of GXD active compounds were retrieved from TCMID, TCMSP, HIT, and STITCH databases. Next, 346 active compounds were suitable for DL screening (QED &#x2265; 0.2). Then, from 285 active compounds, 692 potential targets were collated by binomial statistical mode. Subsequently, UC-related targets and GXD potential targets were entered into Venny 2.1.0, and after eliminating the redundancy, 89 common targets between UC and GXD were obtained (<xref ref-type="fig" rid="fig-1">Fig. 1</xref>). Finally, 213 active compounds were mapped to 89 common targets. These 213 active compounds and 89 common targets are detailed in <xref ref-type="table" rid="table-1">Tables 1</xref> and <xref ref-type="table" rid="table-2">2</xref>, respectively. Furthermore, we constructed a Drug-compounds-targets (D-C-T) network using Cytoscape software with 213 active compounds and 89 common targets. The D-C-T network includes 309 nodes and 1545 edges (<xref ref-type="fig" rid="fig-2">Fig. 2</xref>).</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>Venn diagram of Gancao Xiexin decoction (GXD) active components and ulcerative colitis-related targets.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f001.tif"/>
</fig><table-wrap id="table-1"><label>Table 1</label>
<caption>
<title>The active compounds of Gancao Xiexin decoction</title></caption>
<table><colgroup>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Chemical_name</th>
<th>QED</th>
<th>Chemical_name</th>
<th>QED</th>
</tr>
</thead>
<tbody>
<tr>
<td>Panicolin</td>
<td>0.9056</td>
<td>DBP</td>
<td>0.4752</td>
</tr>
<tr>
<td>Skullcapflavone i</td>
<td>0.9056</td>
<td>Caffeic acid</td>
<td>0.4750</td>
</tr>
<tr>
<td>Dihydrooroxylin A</td>
<td>0.8871</td>
<td>Myristic acid</td>
<td>0.4726</td>
</tr>
<tr>
<td>Acacetin</td>
<td>0.8862</td>
<td>L-Ile</td>
<td>0.4718</td>
</tr>
<tr>
<td>Oroxylin</td>
<td>0.8862</td>
<td>Niacin</td>
<td>0.4715</td>
</tr>
<tr>
<td>Oroxylin a</td>
<td>0.8862</td>
<td>Leucine</td>
<td>0.4686</td>
</tr>
<tr>
<td>Wogonin</td>
<td>0.8862</td>
<td>Leucinum</td>
<td>0.4686</td>
</tr>
<tr>
<td>Calycosin</td>
<td>0.8850</td>
<td>Protoporphyrin</td>
<td>0.4661</td>
</tr>
<tr>
<td>Formononetin</td>
<td>0.8529</td>
<td>3,4,5-Trihydroxybenzoic acid</td>
<td>0.4656</td>
</tr>
<tr>
<td>Glabrone</td>
<td>0.8364</td>
<td>Mairin</td>
<td>0.4635</td>
</tr>
<tr>
<td>Glabridin</td>
<td>0.8323</td>
<td>HEX</td>
<td>0.4628</td>
</tr>
<tr>
<td>Berberine</td>
<td>0.8245</td>
<td>Thy</td>
<td>0.4627</td>
</tr>
<tr>
<td>Chrysin</td>
<td>0.8206</td>
<td>HX</td>
<td>0.4615</td>
</tr>
<tr>
<td>Glabranin</td>
<td>0.8174</td>
<td>Stigmasterol</td>
<td>0.4599</td>
</tr>
<tr>
<td>Zingerone</td>
<td>0.7944</td>
<td>MLT</td>
<td>0.4592</td>
</tr>
<tr>
<td>Butylated hydroxytoluene</td>
<td>0.7531</td>
<td>Licochalcone B</td>
<td>0.4567</td>
</tr>
<tr>
<td>(2S)-5,7,8-trihydroxyflavanone</td>
<td>0.7415</td>
<td>Licochalcone A</td>
<td>0.4563</td>
</tr>
<tr>
<td>Naringenin</td>
<td>0.7415</td>
<td>Evodin</td>
<td>0.4519</td>
</tr>
<tr>
<td>Apigenin</td>
<td>0.7403</td>
<td>Limonin</td>
<td>0.4519</td>
</tr>
<tr>
<td>(&#x002B;)-Syringaresinol</td>
<td>0.7369</td>
<td>Obaculactone</td>
<td>0.4519</td>
</tr>
<tr>
<td>Jatrorrhizine</td>
<td>0.7352</td>
<td>Methionine</td>
<td>0.4506</td>
</tr>
<tr>
<td>Protopine</td>
<td>0.7258</td>
<td>Ursolic acid</td>
<td>0.4433</td>
</tr>
<tr>
<td>FER</td>
<td>0.7180</td>
<td>Glucosol</td>
<td>0.4389</td>
</tr>
<tr>
<td>Sinapyl alcohol</td>
<td>0.7059</td>
<td>10-Gingerol</td>
<td>0.4370</td>
</tr>
<tr>
<td>Eciphin</td>
<td>0.7058</td>
<td>Beta-sitosterol</td>
<td>0.4354</td>
</tr>
<tr>
<td>ANN</td>
<td>0.6970</td>
<td>Beta-sitosterol/beta-Sitosterol</td>
<td>0.4354</td>
</tr>
<tr>
<td>Vomifoliol</td>
<td>0.6968</td>
<td>Gamma-sitosterol</td>
<td>0.4354</td>
</tr>
<tr>
<td>Ferulic acid</td>
<td>0.6957</td>
<td>Lupeol</td>
<td>0.4329</td>
</tr>
<tr>
<td>Eugenol</td>
<td>0.6955</td>
<td>Malic acid</td>
<td>0.4307</td>
</tr>
<tr>
<td>Baicalein</td>
<td>0.6926</td>
<td>Hyacinthin</td>
<td>0.4290</td>
</tr>
<tr>
<td>Myristicin</td>
<td>0.6887</td>
<td>Uracil</td>
<td>0.4279</td>
</tr>
<tr>
<td>DIBP</td>
<td>0.6761</td>
<td>Istidina</td>
<td>0.4207</td>
</tr>
<tr>
<td>Isorhamnetin</td>
<td>0.6678</td>
<td>L-histidine</td>
<td>0.4207</td>
</tr>
<tr>
<td>Palmatine</td>
<td>0.6613</td>
<td>Tartaric acid</td>
<td>0.4150</td>
</tr>
<tr>
<td>Echinatin</td>
<td>0.6610</td>
<td>Aspartate</td>
<td>0.4134</td>
</tr>
<tr>
<td>p-Coumaric acid</td>
<td>0.6536</td>
<td>Hexadecanoicacid</td>
<td>0.4133</td>
</tr>
<tr>
<td>Ephedrine</td>
<td>0.6515</td>
<td>UND</td>
<td>0.4133</td>
</tr>
<tr>
<td>6-Gingerol</td>
<td>0.6465</td>
<td>Homoharringtonine</td>
<td>0.4123</td>
</tr>
<tr>
<td>Gingerol</td>
<td>0.6465</td>
<td>L-Valin</td>
<td>0.4120</td>
</tr>
<tr>
<td>Kaempferol</td>
<td>0.6372</td>
<td>Valine</td>
<td>0.4120</td>
</tr>
<tr>
<td>Anethole</td>
<td>0.6262</td>
<td>Pentadecylic acid</td>
<td>0.4059</td>
</tr>
<tr>
<td>Uralenic acid</td>
<td>0.6249</td>
<td>2-Aminobutyric acid</td>
<td>0.4014</td>
</tr>
<tr>
<td>Linalool</td>
<td>0.6172</td>
<td>D-2-Aminobutyrate</td>
<td>0.4014</td>
</tr>
<tr>
<td>Geraniol</td>
<td>0.6172</td>
<td>Proline</td>
<td>0.3999</td>
</tr>
<tr>
<td>Phenylalanine</td>
<td>0.6126</td>
<td>TBP</td>
<td>0.3996</td>
</tr>
<tr>
<td>Azulol</td>
<td>0.6107</td>
<td>Gamma-aminobutyric acid</td>
<td>0.3980</td>
</tr>
<tr>
<td>Morusin</td>
<td>0.6040</td>
<td>Prolinum</td>
<td>0.3867</td>
</tr>
<tr>
<td>Eriodictyol</td>
<td>0.5988</td>
<td>Gulutamine</td>
<td>0.3835</td>
</tr>
<tr>
<td>Tetrahydroxyflavone</td>
<td>0.5984</td>
<td>Dodekan</td>
<td>0.3809</td>
</tr>
<tr>
<td>Coptisine</td>
<td>0.5914</td>
<td>Baicalin</td>
<td>0.3685</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>0.5913</td>
<td>Palmitic acid</td>
<td>0.3653</td>
</tr>
<tr>
<td>Hexahydrocurcumin</td>
<td>0.5890</td>
<td>Umbelliferone</td>
<td>0.3628</td>
</tr>
<tr>
<td>Nicotinic acid</td>
<td>0.5842</td>
<td>Asparagine</td>
<td>0.3601</td>
</tr>
<tr>
<td>Glabrol</td>
<td>0.5836</td>
<td>Asparamide</td>
<td>0.3601</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>0.5824</td>
<td>Crystal VI</td>
<td>0.3601</td>
</tr>
<tr>
<td>Caprylic acid</td>
<td>0.5818</td>
<td>Palmitoleic acid</td>
<td>0.3586</td>
</tr>
<tr>
<td>Beta-elemene</td>
<td>0.5799</td>
<td>Alanine</td>
<td>0.3562</td>
</tr>
<tr>
<td>Nonanoic acid</td>
<td>0.5775</td>
<td>L-Alanine</td>
<td>0.3562</td>
</tr>
<tr>
<td>Alpha-terpineol</td>
<td>0.5750</td>
<td>LPG</td>
<td>0.3562</td>
</tr>
<tr>
<td>Hexanoic acid</td>
<td>0.5687</td>
<td>MRY</td>
<td>0.3516</td>
</tr>
<tr>
<td>Oleanolic acid</td>
<td>0.5678</td>
<td>Isovitexin/saponaretin</td>
<td>0.3497</td>
</tr>
<tr>
<td>l-Menthone</td>
<td>0.5673</td>
<td>Vitexin</td>
<td>0.3497</td>
</tr>
<tr>
<td>Crataegolic acid/Maslinic acid</td>
<td>0.5665</td>
<td>Threonin</td>
<td>0.3495</td>
</tr>
<tr>
<td>Hydroxytyrosol</td>
<td>0.5580</td>
<td>Threonine</td>
<td>0.3495</td>
</tr>
<tr>
<td>8-Gingerol</td>
<td>0.5540</td>
<td>I-Citral</td>
<td>0.3433</td>
</tr>
<tr>
<td>Scopoletol</td>
<td>0.5425</td>
<td>Citral</td>
<td>0.3433</td>
</tr>
<tr>
<td>Danshensu</td>
<td>0.5352</td>
<td>Citral/geranial</td>
<td>0.3433</td>
</tr>
<tr>
<td>THM</td>
<td>0.5350</td>
<td>Choline</td>
<td>0.3405</td>
</tr>
<tr>
<td>Succinic acid</td>
<td>0.5303</td>
<td>Glycine</td>
<td>0.3377</td>
</tr>
<tr>
<td>3,4-Dihydroxybenzoicacid</td>
<td>0.5265</td>
<td>(s)-Serine</td>
<td>0.3335</td>
</tr>
<tr>
<td>GENOP</td>
<td>0.5265</td>
<td>L-Serin</td>
<td>0.3335</td>
</tr>
<tr>
<td>Protocatechuic acid</td>
<td>0.5265</td>
<td>Linolenic acid</td>
<td>0.3326</td>
</tr>
<tr>
<td>6-Shogaol</td>
<td>0.5242</td>
<td>Zoomaric acid</td>
<td>0.3256</td>
</tr>
<tr>
<td>Shogaol</td>
<td>0.5242</td>
<td>Glucuronic acid</td>
<td>0.3250</td>
</tr>
<tr>
<td>Tetramethylpyrazine</td>
<td>0.5233</td>
<td>Tetradecane</td>
<td>0.3217</td>
</tr>
<tr>
<td>CMP</td>
<td>0.5211</td>
<td>Methylglyoxal</td>
<td>0.3144</td>
</tr>
<tr>
<td>Cineole</td>
<td>0.5192</td>
<td>Methose</td>
<td>0.3101</td>
</tr>
<tr>
<td>18 Alpha-glycyrrhetic acid</td>
<td>0.5188</td>
<td>Scutellarin</td>
<td>0.3079</td>
</tr>
<tr>
<td>18 Beta-glycyrrhetinic acid</td>
<td>0.5188</td>
<td>Riboflavine</td>
<td>0.3043</td>
</tr>
<tr>
<td>Alpha-glycyrrhetinic acid</td>
<td>0.5188</td>
<td>Vitamin-G</td>
<td>0.3043</td>
</tr>
<tr>
<td>Beta-glycyrrhetinic acid</td>
<td>0.5188</td>
<td>Stearic acid</td>
<td>0.3017</td>
</tr>
<tr>
<td>Glycyrrhetinic acid</td>
<td>0.5188</td>
<td>Glycyrrhizic acid</td>
<td>0.2988</td>
</tr>
<tr>
<td>BuOH</td>
<td>0.5171</td>
<td>EIC</td>
<td>0.2944</td>
</tr>
<tr>
<td>(&#x002B;)-Catechin</td>
<td>0.5139</td>
<td>Hexanal</td>
<td>0.2939</td>
</tr>
<tr>
<td>Adenine</td>
<td>0.5125</td>
<td>L-Lysin</td>
<td>0.2814</td>
</tr>
<tr>
<td>(s)-Tyrosine</td>
<td>0.5110</td>
<td>GR</td>
<td>0.2790</td>
</tr>
<tr>
<td>DTY</td>
<td>0.5110</td>
<td>Guanosine</td>
<td>0.2790</td>
</tr>
<tr>
<td>GUN</td>
<td>0.5099</td>
<td>Catalpol</td>
<td>0.2758</td>
</tr>
<tr>
<td>Guercetol</td>
<td>0.5064</td>
<td>Hirsutrin</td>
<td>0.2745</td>
</tr>
<tr>
<td>Quercetin</td>
<td>0.5064</td>
<td>Isoquercitrin</td>
<td>0.2745</td>
</tr>
<tr>
<td>Benzaldehyde</td>
<td>0.4967</td>
<td>Heptadekan</td>
<td>0.2688</td>
</tr>
<tr>
<td>WLN: VHR</td>
<td>0.4967</td>
<td>PCG</td>
<td>0.2682</td>
</tr>
<tr>
<td>Catechol</td>
<td>0.4946</td>
<td>11-Octadecenoic acid</td>
<td>0.2630</td>
</tr>
<tr>
<td>Hydroquinone</td>
<td>0.4946</td>
<td>Vaccenic acid</td>
<td>0.2630</td>
</tr>
<tr>
<td>Gancaonin L</td>
<td>0.4938</td>
<td>Ginketin</td>
<td>0.2608</td>
</tr>
<tr>
<td>Trigonelline</td>
<td>0.4937</td>
<td>Ginkgetin</td>
<td>0.2608</td>
</tr>
<tr>
<td>Betulin</td>
<td>0.4918</td>
<td>Isoginkgetin</td>
<td>0.2608</td>
</tr>
<tr>
<td>Alpha-humulene</td>
<td>0.4851</td>
<td>Methyl hexadecanate</td>
<td>0.2468</td>
</tr>
<tr>
<td>Coumestrol</td>
<td>0.4848</td>
<td>Methyl palmitate</td>
<td>0.2468</td>
</tr>
<tr>
<td>Alpha-limonene</td>
<td>0.4838</td>
<td>Beta-carotene</td>
<td>0.2435</td>
</tr>
<tr>
<td>D-limonene</td>
<td>0.4838</td>
<td>Sucrose</td>
<td>0.2411</td>
</tr>
<tr>
<td>Hemo-sol</td>
<td>0.4838</td>
<td>Tetrandrine</td>
<td>0.2366</td>
</tr>
<tr>
<td>Limonene</td>
<td>0.4838</td>
<td>Chlorogenic acid</td>
<td>0.2326</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>0.4838</td>
<td>Ethyl palmitate</td>
<td>0.2259</td>
</tr>
<tr>
<td>Liquiritin/liquiritoside</td>
<td>0.4838</td>
<td>Naringin</td>
<td>0.2174</td>
</tr>
<tr>
<td>Obacunone</td>
<td>0.4784</td>
<td>Oleic acid</td>
<td>0.2030</td>
</tr>
<tr>
<td>Columbianadin</td>
<td>0.4756</td>
<td></td>
<td></td>
</tr>
</tbody>
</table>
</table-wrap><table-wrap id="table-2"><label>Table 2</label>
<caption>
<title>The potential targets of Gancao Xiexin decoction against ulcerative colitis</title></caption>
<table><colgroup>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>ID</th>
<th>Name</th>
<th>ID</th>
<th>Name</th>
<th>ID</th>
<th>Name</th>
<th>ID</th>
<th>Name</th>
</tr>
</thead>
<tbody>
<tr>
<td>5243</td>
<td>ABCB1</td>
<td>1577</td>
<td>CYP3A5</td>
<td>1432</td>
<td>MAPK14</td>
<td>5730</td>
<td>PTGDS</td>
</tr>
<tr>
<td>9429</td>
<td>ABCG2</td>
<td>1956</td>
<td>EGFR</td>
<td>4312</td>
<td>MMP1</td>
<td>5739</td>
<td>PTGIR</td>
</tr>
<tr>
<td>109</td>
<td>ADCY3</td>
<td>2033</td>
<td>EP300</td>
<td>4318</td>
<td>MMP9</td>
<td>5742</td>
<td>PTGS1</td>
</tr>
<tr>
<td>113</td>
<td>ADCY7</td>
<td>51752</td>
<td>ERAP1</td>
<td>4353</td>
<td>MPO</td>
<td>5743</td>
<td>PTGS2</td>
</tr>
<tr>
<td>154</td>
<td>ADRB2</td>
<td>64167</td>
<td>ERAP2</td>
<td>4524</td>
<td>MTHFR</td>
<td>5970</td>
<td>RELA</td>
</tr>
<tr>
<td>7965</td>
<td>AIMP2</td>
<td>2099</td>
<td>ESR1</td>
<td>4780</td>
<td>NFE2L2</td>
<td>6319</td>
<td>SCD</td>
</tr>
<tr>
<td>207</td>
<td>AKT1</td>
<td>2150</td>
<td>F2RL1</td>
<td>4790</td>
<td>NFKB1</td>
<td>6382</td>
<td>SDC1</td>
</tr>
<tr>
<td>213</td>
<td>ALB</td>
<td>2695</td>
<td>GIP</td>
<td>4792</td>
<td>NFKBIA</td>
<td>23411</td>
<td>SIRT1</td>
</tr>
<tr>
<td>581</td>
<td>BAX</td>
<td>8477</td>
<td>GPR65</td>
<td>4843</td>
<td>NOS2</td>
<td>6532</td>
<td>SLC6A4</td>
</tr>
<tr>
<td>596</td>
<td>BCL2</td>
<td>3091</td>
<td>HIF1A</td>
<td>9520</td>
<td>NPEPPS</td>
<td>6647</td>
<td>SOD1</td>
</tr>
<tr>
<td>760</td>
<td>CA2</td>
<td>3106</td>
<td>HLA-B</td>
<td>8856</td>
<td>NR1I2</td>
<td>6714</td>
<td>SRC</td>
</tr>
<tr>
<td>836</td>
<td>CASP3</td>
<td>3162</td>
<td>HMOX1</td>
<td>2908</td>
<td>NR3C1</td>
<td>6774</td>
<td>STAT3</td>
</tr>
<tr>
<td>6347</td>
<td>CCL2</td>
<td>3265</td>
<td>HRAS</td>
<td>5047</td>
<td>PAEP</td>
<td>6863</td>
<td>TAC1</td>
</tr>
<tr>
<td>1490</td>
<td>CCN2</td>
<td>3383</td>
<td>ICAM1</td>
<td>5290</td>
<td>PIK3CA</td>
<td>6869</td>
<td>TACR1</td>
</tr>
<tr>
<td>595</td>
<td>CCND1</td>
<td>3586</td>
<td>IL10</td>
<td>5319</td>
<td>PLA2G1B</td>
<td>7040</td>
<td>TGFB1</td>
</tr>
<tr>
<td>1234</td>
<td>CCR5</td>
<td>3553</td>
<td>IL1B</td>
<td>5320</td>
<td>PLA2G2A</td>
<td>7097</td>
<td>TLR2</td>
</tr>
<tr>
<td>10803</td>
<td>CCR9</td>
<td>3558</td>
<td>IL2</td>
<td>5328</td>
<td>PLAU</td>
<td>7099</td>
<td>TLR4</td>
</tr>
<tr>
<td>1026</td>
<td>CDKN1A</td>
<td>3565</td>
<td>IL4</td>
<td>5444</td>
<td>PON1</td>
<td>7124</td>
<td>TNF</td>
</tr>
<tr>
<td>1387</td>
<td>CREBBP</td>
<td>3569</td>
<td>IL6</td>
<td>5465</td>
<td>PPARA</td>
<td>7157</td>
<td>TP53</td>
</tr>
<tr>
<td>1499</td>
<td>CTNNB1</td>
<td>3845</td>
<td>KRAS</td>
<td>5468</td>
<td>PPARG</td>
<td>7442</td>
<td>TRPV1</td>
</tr>
<tr>
<td>1511</td>
<td>CTSG</td>
<td>3952</td>
<td>LEP</td>
<td>5579</td>
<td>PRKCB</td>
<td>7422</td>
<td>VEGFA</td>
</tr>
<tr>
<td>3576</td>
<td>CXCL8</td>
<td>5594</td>
<td>MAPK1</td>
<td>5713</td>
<td>PSMD7</td>
<td>7494</td>
<td>XBP1</td>
</tr>
<tr>
<td>7852</td>
<td>CXCR4</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>
</table-wrap><fig id="fig-2">
<label>Figure 2</label>
<caption>
<title>Drug-compounds-targets (D-C-T) network of Gancao Xiexin decoction (GXD). The yellow-green quadrilaterals represent the key targets. Different colored circles represent the compounds in different herbs. Grass-green circles represent compounds contained in a variety of herbs, and the red prisms represent different herbs.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Construction of protein-protein interaction network</title>
<p>Interaction relationships of common targets were obtained using the STING database. The PPI network comprised 89 nodes and 1367 edges, with an average degree of 30.7; the larger sizes of the target nodes indicate that nodes have more degrees in the PPI network (<xref ref-type="fig" rid="fig-3">Fig. 3A</xref>). Then, the top 10 hub degree genes, including <italic>ALB</italic>, <italic>AKT1</italic>, <italic>IL6</italic>, <italic>TNF</italic>, <italic>VEGFA</italic>, <italic>TP53</italic>, <italic>CXCL8</italic>, <italic>MAPK1</italic>, <italic>PTGS2</italic>, and <italic>IL1&#x03B2;</italic>, were screened out by Cytoscapehubba, a Cytoscape plug-in. The hub gene network consisted of 10 nodes and 45 edges (<xref ref-type="fig" rid="fig-3">Fig. 3B</xref>).</p>
<fig id="fig-3">
<label>Figure 3</label>
<caption>
<title>(A) Protein-protein interaction (PPI) network, (B) Hub genes network.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Gene ontology and kyoto encyclopedia of genes and genomes enrichment analysis</title>
<p>GO enrichment analysis results contained 1107 biological process (BP) terms, 43 molecular function (MF) terms, and 18 cellular component (CC) terms when adjusted at <italic>p</italic> &#x003C; 0.01. For BP terms, the common targets were mainly related to response to oxygen levels, lipopolysaccharide, the molecule of bacterial origin, etc. For MF terms, the common targets were mainly phosphatase, cytokine receptors, protein phosphatase binding, etc. For CC terms, the common targets were primarily located in the membrane microdomain, membrane raft, membrane region, etc. (<xref ref-type="fig" rid="fig-4">Figs. 4A</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4C</xref>). KEGG analysis remarkably enriched 144 pathways (<italic>p</italic> &#x003C; 0.01), of which the top 15 pathways are presented in <xref ref-type="fig" rid="fig-4">Fig. 4D</xref>. Most of the common targets were enriched in the AGE-RAGE signaling pathway in diabetic complication (hsa04933), HIF-1 signaling patIy (hsa04066), endocrine resIance (hsa01522), etc. Additionally, to explain that GXD could treat UC, we used the key targets, top 15 KEGG pathways, and top 15 BP terms to construct a targets-pathways-BP network, containing 106 nodes and 673 edges (<xref ref-type="fig" rid="fig-5">Fig. 5</xref>). Furthermore, to further illustrate the ability of GXD to ameliorate UC, we also evaluated the relationship between the hub target and BP, KEGG, as shown in <xref ref-type="fig" rid="fig-6">Fig. 6</xref>, according to which, <italic>AKT1, PTGS2, IL1&#x03B2;, TNF</italic>, and <italic>MAPK1</italic> may play a vital role during UC treatment.</p>
<fig id="fig-4">
<label>Figure 4</label>
<caption>
<title>Gene Ontology (GO) and Kyoto Encyclopedia of Gene and Genomes (KEGG) pathway enrichment analysis, (A) The top 15 biological processes (BP) bubble chart, (B) The top 15 molecular functions (MF) bubble chart, (C) The top 15 cellular components (CC) bubble chart, and (D) The top 15 KEGG bubble chart.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f004.tif"/>
</fig><fig id="fig-5">
<label>Figure 5</label>
<caption>
<title>The key targets-pathways-biological process (BP) network.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f005.tif"/>
</fig><fig id="fig-6">
<label>Figure 6</label>
<caption>
<title>Gene Ontology (GO) and Kyoto Encyclopedia of Gene and Genomes (KEGG) enrichment analysis of hub genes. (A) Biological process (BP); (B) KEGG pathway.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f006.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Molecular docking</title>
<p>The interactions between the active compounds and hub targets were investigated to further explore the action mechanism of the GXD compounds. Nine active compounds (maslinic acid, baicalin, betulinic acid, protopine, liquiritin, baicalein, glycyrrhizic acid, isoliquiritigenin, and gingerol; the detailed information is elucidated in <xref ref-type="table" rid="table-3">Table 3</xref>) and eight hub genes (<italic>MAPK1</italic>, <italic>PTGS2</italic>, <italic>AKT1</italic>, <italic>TP53</italic>, <italic>IL6</italic>, <italic>ALB</italic>, and <italic>TNF</italic>) were selected for molecular docking analysis. After setting the threshold affinity &#x003C;&#x2212;5 kcal/mol, we obtained 59 pairs of docking results (<xref ref-type="table" rid="table-4">Table 4</xref>). The top 10 pairs of docking results are exhibited in <xref ref-type="fig" rid="fig-7">Fig. 7</xref>. Among them, the binding affinity of maslinic acid with tumor necrosis factor (TNF) was &#x2212;9.7 kcal/mol, which was contributed by bonding with SER-60 and LEU-120 residues. The binding affinity of baicalin with PTGS2 was &#x2212;9.7 kcal/mol, which was contributed by bonding with HIS-388, TYR-385, THR-212, and HIS-214 residues. The binding affinity of betulinic acid with TNF was &#x2212;9.6 kcal/mol, which was contributed by bonding with HIS-388, TYR-385, THR-212, and HIS-214 residues.</p>
<table-wrap id="table-3"><label>Table 3</label>
<caption>
<title>Chemical structure of active ingredients in Gancao Xiexin decoction</title></caption>
<table><colgroup>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Synonyms</th>
<th>Chemical abstracts service (CAS)</th>
<th>Molecular formula</th>
</tr>
</thead>
<tbody>
<tr>
<td>Betulinic acid</td>
<td>472-15-1</td>
<td>C<sub>30</sub>H<sub>48</sub>O<sub>3</sub></td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>4373-41-5</td>
<td>C<sub>30</sub>H<sub>48</sub>O<sub>4</sub></td>
</tr>
<tr>
<td>Protopine</td>
<td>130-86-9</td>
<td>C<sub>20</sub>H<sub>19</sub>NO<sub>5</sub></td>
</tr>
<tr>
<td>Gingerol</td>
<td>23513-14-6</td>
<td>C<sub>17</sub>H<sub>26</sub>O<sub>4</sub></td>
</tr>
<tr>
<td>Baicalein</td>
<td>491-67-8</td>
<td>C<sub>15</sub>H<sub>10</sub>O<sub>5</sub></td>
</tr>
<tr>
<td>Baicalin</td>
<td>21967-41-9</td>
<td>C<sub>21</sub>H<sub>18</sub>O<sub>11</sub></td>
</tr>
<tr>
<td>Liquiritin</td>
<td>551-15-5</td>
<td>C<sub>21</sub>H<sub>22</sub>O<sub>9</sub></td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>961-29-5</td>
<td>C<sub>15</sub>H<sub>12</sub>O<sub>4</sub></td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>1405-86-3</td>
<td>C<sub>42</sub>H<sub>62</sub>O<sub>16</sub></td>
</tr>
</tbody>
</table>
</table-wrap><table-wrap id="table-4"><label>Table 4</label>
<caption>
<title>Results of 59 pairs of molecular docking analysis</title></caption>
<table><colgroup>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Chemical</th>
<th>PDB</th>
<th>Gene</th>
<th>Bestaffinity</th>
</tr>
</thead>
<tbody>
<tr>
<td>Maslinic acid</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;9.7</td>
</tr>
<tr>
<td>Baicalin</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;9.7</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;9.6</td>
</tr>
<tr>
<td>Protopine</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;9.4</td>
</tr>
<tr>
<td>Baicalin</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;9.3</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;9.2</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;9.2</td>
</tr>
<tr>
<td>Baicalein</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;8.8</td>
</tr>
<tr>
<td>Protopine</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Protopine</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Protopine</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Baicalin</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Baicalin</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Baicalin</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;8.6</td>
</tr>
<tr>
<td>Baicalein</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;8.5</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;8.4</td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;8.4</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;8.3</td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;8.3</td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;8.2</td>
</tr>
<tr>
<td>Protopine</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;8.2</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;8.2</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;8.2</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;8.1</td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;8.1</td>
</tr>
<tr>
<td>Baicalein</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;8</td>
</tr>
<tr>
<td>Baicalein</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;8</td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;7.9</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;7.7</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;7.7</td>
</tr>
<tr>
<td>Baicalein</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;7.7</td>
</tr>
<tr>
<td>Baicalin</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;7.7</td>
</tr>
<tr>
<td>Gingerol</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;7.6</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;7.6</td>
</tr>
<tr>
<td>Protopine</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;7.5</td>
</tr>
<tr>
<td>Protopine</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;7.4</td>
</tr>
<tr>
<td>Gingerol</td>
<td>1e7a</td>
<td>ALB</td>
<td>&#x2212;7.4</td>
</tr>
<tr>
<td>Baicalin</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;7.4</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;7.4</td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;7.2</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;7.2</td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;7.2</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;7</td>
</tr>
<tr>
<td>Gingerol</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;7</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;7</td>
</tr>
<tr>
<td>Baicalein</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;6.9</td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;6.8</td>
</tr>
<tr>
<td>Gingerol</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;6.8</td>
</tr>
<tr>
<td>Liquiritin</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;6.8</td>
</tr>
<tr>
<td>Glycyrrhizic acid</td>
<td>4gv1</td>
<td>AKT1</td>
<td>&#x2212;6.8</td>
</tr>
<tr>
<td>Maslinic acid</td>
<td>5f19</td>
<td>PTGS2</td>
<td>&#x2212;6.7</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>4nif</td>
<td>MAPK1</td>
<td>&#x2212;6.6</td>
</tr>
<tr>
<td>Betulinic acid</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;6.6</td>
</tr>
<tr>
<td>Baicalein</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;6.6</td>
</tr>
<tr>
<td>Isoliquiritigenin</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;6.3</td>
</tr>
<tr>
<td>Gingerol</td>
<td>2az5</td>
<td>TNF</td>
<td>&#x2212;6.2</td>
</tr>
<tr>
<td>Gingerol</td>
<td>4j4l</td>
<td>IL6</td>
<td>&#x2212;6.1</td>
</tr>
<tr>
<td>Gingerol</td>
<td>1h26</td>
<td>TP53</td>
<td>&#x2212;5</td>
</tr>
</tbody>
</table>
</table-wrap><fig id="fig-7">
<label>Figure 7</label>
<caption>
<title>The top 10 molecular docking of the active compound-hub gene. (A) Maslinic acid to tumor necrosis factor (TNF), affinity &#x003D; &#x2212;9.7 kcal/mol, (B) Baicalin to Prostaglandin-endoperoxide synthase 2 (PTGS2), affinity &#x003D; &#x2212;9.7 kcal/mol, (C) Betulinic acid to TNF, affinity &#x003D; &#x2212;9.6 kcal/mol; (D) Protopine to albumin (ALB), affinity &#x003D; &#x2212;9.4 kcal/mol; (E) Baicalin to serine-threonine kinase 1 (AKT1), affinity &#x003D; &#x2212;9.3 kcal/mol; (F) Liquiritin to mitogen-activated protein kinase 1 (MAPK1), affinity &#x003D; &#x2212;9.2 kcal/mol; (G) Liquiritin to ALB, affinity &#x003D; &#x2212;9.2 kcal/mol; (H) Baicalein to Prostaglandin-endoperoxide synthase 2 (PTGS2), affinity &#x003D; &#x2212;8.8 kcal/mol; (I) Protopine to MAPK1, affinity &#x003D; &#x2212;8.6 kcal/mol; (J) Protopine to AKT1, affinity &#x003D; &#x2212;8.6 kcal/mol.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f007.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>Verification through animal experiments</title>
<p>To verify the effect of GXD on UC, we established a UC mouse model by administering 2.5% DSS. DAI scores were used to assess the severity of colitis in mice. As shown in <xref ref-type="fig" rid="fig-8">Fig. 8A</xref>, compared with the control group, DAI scores were significantly increased in the model group. While GXD and SASP administration decreased the DAI scores. Additionally, the colon length was significantly shorter in the model group than in the control group. GXD and SASP administration notably suppressed the shortening of colon length in UC mice (<xref ref-type="fig" rid="fig-8">Figs. 8B</xref> and <xref ref-type="fig" rid="fig-8">8C</xref>). The colon in the model group showed tissue damage with mucosal architecture and apparent inflammatory cell infiltration. Likewise, GXD provided a therapeutic effect in a dose-dependent manner (<xref ref-type="fig" rid="fig-8">Fig. 8D</xref>).</p>
<fig id="fig-8">
<label>Figure 8</label>
<caption>
<title>Gancao Xiexin decoction (GXD) treatment attenuates dextran sodium sulfate (DSS)-induced colitis in mice. (A) Disease activity index (DAI), (B&#x2013;C) Colon length, (D) Representative hematoxylin and eosin staining of colon sections (n &#x003D; 3). &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. control group; <sup>##</sup><italic>p</italic> &#x003C; 0.01 and <sup>###</sup><italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. model group; <sup>$</sup><italic>p</italic> &#x003C; 0.05, <sup>$$</sup><italic>p</italic> &#x003C; 0.01, and <sup>$$$</sup><italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. low-dose GXD group.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f008.tif"/>
</fig>
<p>To further verify whether GXD could act against UC, we detected the levels of inflammatory cytokines and potential targets using qRT-PCR and western blotting. The mRNA levels of inflammatory cytokines interleukin (IL)-1&#x03B2;, IL-17, IL-6, TNF-&#x03B1;, and cyclooxygenase (COX)-2 were markedly increased in the model group; then they were weakened by dose-dependent addition of GXD (<xref ref-type="fig" rid="fig-9">Fig. 9A</xref>). Meanwhile, the protein expression of p65-NF-&#x0138;B, p-STAT3, and STAT3 using western blotting assay revealed that oral administration of 2.5% DSS obviously enhanced p65-NF-&#x0138;B and p-STAT3 expression levels, while GXD and SASP addition reversed this enhancement of DSS. Besides, the expression of STAT3 did not change in all groups (<xref ref-type="fig" rid="fig-9">Fig. 9B</xref>).</p>
<fig id="fig-9">
<label>Figure 9</label>
<caption>
<title>(A) Effect of Gancao Xiexin decoction (GXD) on the expression of inflammatory cytokines, including cyclooxygenase (COX)-2, interleukin (IL)-17, IL-1&#x03B2;, IL-6, and tumor necrosis factor (TNF)-&#x03B1; were detected by the quantitative real-time polymerase chain reaction assay (n &#x003D; 3). (B) Effects of GXD on the expression of p65-nuclear factor (NF)-&#x0138;B, phosphorylated signal transducer and activator of transcription 3 (p-STAT3 and STAT3) were detected using western blot assay (n &#x003D; 3). &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. control group; <sup>#</sup><italic>p</italic> &#x003C; 0.05, <sup>##</sup><italic>p</italic> &#x003C; 0.01, and <sup>###</sup><italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. model group; <sup>$</sup><italic>p</italic> &#x003C; 0.05, <sup>$$</sup><italic>p</italic> &#x003C; 0.01, and <sup>$$$</sup><italic>p</italic> &#x003C; 0.001 <italic>vs</italic>. low-dose GXD group.</title></caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="Biocell-47-28381-f009.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>Recently, clinical studies have found that GXD reduces the expression of inflammatory cytokines in the serum of UC patients (<xref ref-type="bibr" rid="ref-40">Zhao <italic>et al</italic>., 2013b</xref>; <xref ref-type="bibr" rid="ref-9">Guo, 2017</xref>; <xref ref-type="bibr" rid="ref-32">Wang <italic>et al</italic>., 2016</xref>). However, the anti-UC therapeutic mechanism of GXD has not been characterized. In this study, network pharmacology combined with molecular docking was used to unravel the therapeutic targets and action mechanisms of GXD against UC.</p>
<p>Using a network pharmacology assay, the active compounds, potential targets, and action mechanisms were obtained. The D-C-T network showed that quercetin, hexadecenoic acid, palmitic acid, baicalein, choline, baicalin, and so on may be the main active compounds of GXD against UC. Quercetin is a polyhydroxy flavonoid with a variety of biological functions, such as anti-oxidation, anti-inflammation, and anti-viral action. Quercetin inhibits the release of pro-inflammatory mediators and pro-inflammatory protein expression (<xref ref-type="bibr" rid="ref-10">Habtemariam and Belai, 2018</xref>). Baicalin inhibits the expression of IL-33 and NF-&#x03BA;B p65, increases I&#x03BA;B-&#x03B1; levels, and regulates T17/Treg balance and intestinal flora to exert anti-inflammatory effects (<xref ref-type="bibr" rid="ref-38">Zhang <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-41">Zhu <italic>et al</italic>., 2020</xref>). These suggest that GXD affects inflammation, which is also confirmed by suppressing the GXD-mediated up-regulation of inflammatory factors in UC mice.</p>
<p>Moreover, the hub genes network suggested that <italic>ALB</italic>, <italic>AKT1</italic>, <italic>IL6</italic>, <italic>TNF</italic>, <italic>VEGFA</italic>, <italic>TP53</italic>, <italic>CXCL8</italic>, <italic>MAPK1</italic>, <italic>PTGS2</italic>, and <italic>IL1&#x03B2;</italic> may be the potential targets of GXD against UC. TNF-&#x03B1;, a major inflammatory factor, is involved in the pathogenesis of inflammatory bowel disease (IBD), and UC is a subtype of IBD. Anti-TNF-&#x03B1; drugs are commonly used in the treatment of UC (<xref ref-type="bibr" rid="ref-24">Oliveira <italic>et al</italic>., 2021</xref>). IL-1&#x03B2; is a key mediator in the development of UC, leading to increased intestinal epithelial permeability and stimulating neutrophil recruitment to infected colonic tissue, resulting in colonic mucosal edema and necrosis (<xref ref-type="bibr" rid="ref-22">Neurath, 2014</xref>). TP53 is an oncogene closely associated with colon carcinogenesis and could be a key target for UC prevention and treatment (<xref ref-type="bibr" rid="ref-17">Lu <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-5">Elmashad <italic>et al</italic>., 2016</xref>). Additionally, PTGS2 (COX-2) plays a specific role in inflammation and is expressed in epithelial cells and monocytes in IBD (<xref ref-type="bibr" rid="ref-6">Farrokhyar <italic>et al</italic>., 2001</xref>; <xref ref-type="bibr" rid="ref-4">Cox <italic>et al</italic>., 2005</xref>). Here, the mRNA expression changes of IL6, TNF-&#x03B1;, IL1&#x03B2;, and COX-2 in UC mice were reversed by GXD addition, which indicates that these potential targets may be the therapeutic targets for UC treatment.</p>
<p>GO and KEGG enrichment analyses revealed the potential GXD anti-UC effect achieved via the advanced glycation endproducts/receptors for advanced glycation endproducts (AGE-RAGE) signaling pathway in diabetic complications, HIF-1, IL-17, and TNF signaling pathways, etc. One meta-analysis suggested that genetic polymorphisms in IL-17A and IL-17F may increase the risk of UC development in both allelic and dominant models (<xref ref-type="bibr" rid="ref-15">Li <italic>et al</italic>., 2014</xref>). AGE and RAGE are involved in and mediate various oxidative stress signaling pathways, inducing reactive oxygen species production and activating NF-&#x03BA;B, leading to inflammatory responses, apoptosis, and microvascular disease (<xref ref-type="bibr" rid="ref-7">Fukami <italic>et al</italic>., 2014</xref>). RAGE polymorphisms and increased levels of RAGE have been identified in patients with IBD, and AGE/RAGE involvement in inflammation is associated with the activation of NF-&#x03BA;B and its response to oxidative stress (<xref ref-type="bibr" rid="ref-21">Moura <italic>et al</italic>., 2020</xref>). All these indicate that GXD acts against UC via multiple pathways.</p>
<p>Additionally, molecular docking results showed GXD compounds have good binding ability to hub proteins. <italic>In vivo</italic> experiments showed that GXD could significantly alleviate the symptoms of UC, including reducing DAI score, improving colonic tissue damage and inflammatory cell infiltration, and increasing colonic length. Meanwhile, GXD treatment down-regulated the expression of inflammatory factors NF-&#x03BA;B and STAT3 in UC mice.</p>
<p>In conclusion, network pharmacological analysis revealed that GXD has 89 targets and 213 compounds potentially involved in the treatment of UC. GO and KEGG enrichment analyses showed that the action mechanism of GXD in the treatment of UC is related to its antioxidant, anti-inflammatory, and immunomodulatory functions. Molecular docking suggests that the hub genes <italic>MAPK1</italic>, <italic>PTGS2</italic>, <italic>AKT1</italic>, <italic>TP53</italic>, <italic>IL6</italic>, <italic>ALB</italic>, and <italic>TNF</italic> may be potential targets for GXD against UC. Animal experiments have shown that GXD can downregulate the inflammatory levels of UC mice, as well as the expression of NF-&#x03BA;B and p-STAT3. Our research provides a scientific basis for the subsequent development and development of GXD in the treatment of UC. However, our study also had shortcomings; for example, we did not explore the specific mechanisms by which GXD is used to treat UC.</p>
</sec>
</body>
<back>
<sec>
<title>Funding Statement</title>
<p>The authors received no specific funding for this study.</p>
</sec>
<sec>
<title>Author Contributions</title>
<p>The authors confirm contribution to the paper as follows: study conception and design: Chen-hao Shi, Guan-hua Xu; data collection: Chen-hao Shi, Mao-hong Hua; analysis and interpretation of results: Chen-hao Shi, Mao-hong Hua, Guan-hua Xu; draft manuscript preparation: Chen-hao Shi. All authors reviewed the results and approved the final version of the manuscript.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of Data and Materials</title>
<p>The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Ethics Approval</title>
<p>All animal protocols were approved by the Animal Experimental Ethics Committee of Xiaoshan Third People&#x2019;s Hospital.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of Interest</title>
<p>The authors declare that they have no conflicts of interest to report regarding the present study.</p>
</sec>
<ref-list content-type="authoryear">
<title>References</title>
<ref id="ref-1"><label>Amberger and Hamosh (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Amberger</surname> <given-names>JS</given-names></string-name>, <string-name><surname>Hamosh</surname> <given-names>A</given-names></string-name></person-group> (<year>2017</year>). <article-title>Searching online mendelian inheritance in man (OMIM): A knowledgebase of human genes and genetic phenotypes</article-title>. <source>Current Protocols in Bioinformatics</source> <volume>58</volume>: <fpage>1.2.1</fpage>&#x2013;<lpage>1.2.12</lpage>. <pub-id pub-id-type="doi">10.1002/cpbi.27</pub-id>; <pub-id pub-id-type="pmid">28654725</pub-id></mixed-citation></ref>
<ref id="ref-2"><label>Bickerton <italic>et al</italic>. (2012)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bickerton</surname> <given-names>GR</given-names></string-name>, <string-name><surname>Paolini</surname> <given-names>GV</given-names></string-name>, <string-name><surname>Besnard</surname> <given-names>J</given-names></string-name>, <string-name><surname>Muresan</surname> <given-names>S</given-names></string-name>, <string-name><surname>Hopkins</surname> <given-names>AL</given-names></string-name></person-group> (<year>2012</year>). <article-title>Quantifying the chemical beauty of drugs</article-title>. <source>Nature Chemistry</source> <volume>4</volume>: <fpage>90</fpage>&#x2013;<lpage>98</lpage>. <pub-id pub-id-type="doi">10.1038/nchem.1243</pub-id>; <pub-id pub-id-type="pmid">22270643</pub-id></mixed-citation></ref>
<ref id="ref-3"><label>Burley <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Burley</surname> <given-names>SK</given-names></string-name>, <string-name><surname>Berman</surname> <given-names>HM</given-names></string-name>, <string-name><surname>Kleywegt</surname> <given-names>GJ</given-names></string-name>, <string-name><surname>Markley</surname> <given-names>JL</given-names></string-name>, <string-name><surname>Nakamura</surname> <given-names>H</given-names></string-name>, <string-name><surname>Velankar</surname> <given-names>S</given-names></string-name></person-group> (<year>2017</year>). <article-title>Protein data bank (PDB): The single global macromolecular structure archive</article-title>. <source>Methods in Molecular Biology</source> <volume>1607</volume>: <fpage>627</fpage>&#x2013;<lpage>641</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-4939-7000-1</pub-id></mixed-citation></ref>
<ref id="ref-4"><label>Cox <italic>et al</italic>. (2005)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Cox</surname> <given-names>DG</given-names></string-name>, <string-name><surname>Crusius</surname> <given-names>JB</given-names></string-name>, <string-name><surname>Peeters</surname> <given-names>PH</given-names></string-name>, <string-name><surname>Bueno-de-Mesquita</surname> <given-names>HB</given-names></string-name>, <string-name><surname>Pena</surname> <given-names>AS</given-names></string-name>, <string-name><surname>Canzian</surname> <given-names>F</given-names></string-name></person-group> (<year>2005</year>). <article-title>Haplotype of prostaglandin synthase 2/cyclooxygenase 2 is involved in the susceptibility to inflammatory bowel disease</article-title>. <source>World Journal of Gastroenterology</source> <volume>11</volume>: <fpage>6003</fpage>&#x2013;<lpage>6008</lpage>. <pub-id pub-id-type="doi">10.3748/wjg.v11.i38.6003</pub-id>; <pub-id pub-id-type="pmid">16273614</pub-id></mixed-citation></ref>
<ref id="ref-5"><label>Elmashad <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Elmashad</surname> <given-names>NM</given-names></string-name>, <string-name><surname>Ziada</surname> <given-names>DH</given-names></string-name>, <string-name><surname>Hasby</surname> <given-names>EA</given-names></string-name>, <string-name><surname>Mohamed</surname> <given-names>AEM</given-names></string-name></person-group> (<year>2016</year>). <article-title>Immunohistochemical expression of proinflammatory enzyme COX-2 and p53 in ulcerative colitis and its associated dysplasia and colorectal carcinoma</article-title>. <source>Journal of Microscopy and Ultrastructure</source> <volume>4</volume>: <fpage>195</fpage>&#x2013;<lpage>202</lpage>. <pub-id pub-id-type="doi">10.1016/j.jmau.2016.03.003</pub-id>; <pub-id pub-id-type="pmid">30023227</pub-id></mixed-citation></ref>
<ref id="ref-6"><label>Farrokhyar <italic>et al</italic>. (2001)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Farrokhyar</surname> <given-names>F</given-names></string-name>, <string-name><surname>Swarbrick</surname> <given-names>ET</given-names></string-name>, <string-name><surname>Irvine</surname> <given-names>EJ</given-names></string-name></person-group> (<year>2001</year>). <article-title>A critical review of epidemiological studies in inflammatory bowel disease</article-title>. <source>Scandinavian Journal of Gastroenterology</source> <volume>36</volume>: <fpage>2</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1080/00365520150218002</pub-id>; <pub-id pub-id-type="pmid">11218235</pub-id></mixed-citation></ref>
<ref id="ref-7"><label>Fukami <italic>et al</italic>. (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Fukami</surname> <given-names>K</given-names></string-name>, <string-name><surname>Yamagishi</surname> <given-names>S</given-names></string-name>, <string-name><surname>Okuda</surname> <given-names>S</given-names></string-name></person-group> (<year>2014</year>). <article-title>Role of AGEs-RAGE system in cardiovascular disease</article-title>. <source>Current Pharmaceutical Design</source> <volume>20</volume>: <fpage>2395</fpage>&#x2013;<lpage>2402</lpage>. <pub-id pub-id-type="doi">10.2174/13816128113199990475</pub-id>; <pub-id pub-id-type="pmid">23844818</pub-id></mixed-citation></ref>
<ref id="ref-8"><label>Gao <italic>et al</italic>. (2005)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gao</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Si</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Shang</surname> <given-names>J</given-names></string-name>, <string-name><surname>Wen</surname> <given-names>R</given-names></string-name>, <string-name><surname>Niu</surname> <given-names>X</given-names></string-name></person-group> (<year>2005</year>). <article-title>Effects of 3 kinds of Xiexin decoction and their different combinations on gastric mucus composition in normal rats</article-title>. <source>Chinese Traditional Patent Medicine</source> <volume>27</volume>: <fpage>69</fpage>&#x2013;<lpage>74</lpage>.</mixed-citation></ref>
<ref id="ref-9"><label>Guo (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Guo</surname> <given-names>S</given-names></string-name></person-group> (<year>2017</year>). <article-title>Modified Gancao Xiexin decoction in the treatment of ulcerative colitis for 57 cases</article-title>. <source>Guangming Journal of Chinese Medicine</source> <volume>32</volume>: <fpage>992</fpage>&#x2013;<lpage>994</lpage>.</mixed-citation></ref>
<ref id="ref-10"><label>Habtemariam and Belai (2018)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Habtemariam</surname> <given-names>S</given-names></string-name>, <string-name><surname>Belai</surname> <given-names>A</given-names></string-name></person-group> (<year>2018</year>). <article-title>Natural therapies of the inflammatory bowel disease: The case of Rutin and its Aglycone, Quercetin</article-title>. <source>Mini-Reviews in Medicinal Chemistry</source> <volume>18</volume>: <fpage>234</fpage>&#x2013;<lpage>243</lpage>. <pub-id pub-id-type="doi">10.2174/1389557517666170120152417</pub-id>; <pub-id pub-id-type="pmid">28117024</pub-id></mixed-citation></ref>
<ref id="ref-11"><label>Hu and Zhang (2008)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hu</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Zhang</surname> <given-names>Y</given-names></string-name></person-group> (<year>2008</year>). <article-title>Effect of Gancao Xiexin decoction on serum NO and NOS in patients with recurrent aphthous ulcer</article-title>. <source>Practical Pharmacy and Clinical Remedies</source> <volume>11</volume>: <fpage>143</fpage>&#x2013;<lpage>144</lpage>.</mixed-citation></ref>
<ref id="ref-12"><label>Huang <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Huang</surname> <given-names>L</given-names></string-name>, <string-name><surname>Xie</surname> <given-names>D</given-names></string-name>, <string-name><surname>Yu</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Liu</surname> <given-names>H</given-names></string-name>, <string-name><surname>Shi</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Shi</surname> <given-names>T</given-names></string-name>, <string-name><surname>Wen</surname> <given-names>C</given-names></string-name></person-group> (<year>2018</year>). <article-title>TCMID 2.0: A comprehensive resource for TCM</article-title>. <source>Nucleic Acids Research</source> <volume>46</volume>: <fpage>D1117</fpage>&#x2013;<lpage>D1120</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkx1028</pub-id>; <pub-id pub-id-type="pmid">29106634</pub-id></mixed-citation></ref>
<ref id="ref-13"><label>Kobayashi <italic>et al</italic>. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kobayashi</surname> <given-names>T</given-names></string-name>, <string-name><surname>Siegmund</surname> <given-names>B</given-names></string-name>, <string-name><surname>Le Berre</surname> <given-names>C</given-names></string-name>, <string-name><surname>Wei</surname> <given-names>SC</given-names></string-name>, <string-name><surname>Ferrante</surname> <given-names>M</given-names></string-name>, <string-name><surname>Shen</surname> <given-names>B</given-names></string-name>, <string-name><surname>Bernstein</surname> <given-names>CN</given-names></string-name>, <string-name><surname>Danese</surname> <given-names>S</given-names></string-name>, <string-name><surname>Peyrin-Biroulet</surname> <given-names>L</given-names></string-name>, <string-name><surname>Hibi</surname> <given-names>T</given-names></string-name></person-group> (<year>2020</year>). <article-title>Ulcerative colitis</article-title>. <source>Nature Reviews Disease Primers</source> <volume>6</volume>: <fpage>74</fpage>. <pub-id pub-id-type="doi">10.1038/s41572-020-0205-x</pub-id>; <pub-id pub-id-type="pmid">32913180</pub-id></mixed-citation></ref>
<ref id="ref-14"><label>Kotze <italic>et al</italic>. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kotze</surname> <given-names>PG</given-names></string-name>, <string-name><surname>Underwood</surname> <given-names>FE</given-names></string-name>, <string-name><surname>Damiao</surname> <given-names>A</given-names></string-name>, <string-name><surname>Ferraz</surname> <given-names>JGP</given-names></string-name>, <string-name><surname>Saad-Hossne</surname> <given-names>R</given-names></string-name> <etal>et al.</etal></person-group> (<year>2020</year>). <article-title>Progression of inflammatory bowel diseases throughout Latin America and the Caribbean: A systematic review</article-title>. <source>Clinical Gastroenterology and Hepatology</source> <volume>18</volume>: <fpage>304</fpage>&#x2013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.1016/j.cgh.2019.06.030</pub-id>; <pub-id pub-id-type="pmid">31252191</pub-id></mixed-citation></ref>
<ref id="ref-15"><label>Li <italic>et al</italic>. (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Li</surname> <given-names>J</given-names></string-name>, <string-name><surname>Tian</surname> <given-names>H</given-names></string-name>, <string-name><surname>Jiang</surname> <given-names>HJ</given-names></string-name>, <string-name><surname>Han</surname> <given-names>B</given-names></string-name></person-group> (<year>2014</year>). <article-title>Interleukin-17 SNPs and serum levels increase ulcerative colitis risk: A meta-analysis</article-title>. <source>World Journal of Gastroenterology</source> <volume>20</volume>: <fpage>15899</fpage>&#x2013;<lpage>15909</lpage>. <pub-id pub-id-type="doi">10.3748/wjg.v20.i42.15899</pub-id>; <pub-id pub-id-type="pmid">25400476</pub-id></mixed-citation></ref>
<ref id="ref-16"><label>Liang <italic>et al</italic>. (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Liang</surname> <given-names>X</given-names></string-name>, <string-name><surname>Li</surname> <given-names>H</given-names></string-name>, <string-name><surname>Li</surname> <given-names>S</given-names></string-name></person-group> (<year>2014</year>). <article-title>A novel network pharmacology approach to analyse traditional herbal formulae: The Liu-Wei-Di-Huang pill as a case study</article-title>. <source>Molecular BioSystems</source> <volume>10</volume>: <fpage>1014</fpage>&#x2013;<lpage>1022</lpage>. <pub-id pub-id-type="doi">10.1039/C3MB70507B</pub-id>; <pub-id pub-id-type="pmid">24492828</pub-id></mixed-citation></ref>
<ref id="ref-17"><label>Lu <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lu</surname> <given-names>X</given-names></string-name>, <string-name><surname>Yu</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Tan</surname> <given-names>S</given-names></string-name></person-group> (<year>2017</year>). <article-title>p53 expression in patients with ulcerative colitis&#x2014;associated with dysplasia and carcinoma: A systematic meta-analysis</article-title>. <source>BMC Gastroenterology</source> <volume>17</volume>: <fpage>111</fpage>. <pub-id pub-id-type="doi">10.1186/s12876-017-0665-y</pub-id>; <pub-id pub-id-type="pmid">29070013</pub-id></mixed-citation></ref>
<ref id="ref-18"><label>Luo and Luo (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Luo</surname> <given-names>M</given-names></string-name>, <string-name><surname>Luo</surname> <given-names>Y</given-names></string-name></person-group> (<year>2021</year>). <article-title>Imperatorin relieved ulcerative colitis by regulating the Nrf-2/ARE/HO-1 pathway in rats</article-title>. <source>Inflammation</source> <volume>44</volume>: <fpage>558</fpage>&#x2013;<lpage>569</lpage>. <pub-id pub-id-type="doi">10.1007/s10753-020-01353-3</pub-id>; <pub-id pub-id-type="pmid">33098052</pub-id></mixed-citation></ref>
<ref id="ref-19"><label>Luo <italic>et al</italic>. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Luo</surname> <given-names>YT</given-names></string-name>, <string-name><surname>Wu</surname> <given-names>J</given-names></string-name>, <string-name><surname>Zhu</surname> <given-names>FY</given-names></string-name>, <string-name><surname>Wu</surname> <given-names>JQ</given-names></string-name>, <string-name><surname>Wu</surname> <given-names>P</given-names></string-name>, <string-name><surname>Liu</surname> <given-names>YC</given-names></string-name></person-group> (<year>2022</year>). <article-title>Gancao Xiexin decoction ameliorates ulcerative colitis in mice via modulating gut microbiota and metabolites</article-title>. <source>Drug Design Development and Therapy</source> <volume>16</volume>: <fpage>1383</fpage>&#x2013;<lpage>1405</lpage>. <pub-id pub-id-type="doi">10.2147/DDDT.S352467</pub-id>; <pub-id pub-id-type="pmid">35601674</pub-id></mixed-citation></ref>
<ref id="ref-20"><label>Morris <italic>et al</italic>. (2009)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Morris</surname> <given-names>GM</given-names></string-name>, <string-name><surname>Huey</surname> <given-names>R</given-names></string-name>, <string-name><surname>Lindstrom</surname> <given-names>W</given-names></string-name>, <string-name><surname>Sanner</surname> <given-names>MF</given-names></string-name>, <string-name><surname>Belew</surname> <given-names>RK</given-names></string-name>, <string-name><surname>Goodsell</surname> <given-names>DS</given-names></string-name>, <string-name><surname>Olson</surname> <given-names>AJ</given-names></string-name></person-group> (<year>2009</year>). <article-title>AutoDock4 and AutoDockTools4: Automated docking with selective receptor flexibility</article-title>. <source>Journal of Computational Chemistry</source> <volume>30</volume>: <fpage>2785</fpage>&#x2013;<lpage>2791</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.21256</pub-id>; <pub-id pub-id-type="pmid">19399780</pub-id></mixed-citation></ref>
<ref id="ref-21"><label>Moura <italic>et al</italic>. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Moura</surname> <given-names>FA</given-names></string-name>, <string-name><surname>Goulart</surname> <given-names>MOF</given-names></string-name>, <string-name><surname>Campos</surname> <given-names>SBG</given-names></string-name>, <string-name><surname>da Paz Martins</surname> <given-names>AS</given-names></string-name></person-group> (<year>2020</year>). <article-title>The close interplay of nitro-oxidative stress, advanced glycation end products and inflammation in inflammatory bowel diseases</article-title>. <source>Current Medicinal Chemistry</source> <volume>27</volume>: <fpage>2059</fpage>&#x2013;<lpage>2076</lpage>. <pub-id pub-id-type="doi">10.2174/0929867325666180904115633</pub-id>; <pub-id pub-id-type="pmid">30182837</pub-id></mixed-citation></ref>
<ref id="ref-22"><label>Neurath (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Neurath</surname> <given-names>MF</given-names></string-name></person-group> (<year>2014</year>). <article-title>Cytokines in inflammatory bowel disease</article-title>. <source>Nature Reviews Immunology</source> <volume>14</volume>: <fpage>329</fpage>&#x2013;<lpage>342</lpage>. <pub-id pub-id-type="doi">10.1038/nri3661</pub-id>; <pub-id pub-id-type="pmid">24751956</pub-id></mixed-citation></ref>
<ref id="ref-23"><label>Ng <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ng</surname> <given-names>SC</given-names></string-name>, <string-name><surname>Kaplan</surname> <given-names>GG</given-names></string-name>, <string-name><surname>Tang</surname> <given-names>W</given-names></string-name>, <string-name><surname>Banerjee</surname> <given-names>R</given-names></string-name>, <string-name><surname>Adigopula</surname> <given-names>B</given-names></string-name> <etal>et al.</etal></person-group> (<year>2019</year>). <article-title>Population density and risk of inflammatory bowel disease: A prospective population-based study in 13 countries or regions in Asia-Pacific</article-title>. <source>American Journal of Gastroenterology</source> <volume>114</volume>: <fpage>107</fpage>&#x2013;<lpage>115</lpage>. <pub-id pub-id-type="doi">10.1038/s41395-018-0233-2</pub-id>; <pub-id pub-id-type="pmid">30177785</pub-id></mixed-citation></ref>
<ref id="ref-24"><label>Oliveira <italic>et al</italic>. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Oliveira</surname> <given-names>RG</given-names></string-name>, <string-name><surname>Damazo</surname> <given-names>AS</given-names></string-name>, <string-name><surname>Antonielli</surname> <given-names>LF</given-names></string-name>, <string-name><surname>Miyajima</surname> <given-names>F</given-names></string-name>, <string-name><surname>Pavan</surname> <given-names>E</given-names></string-name>, <string-name><surname>Duckworth</surname> <given-names>CA</given-names></string-name>, <string-name><surname>Lima</surname> <given-names>J</given-names></string-name>, <string-name><surname>Arunachalam</surname> <given-names>K</given-names></string-name>, <string-name><surname>Martins</surname> <given-names>DTO</given-names></string-name></person-group> (<year>2021</year>). <article-title><italic>Dilodendron bipinnatum</italic> Radlk. Extract alleviates ulcerative colitis induced by TNBS in rats by reducing inflammatory cell infiltration, TNF-&#x03B1; and IL-1&#x03B2; concentrations, IL-17 and COX-2 expressions, supporting mucus production and promotes an antioxidant effect</article-title>. <source>Journal of Ethnopharmacology</source> <volume>269</volume>: <fpage>113735</fpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2020.113735</pub-id>; <pub-id pub-id-type="pmid">33359865</pub-id></mixed-citation></ref>
<ref id="ref-25"><label>Pi&#x00F1;ero <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pi&#x00F1;ero</surname> <given-names>J</given-names></string-name>, <string-name><surname>Bravo</surname> <given-names>&#x00C0;</given-names></string-name>, <string-name><surname>Queralt-Rosinach</surname> <given-names>N</given-names></string-name>, <string-name><surname>Guti&#x00E9;rrez-Sacrist&#x00E1;n</surname> <given-names>A</given-names></string-name>, <string-name><surname>Deu-Pons</surname> <given-names>J</given-names></string-name>, <string-name><surname>Centeno</surname> <given-names>E</given-names></string-name>, <string-name><surname>Garc&#x00ED;a-Garc&#x00ED;a</surname> <given-names>J</given-names></string-name>, <string-name><surname>Sanz</surname> <given-names>F</given-names></string-name>, <string-name><surname>Furlong</surname> <given-names>LI</given-names></string-name></person-group> (<year>2017</year>). <article-title>DisGeNET: A comprehensive platform integrating information on human disease-associated genes and variants</article-title>. <source>Nucleic Acids Research</source> <volume>45</volume>: <fpage>D833</fpage>&#x2013;<lpage>d839</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkw943</pub-id>; <pub-id pub-id-type="pmid">27924018</pub-id></mixed-citation></ref>
<ref id="ref-26"><label>Ru <italic>et al</italic>. (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ru</surname> <given-names>J</given-names></string-name>, <string-name><surname>Li</surname> <given-names>P</given-names></string-name>, <string-name><surname>Wang</surname> <given-names>J</given-names></string-name>, <string-name><surname>Zhou</surname> <given-names>W</given-names></string-name>, <string-name><surname>Li</surname> <given-names>B</given-names></string-name> <etal>et al.</etal></person-group> (<year>2014</year>). <article-title>TCMSP: A database of systems pharmacology for drug discovery from herbal medicines</article-title>. <source>Journal of Cheminformatics</source> <volume>6</volume>: <fpage>13</fpage>. <pub-id pub-id-type="doi">10.1186/1758-2946-6-13</pub-id>; <pub-id pub-id-type="pmid">24735618</pub-id></mixed-citation></ref>
<ref id="ref-27"><label>Safran <italic>et al</italic>. (2010)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Safran</surname> <given-names>M</given-names></string-name>, <string-name><surname>Dalah</surname> <given-names>I</given-names></string-name>, <string-name><surname>Alexander</surname> <given-names>J</given-names></string-name>, <string-name><surname>Rosen</surname> <given-names>N</given-names></string-name>, <string-name><surname>Iny Stein</surname> <given-names>T</given-names></string-name> <etal>et al.</etal></person-group> (<year>2010</year>). <article-title>GeneCards version 3: The human gene integrator</article-title>. <source>Database</source> <volume>2010</volume>: <fpage>baq020</fpage>. <pub-id pub-id-type="doi">10.1093/database/baq020</pub-id>; <pub-id pub-id-type="pmid">20689021</pub-id></mixed-citation></ref>
<ref id="ref-28"><label>Seeliger and de Groot (2010)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Seeliger</surname> <given-names>D</given-names></string-name>, <string-name><surname>de Groot</surname> <given-names>BL</given-names></string-name></person-group> (<year>2010</year>). <article-title>Ligand docking and binding site analysis with PyMOL and Autodock/Vina</article-title>. <source>Journal of Computer-Aided Molecular Design</source> <volume>24</volume>: <fpage>417</fpage>&#x2013;<lpage>422</lpage>. <pub-id pub-id-type="doi">10.1007/s10822-010-9352-6</pub-id>; <pub-id pub-id-type="pmid">20401516</pub-id></mixed-citation></ref>
<ref id="ref-29"><label>Sterling and Irwin (2015)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sterling</surname> <given-names>T</given-names></string-name>, <string-name><surname>Irwin</surname> <given-names>JJ</given-names></string-name></person-group> (<year>2015</year>). <article-title>ZINC 15&#x2014;ligand discovery for everyone</article-title>. <source>Journal of Chemical Information and Modeling</source> <volume>55</volume>: <fpage>2324</fpage>&#x2013;<lpage>2337</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jcim.5b00559</pub-id>; <pub-id pub-id-type="pmid">26479676</pub-id></mixed-citation></ref>
<ref id="ref-30"><label>Szklarczyk <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Szklarczyk</surname> <given-names>D</given-names></string-name>, <string-name><surname>Santos</surname> <given-names>A</given-names></string-name>, <string-name><surname>von Mering</surname> <given-names>C</given-names></string-name>, <string-name><surname>Jensen</surname> <given-names>LJ</given-names></string-name>, <string-name><surname>Bork</surname> <given-names>P</given-names></string-name>, <string-name><surname>Kuhn</surname> <given-names>M</given-names></string-name></person-group> (<year>2016</year>). <article-title>STITCH 5: Augmenting protein-chemical interaction networks with tissue and affinity data</article-title>. <source>Nucleic Acids Research</source> <volume>44</volume>: <fpage>D380</fpage>&#x2013;<lpage>D384</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkv1277</pub-id>; <pub-id pub-id-type="pmid">26590256</pub-id></mixed-citation></ref>
<ref id="ref-31"><label>Trott and Olson (2010)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Trott</surname> <given-names>O</given-names></string-name>, <string-name><surname>Olson</surname> <given-names>AJ</given-names></string-name></person-group> (<year>2010</year>). <article-title>AutoDock Vina: Improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading</article-title>. <source>Journal of Computational Chemistry</source> <volume>31</volume>: <fpage>455</fpage>&#x2013;<lpage>461</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.21334</pub-id>; <pub-id pub-id-type="pmid">19499576</pub-id></mixed-citation></ref>
<ref id="ref-32"><label>Wang <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wang</surname> <given-names>GQ</given-names></string-name>, <string-name><surname>Wei</surname> <given-names>WH</given-names></string-name>, <string-name><surname>Yang</surname> <given-names>J</given-names></string-name></person-group> (<year>2016</year>). <article-title>Effects of Gancao Xiexin decoction on serum levels of IL-17 and IL-23 in patients with ulcerative colitis</article-title>. <source>Journal of Nanjing University of Traditional Chinese Medicine</source> <volume>32</volume>: <fpage>25</fpage>&#x2013;<lpage>28</lpage>.</mixed-citation></ref>
<ref id="ref-33"><label>Wei <italic>et al</italic>. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wei</surname> <given-names>YY</given-names></string-name>, <string-name><surname>Fan</surname> <given-names>YM</given-names></string-name>, <string-name><surname>Ga</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Zhang</surname> <given-names>YN</given-names></string-name>, <string-name><surname>Han</surname> <given-names>JC</given-names></string-name>, <string-name><surname>Hao</surname> <given-names>ZH</given-names></string-name></person-group> (<year>2021</year>). <article-title>Shaoyao decoction attenuates DSS-induced ulcerative colitis, macrophage and NLRP3 inflammasome activation through the MKP1/NF-&#x03BA;B pathway</article-title>. <source>Phytomedicine</source> <volume>92</volume>: <fpage>153743</fpage>. <pub-id pub-id-type="doi">10.1016/j.phymed.2021.153743</pub-id>; <pub-id pub-id-type="pmid">34583225</pub-id></mixed-citation></ref>
<ref id="ref-34"><label>Yan <italic>et al</italic>. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Yan</surname> <given-names>J</given-names></string-name>, <string-name><surname>Yan</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Young</surname> <given-names>A</given-names></string-name>, <string-name><surname>Yan</surname> <given-names>Z</given-names></string-name>, <string-name><surname>Yan</surname> <given-names>Z</given-names></string-name></person-group> (<year>2021</year>). <article-title>Effectiveness and safety of Chinese medicine decoctions for behcet&#x2019;s disease: A systematic review and meta-analysis</article-title>. <source>Evidence-Based Complementary and Alternative Medicine</source> <volume>2021</volume>: <fpage>8202512</fpage>. <pub-id pub-id-type="doi">10.1155/2021/8202512</pub-id>; <pub-id pub-id-type="pmid">34335839</pub-id></mixed-citation></ref>
<ref id="ref-35"><label>Yang <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Yang</surname> <given-names>M</given-names></string-name>, <string-name><surname>Chen</surname> <given-names>J</given-names></string-name>, <string-name><surname>Xu</surname> <given-names>L</given-names></string-name>, <string-name><surname>Shi</surname> <given-names>X</given-names></string-name>, <string-name><surname>Zhou</surname> <given-names>X</given-names></string-name>, <string-name><surname>An</surname> <given-names>R</given-names></string-name>, <string-name><surname>Wang</surname> <given-names>X</given-names></string-name></person-group> (<year>2018</year>). <article-title>A network pharmacology approach to uncover the molecular mechanisms of herbal formula Ban-Xia-Xie-Xin-Tang</article-title>. <source>Evidence-Based Complementary and Alternative Medicine</source> <volume>2018</volume>: <fpage>4050714</fpage>. <pub-id pub-id-type="doi">10.1155/2018/4050714</pub-id>; <pub-id pub-id-type="pmid">30410554</pub-id></mixed-citation></ref>
<ref id="ref-36"><label>Ye <italic>et al</italic>. (2011)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ye</surname> <given-names>H</given-names></string-name>, <string-name><surname>Ye</surname> <given-names>L</given-names></string-name>, <string-name><surname>Kang</surname> <given-names>H</given-names></string-name>, <string-name><surname>Zhang</surname> <given-names>D</given-names></string-name>, <string-name><surname>Tao</surname> <given-names>L</given-names></string-name> <etal>et al.</etal></person-group> (<year>2011</year>). <article-title>HIT: Linking herbal active ingredients to targets</article-title>. <source>Nucleic Acids Research</source> <volume>39</volume>: <fpage>D1055</fpage>&#x2013;<lpage>1059</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkq1165</pub-id>; <pub-id pub-id-type="pmid">21097881</pub-id></mixed-citation></ref>
<ref id="ref-37"><label>Zhang <italic>et al</italic>. (1997)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhang</surname> <given-names>S</given-names></string-name>, <string-name><surname>Hao</surname> <given-names>L</given-names></string-name>, <string-name><surname>Gong</surname> <given-names>C</given-names></string-name>, <string-name><surname>Song</surname> <given-names>Y</given-names></string-name>, <string-name><surname>Yi</surname> <given-names>C</given-names></string-name></person-group> (<year>1997</year>). <article-title>Effects of Gancao Xiexin decoction on immune function and normobaric hypoxia tolerance in mice</article-title>. <source>Pharmacology and Clinic of Traditional Chinese Medicine</source> <volume>13</volume>: <fpage>12</fpage>&#x2013;<lpage>13</lpage>.</mixed-citation></ref>
<ref id="ref-38"><label>Zhang <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhang</surname> <given-names>CL</given-names></string-name>, <string-name><surname>Zhang</surname> <given-names>S</given-names></string-name>, <string-name><surname>He</surname> <given-names>WX</given-names></string-name>, <string-name><surname>Lu</surname> <given-names>JL</given-names></string-name>, <string-name><surname>Xu</surname> <given-names>YJ</given-names></string-name>, <string-name><surname>Yang</surname> <given-names>JY</given-names></string-name>, <string-name><surname>Liu</surname> <given-names>D</given-names></string-name></person-group> (<year>2017</year>). <article-title>Baicalin may alleviate inflammatory infiltration in dextran sodium sulfate-induced chronic ulcerative colitis via inhibiting IL-33 expression</article-title>. <source>Life Sciences</source> <volume>186</volume>: <fpage>125</fpage>&#x2013;<lpage>132</lpage>. <pub-id pub-id-type="doi">10.1016/j.lfs.2017.08.010</pub-id>; <pub-id pub-id-type="pmid">28802904</pub-id></mixed-citation></ref>
<ref id="ref-39"><label>Zhao et al. (2013a)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhao</surname> <given-names>C</given-names></string-name>, <string-name><surname>Cai</surname> <given-names>Z</given-names></string-name>, <string-name><surname>Deng</surname> <given-names>M</given-names></string-name></person-group> (<year>2013a</year>). <article-title>Observation on therapeutic effect of modified Gancao Xiexin decoction on pseudomembranous enteritis</article-title>. <source>Journal of Emergency in Traditional Chinese Medicine</source> <volume>22</volume>: <fpage>117</fpage>&#x2013;<lpage>118</lpage>.</mixed-citation></ref>
<ref id="ref-40"><label>Zhao et al. (2013b)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhao</surname> <given-names>Q</given-names></string-name>, <string-name><surname>Wang</surname> <given-names>S</given-names></string-name>, <string-name><surname>Liang</surname> <given-names>X</given-names></string-name></person-group> (<year>2013b</year>). <article-title>Gancao Xiexin decoction in the treatment of relapsing ulcerative colitis: Clinical observation and the effects of intestinal microflora and serum interleukin 6, 10</article-title>. <source>Chinese Archives of Traditional Chinese Medicine</source> <volume>31</volume>: <fpage>944</fpage>&#x2013;<lpage>946</lpage>.</mixed-citation></ref>
<ref id="ref-41"><label>Zhu <italic>et al</italic>. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhu</surname> <given-names>L</given-names></string-name>, <string-name><surname>Xu</surname> <given-names>LZ</given-names></string-name>, <string-name><surname>Zhao</surname> <given-names>S</given-names></string-name>, <string-name><surname>Shen</surname> <given-names>ZF</given-names></string-name>, <string-name><surname>Shen</surname> <given-names>H</given-names></string-name>, <string-name><surname>Zhan</surname> <given-names>LB</given-names></string-name></person-group> (<year>2020</year>). <article-title>Protective effect of baicalin on the regulation of Treg/Th17 balance, gut microbiota and short-chain fatty acids in rats with ulcerative colitis</article-title>. <source>Applied Microbiology and Biotechnology</source> <volume>104</volume>: <fpage>5449</fpage>&#x2013;<lpage>5460</lpage>. <pub-id pub-id-type="doi">10.1007/s00253-020-10527-w</pub-id>; <pub-id pub-id-type="pmid">32322944</pub-id></mixed-citation></ref>
</ref-list><app-group><app id="app-1">
<title>Supplementary Materials</title>
<table-wrap id="table-5"><label>Table S1</label>
<caption>
<title>Primer sequences for qRT-PCR assay</title></caption>
<table><colgroup>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Gene</th>
<th>Primer sequences</th>
</tr>
</thead>
<tbody>
<tr>
<td>TNF-&#x03B1;</td>
<td>F: 5&#x2019;- CAGGCGGTGCCTATGTCTC-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-CGATCACCCCGAAGTTCAGTTCAGTAG-3&#x2019;</td>
</tr>
<tr>
<td>IL-1&#x03B2;</td>
<td>F: 5&#x2019;-GAAATGCCACCTTTTGACAGTG-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-TGGATGCTCTCATCAGGACAG-3&#x2019;</td>
</tr>
<tr>
<td>COX-2</td>
<td>F: 5&#x2019;-ACAATGCTGACTATGGCTAC-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-CTGATGCGTGAAGTGCTG-3&#x2019;</td>
</tr>
<tr>
<td>IL-17</td>
<td>F: 5&#x2019;-GTGTCTCTGATGCTGTTG-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-AACGGTTGAGGTAGTCTG-3&#x2019;</td>
</tr>
<tr>
<td>IL-6</td>
<td>F:5&#x2019;-TAGTCCTTCCTACCCCAATTTCC-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-TTGGTCCTTAGCCACTCCTTC-3&#x2019;</td>
</tr>
<tr>
<td>GAPDH</td>
<td>F: 5&#x2019;-GAAGGTCGGTGTGAACGGATTTG-3&#x2019;</td>
</tr>
<tr>
<td></td>
<td>R: 5&#x2019;-CATGTAGACCATGTAGTTGAGGTCA-3&#x2019;</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
</app-group>
</back>
</article>