山东大学耳鼻喉眼学报 ›› 2026, Vol. 40 ›› Issue (5): 109-122.doi: 10.6040/j.issn.1673-3770.0.2025.452
• 论著 • 上一篇
陈子清,黄冠江,卢标清
CHEN Ziqing, HUANG Guanjing, LU Biaoqing
摘要: 目的 通过整合网络药理学和计算分析方法,探索肠道菌群及其代谢物影响甲状腺癌(thyroid cancer, TC)的关键活性代谢物及潜在的作用机制。 方法 筛选与甲状腺癌相关的核心靶点基因,并将其与关键肠道菌群及其相关代谢物/活性成分进行整合。利用Cytoscape软件构建“菌群-代谢物-核心靶点”网络,以实现调控关系的可视化。通过SwissADME服务器基于Lipinski法则评价网络中关键小分子的类药性。随后,利用admettlab 2.0平台对其进行全面的药物动力学[ADMET(Absorption)、分布(Distribution)、代谢(Metabolism)、排泄(Excretion)和毒性(Toxicity)]性质预测,包括药代动力学和安全性风险评估。 结果 共筛选出60个菌群代谢物与甲状腺癌的交集靶点。其中关键菌群如双歧杆菌和乳酸杆菌通过芹菜素和3-吲哚丙酸等关键代谢物,作用于甲状腺癌的枢纽基因:如肿瘤蛋白p53(tumor protein p53, TP53)、蛋白激酶B1(RAC-alpha serine/threonine-protein kinase 1, AKT1)、肿瘤坏死因子(tumor necrosis factor, TNF)。功能富集分析表明,核心靶点主要涉及磷脂酰肌醇3-激酶/蛋白激酶B(phosphatidylinositol 3-kinase/protein kinase B PI3K/AKT)、丝裂原活化蛋白激酶(mitogen-activated protein kinase MAPK)及炎症相关信号通路。分子对接显示,芹菜素与AKT1结合能为-8.59 kcal/mol,与阳性对照Capivasertib(-9.51 kcal/mol)亲和力接近。ADMET预测显示关键化合物符合Lipinski五规则,具有良好的生物利用度及较低的致癌风险。 结论 本研究基于生物信息学分析,初步探索了肠道菌群影响甲状腺癌的潜在作用机制。肠道菌群可能通过芹菜素、3-吲哚丙酸等活性代谢物,多靶点、多通路调控甲状腺癌的细胞增殖与炎症微环境。这些天然化合物具有良好的成药潜力,有望成为预防和治疗甲状腺癌的潜在先导分子。
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| [1] Deng YJ, Li HT, Wang M, et al. Global burden of thyroid cancer from 1990 to 2017[J]. JAMA Netw Open, 2020, 3(6): e208759. DOI:10.1001/jamanetworkopen.2020.8759 [2] Wang CR, Wu Z, Lei L, et al. Geographic disparities in trends of thyroid cancer incidence and mortality from 1990 to 2019 and a projection to 2030 across income-classified countries and territories[J]. J Glob Health, 2023, 13: 04108. DOI:10.7189/jogh.13.04108 [3] Boucai L, Zafereo M, Cabanillas ME. Thyroid cancer: a review[J]. Jama, 2024, 331(5): 425. DOI:10.1001/jama.2023.26348 [4] Alzumaili B, Sadow PM. Update on molecular diagnostics in thyroid pathology: a review[J]. Genes, 2023, 14(7): 1314. DOI:10.3390/genes14071314 [5] Zhang LZ, Feng QQ, Wang JF, et al. Molecular basis and targeted therapy in thyroid cancer: Progress and opportunities[J]. Biochim Biophys Acta BBA Rev Cancer, 2023, 1878(4): 188928. DOI:10.1016/j.bbcan.2023.188928 [6] Gomaa EZ. Human gut microbiota/microbiome in health and diseases: a review[J]. Antonie Van Leeuwenhoek, 2020, 113(12): 2019-2040. DOI:10.1007/s10482-020-01474-7 [7] Genua F, Raghunathan V, Jenab M, et al. The role of gut barrier dysfunction and microbiome dysbiosis in colorectal cancer development[J]. Front Oncol, 2021, 11: 626349. DOI:10.3389/fonc.2021.626349 [8] Peng Y, Nie YQ, Yu J, et al. Microbial metabolites in colorectal cancer: basic and clinical implications[J]. Metabolites, 2021, 11(3): 159. DOI:10.3390/metabo11030159 [9] Wang ZK, Dan WY, Zhang NN, et al. Colorectal cancer and gut microbiota studies in China[J]. Gut Microbes, 2023, 15: 2236364. DOI:10.1080/19490976.2023.2236364 [10] Knezevic J, Starchl C, Tmava Berisha A, et al. Thyroid-gut-axis: how does the microbiota influence thyroid function?[J]. Nutrients, 2020, 12(6): 1769. DOI:10.3390/nu12061769 [11] Fröhlich E, Wahl R. Microbiota and thyroid interaction in health and disease[J]. Trends Endocrinol Metab, 2019, 30(8): 479-490. DOI:10.1016/j.tem.2019.05.008 [12] Liu Q, Sun W, Zhang H. Interaction of gut microbiota with endocrine homeostasis and thyroid cancer[J]. Cancers, 2022, 14(11): 2656. DOI:10.3390/cancers14112656 [13] Virili C, Stramazzo I, Bagaglini MF, et al. The relationship between thyroid and human-associated microbiota: A systematic review of reviews[J]. Rev Endocr Metab Disord, 2024, 25(1):215-237. DOI: 10.1007/s11154-023-09839-9 [14] Agus A, Clément K, Sokol H. Gut microbiota-derived metabolites as central regulators in metabolic disorders[J]. Gut, 2021, 70(6): 1174-1182. DOI:10.1136/gutjnl-2020-323071 [15] Cao ZH, Zhao SK, Wu T, et al. Potential of gut microbiota metabolites in treating COPD: network pharmacology and Mendelian randomization approaches[J]. Front Microbiol, 2024, 15: 1416651. DOI:10.3389/fmicb.2024.1416651 [16] Wang M, Yang TM, Xiang YJ, et al. Coix Seed extract attenuates glycolipid metabolism disorder in hyperlipidemia mice through PPAR signaling pathway based on metabolomics and network pharmacology[J]. Foods, 2025, 14(5): 770. DOI:10.3390/foods14050770 [17] Lv S, Wang Q, Zhang XL, et al. Mechanisms of multi-omics and network pharmacology to explain traditional Chinese medicine for vascular cognitive impairment: a narrative review[J]. Phytomedicine, 2024, 123: 155231. DOI:10.1016/j.phymed.2023.155231 [18] Rathod S, Shinde S, Choudhari P, et al. Exploring binding potential of two new indole alkaloids from Nauclea officinalis against third and fourth generation EGFR: druglikeness, in silico ADMET, docking, DFT, molecular dynamics simulation, and MMGBSA study[J]. Nat Prod Res, 2025, 39(10):2970-2977. DOI: 10.1080/14786419.2023.2301678 [19] Carnazza M, Yang N, Tiwari RK, et al. Natural compounds targeting MAPK, PI3K/Akt, and JAK/STAT signaling in papillary thyroid cancer[J]. Int J Mol Sci, 2025, 26(21): 10498. DOI:10.3390/ijms262110498 [20] Zhang ZQ, Zhou JY, Guo RQ, et al. Network pharmacology to explore the molecular mechanisms of Prunella vulgaris for treating thyroid cancer[J]. Medicine, 2023, 102(45): e34871. DOI:10.1097/md.0000000000034871 [21] Ishaq HM, Mohammad IS, Hussain R, et al. Gut-Thyroid axis: how gut microbial dysbiosis associated with euthyroid thyroid cancer[J]. J Cancer, 2022, 13(6): 2014-2028. DOI:10.7150/jca.66816 [22] Cheng WY, Wu CY, Yu J. The role of gut microbiota in cancer treatment: friend or foe?[J]. Gut, 2020, 69(10): 1867-1876. DOI:10.1136/gutjnl-2020-321153 [23] Crescenzi E, Leonardi A, Pacifico F. NF-κB in thyroid cancer: an update[J]. Int J Mol Sci, 2024, 25(21): 11464. DOI:10.3390/ijms252111464 [24] Feitelson MA, Arzumanyan A, Medhat A, et al. Short-chain fatty acids in cancer pathogenesis[J]. Cancer Metastasis Rev, 2023, 42(3): 677-698. DOI: 10.1007/s10555-023-10117-y [25] Xu DK, Chen J, Shi YH, et al. Gut microbiota and metabolite profiles in thyroid cancer lymph node metastasis: a multi-omics analysis[J]. Sci Rep, 2025, 15: 40624. DOI:10.1038/s41598-025-24397-7 [26] Du QJ, Shen WD. Research progress of plant-derived natural products in thyroid carcinoma[J]. Front Chem, 2024, 11: 1279384. DOI:10.3389/fchem.2023.1279384 [27] Kober C, Roewe J, Schmees N, et al. Targeting the aryl hydrocarbon receptor(AhR)with BAY 2416964: a selective small molecule inhibitor for cancer immunotherapy[J]. J Immunother Cancer, 2023, 11(11): e007495. DOI:10.1136/jitc-2023-007495 [28] Tang Y, Fu AB, Wang LJ, et al. Microbiota-dependent metabolites-New engine for T cell warriors[J]. Gut Microbes, 2025, 17: 2523815. DOI:10.1080/19490976.2025.2523815 [29] Du Y, Fan PZ, Zou LH, et al. Serum metabolomics study of papillary thyroid carcinoma based on HPLC-Q-TOF-MS/MS[J]. Front Cell Dev Biol, 2021, 9: 593510. DOI:10.3389/fcell.2021.593510 [30] Li ZH, Xiong WX, Liang Z, et al. Critical role of the gut microbiota in immune responses and cancer immunotherapy[J]. J Hematol Oncol, 2024, 17(1): 33. DOI:10.1186/s13045-024-01541-w [31] Zalila-Kolsi I, Dhieb D, Osman HA, et al. The gut microbiota and colorectal cancer: understanding the link and exploring therapeutic interventions[J]. Biology, 2025, 14(3): 251. DOI:10.3390/biology14030251 [32] Xie ZL, Zhou JT, Zhang X, et al. Clinical potential of microbiota in thyroid cancer therapy[J]. Biochim Biophys Acta BBA Mol Basis Dis, 2024, 1870(2): 166971. DOI:10.1016/j.bbadis.2023.166971 [33] Bruce JY, Glazer TA, Kimple RJ. Multidisciplinary management of advanced thyroid cancer[J]. JCO Oncol Pract, 2024, 20(7): 877-878. DOI:10.1200/op.24.00283 |
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