Pudilan antiphlogistic
oral liquid (PDL) is a commercial traditional
Chinese medicine widely used in the treatment of a variety of inflammatory
diseases. However, the specific mechanisms of PDL’s anti-inflammatory
effects have not been fully understood. In this research, five classic
inflammatory models and a network pharmacology-based strategy were
utilized to evaluate its anti-inflammatory efficacy and elucidate
its multicomponent and multitarget mode of the anti-inflammatory mechanism.
A systems pharmacology approach was carried out
via
a holistic process of active compound screening, target acquisition,
network construction, and further analysis. The potential component–target-associated
anti-inflammatory mechanisms of PDL were further verified both
in vivo
and
in vitro
. The results showed
that PDL exhibited a proven anti-inflammatory effect on multiple types
of inflammatory models, including β-hemolytic streptococcus-induced
acute pharyngitis, LPS-induced acute lung injury, xylene-induced ear
swelling, carrageenan-induced paw edema, and acetic acid-induced capillary
permeability-increasing models. Systems pharmacology analysis predicted
45 ingredients of PDL that interact with 185 targets, of which 38
overlapped with the inflammation-related targets. Furthermore, KEGG
pathway analysis showed that the predicted targets were mainly involved
in hypoxia-inducible factor (HIF)-1, tumor necrosis factor (TNF),
nuclear factor kappa-B (NF-κB), and NOD-like receptor (NLR)
pathways. Both
in vivo
and
in vitro
experiments clarified that PDL has anti-inflammatory potency by
inhibiting PI3K and p38 phosphorylation and activating the NLRP3 inflammasome.
Our results suggested that PDL has an efficient and extensive anti-inflammatory
effect, and its anti-inflammatory mechanisms may involve multiple
inflammatory-associated signaling pathways, including HIF-1- and TNF-mediated
pathways and NLRP3 inflammasome activation.