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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1380335</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2024.1380335</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Integrated approach with UHPLC-Q-Exactive-tandem mass spectrometry, network analysis, and molecular docking to determine potential active compounds and mechanisms of Rhizoma Musae decoction in osteoarthritis treatment</article-title>
<alt-title alt-title-type="left-running-head">Zhang et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2024.1380335">10.3389/fphar.2024.1380335</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Jian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2646415/overview"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shen</surname>
<given-names>Wanyan</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Fanzhi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>He</surname>
<given-names>Hehe</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Han</surname>
<given-names>Shuquan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Lina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>GuiZhou Institute of Subtropical Crops</institution>, <institution>Guizhou Academy of Agricultural Sciences</institution>, <addr-line>Guiyang</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Research and Development Department</institution>, <institution>Guizhou Weikang Zifan Pharmaceutical Co., Ltd.</institution>, <addr-line>Guiyang</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/894726/overview">Daniela Rigano</ext-link>, University of Naples Federico II, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/28921/overview">Karl Tsim</ext-link>, Hong Kong University of Science and Technology, Hong Kong SAR, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/106689/overview">Cheorl-Ho Kim</ext-link>, Sungkyunkwan University, Republic of Korea</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Jian Zhang, <email>nkyzhangjian@163.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1380335</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>02</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Zhang, Shen, Liu, He, Han and Luo.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Zhang, Shen, Liu, He, Han and Luo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Objective</title>
<p>This study aimed to identify the potential active compounds in Rhizoma Musae decoction and understand their mechanisms of action in osteoarthritis treatment.</p>
</sec>
<sec>
<title>Methods</title>
<p>UHPLC-Q-Exactive-MS/MS technology was used for an in-depth analysis of the chemical compounds present in Rhizoma Musae decoction. A network analysis approach was used to construct a comprehensive network of compounds, targets, and pathways, which provided insights into the molecular mechanisms of Rhizoma Musae decoction in osteoarthritis treatment.</p>
</sec>
<sec>
<title>Results</title>
<p>The integrated analysis revealed the presence of 534 chemical compounds in Rhizoma Musae decoction, with 7beta-hydroxyrutaecarpine, 7,8-dihydroxycoumarin, pinocembrin diacetate, and scopoletin being identified as potential active compounds. Potential targets such as GAPDH, AKT1, TNF, IL6, and SRC were implicated in key pathways including MAPK signaling pathway, lipid and atherosclerosis, PI3K-Akt signaling pathway, and IL-17 signaling pathway. Molecular docking studies showed significant binding affinity between the core targets and key components. <italic>In vitro</italic> cell experiments have demonstrated that RM decoction can enhance cell proliferation and upregulates the expression of TNF&#x3b1;, IL-6, and SRC, while down-regulating the expression of GAPDH and AKT1.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The potential active compounds present in Rhizoma Musae decoction influence specific targets and signaling pathways involved in osteoarthritis pathogenesis, providing new insights for the functional development and utilization of RM.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Rhizoma Musae decoction</kwd>
<kwd>UHPLC-Q-Exactive-MS/MS</kwd>
<kwd>network analysis</kwd>
<kwd>osteoarthritis</kwd>
<kwd>signaling pathways</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Rhizoma Musae (RM), which is known as the dried root or rhizome of <italic>Musa basjoo</italic> Sied.et Zucc. and belongs to the Musa family, has been used as a traditional Chinese herb in Guizhou Province&#x2019;s Miao region for centuries. The Quality Standards for Traditional Chinese and Ethnic Medicinal Materials in Guizhou Province (<xref ref-type="bibr" rid="B9">Guizhou Medical Products Administration, 2003</xref>) indicates that RM has multiple medicinal benefits (<xref ref-type="bibr" rid="B7">Fu et al., 2018</xref>), including heat-clearing, detoxifying, thirst-quenching, and diuretic properties. It is widely used to treat conditions such as wind-heat headaches, edema, athlete&#x2019;s foot, thirst, metrorrhagia, vaginal discharge, erysipelas, and hematospermia. RM is rich in medicinal compounds such as essential oils, phenols, benzophenones, alkaloids, and acenaphthene derivatives, exhibiting a broad spectrum of pharmacological activities, such as anti-inflammatory (<xref ref-type="bibr" rid="B32">Wang et al., 2010</xref>), analgesic (<xref ref-type="bibr" rid="B16">Liang et al., 2010</xref>), antibacterial (<xref ref-type="bibr" rid="B33">Wei et al., 2010</xref>), and antioxidant effects (<xref ref-type="bibr" rid="B18">Liu et al., 2013</xref>).</p>
<p>Osteoarthritis (OA), a joint disorder characterized by the progressive degeneration of the articular cartilage (<xref ref-type="bibr" rid="B37">Yao et al., 2023</xref>), is on the rise due to factors such as the aging population, increasing obesity rates, and high incidence of traumatic knee injuries. This suggests a forthcoming increase in the occurrence and frequency of OA (<xref ref-type="bibr" rid="B4">Chen et al., 2020</xref>). Mechanical damage, inflammation, and aging are significant contributors to the development of osteoarthritis (OA), leading to the gradual deterioration of cartilage (<xref ref-type="bibr" rid="B23">Ouyang et al., 2023</xref>). In the pathogenesis of OA, an imbalance of cytokines can trigger the repeated activation of pro-inflammatory cytokines, resulting in damage to internal joint structures such as cartilage (<xref ref-type="bibr" rid="B21">Molnar et al., 2021</xref>). Pro-inflammatory cytokines like IL-33, IL-17, IL-6, and IL-22 play crucial roles in various signaling pathways within joints (<xref ref-type="bibr" rid="B6">Englund, 2023</xref>). Low-grade inflammation is a notable feature in the early stages of OA (<xref ref-type="bibr" rid="B2">Berenbaum, 2013</xref>). The increase in inflammatory factors prompts the breakdown of chondrocyte matrix and contributes to the degeneration of OA chondrocytes. This irreversible process further enhances the release of inflammatory factors, accelerating disease progression.</p>
<p>Network analysis is a multidisciplinary field that integrates systems biology, computer science, and bioinformatics. It employs high-throughput technology to investigate the correlation between diseases and drugs efficiently and economically. The approach aligns with traditional Chinese medicine formulas, known for their attributes targeting multiple levels (<xref ref-type="bibr" rid="B38">Zhao et al., 2023</xref>). The Gukang capsule, which primarily contains RM, has shown significant effectiveness in treating osteoporosis, fractures, and injuries (<xref ref-type="bibr" rid="B40">Zhu et al., 2022</xref>). The aqueous extract of RM promotes the proliferation, differentiation, and mineralization of bone cells in laboratory settings; upregulates alkaline phosphatase levels; and improves blood rheology, thereby reducing blood viscosity and supporting the fracture healing process (<xref ref-type="bibr" rid="B5">Dong et al., 2019</xref>). Despite these findings, a comprehensive understanding of the medicinal components of RM decoction and their effects on OA signaling pathways remains elusive. In this study, UHPLC-Q-Exactive-MS/MS technology is utilized to analyze the chemical constituents of RM decoction. Additionally, network analysis and molecular docking techniques are employed to preliminarily explore the intervention mechanism of RM decoction against OA. These findings establish a robust foundation for further clinical studies and the development of drug formulations involving RM.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Experimental instruments</title>
<p>Ultra-high-pressure liquid chromatography was performed using a Vanquish system (Thermo Fisher Scientific, United States). Mass spectrometry analysis was conducted with a Q Exactive HFX Mass Spectrometer (Thermo Fisher Scientific, United States). Centrifugation steps were conducted using Centrifuge 5430&#xa0;R (Eppendorf, Germany). Mixing was achieved with a SCI-VS vortex mixer (Scilogex, United States), and an ultrasonic cleaner SB25-12DTD (Ningbo Xinzhi Biotechnology Co., Ltd., China) was used for sonication.</p>
</sec>
<sec id="s2-2">
<title>2.2 Plant materials and chemicals</title>
<p>The RM samples were provided by Guizhou Weikang Zifan Pharmaceutical Co., Ltd., China, with the batch number YC01-003-20230801. Solvents including methanol, acetonitrile, formic acid, isopropanol (all of analytical grade from Anpu), and 95% ethanol (of analytical grade from Shanghai Shenggong) were used. Ultrapure water was utilized throughout all procedures.</p>
</sec>
<sec id="s2-3">
<title>2.3 Analysis of the chemical composition of RM decoction</title>
<sec id="s2-3-1">
<title>2.3.1 Sample preparation</title>
<p>Referred to Gao&#x2019;s report (<xref ref-type="bibr" rid="B8">Gao et al., 2019</xref>), RM decoction was prepared as follows: 10&#xa0;g of RM samples were powdered and added to a container with 100&#xa0;mL of ultrapure water. The mixture was then brought to a boil and simmered at low heat, maintaining a slight boil, for 1&#xa0;h. After cooling for 1&#xa0;h, 1&#xa0;mL of the supernatant was mixed with 2&#xa0;mL of a methanol-acetonitrile solution (1:1, v/v), vortexed for 60&#xa0;s, and then sonicated at low temperature for 30&#xa0;min. The mixture was centrifuged at 12,000&#xa0;rpm for 10&#xa0;min at 4&#xb0;C, and the supernatant was collected and chilled at &#x2212;20&#xb0;C for 1&#xa0;h to precipitate the proteins. This process was followed by another centrifugation under the same conditions, after which the supernatant was freeze-dried, resuspended in 100&#xa0;&#x3bc;L of 50% acetonitrile, vortexed, and centrifuged again at 12,000&#xa0;rpm for 10&#xa0;min at 4&#xb0;C to collect the final supernatant for analysis.</p>
</sec>
<sec id="s2-3-2">
<title>2.3.2 Detection conditions</title>
<p>
<list list-type="simple">
<list-item>
<p>(1) Chromatographic analysis was performed using a UPLC-Orbitrap-MS system. The UPLC conditions were set with a Waters HSS T3 column (100 &#xd7; 2.1 mm, 1.8&#xa0;&#x3bc;m), a column temperature of 40&#xb0;C, a flow rate of 0.3&#xa0;mL/min, and an injection volume of 2&#xa0;&#x3bc;L. The solvent system consisted of water with 0.1% formic acid and acetonitrile with 0.1% formic acid. The gradient program started at 0% B for 1&#xa0;min, increased to 95% B over 12&#xa0;min, held at 95% B for 1&#xa0;min, then returned to 0% B by 17&#xa0;min.</p>
</list-item>
<list-item>
<p>(2) Mass spectrometric analysis included the use of a Q Exactive HFX Hybrid Quadrupole Orbitrap mass spectrometer with a heated ESI source utilizing the Full-ms-ddMS2 MS acquisition methods. Parameters for the ESI source were set to a spray voltage of &#x2212;2.8 kV/3.0 kV, sheath gas pressure at 40 arb, aux gas pressure at 10 arb, sweep gas pressure at 0 arb, capillary temperature at 320&#xb0;C, and aux gas heater temperature at 350&#xb0;C. The scan range was set from 70 to 1050&#xa0;Da, with a resolution of 70,000&#xa0;at the first level and 17,500&#xa0;at the second level. The compounds were characterized using Sanshu Biotech&#x2019;s proprietary database, which is specialized in Traditional Chinese Medicine (TCM), along with their unique secondary mass spectrometry fragmentation pattern matching technique. The relative contents of each compound in RM decoction were determined using the area normalization method.</p>
</list-item>
</list>
</p>
</sec>
</sec>
<sec id="s2-4">
<title>2.4 Network analysis research</title>
<sec id="s2-4-1">
<title>2.4.1 Obtaining targets related to RM decoction</title>
<p>A search was performed in the NCBI PubChem database (<ext-link ext-link-type="uri" xlink:href="https://pubchem.ncbi.nlm.nih.gov/">https://pubchem.ncbi.nlm.nih.gov/</ext-link>) to identify compounds and extract their structural information related to RM decoction. Isomeric SMILE structural formulas of compounds associated with RM decoction were inputted into the Swiss Target Prediction Database (<ext-link ext-link-type="uri" xlink:href="http://www.swisstargetprediction.ch/">http://www.swisstargetprediction.ch/</ext-link>) to identify their targets. To identify the target protein of the selected compound, a screening principle based on a predicted target probability greater than 0 was employed. The UniProt database&#x2019;s ID mapping tool (<ext-link ext-link-type="uri" xlink:href="https://www.uniprot.org/">https://www.uniprot.org/</ext-link>) was then used to convert UniProt IDs into gene symbols, and after removing duplicates, the targets of the potential active compound were successfully identified.</p>
</sec>
<sec id="s2-4-2">
<title>2.4.2 Identification of OA-related target genes</title>
<p>The keyword &#x201c;osteoarthritis&#x201d; was used to identify target genes by extracting relevant data from three disease gene databases: GeneCards (<ext-link ext-link-type="uri" xlink:href="https://www.genecards.org/">https://www.genecards.org/</ext-link>), Comparative Toxicogenomics Database (CTD) database (<ext-link ext-link-type="uri" xlink:href="https://ctdbase.org/">https://ctdbase.org/</ext-link>), and DisGeNET database (<ext-link ext-link-type="uri" xlink:href="https://www.disgenet.org/">https://www.disgenet.org/</ext-link>). Genes associated with OA were retrieved from these databases, and the collected information was organized to identify disease targets.</p>
</sec>
<sec id="s2-4-3">
<title>2.4.3 Common targets screening and PPI network construction</title>
<p>The online software program Venny (<ext-link ext-link-type="uri" xlink:href="https://bioinfogp.cnb.csic.es/tools/venny/">https://bioinfogp.cnb.csic.es/tools/venny/</ext-link>) was used to predict the common targets between RM decoction and OA. Subsequently, the cross-genes were analyzed using the STRING data analysis platform (<ext-link ext-link-type="uri" xlink:href="http://string-db.org/">http://string-db.org/</ext-link>) to create a protein-protein interaction (PPI) network of common targets, applying a minimum interaction score threshold of &#x2265;0.4. The PPI network diagram and data were saved in TSV format. Cytoscape software (version 3.9.0) was then utilized to visualize the PPI network and construct a multidimensional network depicting the relationship between RM decoction compounds and OA.</p>
</sec>
<sec id="s2-4-4">
<title>2.4.4 Analysis of gene ontology and Kyoto Encyclopedia of Genes and Genomes pathways</title>
<p>In-depth analyses were performed using R software to explore the potential biological functions and key signaling pathways of RM decoction in treating OA. Our comprehensive enrichment analyses included Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways, with a significance criterion set at a q-value of &#x3c;0.05. The results were organized by descending <italic>p</italic>-values, highlighting significant differences in enrichment.</p>
</sec>
<sec id="s2-4-5">
<title>2.4.5 Molecular docking</title>
<p>The core target-related protein structures (in PDB format) for intersection target screening were obtained from the RCSB database (<ext-link ext-link-type="uri" xlink:href="https://www.rcsb.org/">https://www.rcsb.org/</ext-link>), and the core structure of the potential active compound was sourced from the PubChem database. AutoDock software was used to preprocess the target proteins and small molecule compounds and convert their formats to analyze the protein binding sites. The compounds were then docked using AutoDock Vina 1.1.2 software, with defined docking site coordinates and docking verification. A binding energy value below zero indicates spontaneous binding affinity, with values below &#x2212;5&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup> signifying strong binding activity and those below &#x2212;7&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup> indicating intense binding activity (<xref ref-type="bibr" rid="B11">Hsin et al., 2013</xref>).</p>
</sec>
</sec>
<sec id="s2-5">
<title>2.5 <italic>In vitro</italic> cell experiments</title>
<sec id="s2-5-1">
<title>2.5.1 Cell culture</title>
<p>After resuscitating human osteoblast hFOB1.19 cells (Shanghai Cell Bank, Chinese Academy of Sciences, China), the cells were passaged when they reached 80%&#x2013;95% confluence. To resuspend the cells, 0.25% Trypsin-EDTA medium (Thermo Fisher, United States), preheated to 37&#xb0;C, was added. The resuspended cells were then transferred to a new culture dish at a density of 5 &#xd7; 10<sup>5</sup> cells/mL and placed in a cell culture incubator set to 37&#xb0;C with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2-5-2">
<title>2.5.2 Cell viability assay</title>
<p>Collect hFOB1.19 cells that have reached the logarithmic phase of growth and treat them with RM decoction at concentrations of 0, 60, 80, 100, 120, 140, and 160&#xa0;&#x3bc;g/mL, while adding blank culture medium to the control group. The cells should be seeded in a 96-well plate, with three replicates for each group, and each well should contain 3 &#xd7; 10&#xb3; cells. After culturing for 48&#xa0;h, add 10&#xa0;&#x3bc;L of CCK-8 reagent to each well and incubate for an additional 1.5&#xa0;h. Subsequently, use a microplate reader to measure the absorbance (A) at 450&#xa0;nm, and calculate the cell proliferation rate for each experimental group.</p>
</sec>
<sec id="s2-5-3">
<title>2.5.3 Quantitative real-time polymerase chain reaction(qPCR)</title>
<p>Total RNA was extracted from cells using an TRIzol Reagent (Life Technologies, United States), followed by the synthesis of cDNA (cDNA).The qPCR experiments were conducted using CFX384 Multiple real-time fluorescent quantitative PCR apparatus (Bio-Rad, United States). The PCR amplification conditions were set at 95&#xb0;C for 30&#xa0;s, followed by 40 cycles of 95&#xb0;C for 5&#xa0;s and 60&#xb0;C for 30&#xa0;s. The relative expression level of mRNA was calculated using &#x3b2;-actin as the internal reference gene and the 2<sup>&#x2212;&#x394;&#x394;CT</sup> method. The qPCR primer design was performed using Primer Premier 6.0 and Beacon Designer 7.8 software. The primers were synthesized by Sangon Bioengineering (Shanghai), with the sequences were listed in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Primers sequences.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Gene name</th>
<th align="center">Forward primer</th>
<th align="center">Reverse primer</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">Human &#x3b2;-actin</td>
<td align="center">GAT&#x200b;GAC&#x200b;CCA&#x200b;GAT&#x200b;CAT&#x200b;GTT&#x200b;TGA&#x200b;GAC</td>
<td align="center">GGA&#x200b;GTC&#x200b;CAT&#x200b;CAC&#x200b;GAT&#x200b;GCC&#x200b;AGT</td>
</tr>
<tr>
<td align="center">Human GAPDH</td>
<td align="center">CCA&#x200b;TGA&#x200b;CAA&#x200b;CTT&#x200b;TGG&#x200b;TAT&#x200b;CGT&#x200b;GGA&#x200b;A</td>
<td align="center">GGC&#x200b;CAT&#x200b;CAC&#x200b;GCC&#x200b;ACA&#x200b;GTT&#x200b;TC</td>
</tr>
<tr>
<td align="center">Human AKT1</td>
<td align="center">GCC&#x200b;CCA&#x200b;CTT&#x200b;CCC&#x200b;CCA&#x200b;GTT&#x200b;CT</td>
<td align="center">CCG&#x200b;CCT&#x200b;CTC&#x200b;CAT&#x200b;CCC&#x200b;TCC&#x200b;AA</td>
</tr>
<tr>
<td align="center">Human TNF&#x3b1;</td>
<td align="center">CCA&#x200b;TGT&#x200b;TGT&#x200b;AGC&#x200b;AAA&#x200b;CCC&#x200b;TCA&#x200b;AGC&#x200b;T</td>
<td align="center">CCT&#x200b;TGA&#x200b;AGA&#x200b;GGA&#x200b;CCT&#x200b;GGG&#x200b;AGT&#x200b;AGA&#x200b;T</td>
</tr>
<tr>
<td align="center">Human IL-6</td>
<td align="center">CCT&#x200b;TCG&#x200b;GTC&#x200b;CAG&#x200b;TTG&#x200b;CCT&#x200b;TCT</td>
<td align="center">GTG&#x200b;TGG&#x200b;GGC&#x200b;GGC&#x200b;TAC&#x200b;ATC&#x200b;TTT</td>
</tr>
<tr>
<td align="center">Human SRC</td>
<td align="center">CTG&#x200b;CTT&#x200b;TGG&#x200b;CGA&#x200b;GGT&#x200b;GTG&#x200b;GAT&#x200b;G</td>
<td align="center">CCA&#x200b;CAG&#x200b;CAT&#x200b;ACA&#x200b;ACT&#x200b;GCA&#x200b;CCA&#x200b;G</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-5-4">
<title>2.5.4 Statistical analysis</title>
<p>Data were analyzed using GraphPad Prism version 10.1.2. All results are presented as mean &#xb1; SEM. An independent unpaired two-tailed <italic>t</italic>-test was employed to compare the two groups.</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Identification of compounds from RM decoction</title>
<p>Overall, 534 compounds were identified using Sanshu Biotech&#x2019;s proprietary database, specialized in TCM, and their unique secondary mass spectrometry fragmentation pattern matching technique (<xref ref-type="sec" rid="s11">Supplementary Table S1</xref>). Of these, 299 were detected in the positive ion mode (<xref ref-type="fig" rid="F1">Figure 1A</xref>) and 235 in the negative ion mode (<xref ref-type="fig" rid="F1">Figure 1B</xref>). These compounds were categorized into various groups, including flavonoids (66), prenol lipids (54), organooxygen compounds (50), carboxylic acids and derivatives (<xref ref-type="bibr" rid="B27">Rose-John, 2012</xref>), coumarins and derivatives (<xref ref-type="bibr" rid="B17">Lin et al., 2022</xref>), fatty acyls (<xref ref-type="bibr" rid="B14">Jim&#xe9;nez-Orozco et al., 2020</xref>), benzene and substituted derivatives (<xref ref-type="bibr" rid="B34">Wu et al., 1995</xref>), isoflavonoids (<xref ref-type="bibr" rid="B15">Li, 2004</xref>), cinnamic acids and derivatives (<xref ref-type="bibr" rid="B8">Gao et al., 2019</xref>), phenols (<xref ref-type="bibr" rid="B2">Berenbaum, 2013</xref>), benzopyrans (<xref ref-type="bibr" rid="B6">Englund, 2023</xref>), anthracenes (<xref ref-type="bibr" rid="B4">Chen et al., 2020</xref>), diarylheptanoids (<xref ref-type="bibr" rid="B37">Yao et al., 2023</xref>), purine nucleosides (<xref ref-type="bibr" rid="B37">Yao et al., 2023</xref>), steroids and steroid derivatives (<xref ref-type="bibr" rid="B37">Yao et al., 2023</xref>), and 172 other compounds.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>TIC diagram of positive ion <bold>(A)</bold> and negative ion <bold>(B)</bold> modes of compounds from Rhizoma Musae decoction.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Identification and PPI network analysis of common targets against OA</title>
<p>The top 60 compounds from the RM decoction were selected based on their relative peak areas (<xref ref-type="table" rid="T2">Table 2</xref>). A total of 737 compound targets were accessed from the Swiss Target Prediction database, and 1174, 6508, and 368 OA-related targets were identified from the GeneCards, CTD, and DisGeNET databases, respectively. Through target gene intersection, the present study identified 507 potential targets for OA treatment (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Relative content of the top 60 compounds in Rhizoma Musae decoction.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">No.</th>
<th align="center">Compound</th>
<th align="center">Formula</th>
<th align="center">Rt (min)</th>
<th align="center">m/z</th>
<th align="center">Ion mode</th>
<th align="center">PubChem ID</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">1</td>
<td align="center">Betaine</td>
<td align="center">C<sub>5</sub>H<sub>11</sub>NO<sub>2</sub>
</td>
<td align="center">0.94</td>
<td align="center">118.0864</td>
<td align="center">POS</td>
<td align="center">247</td>
</tr>
<tr>
<td align="center">2</td>
<td align="center">3-O-Caffeoylquinic acid</td>
<td align="center">C<sub>16</sub>H<sub>18</sub>O<sub>9</sub>
</td>
<td align="center">5.75</td>
<td align="center">353.0874</td>
<td align="center">NEG</td>
<td align="center">1794427</td>
</tr>
<tr>
<td align="center">3</td>
<td align="center">Cholinesulfuric acid</td>
<td align="center">C<sub>5</sub>H<sub>13</sub>NO<sub>4</sub>S</td>
<td align="center">0.93</td>
<td align="center">184.0636</td>
<td align="center">POS</td>
<td align="center">485</td>
</tr>
<tr>
<td align="center">4</td>
<td align="center">Eleutherazine B</td>
<td align="center">C<sub>22</sub>H<sub>36</sub>N<sub>4</sub>O<sub>6</sub>
</td>
<td align="center">7.22</td>
<td align="center">453.2698</td>
<td align="center">POS</td>
<td align="center">20839739</td>
</tr>
<tr>
<td align="center">5</td>
<td align="center">ADENOSINE</td>
<td align="center">C<sub>10</sub>H<sub>13</sub>N<sub>5</sub>O<sub>4</sub>
</td>
<td align="center">4.06</td>
<td align="center">268.1035</td>
<td align="center">POS</td>
<td align="center">60961</td>
</tr>
<tr>
<td align="center">6</td>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">C<sub>18</sub>H<sub>12</sub>N<sub>3</sub>O<sub>2</sub>
</td>
<td align="center">12.87</td>
<td align="center">303.1010</td>
<td align="center">POS</td>
<td align="center">15225951</td>
</tr>
<tr>
<td align="center">7</td>
<td align="center">Ginsenoside Rg1</td>
<td align="center">C<sub>42</sub>H<sub>72</sub>O<sub>14</sub>
</td>
<td align="center">10.54</td>
<td align="center">823.4803</td>
<td align="center">POS</td>
<td align="center">441923</td>
</tr>
<tr>
<td align="center">8</td>
<td align="center">4-Hydroxybenzoic acid</td>
<td align="center">C<sub>7</sub>H<sub>6</sub>O<sub>3</sub>
</td>
<td align="center">6.70</td>
<td align="center">137.0233</td>
<td align="center">NEG</td>
<td align="center">135</td>
</tr>
<tr>
<td align="center">9</td>
<td align="center">Trigonelline</td>
<td align="center">C<sub>7</sub>H<sub>7</sub>NO<sub>2</sub>
</td>
<td align="center">1.01</td>
<td align="center">138.0549</td>
<td align="center">POS</td>
<td align="center">5570</td>
</tr>
<tr>
<td align="center">10</td>
<td align="center">Vanillic acid</td>
<td align="center">C<sub>8</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">7.24</td>
<td align="center">167.0341</td>
<td align="center">NEG</td>
<td align="center">8468</td>
</tr>
<tr>
<td align="center">11</td>
<td align="center">D-mannitol</td>
<td align="center">C<sub>6</sub>H<sub>14</sub>O<sub>6</sub>
</td>
<td align="center">0.93</td>
<td align="center">181.0709</td>
<td align="center">NEG</td>
<td align="center">6251</td>
</tr>
<tr>
<td align="center">12</td>
<td align="center">Carnitine</td>
<td align="center">C<sub>7</sub>H<sub>15</sub>NO<sub>3</sub>
</td>
<td align="center">0.94</td>
<td align="center">162.1123</td>
<td align="center">POS</td>
<td align="center">288</td>
</tr>
<tr>
<td align="center">13</td>
<td align="center">2,16-Kauranediol 2-O-beta-D-allopyranoside</td>
<td align="center">C<sub>26</sub>H<sub>44</sub>O<sub>7</sub>
</td>
<td align="center">12.43</td>
<td align="center">491.2970</td>
<td align="center">POS</td>
<td align="center">73554066</td>
</tr>
<tr>
<td align="center">14</td>
<td align="center">Scopoletin</td>
<td align="center">C<sub>10</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">8.09</td>
<td align="center">237.0400</td>
<td align="center">NEG</td>
<td align="center">5280460</td>
</tr>
<tr>
<td align="center">15</td>
<td align="center">4-Hydroxyphenylpyruvic acid</td>
<td align="center">C<sub>9</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">5.85</td>
<td align="center">163.0389</td>
<td align="center">POS</td>
<td align="center">979</td>
</tr>
<tr>
<td align="center">16</td>
<td align="center">Caffeic acid</td>
<td align="center">C<sub>9</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">6.80</td>
<td align="center">163.0389</td>
<td align="center">POS</td>
<td align="center">689043</td>
</tr>
<tr>
<td align="center">17</td>
<td align="center">Suavioside A</td>
<td align="center">C<sub>26</sub>H<sub>44</sub>O<sub>8</sub>
</td>
<td align="center">11.54</td>
<td align="center">507.2922</td>
<td align="center">POS</td>
<td align="center">73821014</td>
</tr>
<tr>
<td align="center">18</td>
<td align="center">D-LEUCINE</td>
<td align="center">C<sub>6</sub>H<sub>13</sub>NO<sub>2</sub>
</td>
<td align="center">2.01</td>
<td align="center">132.1019</td>
<td align="center">POS</td>
<td align="center">439524</td>
</tr>
<tr>
<td align="center">19</td>
<td align="center">Vanillin</td>
<td align="center">C<sub>8</sub>H<sub>8</sub>O<sub>3</sub>
</td>
<td align="center">7.76</td>
<td align="center">151.0390</td>
<td align="center">NEG</td>
<td align="center">1,183</td>
</tr>
<tr>
<td align="center">20</td>
<td align="center">D-Glutamic acid</td>
<td align="center">C<sub>5</sub>H<sub>9</sub>NO<sub>4</sub>
</td>
<td align="center">0.93</td>
<td align="center">148.0603</td>
<td align="center">POS</td>
<td align="center">23327</td>
</tr>
<tr>
<td align="center">21</td>
<td align="center">Myo-Inositol</td>
<td align="center">C<sub>6</sub>H<sub>12</sub>O<sub>6</sub>
</td>
<td align="center">1.06</td>
<td align="center">179.0552</td>
<td align="center">NEG</td>
<td align="center">892</td>
</tr>
<tr>
<td align="center">22</td>
<td align="center">Guanosine</td>
<td align="center">C<sub>10</sub>H<sub>13</sub>N<sub>5</sub>O<sub>5</sub>
</td>
<td align="center">2.05</td>
<td align="center">284.0983</td>
<td align="center">POS</td>
<td align="center">135398635</td>
</tr>
<tr>
<td align="center">23</td>
<td align="center">D-proline</td>
<td align="center">C<sub>5</sub>H<sub>9</sub>NO<sub>2</sub>
</td>
<td align="center">1.03</td>
<td align="center">116.0708</td>
<td align="center">POS</td>
<td align="center">8988</td>
</tr>
<tr>
<td align="center">24</td>
<td align="center">Sugeroside</td>
<td align="center">C<sub>26</sub>H<sub>42</sub>O<sub>8</sub>
</td>
<td align="center">11.74</td>
<td align="center">505.2764</td>
<td align="center">POS</td>
<td align="center">3082543</td>
</tr>
<tr>
<td align="center">25</td>
<td align="center">Opuntiol</td>
<td align="center">C<sub>7</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">1.06</td>
<td align="center">174.0760</td>
<td align="center">POS</td>
<td align="center">10034839</td>
</tr>
<tr>
<td align="center">26</td>
<td align="center">Xylitol</td>
<td align="center">C<sub>5</sub>H<sub>12</sub>O<sub>5</sub>
</td>
<td align="center">0.94</td>
<td align="center">151.0601</td>
<td align="center">NEG</td>
<td align="center">6912</td>
</tr>
<tr>
<td align="center">27</td>
<td align="center">URIDINE</td>
<td align="center">C<sub>9</sub>H<sub>12</sub>N<sub>2</sub>O<sub>6</sub>
</td>
<td align="center">2.79</td>
<td align="center">243.0618</td>
<td align="center">NEG</td>
<td align="center">6029</td>
</tr>
<tr>
<td align="center">28</td>
<td align="center">D-Valine</td>
<td align="center">C<sub>5</sub>H<sub>11</sub>NO<sub>2</sub>
</td>
<td align="center">0.94</td>
<td align="center">235.1648</td>
<td align="center">POS</td>
<td align="center">71563</td>
</tr>
<tr>
<td align="center">29</td>
<td align="center">Gallic acid</td>
<td align="center">C<sub>7</sub>H<sub>6</sub>O<sub>5</sub>
</td>
<td align="center">3.11</td>
<td align="center">169.0133</td>
<td align="center">NEG</td>
<td align="center">370</td>
</tr>
<tr>
<td align="center">30</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">C<sub>9</sub>H<sub>6</sub>O<sub>4</sub>
</td>
<td align="center">7.13</td>
<td align="center">223.0243</td>
<td align="center">NEG</td>
<td align="center">5280569</td>
</tr>
<tr>
<td align="center">31</td>
<td align="center">Quinic acid</td>
<td align="center">C<sub>7</sub>H<sub>12</sub>O<sub>6</sub>
</td>
<td align="center">3.84</td>
<td align="center">173.0446</td>
<td align="center">NEG</td>
<td align="center">6508</td>
</tr>
<tr>
<td align="center">32</td>
<td align="center">Lucidone</td>
<td align="center">C<sub>15</sub>H<sub>12</sub>O<sub>4</sub>
</td>
<td align="center">9.51</td>
<td align="center">301.0714</td>
<td align="center">NEG</td>
<td align="center">11253859</td>
</tr>
<tr>
<td align="center">33</td>
<td align="center">5,7-Dihydroxyphthalide</td>
<td align="center">C<sub>8</sub>H<sub>6</sub>O<sub>4</sub>
</td>
<td align="center">6.15</td>
<td align="center">211.0242</td>
<td align="center">NEG</td>
<td align="center">11062751</td>
</tr>
<tr>
<td align="center">34</td>
<td align="center">3,4-Dihydroxyphenylacetic acid</td>
<td align="center">C<sub>8</sub>H<sub>8</sub>O<sub>4</sub>
</td>
<td align="center">5.09</td>
<td align="center">167.0341</td>
<td align="center">NEG</td>
<td align="center">547</td>
</tr>
<tr>
<td align="center">35</td>
<td align="center">D-Arabinose</td>
<td align="center">C<sub>5</sub>H<sub>10</sub>O<sub>5</sub>
</td>
<td align="center">0.95</td>
<td align="center">133.0495</td>
<td align="center">POS</td>
<td align="center">854</td>
</tr>
<tr>
<td align="center">36</td>
<td align="center">Alpha-Isowighteone</td>
<td align="center">C<sub>20</sub>H<sub>18</sub>O<sub>5</sub>
</td>
<td align="center">12.08</td>
<td align="center">303.1009</td>
<td align="center">POS</td>
<td align="center">91885205</td>
</tr>
<tr>
<td align="center">37</td>
<td align="center">Aconine</td>
<td align="center">C<sub>25</sub>H<sub>41</sub>NO<sub>9</sub>
</td>
<td align="center">12.44</td>
<td align="center">517.3130</td>
<td align="center">POS</td>
<td align="center">20054813</td>
</tr>
<tr>
<td align="center">38</td>
<td align="center">Syringolin A</td>
<td align="center">C<sub>24</sub>H<sub>39</sub>N<sub>5</sub>O<sub>6</sub>
</td>
<td align="center">12.18</td>
<td align="center">535.3238</td>
<td align="center">POS</td>
<td align="center">42601513</td>
</tr>
<tr>
<td align="center">39</td>
<td align="center">N-Isobutyl-2,4,12-octadecatrienamide</td>
<td align="center">C<sub>22</sub>H<sub>39</sub>NO</td>
<td align="center">12.91</td>
<td align="center">378.2750</td>
<td align="center">POS</td>
<td align="center">25221579</td>
</tr>
<tr>
<td align="center">40</td>
<td align="center">Stemonidine</td>
<td align="center">C<sub>19</sub>H<sub>29</sub>NO<sub>5</sub>
</td>
<td align="center">13.29</td>
<td align="center">332.1863</td>
<td align="center">NEG</td>
<td align="center">24721470</td>
</tr>
<tr>
<td align="center">41</td>
<td align="center">[(3,8,12-trihydroxy-24-oxocholan-24-yl)amino]acetate</td>
<td align="center">C<sub>26</sub>H<sub>42</sub>NO<sub>6</sub>
<sup>&#x2212;</sup>
</td>
<td align="center">10.54</td>
<td align="center">509.2716</td>
<td align="center">POS</td>
<td align="center">11834768</td>
</tr>
<tr>
<td align="center">42</td>
<td align="center">Giffonin R</td>
<td align="center">C<sub>19</sub>H<sub>16</sub>O<sub>3</sub>
</td>
<td align="center">10.74</td>
<td align="center">257.0956</td>
<td align="center">POS</td>
<td align="center">134715258</td>
</tr>
<tr>
<td align="center">43</td>
<td align="center">4-AMINOBUTYRIC ACID</td>
<td align="center">C<sub>4</sub>H<sub>9</sub>NO<sub>2</sub>
</td>
<td align="center">0.94</td>
<td align="center">104.0710</td>
<td align="center">POS</td>
<td align="center">119</td>
</tr>
<tr>
<td align="center">44</td>
<td align="center">Linoleic acid</td>
<td align="center">C<sub>18</sub>H<sub>32</sub>O<sub>2</sub>
</td>
<td align="center">14.89</td>
<td align="center">313.2729</td>
<td align="center">POS</td>
<td align="center">5280450</td>
</tr>
<tr>
<td align="center">45</td>
<td align="center">Paeonilactone A</td>
<td align="center">C<sub>10</sub>H<sub>14</sub>O<sub>4</sub>
</td>
<td align="center">6.75</td>
<td align="center">216.1228</td>
<td align="center">POS</td>
<td align="center">10081437</td>
</tr>
<tr>
<td align="center">46</td>
<td align="center">3-Hexen-1-ol O-b-D-glucopyranoside</td>
<td align="center">C<sub>12</sub>H<sub>22</sub>O<sub>6</sub>
</td>
<td align="center">9.25</td>
<td align="center">261.1340</td>
<td align="center">NEG</td>
<td align="center">5318045</td>
</tr>
<tr>
<td align="center">47</td>
<td align="center">D-Glucosamine</td>
<td align="center">C<sub>6</sub>H<sub>13</sub>NO<sub>5</sub>
</td>
<td align="center">0.96</td>
<td align="center">180.0864</td>
<td align="center">POS</td>
<td align="center">439213</td>
</tr>
<tr>
<td align="center">48</td>
<td align="center">Pierisformoside B</td>
<td align="center">C<sub>26</sub>H<sub>42</sub>O<sub>8</sub>
</td>
<td align="center">11.09</td>
<td align="center">505.2763</td>
<td align="center">POS</td>
<td align="center">155978780</td>
</tr>
<tr>
<td align="center">49</td>
<td align="center">3&#x2032;-Hydroxyxanthyletin</td>
<td align="center">C<sub>14</sub>H<sub>12</sub>O<sub>4</sub>
</td>
<td align="center">10.30</td>
<td align="center">227.0699</td>
<td align="center">POS</td>
<td align="center">129069558</td>
</tr>
<tr>
<td align="center">50</td>
<td align="center">Adenine</td>
<td align="center">C<sub>5</sub>H<sub>5</sub>N<sub>5</sub>
</td>
<td align="center">1.30</td>
<td align="center">136.0618</td>
<td align="center">POS</td>
<td align="center">190</td>
</tr>
<tr>
<td align="center">51</td>
<td align="center">Preisocalamendiol</td>
<td align="center">C<sub>15</sub>H<sub>24</sub>O</td>
<td align="center">10.54</td>
<td align="center">203.1793</td>
<td align="center">POS</td>
<td align="center">12305706</td>
</tr>
<tr>
<td align="center">52</td>
<td align="center">Gamabufotalin</td>
<td align="center">C<sub>24</sub>H<sub>34</sub>O<sub>5</sub>
</td>
<td align="center">12.24</td>
<td align="center">403.2450</td>
<td align="center">POS</td>
<td align="center">259803</td>
</tr>
<tr>
<td align="center">53</td>
<td align="center">Longicaulenone</td>
<td align="center">C<sub>12</sub>H<sub>18</sub>O<sub>4</sub>
</td>
<td align="center">7.91</td>
<td align="center">249.1108</td>
<td align="center">POS</td>
<td align="center">25750965</td>
</tr>
<tr>
<td align="center">54</td>
<td align="center">7-Deoxyechinosporin</td>
<td align="center">C<sub>10</sub>H<sub>9</sub>NO<sub>4</sub>
</td>
<td align="center">6.96</td>
<td align="center">190.0497</td>
<td align="center">POS</td>
<td align="center">11745823</td>
</tr>
<tr>
<td align="center">55</td>
<td align="center">Notoginsenoside R1</td>
<td align="center">C<sub>47</sub>H<sub>80</sub>O<sub>18</sub>
</td>
<td align="center">10.22</td>
<td align="center">955.5221</td>
<td align="center">POS</td>
<td align="center">131752529</td>
</tr>
<tr>
<td align="center">56</td>
<td align="center">4-Epialyxialactone</td>
<td align="center">C<sub>10</sub>H<sub>16</sub>O<sub>4</sub>
</td>
<td align="center">10.08</td>
<td align="center">199.0969</td>
<td align="center">NEG</td>
<td align="center">14194344</td>
</tr>
<tr>
<td align="center">57</td>
<td align="center">Pinocembrin diacetate</td>
<td align="center">C<sub>19</sub>H<sub>16</sub>O<sub>6</sub>
</td>
<td align="center">9.42</td>
<td align="center">385.0925</td>
<td align="center">NEG</td>
<td align="center">6546286</td>
</tr>
<tr>
<td align="center">58</td>
<td align="center">Dehydroacerogenin C</td>
<td align="center">C<sub>19</sub>H<sub>18</sub>O<sub>3</sub>
</td>
<td align="center">11.52</td>
<td align="center">259.1113</td>
<td align="center">POS</td>
<td align="center">154790969</td>
</tr>
<tr>
<td align="center">59</td>
<td align="center">Excavatin M</td>
<td align="center">C<sub>19</sub>H<sub>20</sub>O<sub>7</sub>
</td>
<td align="center">7.81</td>
<td align="center">359.1133</td>
<td align="center">NEG</td>
<td align="center">15871351</td>
</tr>
<tr>
<td align="center">60</td>
<td align="center">L (&#x2b;)-Ascorbic acid</td>
<td align="center">C<sub>6</sub>H<sub>8</sub>O<sub>6</sub>
</td>
<td align="center">1.23</td>
<td align="center">221.0297</td>
<td align="center">NEG</td>
<td align="center">54670067</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Venn diagram of the common targets between Rhizoma Musae decoction compounds and osteoarthritis. Blue indicates RM decoction and yellow indicates OA.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g002.tif"/>
</fig>
<p>These targets were analyzed using the String database, yielding 507 proteins and 10,739 interaction lines. A drug-disease PPI network diagram was created (<xref ref-type="fig" rid="F3">Figure 3</xref>), highlighting the complex protein relationships. Using Cytoscape software, 103 core targets (<xref ref-type="sec" rid="s11">Supplementary Table S2</xref>) were identified based on the specific criteria of Degree&#x2265;42.82936508, betweenness centrality &#x2265;0.002366375, and closeness centrality &#x2265;0.464818506. Among the core targets, GAPDH, AKT1, TNF, IL6, SRC, EGFR, STAT3, HSP90AA1, BCL2, and JUN (<xref ref-type="table" rid="T3">Table 3</xref>) had higher degrees, suggesting that the compounds present in RM decoction may collectively act on these core targets, leading to its pharmacological effects on OA.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Protein-protein interaction network diagram. <bold>(A)</bold> The PPI network diagram of targets. <bold>(B)</bold> The network topology analysis of the PPI network.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g003.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Topological parameter analysis of core targets (top 10).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Targets</th>
<th align="center">Degree</th>
<th align="center">Betweenness centrality</th>
<th align="center">Closeness centrality</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">GAPDH</td>
<td align="center">269</td>
<td align="center">0.073524</td>
<td align="center">0.680650</td>
</tr>
<tr>
<td align="center">AKT1</td>
<td align="center">255</td>
<td align="center">0.049235</td>
<td align="center">0.666225</td>
</tr>
<tr>
<td align="center">TNF</td>
<td align="center">244</td>
<td align="center">0.045067</td>
<td align="center">0.655802</td>
</tr>
<tr>
<td align="center">IL6</td>
<td align="center">237</td>
<td align="center">0.042281</td>
<td align="center">0.651554</td>
</tr>
<tr>
<td align="center">SRC</td>
<td align="center">215</td>
<td align="center">0.055817</td>
<td align="center">0.624845</td>
</tr>
<tr>
<td align="center">EGFR</td>
<td align="center">214</td>
<td align="center">0.029535</td>
<td align="center">0.628750</td>
</tr>
<tr>
<td align="center">STAT3</td>
<td align="center">211</td>
<td align="center">0.023326</td>
<td align="center">0.627182</td>
</tr>
<tr>
<td align="center">HSP90AA1</td>
<td align="center">185</td>
<td align="center">0.021814</td>
<td align="center">0.608222</td>
</tr>
<tr>
<td align="center">BCL2</td>
<td align="center">182</td>
<td align="center">0.011213</td>
<td align="center">0.602395</td>
</tr>
<tr>
<td align="center">JUN</td>
<td align="center">181</td>
<td align="center">0.018399</td>
<td align="center">0.602395</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-3">
<title>3.3 Elaboration of the &#x201c;RM decoction-OA&#x201d; network diagram</title>
<p>A network diagram of the RM decoction against OA was then constructed to further explore the potential association between the core components of RM decoction (<xref ref-type="fig" rid="F4">Figure 4</xref>). The network featured 40 active compound nodes, 103 target nodes, and one disease node. The topological characteristics of this network were analyzed using the Network Analyzer plug-in of Cytoscape software 3.9.0. The potential active compounds with the highest degree values were identified, including 7beta-Hydroxyrutaecarpine (degree &#x3d; 22), 7,8-dihydroxycoumarin (degree &#x3d; 21), pinocembrin diacetate (degree &#x3d; 19), Scopoletin (degree &#x3d; 19), and Eleutherazine B (degree &#x3d; 18), among others, detailed in <xref ref-type="table" rid="T4">Table 4</xref>.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Network of Rhizoma Musae decoction compounds against osteoarthritis. The red inverted triangle represents osteoarthritis, the green circle intersects the therapeutic target, and the blue diamond represents the potential active compound.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g004.tif"/>
</fig>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>The potential active compounds of Rhizoma Musae decoction against osteoarthritis (top 10).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">No.</th>
<th align="center">Compounds</th>
<th align="center">Degree</th>
<th align="center">Betweenness centrality</th>
<th align="center">Closeness centrality</th>
<th align="center">Relative content (%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">1</td>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">22</td>
<td align="center">0.023380</td>
<td align="center">0.400560</td>
<td align="center">2.54 &#xb1; 1.10</td>
</tr>
<tr>
<td align="center">2</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">21</td>
<td align="center">0.015359</td>
<td align="center">0.383378</td>
<td align="center">0.68 &#xb1; 0.04</td>
</tr>
<tr>
<td align="center">3</td>
<td align="center">Pinocembrin diacetate</td>
<td align="center">19</td>
<td align="center">0.016306</td>
<td align="center">0.389646</td>
<td align="center">0.29 &#xb1; 0.06</td>
</tr>
<tr>
<td align="center">4</td>
<td align="center">Scopoletin</td>
<td align="center">19</td>
<td align="center">0.012880</td>
<td align="center">0.377309</td>
<td align="center">1.87 &#xb1; 0.20</td>
</tr>
<tr>
<td align="center">5</td>
<td align="center">Eleutherazine B</td>
<td align="center">18</td>
<td align="center">0.011066</td>
<td align="center">0.373368</td>
<td align="center">3.11 &#xb1; 0.27</td>
</tr>
<tr>
<td align="center">6</td>
<td align="center">Excavatin M</td>
<td align="center">18</td>
<td align="center">0.011991</td>
<td align="center">0.377309</td>
<td align="center">0.29 &#xb1; 0.01</td>
</tr>
<tr>
<td align="center">7</td>
<td align="center">linoleic acid</td>
<td align="center">18</td>
<td align="center">0.014820</td>
<td align="center">0.383378</td>
<td align="center">0.44 &#xb1; 0.08</td>
</tr>
<tr>
<td align="center">8</td>
<td align="center">Syringolin A</td>
<td align="center">17</td>
<td align="center">0.012944</td>
<td align="center">0.383378</td>
<td align="center">0.50 &#xb1; 0.04</td>
</tr>
<tr>
<td align="center">9</td>
<td align="center">Stemonidine</td>
<td align="center">16</td>
<td align="center">0.008540</td>
<td align="center">0.365729</td>
<td align="center">0.48 &#xb1; 0.19</td>
</tr>
<tr>
<td align="center">10</td>
<td align="center">3-Hexen-1-ol O-b-D-glucopyranoside</td>
<td align="center">15</td>
<td align="center">0.009115</td>
<td align="center">0.375328</td>
<td align="center">0.38 &#xb1; 0.04</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4">
<title>3.4 GO analysis and KEGG pathway enrichment analysis</title>
<p>The &#x201c;Cluster Profiler&#x201d; software package for the R language facilitated GO and KEGG enrichment analysis on intersection targets, yielding 2821 entries from the GO analysis (<xref ref-type="sec" rid="s11">Supplementary Table S3</xref>). These included 2536 entries in the Biological Process (BP) category, 182 in the molecular function (MF) category, and 103 in the cellular component (CC) category. <xref ref-type="fig" rid="F5">Figure 5</xref> presents the top 5 BPs, identified based on the lowest <italic>p</italic>-values: neuron death, cellular response to chemical stress, response to oxidative stress, regulation of neuron death, and cellular response to oxidative stress. The leading MFs were transcription coregulator binding, RNA polymerase II-specific DNA-binding transcription factor binding, ubiquitin protein ligase binding, DNA-binding transcription factor binding, and ubiquitin-like protein ligase binding. The primary CCts included membrane raft, membrane microdomain, neuronal cell body, ficolin-1-rich granule lumen, and ficolin-1-rich granule. KEGG pathway analysis identified 187 signaling pathways (<xref ref-type="sec" rid="s11">Supplementary Table S4</xref>), such as lipid and atherosclerosis, PI3K-Akt signaling pathway, hepatitis B, proteoglycans in cancer, and chemical carcinogenesis&#x2013;receptor activation, as detailed in <xref ref-type="fig" rid="F6">Figure 6</xref>. An RM decoction component-target-pathway network model was systematically constructed, as displayed in <xref ref-type="fig" rid="F7">Figure 7</xref>.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Gene Ontology functional enrichment analysis histogram.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Analysis of Kyoto Encyclopedia of Genes and Genomes pathway enrichment.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g006.tif"/>
</fig>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Network of RM decoction component-target-pathway. The green circle represents the target, the yellow diamond represents the pathway, and the blue square represents the drug component.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g007.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 Molecular docking results</title>
<p>Utilizing Diacerein and corresponding target inhibitors as positive controls, molecular docking was performed between the initial five core components and the first five identified targets, followed by the calculation of binding energy. A binding energy below zero indicates spontaneous binding affinity, with more negative values suggesting greater binding stability. The docking results, illustrated in <xref ref-type="table" rid="T5">Table 5</xref>, demonstrated spontaneous binding interactions between the core components and the five identified targets. Among the 15 groups, those with binding energy less than &#x2212;5&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup> demonstrated strong binding activity, and two groups with less than &#x2212;7.0&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup> exhibited intense binding activity. Eleutherazine B demonstrates a greater binding affinity towards GAPDH, AKT1, and SRC compared to Diacerein and their respective target inhibitors. Additionally, 7beta-Hydroxyrutaecarpine shows a higher binding capacity to SRC than Diacerein, while Pinocembrin diacetate exhibits a stronger binding affinity to AKT1 than Diacerein.</p>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>Predicted binding energies of potential active compounds to core targets combined with positive controls.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="center">Targets</th>
<th colspan="2" align="center">Compounds</th>
</tr>
<tr>
<th align="center">Name</th>
<th align="center">Binding energy (kcal&#xb7;mol<sup>&#x2212;1</sup>)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="7" align="center">GAPDH</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">&#x2212;4.84</td>
</tr>
<tr>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">&#x2212;5.79</td>
</tr>
<tr>
<td align="center">Eleutherazine B</td>
<td align="center">&#x2212;8.36</td>
</tr>
<tr>
<td align="center">Pinocembrin diacetate</td>
<td align="center">&#x2212;6.64</td>
</tr>
<tr>
<td align="center">Scopoletin</td>
<td align="center">&#x2212;5.20</td>
</tr>
<tr>
<td align="center">Diacerein<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="center">&#x2212;7.16</td>
</tr>
<tr>
<td align="center">heptelidic acid<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;6.44</td>
</tr>
<tr>
<td rowspan="7" align="center">AKT1</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">&#x2212;4.17</td>
</tr>
<tr>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">&#x2212;4.97</td>
</tr>
<tr>
<td align="center">Eleutherazine B</td>
<td align="center">&#x2212;6.57</td>
</tr>
<tr>
<td align="center">Pinocembrin diacetate</td>
<td align="center">&#x2212;5.34</td>
</tr>
<tr>
<td align="center">Scopoletin</td>
<td align="center">&#x2212;4.16</td>
</tr>
<tr>
<td align="center">Diacerein<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="center">&#x2212;5.09</td>
</tr>
<tr>
<td align="center">BAY 1125976<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;5.81</td>
</tr>
<tr>
<td rowspan="7" align="center">TNF</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">&#x2212;4.60</td>
</tr>
<tr>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">&#x2212;5.44</td>
</tr>
<tr>
<td align="center">Eleutherazine B</td>
<td align="center">&#x2212;7.04</td>
</tr>
<tr>
<td align="center">Pinocembrin diacetate</td>
<td align="center">&#x2212;5.85</td>
</tr>
<tr>
<td align="center">Scopoletin</td>
<td align="center">&#x2212;4.61</td>
</tr>
<tr>
<td align="center">Diacerein<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="center">&#x2212;7.27</td>
</tr>
<tr>
<td align="center">Pomalidomide<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;6.00</td>
</tr>
<tr>
<td rowspan="7" align="center">IL6</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">&#x2212;4.86</td>
</tr>
<tr>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">&#x2212;5.16</td>
</tr>
<tr>
<td align="center">Eleutherazine B</td>
<td align="center">&#x2212;6.68</td>
</tr>
<tr>
<td align="center">Pinocembrin diacetate</td>
<td align="center">&#x2212;5.69</td>
</tr>
<tr>
<td align="center">Scopoletin</td>
<td align="center">&#x2212;5.13</td>
</tr>
<tr>
<td align="center">Diacerein<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="center">&#x2212;6.22</td>
</tr>
<tr>
<td align="center">Curcumin<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;6.83</td>
</tr>
<tr>
<td rowspan="7" align="center">SRC</td>
<td align="center">7,8-Dihydroxycoumarin</td>
<td align="center">&#x2212;4.40</td>
</tr>
<tr>
<td align="center">7beta-Hydroxyrutaecarpine</td>
<td align="center">&#x2212;5.20</td>
</tr>
<tr>
<td align="center">Eleutherazine B</td>
<td align="center">&#x2212;6.69</td>
</tr>
<tr>
<td align="center">Pinocembrin diacetate</td>
<td align="center">&#x2212;5.08</td>
</tr>
<tr>
<td align="center">Scopoletin</td>
<td align="center">&#x2212;4.08</td>
</tr>
<tr>
<td align="center">Diacerein<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="center">&#x2212;5.13</td>
</tr>
<tr>
<td align="center">Saracatinib<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;6.05</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>a</label>
<p>Positive control drug.</p>
</fn>
<fn id="Tfn2">
<label>b</label>
<p>Target Inhibitors.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>
<xref ref-type="fig" rid="F8">Figure 8</xref> methodically illustrates the visualization of docking conformations with the highest binding energies. 7,8-Dihydroxycoumarin forms a hydrogen bond with IL6 at specific sites, resulting in a binding energy of &#x2212;4.86&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup>, indicating robust interaction strength (<xref ref-type="fig" rid="F8">Figure 8A</xref>). The interaction between 7beta-Hydroxyrutaecarpine and GAPDH primarily involves hydrophobic forces, with a binding energy of &#x2212;5.79&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup> (<xref ref-type="fig" rid="F8">Figure 8B</xref>). Eleutherazine B interacts with GAPDH through hydrogen bonds at ARG P:80 and ASP P:35, exhibiting a binding energy of &#x2212;8.36&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup>, denoting an intense interaction (<xref ref-type="fig" rid="F8">Figure 8C</xref>). Pinocembrin diacetate forms significant hydrogen bonds with GAPDH at ALA P:183 and ASN P:316 reflected in a binding energy of &#x2212;6.64&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup>, indicative of a potent interaction (<xref ref-type="fig" rid="F8">Figure 8D</xref>). Scopoletin engages in hydrogen bonding with GAPDH at ALA P:183 and ASN P:316, displaying a binding energy of &#x2212;5.20&#xa0;kcal&#xb7;mol<sup>&#x2212;1</sup>, signifying a strong interaction (<xref ref-type="fig" rid="F8">Figure 8E</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Molecular docking analysis of the main compounds and key targets. <bold>(A)</bold> 7,8-Dihydroxycoumarin - IL6; <bold>(B)</bold> 7beta-Hydroxyrutaecarpine - GAPDH; <bold>(C)</bold> Eleutherazine <bold>(B)</bold> GAPDH; <bold>(D)</bold> Pinocembrin diacetate - GAPDH; <bold>(E)</bold> Scopoletin - GAPDH.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g008.tif"/>
</fig>
</sec>
<sec id="s3-6">
<title>3.6 RM decoction promotes the proliferation of hFOB1.19 cells <italic>in vitro</italic>
</title>
<p>In <xref ref-type="fig" rid="F9">Figure 9</xref>, treatment with RM decoction for 48&#xa0;h resulted in changes to the proliferation rate of hFOB1.19 cells, which varied with the concentration of the decoction. Notably, at a concentration of 140&#xa0;&#x3bc;g/mL, the proliferation rate of human osteoblasts was the highest, significantly exceeding that of the control group (<italic>p</italic> &#x3c; 0.05).</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>The effects of RM Decoction on the proliferation of hFOB1.19 cells (x &#xb1; s, n &#x3d; 3). &#x2a; represents <italic>p</italic> &#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g009.tif"/>
</fig>
</sec>
<sec id="s3-7">
<title>3.7 The effects of RM decoction on the expression of related genes in hFOB1.19 cells</title>
<p>
<xref ref-type="fig" rid="F10">Figure 10</xref> illustrates the alterations in gene expression following the treatment of hFOB1.19 cells with 140&#xa0;&#x3bc;g/mL RM decoction for a duration of 48&#xa0;h. Notably, RM decoction significantly upregulates the expression of TNF&#x3b1;, IL-6, and SRC, while down-regulating the expression of GAPDH and AKT1.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>RM decoction regulates the related genes expression in hFOB1.19 Cells. (x &#xb1; s, n &#x3d; 3). &#x2a; represents <italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a; represents <italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a; represents <italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-15-1380335-g010.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>RM, documented in the Compendium of Materia Medica (<xref ref-type="bibr" rid="B15">Li, 2004</xref>), has been utilized in Miao medicine for centuries. This study employs UHPLC-Q-Exactive-MS/MS technology to identify and analyze 534 chemical components present in RM decoction, with a majority being flavonoids, prenol lipids, organooxygen compounds, and others. Furthermore, a component-target correlation analysis on the top 60 chemical components of RM decoction aids in identifying key components for OA treatment.</p>
<p>The decoction method, which involves boiling medicinal materials in water to extract their juices, is a simple form of leaching (<xref ref-type="bibr" rid="B36">Yang and Gao, 2021</xref>). This method, considered one of the simplest forms of leaching, is best suited for medicinal materials with active compounds that are soluble in water and can withstand exposure to moisture and heat (<xref ref-type="bibr" rid="B13">Jia et al., 2022</xref>). Through mass spectrometry and network analysis, the key components of RM decoction were identified as 7beta-hydroxyrutaecarpine, 7,8-dihydroxycoumarin, Pinocembrin diacetate, and Scopoletin. 7beta-Hydroxyrutaecarpine, derived from evodiacarpine, is a hydroxylation product and a novel indopyridine-quinazoline alkaloid initially discovered in Phellodendron callus tissue (<xref ref-type="bibr" rid="B34">Wu et al., 1995</xref>). Experimentally verified, 7beta-Hydroxyrutaecarpine exhibits a range of pharmacological effects, such as analgesic, anti-inflammatory, anti-ulcer, antiemetic, and antidiarrheal properties. (<xref ref-type="bibr" rid="B12">Hu et al., 2018</xref>). Another component, 7,8-dihydroxycoumarin, a natural coumarin found in various edible plants of the Thymelaeaceae family, such as Daphne Korean Nakai, Daphne gnidium, Daphne odora, and Daphne oleoides exhibits diverse biological activities, particularly on anti-arthritic (<xref ref-type="bibr" rid="B14">Jim&#xe9;nez-Orozco et al., 2020</xref>). Pinocembrin diacetate, a prominent flavonoid, is widely studied for its antimicrobial, anti-inflammatory, antioxidant, and anticancer properties (<xref ref-type="bibr" rid="B26">Rasul et al., 2013</xref>). Scopoletin, a naturally occurring coumarin, falls into the category of secondary metabolites and possesses potential anti-inflammatory and anti-tumorigenesis properties (<xref ref-type="bibr" rid="B28">Sakthivel et al., 2022</xref>). Diacerein is a slow-acting drug used for osteoarthritis treatment, with anti-inflammatory, antioxidant, and anti-apoptotic properties (<xref ref-type="bibr" rid="B1">Almezgagi et al., 2020</xref>). It works by inhibiting the IL-1b system and its downstream signaling pathways (<xref ref-type="bibr" rid="B24">Panova and Jones, 2015</xref>). Molecular docking analysis showed potential active compounds in RM decoction, such as 7beta-hydroxyrutaecarpine, 7,8-dihydroxycoumarin, Pinocembrin diacetate, Eleutherazine B, and Scopoletin, effectively binding to the target protein. Organic extraction is a common method for preparing medicinal materials (<xref ref-type="bibr" rid="B17">Lin et al., 2022</xref>). Studies have confirmed the anti-inflammatory and analgesic properties of lupenone and &#x3b2;-sitosterol in the ethyl acetate fraction of Rhizoma Musae (<xref ref-type="bibr" rid="B35">Xu et al., 2014</xref>). Further research is necessary to explore the potential effectiveness of RM organic extract in osteoarthritis treatment.</p>
<p>The analysis of the PPI network indicates that key proteins such as GAPDH, AKT1, TNF, IL6, and SRC, which have high node Degree values and multiple connections to potential active components, are likely central targets for RM decoction in OA treatment. GAPDH, integral to glycolysis, significantly influences cell proliferation (<xref ref-type="bibr" rid="B30">Sirover, 2021</xref>) and apoptosis (<xref ref-type="bibr" rid="B29">Sen et al., 2009</xref>). AKT1, a subset of the AKT serine/threonine kinase family encoded by the PKB gene, plays a pivotal role in the PI3K pathway, influencing various downstream effectors. This PI3K/AKT signaling pathway is involved in the abnormal proliferation of bone cells, synovial inflammation, and the formation and differentiation of osteoclasts (<xref ref-type="bibr" rid="B10">Hayer et al., 2009</xref>), leading to bone and articular cartilage damage and joint deformity. TNF, which encodes a multifunctional proinflammatory cytokine in the TNF superfamily, is linked to diseases such as autoimmune disorders, insulin resistance, psoriasis, and rheumatoid arthritis (<xref ref-type="bibr" rid="B22">Nie et al., 2013</xref>). IL-6, a versatile cytokine, plays roles in immune and nervous system regulation and is associated with antimicrobial molecule production and cytokine activity, as evidenced by research (<xref ref-type="bibr" rid="B27">Rose-John, 2012</xref>). SRC, vital in bone resorption by osteoclasts and inhibiting bone formation by osteoblasts (<xref ref-type="bibr" rid="B20">Matsubara et al., 2022</xref>), emerges as a potential therapeutic target in osteoporosis treatment. Comparing our results with previous studies suggests that RM decoction could potentially offer anti-inflammatory benefits and promote bone cell proliferation by targeting these specific mechanisms.</p>
<p>The GO analysis covers a range of biological processes, such as neuron death, cellular response to chemical stress, positive regulation of kinase activity, and the positive regulation of the MAPK cascade, among others. The MAPK signaling pathway, critical for various cellular functions including apoptosis, differentiation, and cell proliferation, operates through the activation of nuclear transcription factors (<xref ref-type="bibr" rid="B39">Zheng et al., 2019</xref>). The MAPK family, consisting of members such as JNK, ERK, and p38, serves diverse roles. It has been established that ERK1/2 promotes cell proliferation (<xref ref-type="bibr" rid="B3">Chen et al., 2014</xref>), while p38 supports cell differentiation. KEGG enrichment analysis has identified the involvement of core targets across 20 signaling pathways, with particular relevance to diseases found in lipid and atherosclerosis, PI3K-Akt signaling pathway, and IL-17 signaling pathway. The lipid and atherosclerosis pathway, for example, involves several inflammation-related targets such as AKT1, TNF, and IL6, underscoring chronic inflammation&#x2019;s critical role in atherosclerosis progression (<xref ref-type="bibr" rid="B25">Poznyak et al., 2020</xref>). This is consistent with literature highlighting atherosclerosis as primarily a chronic inflammatory condition. The PI3K/AKT signaling pathway is pivotal for cell proliferation, differentiation, invasion, and apoptosis (<xref ref-type="bibr" rid="B19">Ma et al., 2014</xref>), with 31 core gene targets identified in this study, including AKT1, IL6, and EGFR, among others. These targets are essential components closely associated with the development of inflammatory diseases and cancer progression. IL-17, a highly adaptable cytokine known for its pro-inflammatory capabilities, is linked to genes encoding antimicrobial agents and other cytokines (<xref ref-type="bibr" rid="B31">Tsai et al., 2013</xref>). In this research, the IL-17 pathway involves 16 genes, such as TNF, HSP90AA1, and MMP13, significant for host defense, tissue regeneration, and the onset of inflammatory conditions.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>This study aimed to investigate the chemical components and mechanisms of RM decoction in treating OA. The potential components of RM decoction were identified as 7beta-hydroxyrutaecarpine, 7,8-dihydroxycoumarin, Pinocembrin diacetate, and Scopoletin. Network analysis indicates that GAPDH, AKT1, TNF, IL6, and SRC may be important target proteins. These potential active compounds may regulate pathways like the MAPK signaling pathway, Lipid and Atherosclerosis, PI3K-Akt, and IL-17 signaling pathway, potentially offering anti-inflammatory effects and promoting osteocyte proliferation and differentiation. The development of diseases and the pharmacological effects of bioactive substances are complex and constantly changing processes. It is crucial to validate these findings with further experimental and clinical research. Despite the limitations of our study, we have gathered valuable data on the chemical components and mechanism of action of RM in treating OA, offering new perspectives for the functional advancement and utilization of RM.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>JZ: Funding acquisition, Resources, Writing&#x2013;original draft, Writing&#x2013;review and editing, Formal Analysis. WS: Data curation, Formal Analysis, Investigation, Writing&#x2013;review and editing. FL: Formal Analysis, Funding acquisition, Writing&#x2013;review and editing. HH: Funding acquisition, Supervision, Writing&#x2013;review and editing. SH: Formal Analysis, Writing&#x2013;review and editing. LL: Formal Analysis, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. The Science and Technology Planning Project of Guizhou Province ([2024]YB091). General fund of Guizhou Academy of Agricultural Sciences ([2024]10). China Agriculture Research System of MOF and MARA (CARS-31). Guizhou Academy of Agricultural Sciences, Research on Innovation and Efcient Key Technologies of Characteristic Crop Germplasm in Guizhou Hot Zone, (Qiannongke Germplasm Resources [2024] No. 08). Guizhou Provincial Programme to Support High-Quality Creation and Application of Intellectual Property Rights ([2023]10). The Science and Technology Support Project of Guizhou Province ([2020]1Y024).</p>
</sec>
<ack>
<p>We thank Bullet Edits Limited for the linguistic editing and proofreading of the manuscript.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>Authors WS and HH were employed by Guizhou Weikang Zifan Pharmaceutical Co., Ltd.</p>
<p>The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2024.1380335/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2024.1380335/full&#x23;supplementary-material</ext-link>
</p>
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<supplementary-material xlink:href="Table3.xlsx" id="SM2" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table4.xlsx" id="SM3" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table1.XLSX" id="SM4" mimetype="application/XLSX" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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