Keywords
angiogenesis; endometriosis; inflammation; pathomechanisms; proliferation.
Resumen
Contexto: La endometriosis es una enfermedad caracterizada por la presencia de epitelio endometrial y células del estroma fuera del útero. Estudios previos han demostrado que la prostaglandina E2 tiene un papel en el desarrollo de la endometriosis a través de la acción de los receptores de estrógenos y estrógenos locales.
Objetivos: Analizar el acoplamiento molecular entre los flavonoides de Phaleria macrocarpa en las vías NF-kB, VEGF/VEGFR2, Ki67, COX-2 y CXCR4 que están involucradas en el patomecanismo de la endometriosis.
Métodos: Determinación funcional de la fitoquímica de P. macrocarpa mediante predicción PASS La predicción de ADMETSAR de los flavonoides de P. macrocarpa cumple con los criterios de la regla de Lipinski, por lo que se predice que tienen similitud con los fármacos y no son tóxicos. Los flavonoides de P. macrocarpa se sintetizaron utilizando el software AutoDock Tools 1.5.7. Se utilizó el software AutoDock Vina v1.2.3 para realizar simulaciones de acoplamiento de ligandos y proteínas diana. Los resultados del análisis de acoplamiento se visualizaron con la aplicación Discovery Studio 4.1.
Resultados: Para la vía NF-kB, los compuestos que mostraron la mayor afinidad para que se produjera la interacción fueron la (±)-naringenina (diana de NF-kB p50/p65) y la (-)-8-prenilnaringenina (el sitio de unión de ATP en IKK). Frente a VEGF-A y VEGFR2, los flavonoides que exhibieron la mayor afinidad de interacción fueron la glicitina y la (-)-8-prenilnaringenina, respectivamente. El compuesto que interactuó más fácilmente con Ki67, COX-2 o CXCR4 fue la (+)-catequina 7-O-beta-D-xilósido. En el caso de la combinación con fármacos estándar, hemos descubierto que el acetato de leuprolida y el dienogest muestran una mayor afinidad por el heterodímero p50/p65 del NF-kB que los fitoquímicos.
Conclusiones: Los seis compuestos de P. macrocarpa tienen diferentes afinidades por vías seleccionadas en la endometriosis. Por lo tanto, los flavonoides de P. macrocarpa podrían ser un candidato herbal de acción múltiple para la endometriosis, que puede utilizarse solo o como complemento de los fármacos estándar.
Palabras Clave: angiogénesis; endometriosis; inflamación; patomecanismos; proliferación.
Citation Format: Maharani M, Sutrisno S, Wiyasa IWA, Endharti AT, Winarsih S, Soeharto S, Indrawan IWA (2025) Molecular docking of flavonoids from Phaleria macrocarpa on the NF-kB p65, VEGFR2, Ki67, COX-2, and CXCR4 pathways in endometriosis. J Pharm Pharmacogn Res 13(2): 527–537. https://doi.org/10.56499/jppres24.2090_13.2.527
References
Ahmad R, Mazlan MKN, Aziz AFA, Gazzali AM, Rawa MSA, Wahab HA (2023) Phaleria macrocarpa (Scheff.) Boerl.: An updated review of pharmacological effects, toxicity studies, and separation techniques. Saudi Pharm J 31(6): 874–888. https://doi.org/10.1016/j.jsps.2023.04.006
Andriani Y, Tengku-Muhammad TS, Mohamad H, Saidin J, Syamsumir DF, Chew GS, Abdul Wahid ME (2015) Phaleria macrocarpa Boerl. (Thymelaeaceae) leaves increase SR-BI expression and reduce cholesterol levels in rats fed a high cholesterol diet. Molecules 20(3): 4410–4429. https://doi.org/10.3390/molecules20034410
Astakhova A, Chistyakov D, Thomas D, Geisslinger G, Brüne B, Sergeeva M, Namgaladze D (2019) Inhibitors of oxidative phosphorylation modulate astrocyte inflammatory responses through AMPK-dependent Ptgs2 mRNA stabilization. Cells 8(10): 1185. https://doi.org/10.3390/cells8101185
Blobaum AL, Xu S, Rowlinson SW, Duggan KC, Banerjee S, Kudalkar SN, Birmingham WR, Ghebreselasie K, Marnett LJ (2015) Action at a distance: Mutations of peripheral residues transform rapid reversible inhibitors to slow, tight binders of cyclooxygenase-2. J Biol Chem 290(20): 12793–12803. https://doi.org/10.1074/jbc.M114.635987
Bozdag G (2015) Recurrence of endometriosis: Risk factors, mechanisms and biomarkers. Women's Heath 11(5): 693–699. https://doi.org/10.2217/whe.15.56
Brown J, Farquhar C (2014) Endometriosis: An overview of Cochrane reviews. Cochrane Database Syst Rev 2014(3): CD009590. https://doi.org/10.1002/14651858.CD009590.pub2
Christina YI, Nafisah W, Atho'illah MF, Rifa'i M, Widodo N, Djati MS (2021) Anti-breast cancer potential activity of Phaleria macrocarpa (Scheff.) Boerl. leaf extract through in silico studies. J Pharm Pharmacogn Res 9(6): 824–845. https://doi.org/10.56499/jppres21.1092_9.6.824
Christina YI, Rifa’i M, Widodo N, Djati MS (2022) Comparative study of antiproliferative activity in different plant parts of Phaleria macrocarpa and the underlying mechanism of action. ScientificWorldJournal 2022: 3992660. https://doi.org/10.1155/2022/3992660
Deguara CS, Liu B, Davis C (2013) Measured symptomatic and psychological outcomes in women undergoing laparoscopic surgery for endometriosis. Curr Opin Obstet Gynecol 25(4): 299–301. https://doi.org/10.1097/GCO.0b013e3283630da7
Easmin S, Sarker ZI, Khatib A, Ferdosh S, Jaffri J, Uddin ABMH (2024) Metabolomics combined with chemometric analysis to identify a-glucosidase inhibitors in Phaleria macrocarpa fruit extracts and its molecular docking simulation. S Afr J Bot 168: 352–359. https://doi.org/10.1016/j.sajb.2024.03.025
Ferrara N, Gerber HP, LeCouter J (2003) The biology of VEGF and its receptors. Nat Med 9(6): 669–676. https://doi.org/10.1038/nm0603-669
Florio TJ, Lokareddy RK, Yeggono DP, Sankhala RS, Ott CA, Gillian RE, Cingolani G (2022) Differential recognition of canonical NF-κB dimers by Importin α3. Nature Comm 13: 1207. https://doi.org/10.1038/s41467-022-28846-z
Fontanella C, Ongaro E, Bolzonello S, Guardascione M, Fasola G, Aprile G (2014) Clinical advances in the development of novel VEGFR2 inhibitors. Ann Transl Med 2(12): 123. https://doi.org/10.3978/j.issn.2305-5839.2014.08.14
Fuldeore MJ, Soliman AM (2016) Prevalence and symptomatic burden of diagnosed endometriosis in the United States: National estimates from a cross-sectional survey of 59,411 women. Gynecol Obstet Investig 82(5): 453–461. https://doi.org/10.1159/000452660
Grandi G, Barra F, Ferrero S, Sileo FG, Bertucci E (2019) Hormonal contraception in women with endometriosis: A systematic review. Eur J Contracept Reprod Health Care 24(1): 61–70. https://doi.org/10.1080/13625187.2018.1550576
Hayden MS, Ghosh S (2008) Shared principles in NF-kB signaling. Cell 132(3): 344–362. https://doi.org/10.1016/j.cell.2008.01.020
Hellmann J, Tang Y, Zhang MJ, Hai T, Bhatnagar A, Srivastava S, Spite M (2015) Atf3 negatively regulates Ptgs2/Cox2 expression during acute inflammation. Prostaglandins Other Lipid Mediat 116-117: 49–56. https://doi.org/10.1016/j.prostaglandins.2015.01.001
Hung SW, Zhang R, Tan Z, Chung JPW, Zhang T, Wang CC (2021) Pharmaceuticals targeting signaling pathways of endometriosis as potential new medical treatment: A review. Med Res Rev 41(4): 2489–2564. https://doi.org/10.1002/med.21802
Jerman LF, Hey-Cunningham AJ (2015) The role of the lymphatic system in endometriosis: A comprehensive review of the literature. Biol Reprod 92(64): 1–10. https://doi.org/10.1095/biolreprod.114.124313
Knights KM, Mangoni AA, Miners JO (2010) Defining the COX inhibitor selectivity of NSAIDs: Implications for understanding toxicity. Expert Rev Clin Pharmacol 3(6): 769–776. https://doi.org/10.1586/ecp.10.120
Lecoq L, Raiola L, Chabot PR, Cyr N, Arseneault G, Legault P, Omichinski JG (2017) Structural characterization of interactions between transactivation domain 1 of the p65 subunit of NF-kB and transcription regulatory factors. Nucleic Acid Res 45(9): 5565–5576. https://doi.org/10.1093/nar/gkx146
Li H, Byeon IJL, Ju Y, Tsai MD (2004) Structure of human Ki67 FHA domain and its binding to a phosphoprotein fragment from hNIFK reveal unique recognition sites and new views to the structural basis of FHA Domain functions. J Mol Biol 335(1): 371–381. https://doi.org/10.1016/j.jmb.2003.10.032
Maharani M, Lajuna L, Yuniwati C, Sabrida O, Sutrisno S (2021) Phytochemical characteristics from Phaleria macrocarpa and its inhibitory activity on the peritoneal damage of endometriosis. J Ayurveda Integr Med 12(2): 229–233. https://doi.org/10.1016/j.jaim.2020.06.002
Maharani M, Sutrisno S (2022) Phaleria macrocarpa flavonoid as a potent MMP-1 inhibitor for endometriosis therapy: In silico study. Asian J Health Res 1(2): 7–11. https://doi.org/10.55561/ajhr.v1i2.24
Mia MAR, Ahmed QU, Helaluddin ABM, Ferdosh S, Siddique MM, Azmi SNH, Sarker MZI (2022) Acute and subacute toxicity assessment of liquid CO2 extract of Phaleria macrocarpa fruits flesh in mice model. J King Saud Univ Sci 34(4): 101912. https://doi.org/10.1016/j.jksus.2022.101912
Pawig L, Klasen C, Weber C, Bernhagen J, Noels H (2015) Diversity and inter-connections in the CXCR4 chemokine receptor/ligand family: molecular perspectives. Front Immunol 6: 429. https://doi.org/10.3389/fimmu.2015.00429
Polley S, Huang DB, Hauenstein AV, Fusco AJ, Zhong X, Vu D, Schrofelbauer B, Kim Y, Hoffmann A, Verma IM, Ghosh G, Huxford T (2013) A structural basis for IkB kinase 2 activation via oligomerization-dependent trans auto-phosphorylation. PLoS Biol 11(6): e1001581 https://doi.org/10.1371/journal.pbio.1001581
Sampson JA (1927) Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol 14(4): 422–469. https://doi.org/10.1016/s0002-9378(15)30003-x
Scholes D, LaCroix AZ, Ichikawa LE, Barlow WE, Ott SM (2005) Change in bone mineral density among adolescent women using and discontinuing depot medroxyprogesterone acetate contraception. Arch Pediatr Adolesc Med 159(2): 139–144. https://doi.org/10.1001/archpedi.159.2.139
Simmons DL, Botting RM, Hla T (2004) Cyclooxygenase isozymes: the biology of prostaglandin synthesis and inhibition. Pharmacol Rev 56(3): 387–437. https://doi.org/10.1124/pr.56.3.3
Sun HS, Hsiao KY, Hsu CC, Wu MH, Tsai SJ (2003) Transactivation of steroidogenic acute regulatory protein in human endometriotic stromalcells is mediated by the prostaglandin EP2 receptor. Endocrinology 144(9): 3934–3942. https://doi.org/10.1210/en.2003-0289
Taylor HS, Giudice LC, Lessey BA, Abrao MS, Kotarski J, ArcherDF, Diamond MP, Surrey E, Johnson NP, Watts NB, Gallagher JC, Simon JA, Carr BR, Dmowksi WP, Leyland N, Rowan JP, Duan WR, Ng J, Schwefel B, Thomas JW, Jain RI, Chwalisz K (2017) Treatment of endometriosis-associated pain with elagolix, an oral GnRH antagonist. N Engl J Med 377: 28–40. https://doi.org/10.1056/NEJMoa1700089
Uddin MJ, Crews BC, Xu S, Ghebreselasie K, Daniel CK, Kingsley PJ, Banerjee S, Marnett LJ (2016) Antitumor activity of cytotoxic cyclooxygenase-2 inhibitors. ACS Chem Biol 11(11): 3052–3060. https://doi.org/10.1021/acschembio.6b00560
Wang X, Bove AM, Simone G, Ma B (2020) Molecular Bases of VEGFR-2-mediated physiological function and pathological role. Front. Cell Dev Biol 8: 599281. https://doi.org/10.3389/fcell.2020.599281
Wu B, Chien EYT, Mol CD, Fenalti G, Liu W, Katritch V, Abagyan R, Brooun A, Wells P, Bi FC, Hamel DJ, Kuhn P, Handel TM, Cherezov V, Stevens RC (2010) Structures of the CXCR4 chemokine GPCR with small-molecule and cyclic peptide antagonists. Science 330(6007): 1066–1071. https://doi.org/10.1126/science.1194396
Wu MH, Hsiao KY, Tsai SJ (2019) Hypoxia: the force of endometriosis. J Obstet Gynaecol Res 45(3): 532–541. https://doi.org/10.1111/jog.13900
Wu MH, Wang CA, Lin CC, Chen LC, Chang WC, Tsai SJ (2005) Distinct regulation of cyclooxygenase-2 by interleukin-1 beta in normal and endometriotic stromal cells. J Clin Endocrinol Metab 90(1): 286–295. https://doi.org/10.1210/jc.2004-1612
Yang L, Liu L, Li M, Huang X, Yang H, Li K (2021) Naringenin inhibits pro‑inflammatory cytokine production in macrophages through inducing MT1G to suppress the activation of NF‑κB. Mol Immunol 137: 155–162. https://doi.org/10.1016/j.molimm.2021.07.003
Zondervan KT, Becker CM, Missmer SA (2020) Endometriosis. N Engl J Med 382(13): 1244–1256. https://doi.org/10.1056/NEJMra1810764
© 2025 Journal of Pharmacy & Pharmacognosy Research