10.8
CiteScore
 
5.3
Impact Factor
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Corrigendum
Current Issue
Editorial
Erratum
Full lenth article
Original Article
Research article
Review
Review Article
SPECIAL ISSUE: ENVIRONMENTAL CHEMISTRY
10.8
CiteScore
5.3
Impact Factor
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Corrigendum
Current Issue
Editorial
Erratum
Full lenth article
Original Article
Research article
Review
Review Article
SPECIAL ISSUE: ENVIRONMENTAL CHEMISTRY
View/Download PDF

Translate this page into:

Original article
13 (
11
); 7773-7797
doi:
10.1016/j.arabjc.2020.09.010

Antitumor effect of guava leaves on lung cancer: A network pharmacology study

College of Chemistry and Bioengineering, Hechi University, Hechi 546300, China
Guangxi Key Laboratory of Microbiology and Plant Resources Development, Hechi University, Hechi 546300, China

⁎Corresponding author at: Hechi University, No. 42 Longjiang Road, Hechi 546300, China. qinyuehechi@outlook.com (Yue Qin)

Disclaimer:
This article was originally published by Elsevier and was migrated to Scientific Scholar after the change of Publisher.

Peer review under responsibility of King Saud University.

Abstract

Guava is known for its hypoglycemic, antivirus, antibacterial, anti-inflammatory, antioxidant, and antitumor properties. In this study, triterpenoids, sesquiterpenes, and flavonoids were examined as potential targets of constituents of guava leaves. Our study was aimed to reveal the antitumor mechanism and construct the network pharmacology network of guava leaf constituents and lung cancer. The potential targets of guava leaf constituents were searched in target databases, while the disease genes were searched in the GeneCards database. The common targets of drugs and diseases were screened out. A network map was constructed by the Cytoscape software, and the GO and KEGG pathways were analyzed. The existing cases were studied by SystemsDock molecular docking and cBioPortal tumor database study. Among the 66 chemical constituents of guava leaves, 153 of their targets were the lung cancer genes involved in many signaling pathways, such as the PI3K-Akt signaling pathway, in small cell lung cancer and non-small cell lung cancer. There was a binding activity between ligand compounds and receptor proteins. Guava leaves inhibited tumor through a gene regulatory network, and may play an important role in gene-targeting therapy. Through network pharmacology, we found that guava leaves had potential targets that interacted with various tumors, regulating the signaling pathways of cancers. This study preliminarily verified the pharmacological basis and the mechanism of the antitumor effect of guava leaves, providing a foundation for further research.

Keywords

Guava leaf
Antitumor
Network pharmacology
SystemsDock molecular docking
1

1 Introduction

Guava (Psidium guajava), a member of the Myrtaceae family, is an evergreen shrub or small arbor with a wide range of habitats. Guava is found in countries in tropical or subtropical areas such as South America, Africa, and Southern Asia (Gutierrez et al., 2008; Feng et al., 2015). Guava leaves, also known as Folium Psidii Guajavae, are the dry leaves and leafy shoots of guava. The substances in guava leaves are triterpenoids (Shao et al., 2012a), flavonoids, tannins (Seo et al., 2014), sesquiterpenes, miscellaneous quinones, volatile oils, and benzophenone glycosides. Guava is known for its hypoglycemic, antivirus, antibacterial, anti-inflammatory, antioxidant, and antitumor properties (Seo et al., 2014). These substances in guava leaves are of great research value. In a previous study, researchers identified novel types of aldehyde terpenes with their spectral characteristics and summarized the chemical structures of 17 heterodialdehyde compounds (Ouyang et al., 2015). Moreover, Psiguadial C and Psiguadial D showed significant biological activities, including the inhibitions of protein tyrosine phosphatase 1B (PTP1B) and human hepatoma cells (HepG2) (Shao et al., 2012b). Triterpenoids are known to exert antitumor effects (Song and Zhu, 2011; Lu et al., 2016). Flavonoids are one of the main functional components in guava leaves and have various pharmacological effects (Alnaqeeb et al., 2019; Luo et al., 2019). Researchers extracted flavonoids from guava leaves and obtained approximately 9.89 mg/g of total flavonoids (Wang et al., 2016b). Flavonoids in plants are also known for their antitumor activity, which mainly involves regulation of immune function, repression of tumor cell adhesion and signal transmission, and inhibition of cellular proliferation and tumor angiogenesis (Kandaswami et al., 2005). In this study, triterpenoids, sesquiterpenes, and flavonoids were examined as potential targets of guava leaves.

Previous studies have investigated antitumor substances in guava leaves. It was found that guava leaf extracts exhibit potent antitumor activity (Ashraf et al., 2016)and play an inhibitory role in HeLa and Ec109 cells (Lee and Park, 2010).

Lung cancer has been the leading cause of cancer deaths among men since the early 1950s. A total of 1,824,701 lung cancer cases were estimated worldwide in 2012, accounting for nearly 32% for women and 68% for men (Rafiemanesh et al., 2016). In contrast, a total of 1,589,925 lung cancer deaths were estimated in 2012, of which 31% were women and 69% were men (Rafiemanesh et al., 2016). The number of new lung cancer cases has risen to 7,328,000, and 5,807,000 deaths occurred in China in 2013 (Chen et al., 2017). Lung cancer is the most common malignant tumor in China with high morbidity and mortality rates (Xing et al., 2019). Therefore, finding ways to treat lung cancer is of vital importance.

The concept of network pharmacology is based on multidisciplinary theories such as systems biology and multi-directional pharmacology (Boezio et al., 2017). Utilizing various techniques, such as omics, high-throughput screening, network visualization, and network analysis can help us better understand the molecular mechanism of diseases and the pharmacological mechanism of drugs from a multi-dimensional perspective (Wu and Wu, 2015; Danhof, 2016; Boezio et al., 2017). The method of network pharmacology and the databases available for research also tend to be diverse (Hu et al., 2014; Lee, 2015; Wang et al., 2019). It is straightforward in visual analysis of the results through target prediction, pharmacological mechanism research, active component research, and construction of network graphs (Boezio et al., 2017).

Herein, we aimed to construct the network pharmacology of constituents from guava leaves and investigate the potential of these constituents on lung cancer.

2

2 Materials and methods

2.1

2.1 Materials

The databases used in this study included TCMSP, PubChem, PharmMapper, STRING, UniProt, GeneCards, Venny 2.1.0, KOBAS 3.0, SystemsDock, DisGeNET, and CbioPortal. The software used included ChemDraw Office 2010 (PerkinElmer), Cytoscape 3.7.1 (Cytoscape), and FunRich 3.1. 3 (http://www.funrich.org/download).

2.2

2.2 Methods

2.2.1

2.2.1 Collection of active constituents and chemical structures

Ouyang et al. (2015) systematically sorted out the compounds found in guava leaves through literature research; thus, these two documents were used as standards. The 2D or 3D structure of the target compound was searched in the PubChem (Kim et al., 2016) database, but for some of the compounds that were not included in the database, the chemical structure was drawn using the ChemBioDraw Ultra 12.0 software (PerkinElmer).

2.2.2

2.2.2 Screening of potential targets and acquisition of disease genes

Screening of potential targets: the TCMSP (Ru et al., 2014) database was used for the screening of potential targets, using “Chemical name” as the key word and the English name of the target compound as the potential target. PharmMapper (Liu et al., 2010) was used to screen potential targets. The 2D or 3D structures of the compound were used as input to screen potential targets. All potential targets of guava leave constituents were converted to gene names using the STRING database and the UniProt database, and the species selected was Homo Sapiens.

2.2.3

2.2.3 Acquisition of disease genes

Through the human gene database GeneCards, using “Lung cancer” as a key word, disease target genes with greater correlation with lung cancer were extracted, and the first 500 genes (based on the descending order of the correlation score) were selected as disease genes.

The searched potential target genes were compared with the disease genes in the Venny database, and the common genes were selected to obtain potential targets for the treatment of lung cancer with guava leaf constituents.

2.2.4

2.2.4 Topological analysis of target protein networks and gene assignment

The STRING database was used for gene regulatory network construction based on potential targets of guava leaf constituents and lung cancer genes. The species was set to “Homo sapiens” and the minimum interaction threshold was set to 0.97. PPI network interaction maps of potential targets of guava leaf constituents derived from the database was downloaded. Network topology analysis was performed using the Cytoscape (Kohl et al., 2011) database. The gene type was assigned to the gene through the DisGeNET (Bauer-Mehren et al., 2010) database, and the protein/gene was sequentially input for retrieval of the related gene and the target type (protein class) information. Interactions between compounds and target proteins were analyzed by constructing a network map of “Guava leaf - constituent category - active constituent - gene”.

2.2.5

2.2.5 GO and KEGG enrichment analysis

GO analysis was performed using the ClueGO plug-in in the Cytoscape software, and the gene symbols of targets of guava leaf constituent for lung cancer were input into ClueGO for gene ontology (GO) enrichment analysis (Biology Process, Molecular Function and Cellular Component). The gene symbols of targets of guava leaf constituent for lung cancer were converted into Entrez ID by the Funrich software, and KEGG pathway enrichment analysis was performed using KOBAS 3.0.

2.2.6

2.2.6 Molecular docking

The 10 genes that were relatively strong in the network diagram of “Guava leaf - constituent category - active constituent - gene” were molecularly docked with five compounds by systemsDock (Hsin et al., 2013; Hsin et al., 2016).

2.2.7

2.2.7 cBioportal analysis

The gene expression of existing case samples in the database was analyzed by cBioportal. cBioportal was financially funded by the Memorial Sloan-Kettering Cancer Center. It mainly addresses a large number of data problems obtained from large sample tumor genomic studies so that the results can be easily explored and directly applied to oncology (Wu et al., 2019).

2.2.8

2.2.8 Gene expression analysis and pathway activity analysis

The mRNA expression and the pathway activity of genes of interest were analyzed in the GSCALite database (http://bioinfo.life.hust.edu.cn/web/GSCALite/) following the instructions provided in this platform.

3

3 Results

3.1

3.1 Collection of active ingredients and their chemical structures

The 2D or 3D structures of all compounds were searched in the PubChem database, and the files in the sdf format were saved. Compounds not included in the database were identified by chemical structure, which were then drawn using the ChemDraw Ultra 12.0 software, and the sdf file was saved (Fig. 1). The structures of the compounds were searched by PubChem, and their molecular formulas and accession numbers in the database (PubChem CID) were retrieved. The relevant information of the active constituents of Guava leaves is listed in Table 1. In total, 66 active components of guava leaves, including 17 triterpenoids such as ursane and oleanane pentacyclic triterpenes, 19 sesquiterpenoids, and 30 flavonoids.

The structural formula of six compounds, which were found but not included in the PubChem database. T2: 3β-O-trans-p-coumaroylmaslinicacid; T15: psidiumoic acid; F12: guavinoside C; F24: quercetin-3-O-(6″-feruloyl); S1: Diguajadial; S2: Guadial A.
Fig. 1
The structural formula of six compounds, which were found but not included in the PubChem database. T2: 3β-O-trans-p-coumaroylmaslinicacid; T15: psidiumoic acid; F12: guavinoside C; F24: quercetin-3-O-(6″-feruloyl); S1: Diguajadial; S2: Guadial A.
Table 1 Molecular information of guava leaf constituents. The first column is the compound name, the second column is the molecular type of the compound, the third column is the number of the constituent, with triterpenoids numbered from T1 to T17, flavonoids from F1 to F30, and sesquiterpenoids from S1 to S19. The molecular formula, the molecular structure, the PubChen ID for compound retrieved from the database and the Pharmmapper JOB ID (the search number of targets in the Pharmmapper database) were listed in the columns four to seven.
Compound Name Molecular type Number Molecular Formula Molecular structure PubChem CID Pharmmapper JOB ID
2α-hydroxyoleanolic acid Triterpenoid T1 C30H48O4 15,560,128 190,417,034,302
3β-O-trans-p-coumaroylmaslinicacid Triterpenoid T2 C39H54O5 / 190,417,034,505
asiatic acid Triterpenoid T3 C30H48O5 119,034 190,417,034,630
corosolic acid Triterpenoid T4 C30H48O4 6,918,774 190,417,034,747
goreishic acid I Triterpenoid T5 C30H46O4 3,081,756 190,318,032,131
guajanoic acid Triterpenoid T6 C32H50O6 101,211,343 190,417,035,053
guavacoumaric acid Triterpenoid T7 C39H54O7 101,211,344 190,417,035,342
guavanoic acid Triterpenoid T8 C32H50O6 101,211,343 190,417,035,431
ilelatifol D Triterpenoid T9 C30H46O4 102,572,108 190,318,031,159
isoneriucoumaric acid Triterpenoid T10 C39H54O6 10,100,394 190,417,035,723
jacoumaric acid Triterpenoid T11 C39H54O6 11,700,083 190,417,035,813
obtusinin Triterpenoid T12 C15H18O6 3,604,942 190,318,030,756
obtusol (3β, 27-dihydroxy-urs-12-ene) Triterpenoid T13 C30H50O2 15,895,316 190,417,040,026
oleanolic acid Triterpenoid T14 C30H48O3 10,494 190,417,040,126
psidiumoic acid Triterpenoid T15 C32H50O5 / 190,417,040,228
ursolic acid Triterpenoid T16 C30H48O3 64,945 190,417,040,330
uvoal Triterpenoid T17 C30H50O2 92,802 190,417,040,432
Apigenin Flavonoid F1 C15H10O5 5,280,443 190,414,093,403
Avicularin Flavonoid F2 C20H18O11 5,490,064 190,414,093,603
Biochanin Flavonoid F3 C16H12O5 5,280,373 190,403,023,437
Daidzein Flavonoid F4 C15H10O4 5,281,708 190,414,094,000
demthoxymatteucinol Flavonoid F5 C17H16O4 180,550 190,414,094,140
formononetin Flavonoid F6 C16H12O4 5,280,378 190,414,094,323
Genistein Flavonoid F7 C15H10O5 5,280,961 190,414,094,458
Genistin Flavonoid F8 C21H20O10 5,281,377 190,414,094,600
Glycitin/daidzin Flavonoid F9 C22H22O10 187,808 190,414,094,811
guaijaverin Flavonoid F10 C20H18O11 5,481,224 190,414,095,056
guavaric A Flavonoid F11 C32H50O6 101,211,343 190,414,095,209
guavinoside C Flavonoid F12 C27H22O15 / 190,414,095,324
hyperin Flavonoid F13 C21H20O12 133,568,467 190,417,041,614
isoquercetin(Isoquercitrin) Flavonoid F14 C21H20O12 5,280,804 190,414,095,613
kaempferol Flavonoid F15 C15H10O6 5,280,863 190,414,095,757
kaempferol-3-glucoside Flavonoid F16 C21H20O11 5,282,102 190,414,095,928
Leucocyanidin Flavonoid F17 C15H14O7 71,629 190,414,100,124
morin-3-O-α-L-lyxopyranoside Flavonoid F18 C20H18O11 10,455,578 190,414,100,422
myricetin Flavonoid F19 C15H10O8 5,281,672 190,414,100,546
Ononin Flavonoid F20 C22H22O9 442,813 190,414,100,718
prunetin Flavonoid F21 C16H12O5 5,281,804 190,414,100,847
quercetin Flavonoid F22 C15H10O7 5,280,343 190,414,101,024
quercetin3-O-β-D-xylopyranoside Flavonoid F23 C20H18O11 5,320,861 190,414,101,158
quercetin-3-O-(6″-feruloyl) -β-D-galactopyranoside Flavonoid F24 C31H28O15 / 190,414,101,321
quercetin-3-O-gentiobioside Flavonoid F25 C27H30O17 13,915,963 190,414,101,504
quercetin-3-O-β-D-glucuronide Flavonoid F26 C21H18O13 13,258,914 190,414,101,626
quercitrin Flavonoid F27 C21H20O11 5,280,459 190,414,101,724
reynoutrin Flavonoid F28 C20H18O11 5,320,863 190,414,101,824
rutin Flavonoid F29 C27H30O16 5,280,805 190,414,101,941
xanthone Flavonoid F30 C13H8O2 7020 190,414,102,035
Diguajadial Sesquiterpenoids S1 C60H66O9 / 190,321,031,034
Guadial A Sesquiterpenoids S2 C25H26O5 / 190,321,032,624
Guadial B Sesquiterpenoids S3 C25H26O5 122,377,745 190,319,051,501
Guadial C Sesquiterpenoids S4 C25H26O5 122,377,746 190,319,051,610
Guajadial Sesquiterpenoids S5 C30H34O5 101,447,677 190,318,025,632
Guajadial B Sesquiterpenoids S6 C30H34O5 137,346,032 190,319,050,244
Guajadial C Sesquiterpenoids S7 C30H34O5 134,714,902 190,319,050,403
Guajadial D Sesquiterpenoids S8 C30H34O5 134,714,901 190,319,050,732
Guajadial E Sesquiterpenoids S9 C30H34O5 134,714,904 190,319,050,851
Guajadial F Sesquiterpenoids S10 C30H34O5 134,714,903 190,319,050,938
Guapsidial A Sesquiterpenoids S11 C29H32O5 122,377,744 190,319,051,859
Guajadial Sesquiterpenoids S12 C30H34O5 46,197,930 190,320,031,551
Psidial A Sesquiterpenoids S13 C30H36O6 45,104,960 190,318,025,129
Psidial B Sesquiterpenoids S14 C30H36O6 45,104,961 190,318,025,249
Psidial C Sesquiterpenoids S15 C30H34O5 49,844,493 190,318,025,408
Psiguadial A Sesquiterpenoids S16 C30H34O5 49,844,493 190,318,025,837
Psiguadial B Sesquiterpenoids S17 C30H34O5 102,052,649 190,318,025,954
Psiguadial C Sesquiterpenoids S18 C30H34O6 122,224,646 190,319,051,306
Psiguadial D Sesquiterpenoids S19 C30H34O5 77,984,632 190,321,030,934

3.2

3.2 Screening of potential targets and acquisition of disease genes

A total of 115 potential targets for four triterpenoids and 303 potential targets for the 19 flavonoids were obtained from the TCMSP database (Table 2). Molecular information on guava leaves, including Lipinski's “five-law” parameters, namely relative molecular mass (MV), octanol–water partition coefficient (AlogP), possible hydrogen bond donor number (Hdon), possible hydrogen, number of bond receptors (Hacc), number of bonds allowed to rotate freely (RBN), oral bioavailability (OB), and drug-like degree (DL) were obtained. The targets of the active ingredients of guava leaves were obtained from the PharmMapper database, and targets with z'-score ≥ 1 were screened as potential targets of guava leaf active ingredients. From the definition in the database website, “Fit Score” and “z'-score” are scores generated by the metric's Fit score, which is a pre-calculated library score matrix, and a large positive z'-score represents the target-to-query combination. A total of 198 target genes for triterpenoids, 215 target genes for sesquiterpenoids, and 302 target genes for flavonoids were retrieved from the PharmMapper database. A total of 246 potential targets for triterpenoids, 215 potential targets for sesquiterpenoids, and 535 potential targets for flavonoids were obtained from TCMSP and Pharmmapper. The names of all potential targets were imported into the STRING database and Uniprot database, and converted into Gene Symbols.

Table 2 TCMSP parameter information.
Compound Name Mol ID MW AlogP Hdon Hacc RBN OB (%) DL
Apigenin MOL000008 270.25 2.33 3 5 1 23.06 0.21
Avicularin MOL007979 434.38 −0.08 7 11 4 2.06 0.7
Daidzein MOL000390 254.25 2.33 2 4 1 19.44 0.19
formononetin MOL000392 268.28 2.58 1 4 2 69.67 0.21
Genistein MOL000481 270.25 2.07 3 5 1 17.93 0.21
Genistin MOL000480 432.41 0.16 6 10 4 13.35 0.75
daidzin MOL009720 416.41 0.43 5 9 4 14.32 0.73
guaijaverin MOL000702 434.38 −0.08 7 11 3 29.65 0.7
hyperin MOL004368 464.41 −0.59 8 12 4 6.94 0.77
isoquercetin MOL000437 302.25 0.34 5 7 1 5.92 0.28
kaempferol MOL000422 286.25 1.77 4 6 1 41.88 0.24
kaempferol-3-glucoside MOL001415 448.41 −0.32 7 11 4 2.77 0.74
Leucocyanidin MOL007214 306.29 1.09 6 7 1 37.61 0.27
myricetin MOL002008 318.25 1.24 6 8 1 13.75 0.31
Ononin MOL000391 430.44 0.68 4 9 5 11.52 0.78
prunetin MOL000486 284.28 2.32 2 5 2 5.41 0.24
quercetin MOL000098 302.25 1.5 5 7 1 46.43 0.28
quercetin-3-O-β-D-glucuronide MOL001001 450.38 −0.42 8 12 3 30.66 0.74
quercitrin MOL000701 448.41 0.3 7 11 3 4.04 0.74
rutin MOL000415 610.57 −1.45 10 16 6 3.2 0.68
2α-hydroxyoleanolic acid MOL012969 471.77 4.78 2 4 1 17.38 0.74
asiatic acid MOL006861 488.78 4.41 4 5 2 16.69 0.72
oleanolic acid MOL000263 456.78 6.42 2 3 1 29.02 0.76
ursolic acid MOL000511 456.78 6.47 2 3 1 16.77 0.75
olmelin MOL000510 284.28 2.32 2 5 2 25.21 0.24

In the Genecards database, with “Lung Cancer” as the key word, a total of 20,649 results were associated with lung cancer, and the top 500 targets with “Score” values ranged in descending order.

The genes associated with the three types of compounds were compared with the lung cancer genes in the Venny 2.1.0 database, and a chart of gene interaction was obtained (Fig. 2A). A total of 153 genes were obtained from lung cancer, and the target genes of guava leaf constituents against lung cancer were obtained. The total number of genes was 16.4%. Among them, there were 4 (0.4%) cross-reactive genes in three sputum and lung cancer; 68 (7.3%) cross-genes between flavonoids and lung cancer; 3 (0.3%) genes between triterpenoids, sesquiterpenes, and lung cancer; 9 (1%) cross-linking genes for scorpion, flavonoids, and lung cancer; 27 (2.9%) cross-linking genes for triterpenoids, flavonoids, and lung cancer; and 42 (4.5%) cross-linking genes for triterpenoids, sesquiterpenes, flavonoids, and lung cancer.

Drug-disease interaction network analysis (A) Screening of guava leaf-lung cancer common gene. (B) Topological analysis of drug-disease interactive gene network.
Fig. 2
Drug-disease interaction network analysis (A) Screening of guava leaf-lung cancer common gene. (B) Topological analysis of drug-disease interactive gene network.

3.3

3.3 Topological analysis of target protein networks and gene assignment

The 153 targets related to lung cancer and identified as targets for guava leaf constituents were introduced into the STRING database to obtain a protein interaction network. Topological analysis of the target protein network was performed in Cytoscape. The topological analysis results are shown in Fig. 2B. The color depth and size of the nodes represent the strength of interaction between the gene and other genes. The interaction network had a total of 153 number of nodes. The number of edges associated with the target protein was 443, and the average node degree was 5.79, with p value (PPI enrichment p-value) < 1.0e−16. The target genes with a degree greater than or equal to 10 in the guava leaf constituent and lung cancer cross-linking network topology analysis were sequentially introduced into the DisGeNET database to obtain the protein type corresponding to the target. The results showed that the types of these proteins were nucleic acid binding, transcription factor, calcium-binding protein, kinase, transferase, signaling molecule, enzyme modulator, receptor, hydrolase, protease, and transfer/carrier protein (Table 3). The network topological analysis of genes associated with lung cancer in guava leaves genes with a score of 10 or higher and their genes are also shown in Table 3.

Table 3 Topology analysis data of drug-disease interaction gene (Degree ≥ 10).
Gene Full Name Degree Uniprot ID Protein class
STAT3 signal transducer and activator of transcription 3 35 P40763 nucleic acid binding; transcription factor
TP53 tumor protein p53 27 P04637 transcription factor
AKT1 AKT serine/threonine kinase 1 22 P31749 calcium-binding protein; kinase; transferase; transfer/carrierprotein
IL6 interleukin 6 21 P05231 None
JUN Transcription factor AP-1 21 P05412 nucleic acid binding; transcription factor
VEGFA vascular endothelial growth factor A 20 P15692 signaling molecule
SRC non-receptor tyrosine kinase 18 P12931 None
TNF tumor necrosis factor 18 P01375 signaling molecule
HRAS HRas proto-oncogene, GTPase 18 P01112 enzyme modulator
CDKN1A cyclin dependent kinase inhibitor 1A 18 P38936 None
EGF epidermal growth factor 15 P01133 None
EP300 E1A binding protein p300 15 Q09472 nucleic acid binding; transcription factor; transferase
FN1 fibronectin 1 14 P02751 signaling molecule
MAPK3 mitogen-activated protein kinase 3 14 P27361 kinase; transferase
MAPK1 mitogen-activated protein kinase 1 14 P28482 kinase; transferase
MAPK14 mitogen-activated protein kinase 14 13 Q16539 kinase; transferase
CCNA2 cyclin A2 13 P20248 enzyme modulator
CDK1 cyclin dependent kinase 1 13 P06493 kinase; transferase
CCND1 cyclin D1 13 P24385 enzyme modulator
PIK3R1 phosphoinositide-3-kinase regulatory subunit 1 12 P27986 enzyme modulator
CXCL8 C-X-C motif chemokine ligand 8 12 P10145 signaling molecule
MYC MYC proto-oncogene 12 P01106 nucleic acid binding; transcription factor
IL10 interleukin 10 12 P22301 None
TIMP1 TIMP metallopeptidase inhibitor 1 12 P01033 enzyme modulator
STAT1 signal transducer and activator of transcription 1 12 P42224 nucleic acid binding; transcription factor
ESR1 estrogen receptor 1 11 P03372 nucleic acid binding; receptor; transcription factor
IGF1 insulin like growth factor 1 11 P05019 None
CCNB1 cyclin B1 11 P14635 enzyme modulator
CDK2 cyclin dependent kinase 2 11 P24941 kinase; transferase
RB1 RB transcriptional corepressor 1 11 P06400 nucleic acid binding; transcription factor
E2F1 E2F transcription factor 1 11 Q01094 nucleic acid binding; transcription factor
CDKN2A cyclin dependent kinase inhibitor 2A 10 P42771 None
HGF hepatocyte growth factor 10 P14210 hydrolase; protease
BCL2L1 BCL2 like 1 10 Q07817 signaling molecule
CASP8 caspase 8 10 Q14790 enzyme modulator; hydrolase; protease
MDM2 MDM2 proto-oncogene 10 Q00987 nucleic acid binding

3.4

3.4 Cytoscape network interaction analysis

There is a genetic interaction between drugs and diseases. This is a characteristic of multi-component and multi-target network pharmacology analysis. Through Cytoscape network visualization analysis, a “Guava leaf-compound class-active ingredient-gene” interaction network was obtained. The compound and target information on nodes ≥20 are listed in Table 4, where the Average Shortest Path Length is the average shortest path, Closeness Centrality is the center proximity, and Radiality is the radial degree.

Table 4 Interaction network data of “guava leaf – compound class – active component – gene”(Degree ≥ 20).
Node Name Degree Average Shortest
Path Length
Closeness
Centrality
Radiality
quercetin 85 1.96396396 0.50917431 0.80720721
genistein 62 2.15315315 0.46443515 0.76936937
apigenin 53 2.22522523 0.44939271 0.75495495
ursolic acid 43 2.31531532 0.43190661 0.73693694
daidzein 38 2.37837838 0.42045455 0.72432432
kaempferol 33 2.45045045 0.40808824 0.70990991
myricetin 30 2.45045045 0.40808824 0.70990991
rutin 22 2.6036036 0.38408304 0.67927928
formononetin 21 2.53153153 0.39501779 0.69369369
demthoxymatteucinol 21 2.51351351 0.39784946 0.6972973
Guadial B 20 2.56756757 0.38947368 0.68648649
VDR 36 2.44594595 0.40883978 0.71081081
CDK2 29 2.31981982 0.43106796 0.73603604
MAP2K1 27 2.6981982 0.3706177 0.66036036
CDK6 26 2.18468468 0.45773196 0.76306306
MET 25 2.90540541 0.34418605 0.61891892
ABL1 24 2.42792793 0.41187384 0.71441441
PPARG 22 2.28378378 0.43786982 0.74324324
IL2 22 2.37387387 0.42125237 0.72522523
EGFR 22 2.3018018 0.43444227 0.73963964
PGR 21 2.40990991 0.41495327 0.71801802
MAPK14 21 2.58108108 0.38743455 0.68378378
KIT 21 2.77927928 0.35980551 0.64414414
RARB 20 2.77927928 0.35980551 0.64414414
NOS2 20 2.53603604 0.39431616 0.69279279

As shown in Fig. 3 and Table 4, the three compounds in guava leaves that interacted strongly with lung cancer were quercetin, genistein, and apigenin. Moreover, the top ten targets were vitamin D3 receptor (VDR), cyclin-dependent kinase 2 (CDK2), dual specificity mitogen-activated protein kinase 1 (MAP2K1), cyclin-dependent kinase 6 (CDK6), hepatocyte growth factor receptor (MET), tyrosine-protein kinase ABL1 (ABL1), peroxisome proliferator-activated receptor gamma (PPARG), interleukin-2 (IL2), epidermal growth factor receptor (EGFR), and progesterone receptor (PGR).

Interactive network of ‘guava leaf - compound class – active compound – gene’.
Fig. 3
Interactive network of ‘guava leaf - compound class – active compound – gene’.

The network diagram of “Guava leaf-compound class-active constituents-gene” generated by Cytoscape is shown in Fig. 3, in which the green rectangle shape represents the traditional Chinese medicine guava leaf, and the three pale blue diamond shapes represent sesquiterpene, flavonoids, and triterpenoids; pink ovals represent compounds and yellow hexagons represent genes for the treatment of lung cancer with guava leaves. In the interaction network, the target information corresponding to the compound having a degree value of >20 and the corresponding gene are listed in Table 5.

Table 5 Target and genetic information of compounds with interaction network Degree ≥ 20.
Compound Targets Genes
apigenin RAC-alpha serine/threonine-protein kinase AKT1
apigenin Adenomatous polyposis coli protein APC
apigenin Androgen receptor AR
apigenin Apoptosis regulator BAX BAX
apigenin Apoptosis regulator Bcl-2 BCL2
apigenin Bcl-2-like protein 1 BCL2L1
apigenin Caspase-3 CASP3
apigenin Caspase-9 CASP9
apigenin G2/mitotic-specific cyclin-B1 CCNB1
apigenin G1/S-specific cyclin-D1 CCND1
apigenin Cell division control protein 2 homolog CDK1
apigenin Cell division protein kinase 2 CDK2
apigenin Cell division protein kinase 4 CDK4
apigenin Cell division protein kinase 6 CDK6
apigenin Cyclin-dependent kinase inhibitor 1 CDKN1A
apigenin Cyclin-dependent kinase inhibitor 2 CDKN2A
apigenin Cytochrome c CYCS
apigenin Cytochrome P450 19A1 CYP19A1
apigenin Estrogen receptor ESR1
apigenin Estrogen receptor beta ESR2
apigenin Prothrombin F2
apigenin Basic fibroblast growth factor receptor 1 FGFR1
apigenin Heme oxygenase 1 HMOX1
apigenin Intercellular adhesion molecule 1 ICAM1
apigenin Interferon gamma IFNG
apigenin Insulin-like growth factor 1 receptor IGF1R
apigenin Interleukin-13 IL13
apigenin Interleukin-2 IL2
apigenin Interleukin-4 IL4
apigenin Insulin INS
apigenin Transcription factor AP-1 JUN
apigenin Vascular endothelial growth factor receptor 2 KDR
apigenin Induced myeloid leukemia cell differentiation protein Mcl-1 MCL1
apigenin E3 ubiquitin-protein ligase Mdm2 MDM2
apigenin Interstitial collagenase MMP1
apigenin Matrix metalloproteinase-9 MMP9
apigenin NF-kappa-B inhibitor alpha NFKBIA
apigenin Nitric oxide synthase, endothelial NOS3
apigenin Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit, gamma isoform PIK3CG
apigenin Phospholipase A2, membrane associated PLA2G2A
apigenin Urokinase-type plasminogen activator PLAU
apigenin Prostaglandin G/H synthase 2 PTGS2
apigenin Retinoblastoma-associated protein RB1
apigenin Transcription factor p65 RELA
apigenin Alpha-1-antitrypsin SERPINE1
apigenin Proto-oncogene tyrosine-protein kinase Src SRC
apigenin Tumor necrosis factor TNF
apigenin DNA topoisomerase II TOP2A
apigenin Cellular tumor antigen p53 TP53
apigenin Vitamin D3 receptor VDR
apigenin Vascular endothelial growth factor A VEGFA
apigenin Baculoviral IAP repeat-containing protein 4 XIAP
daidzein Beta-2 adrenergic receptor ADRB2
daidzein Ubiquitin carboxyl-terminal hydrolase BAP1 BAP1
daidzein BRCA1-associated RING domain protein 1 BARD1
daidzein Apoptosis regulator BAX BAX
daidzein Caspase-3 CASP3
daidzein Catalase CAT
daidzein Caveolin-1 CAV1
daidzein Cell division protein kinase 2 CDK2
daidzein Cell division protein kinase 6 CDK6
daidzein Cyclin-dependent kinase inhibitor 1 CDKN1A
daidzein Histone acetyltransferase p300 EP300
daidzein Estrogen receptor ESR1
daidzein Estrogen receptor beta ESR2
daidzein Prothrombin F2
daidzein Growth arrest and DNA damage-inducible protein GADD45 alpha GADD45A
daidzein Intercellular adhesion molecule 1 ICAM1
daidzein Insulin-like growth factor 1 receptor IGF1R
daidzein Interleukin-4 IL4
daidzein Interleukin-6 IL6
daidzein Transcription factor AP-1 JUN
daidzein Mitogen-activated protein kinase 14 MAPK14
daidzein Mitogen-activated protein kinase 8 MAPK8
daidzein Antigen KI-67 MKI67
daidzein Neprilysin MME
daidzein Nitric oxide synthase, inducible NOS2
daidzein Nitric oxide synthase, endothelial NOS3
daidzein Progesterone receptor PGR
daidzein Phosphatidylinositol 3-kinase regulatory subunit alpha PIK3R1
daidzein Peroxisome proliferator activated receptor gamma PPARG
daidzein Peroxisome proliferator activated receptor gamma PPARG
daidzein Prostaglandin G/H synthase 2 PTGS2
daidzein DNA repair protein RAD51 homolog 1 RAD51
daidzein Transcription factor p65 RELA
daidzein Signal transducer and activator of transcription 1-alpha/beta STAT1
daidzein Tumor necrosis factor TNF
daidzein Cellular tumor antigen p53 TP53
daidzein Vascular endothelial growth factor A VEGFA
demthoxymatteucinol Proto-oncogene tyrosine-protein kinase ABL1 ABL1
demthoxymatteucinol Serine/threonine-protein kinase 6 AURKA
demthoxymatteucinol Bone morphogenetic protein 2 BMP2
demthoxymatteucinol Cell division protein kinase 6 CDK6
demthoxymatteucinol Catenin alpha-1 CTNNA1
demthoxymatteucinol Leukocyte elastase ELANE
demthoxymatteucinol Basic fibroblast growth factor receptor 1 FGFR1
demthoxymatteucinol Insulin-like growth factor 1 receptor IGF1R
demthoxymatteucinol Tyrosine-protein kinase JAK2 JAK2
demthoxymatteucinol Vascular endothelial growth factor receptor 2 KDR
demthoxymatteucinol Mast/stem cell growth factor receptor KIT
demthoxymatteucinol Dual specificity mitogen-activated protein kinase kinase 1 MAP2K1
demthoxymatteucinol Nitric oxide synthase, endothelial NOS3
demthoxymatteucinol NAD(P)H dehydrogenase [quinone] 1 NQO1
demthoxymatteucinol Progesterone receptor PGR
demthoxymatteucinol Phospholipase A2, membrane associated PLA2G2A
demthoxymatteucinol Urokinase-type plasminogen activator PLAU
demthoxymatteucinol Peroxisome proliferator activated receptor gamma PPARG
demthoxymatteucinol Thymidylate synthase TYMS
demthoxymatteucinol Vitamin D3 receptor VDR
formononetin Beta-2 adrenergic receptor ADRB2
formononetin Androgen receptor AR
formononetin C-C motif chemokine 5 CCL5
formononetin Cyclin-A2 CCNA2
formononetin Cell division protein kinase 2 CDK2
formononetin Cell division protein kinase 6 CDK6
formononetin Estrogen receptor ESR1
formononetin Estrogen receptor beta ESR2
formononetin Prothrombin F2
formononetin Interleukin-4 IL4
formononetin Transcription factor AP-1 JUN
formononetin Mitogen-activated protein kinase 14 MAPK14
formononetin Mitogen-activated protein kinase 8 MAPK8
formononetin Neprilysin MME
formononetin Nitric oxide synthase, inducible NOS2
formononetin Nitric oxide synthase, endothelial NOS3
formononetin Progesterone receptor PGR
formononetin Peroxisome proliferator activated receptor gamma PPARG
formononetin Peroxisome proliferator activated receptor gamma PPARG
formononetin Prostaglandin G/H synthase 2 PTGS2
genistein RAC-alpha serine/threonine-protein kinase AKT1
genistein Androgen receptor AR
genistein Serine-protein kinase ATM ATM
genistein Apoptosis regulator BAX BAX
genistein Apoptosis regulator Bcl-2 BCL2
genistein Baculoviral IAP repeat-containing protein 5 BIRC5
genistein Baculoviral IAP repeat-containing protein 7 BIRC7
genistein Mitotic checkpoint serine/threonine-protein kinase BUB1 BUB1
genistein Caspase-3 CASP3
genistein Caspase-9 CASP9
genistein C-C motif chemokine 2 CCL2
genistein Cyclin-A2 CCNA2
genistein G2/mitotic-specific cyclin-B1 CCNB1
genistein Cell division control protein 2 homolog CDK1
genistein Cell division protein kinase 2 CDK2
genistein Cyclin-dependent kinase inhibitor 1 CDKN1A
genistein Cyclin-dependent kinase inhibitor 2 CDKN2A
genistein Cystic fibrosis transmembrane conductance regulator CFTR
genistein Serine/threonine-protein kinase Chk2 CHEK2
genistein Interleukin-8 CXCL8
genistein Epidermal growth factor receptor EGFR
genistein Leukocyte elastase ELANE
genistein Receptor tyrosine-protein kinase erbB-2 ERBB2
genistein Estrogen receptor ESR1
genistein Estrogen receptor beta ESR2
genistein Prothrombin F2
genistein Basic fibroblast growth factor receptor 1 FGFR1
genistein Fibronectin FN1
genistein Glial fibrillary acidic protein GFAP
genistein 15-hydroxyprostaglandin dehydrogenase [NAD + ] HPGD
genistein Intercellular adhesion molecule 1 ICAM1
genistein Insulin-like growth factor 1 receptor IGF1R
genistein Interleukin-1 beta IL1B
genistein Insulin INS
genistein Transcription factor AP-1 JUN
genistein Prostate-specific antigen KLK3
genistein Mitogen-activated protein kinase 1 MAPK1
genistein Mitogen-activated protein kinase 14 MAPK14
genistein Mitogen-activated protein kinase 3 MAPK3
genistein E3 ubiquitin-protein ligase Mdm2 MDM2
genistein Neprilysin MME
genistein Matrix metalloproteinase-9 MMP9
genistein Mesothelin MSLN
genistein Nitric oxide synthase, inducible NOS2
genistein Nitric oxide synthase, endothelial NOS3
genistein Progesterone receptor PGR
genistein Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit, gamma isoform PIK3CG
genistein Urokinase-type plasminogen activator PLAU
genistein Peroxisome proliferator activated receptor gamma PPARG
genistein Peroxisome proliferator activated receptor gamma PPARG
genistein Phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTEN PTEN
genistein Prostaglandin G/H synthase 2 PTGS2
genistein Transcription factor p65 RELA
genistein Signal transducer and activator of transcription 1-alpha/beta STAT1
genistein Signal transducer and activator of transcription 3 STAT3
genistein Transforming growth factor beta-1 TGFB1
genistein Transforming growth factor beta-2 TGFB2
genistein Metalloproteinase inhibitor 1 TIMP1
genistein Tumor necrosis factor TNF
genistein Cellular tumor antigen p53 TP53
genistein Vascular endothelial growth factor A VEGFA

3.5

3.5 GO and KEGG enrichment analysis

Through ClueGO analysis, a total of 1430 GO biological processes were obtained, with 7536 interactions between the biological processes; 35 molecular functions, with 28 interactions between the molecular functions; and 203 GO cell components, with 470 interactions between the cell components. KEGG analysis was performed by KOBAS 3.0, and 217 pathway enrichment results were obtained. GO analysis results of the interacting genes between guava leaves and lung cancer are shown in Table 6.

Table 6 GO enrichment analysis of the “guava leaf-lung cancer” interaction gene.
GO ID GO Term Percentage of genes P-Value Corr P-Value
GO:0006915 apoptotic process(BP) 112/2458 (4.56%) 9.13E−64 1.18E−60
GO:0012501 programmed cell death (BP) 114/2605(4.38%) 1.59E−63 2.05E−60
GO:0043067 regulation of programmed cell death (BP) 103/1991(5.17%) 4.85E−62 6.24E−59
GO:0010941 regulation of cell death(BP) 105/2153(4.88%) 4.24E−61 5.45E−58
GO:0042981 regulation of apoptotic process(BP) 101/1971(5.12%) 5.21E−60 6.69E−57
GO:0042127 regulation of cell population proliferation(BP) 100/2092(4.78%) 2.59E−56 3.32E−53
GO:1901700 response to oxygen-containing compound(BP) 98/2088(4.69%) 4.63E−54 5.94E−51
GO:0051247 positive regulation of protein metabolic process(BP) 97/2115(4.59%) 2.12E−52 2.72E−49
GO:0043069 negative regulation of programmed cell death(BP) 78/1182(6.60%) 2.21E−51 2.83E−48
GO:0060548 negative regulation of cell death(BP) 78/1299(6.16%) 1.23E−50 1.58E−47
GO:0031093 platelet alpha granule lumen(CC) 15/88(17.05%) 3.46E−16 1.14E−14
GO:0031091 platelet alpha granule(CC) 16/118(13.56%) 1.51E−15 4.83E−14
GO:0031983 vesicle lumen(CC) 24/470(5.11%) 4.76E−13 1.48E−11
GO:0060205 cytoplasmic vesicle lumen(CC) 23/469(4.90%) 3.51E−12 1.05E−10
GO:0034774 secretory granule lumen(CC) 22/448(4.91%) 1.05E−11 3.06E−10
GO:0000307 cyclin-dependent protein kinase holoenzyme complex(CC) 10/57(17.54%) 2.54E−11 7.12E−10
GO:0045121 membrane raft(CC) 21/441(4.76%) 5.74E−11 1.55E−09
GO:0098857 membrane microdomain(CC) 21/442(4.75%) 5.98E−11 1.56E−09
GO:0098589 membrane region(CC) 21/457(4.60%) 1.11E−10 2.77E−09
GO:1902911 protein kinase complex(CC) 11/137(8.03%) 1.36E−08 3.26E−07
GO:0004672 protein kinase activity(MF) 72/1534(4.69%) 1.14E−36 2.51E−34
GO:0043085 positive regulation of catalytic activity(MF) 76/1809(4.20%) 9.45E−36 2.07E−33
GO:0016773 phosphotransferase activity, alcohol group as acceptor(MF) 73/1661(4.39%) 2.32E−35 5.06E−33
GO:0016301 kinase activity(MF) 75/1798(4.17%) 5.68E−35 1.23E−32
GO:0004674 protein serine/threonine kinase activity(MF) 60/1094(5.48%) 1.79E−33 3.87E−31
GO:0051338 regulation of transferase activity(MF) 64/1298(4.93%) 3.03E−33 6.51E−31
GO:0043549 regulation of kinase activity(MF) 61/1153(5.29%) 3.28E−33 7.01E−31
GO:0071900 regulation of protein serine/threonine kinase activity(MF) 50/708(7.06%) 1.36E−32 2.89E−30
GO:0045859 regulation of protein kinase activity(MF) 58/1067(5.44%) 4.95E−32 1.05E−29
GO:0033674 positive regulation of kinase activity(MF) 50/7755(6.45%) 9.88E−31 2.08E−28

The top 10 enriched biological processes are shown in Fig. 4A. The enrichment results included apoptosis, programmed cell death, regulation of programmed cell death, regulation of cell death, regulation of apoptotic process, regulation of cell population proliferation, response to oxygen-containing compound, negative regulation of programmed cell death, and negative regulation of cell death. The top 10 enriched cellular components are shown in Fig. 4B. The enrichment results included platelet alpha granule lumen, platelet alpha granules, vesicle lumen, cytoplasmic vesicle lumen, secretory granule lumen, cyclin-dependent protein kinase holoenzyme complex, membrane raft, membrane microdomain, membrane region, and protein kinase complex. The top 10 enriched molecular function terms are shown in Fig. 4C. The enrichment results included protein kinase activity, positive regulation of catalytic activity, phosphotransferase activity, alcohol group as acceptor, phosphokinase activity, kinase activity, protein serine/threonine kinase activity, regulation of transferase activity, regulation of kinase activity, regulation of protein serine/threonine kinase activity, regulation of protein kinase activity, and positive regulation of kinase activity.

GO and KEGG analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (A) GO biological process analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (B) GO cell components analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (C) GO molecular function analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (D) KEGG analysis of ‘guava leaf – lung cancer’ cross-gene.
Fig. 4
GO and KEGG analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (A) GO biological process analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (B) GO cell components analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (C) GO molecular function analysis of ‘guava leaf – lung cancer’ interactive gene with P-values from small to large. (D) KEGG analysis of ‘guava leaf – lung cancer’ cross-gene.

KEGG enrichment analysis results of common genes between guava leaf constituent target and lung cancer related genes are shown in Fig. 4D, Table 7 and Table 8. The top 10 common enriched pathways are listed below: cancer pathway, hepatitis B, proteoglycans in cancer, prostate cancer, PI3K-Akt signaling pathway, AGE-RAGE signaling pathway in diabetic complications, endocrine resistance, pancreatic cancer, EGFR tyrosine kinase inhibitor resistance, and FoxO signaling pathway. The non-small cell lung cancer and small cell lung cancer pathways were also recorded.

Table 7 Results of KEGG enrichment analysis of “guava leaf-lung cancer” interactive gene.
KEGG ID GO Term Percentage of genes P-Value Corr P-Value
hsa05200 Pathways in cancer 74/397(18.64%) 1.63E−101 3.53E−99
hsa05161 Hepatitis B 44/146(30.14%) 1.06E−66 1.15E−64
hsa05205 Proteoglycans in cancer 43/205(20.98%) 3.33E−59 2.41E−57
hsa05215 Prostate cancer 34/89(38.20%) 2.56E−54 1.39E−52
hsa04151 PI3K-Akt signaling pathway 45/342(13.16%) 9.08E−54 3.94E−52
hsa04933 AGE-RAGE signaling pathway in diabetic complications 34/101(33.66%) 9.60E−53 3.47E−51
hsa01522 Endocrine resistance 32/97 (32.99%) 2.15E−49 6.68E−48
hsa05212 Pancreatic cancer 29/66(43.94%) 8.75E−48 2.37E−46
hsa01521 EGFR tyrosine kinase inhibitor resistance 30/81(37.04%) 1.39E−47 3.35E−46
hsa04068 FoxO signaling pathway 33/134(24.63%) 2.60E−47 5.64E−46
hsa05223 Non-small cell lung cancer 25/56(44.64%) 2.17E−41 3.63E−40
hsa05222 Small cell lung cancer 26/86(30.23%) 2.45E−39 2.95E−38
Table 8 The enrichment gene list of KEGG of “guava leaf - lung cancer” interaction gene.
KEGG ID Enriched genes in the KEGG pathway
hsa05200 CCND1,BCL2,BCL2L1,PIK3CG,TGFB2,XIAP,KIT,BIRC5,MAP2K1,PTGS2,NOS2,JUN,RAD51,ABL1,PTEN,CASP3,TP53,GSTP1,CXCL8,DAPK1,IGF1,RB1,EP300,CDK4,BMP2,AKT2,CDK6,FGFR1,FGF2,TGFB1,HGF,MMP1,MMP2,RASSF1,APC,AKT1,BAX,MMP9,IGF1R,CYCS,BIRC7,BRAF,MDM2,EGFR,RAF1,EGF,MYC,E2F1,PPARG,MET,STAT3,NFKBIA,FN1,CDKN1A,MAPK3,MAPK1,CASP8,PRKCA,MAPK8,ERBB2,IL6,CDKN2A,STAT1,FASLG,KLK3,CDK2,VEGFA,AR,RARB,HRAS,RELA,PIK3R1,CASP9,CTNNA1
hsa05161 CCND1,BCL2,PIK3CG,TGFB2,BIRC5,MAP2K1,JUN,TNF,PTEN,CASP3,TP53,CXCL8,RB1,EP300,CDK4,CDK2,CCNA2,PIK3R1,AKT1,BAX,MMP9,AKT2,CYCS,RAF1,TGFB1,MYC,E2F1,CDK6,SRC,STAT3,NFKBIA,CASP9,CDKN1A,MAPK3,MAPK1,CASP8,PRKCA,MAPK8,IL6,STAT1,FASLG,HRAS,RELA,CREB1
hsa05205 CCND1,PIK3CG,MYC,MAP2K1,ESR1,TNF,CAV1,CASP3,TP53,KDR,IGF1,MMP9,AKT2,FGFR1,FGF2,HGF,MMP2,AKT1,IGF2,IGF2,IGF1R,MDM2,BRAF,EGFR,RAF1,TGFB1,TGFB2,MAPK14,SRC,MET,PLAU,FN1,CDKN1A,MAPK3,MAPK1,PRKCA,STAT3,ERBB2,FASLG,VEGFA,HRAS,PIK3R1,ERBB3,ERBB4
hsa05215 CDK2,CDKN1A,CREB1,E2F1,EGF,EGFR,EP300,ERBB2,AKT1,AKT2,FGFR1,GSTP1,HRAS,IGF1,IGF1R,KLK3,INS,AR,MDM2,NFKBIA,PIK3CG,PIK3R1,MAPK1,MAPK3,MAP2K1,PTEN,RAF1,RB1,CCND1,BCL2,RELA,BRAF,TP53,CASP9
hsa04151 CDK2,CDK4,CDK6,CDKN1A,CREB1,EGF,EGFR,AKT1,AKT2,FGF2,FGFR1,FN1,HGF,HRAS,IGF1,IGF1R,IL2,FASLG,IL4,IL6,INS,JAK2,KDR,KIT,MCL1,MDM2,MET,MYC,NOS3,PIK3CG,PIK3R1,PRKCA,MAPK1,MAPK3,MAP2K1,PTEN,RAF1,CCND1,BCL2,RELA,BCL2L1,SPP1,TP53,VEGFA,CASP9
hsa04933 CDK4,MAPK14,AKT1,AKT2,FN1,HRAS,ICAM1,IL1A,IL1B,IL6,CXCL8,JAK2,JUN,MMP2,NOS3,SERPINE1,PIK3CG,PIK3R1,PRKCA,MAPK1,MAPK3,MAPK8,BAX,CCND1,BCL2,RELA,CCL2,STAT1,STAT3,TGFB1,TGFB2,TNF,VEGFA,CASP3
hsa01522 CDK4,CDKN1A,CDKN2A,MAPK14,E2F1,EGFR,ERBB2,AKT1,AKT2,ESR1,ESR2,HRAS,IGF1,IGF1R,JUN,MDM2,MMP2,MMP9,PIK3CG,PIK3R1,MAPK1,MAPK3,MAPK8,MAP2K1,BAX,RAF1,RB1,CCND1,BCL2,SRC,BRAF,TP53
hsa05212 CDK4,CDK6,CDKN2A,E2F1,EGF,EGFR,ERBB2,AKT1,AKT2,PIK3CG,PIK3R1,MAPK1,MAPK3,MAPK8,MAP2K1,RAD51,RAF1,RB1,CCND1,RELA,BCL2L1,BRAF,STAT1,STAT3,TGFB1,TGFB2,TP53,VEGFA,CASP9
hsa01521 EGF,EGFR,ERBB2,ERBB3,AKT1,AKT2,FGF2,HGF,HRAS,IGF1,IGF1R,IL6,JAK2,KDR,MET,PIK3CG,PIK3R1,PRKCA,MAPK1,MAPK3,MAP2K1,PTEN,BAX,RAF1,BCL2,BCL2L1,SRC,BRAF,STAT3,VEGFA
hsa04068 CDK2,CDKN1A,MAPK14,GADD45A,EGF,EGFR,EP300,AKT1,AKT2,HRAS,IGF1,IGF1R,FASLG,IL6,IL10,INS,MDM2,ATM,PIK3CG,PIK3R1,MAPK1,MAPK3,MAPK8,MAP2K1,PTEN,RAF1,CCND1,BRAF,STAT3,TGFB1,TGFB2,CAT,CCNB1
hsa05223 CDK4,CDK6,CDKN2A,RASSF1,E2F1,EGF,EGFR,ERBB2,AKT1,AKT2,FHIT,HRAS,PIK3CG,PIK3R1,PRKCA,MAPK1,MAPK3,MAP2K1,RAF1,RARB,RB1,CCND1,BRAF,TP53,CASP9
hsa05222 CDK2,CDK4,CDK6,E2F1,AKT1,AKT2,FHIT,FN1,XIAP,MYC,NFKBIA,NOS2,PIK3CG,PIK3R1,CYCS,PTEN,PTGS2,RARB,RB1,CCND1,BCL2,RELA,BCL2L1,TP53,BIRC7,CASP9

One of these pathways is the PI3K-Akt signaling pathway, which has been shown to play an important regulatory role in tumor therapy. The PI3K-Akt signaling pathway is an important pathway for cell survival, metabolism, angiogenesis, apoptosis, proliferation and differentiation. The substrate is used to control key cellular processes, and many targets are involved in this pathway and AKT also plays an important role in the regulation of this pathway (Ebrahimi et al., 2017). In order to investigate the effectiveness of guava leaf constituents on lung cancer via the PI3K-Akt signaling pathway, we analyzed the expression (Fig. 5A) and the pathway activities (Fig. 5) of these genes in lung squamous cell carcinoma (LUSC) and lung adenocarcinoma (LUAD) samples from TCGA database in the GSCAlite online platform. The results indicated that the PI3K-Akt signaling pathway genes that could be potentially affected by the guava leaf constituents showed differential expression with some of them being downregulated (Fig. 5A, blue color dot) or upregulated (Fig. 5A, red color dot) in both LUSC and LUAD. In addition, we found that some of the target genes of the guava leaf constituents did not show differential expression in lung cancer (Fig. 5A). Furthermore, in pathway activity analysis, we found that these target genes were involved in the inhibition or activation of important pathways such as PI3K-Akt, apoptosis, cell cycle, EMT, DNA damage response, hormone AR, TSC/mTOR, RAS/MAPK, RTK and hormone ER pathways.

The expression and pathways activity analysis of guava leaf constituent target genes in the PI3K-Akt signaling pathway. (A) The mRNA expression profile of genes. The dots represent the fold change; the blue color indicates downregulation while the red color indicates upregulation. The size of the dot is proportional to the expression foldchange (FC). (B) Pathway activity analysis.
Fig. 5
The expression and pathways activity analysis of guava leaf constituent target genes in the PI3K-Akt signaling pathway. (A) The mRNA expression profile of genes. The dots represent the fold change; the blue color indicates downregulation while the red color indicates upregulation. The size of the dot is proportional to the expression foldchange (FC). (B) Pathway activity analysis.

3.6

3.6 Molecular docking

The previous drug-disease interaction gene network topological analysis showed that the 10 genes with the strongest interaction were STAT3, TP53, AKT1, JUN, IL6, VEGFA, SRC, TNF, HRAS, and CDKN1A, which are effective in the “Guava leaf-constituent category” network. The Cytoscape interaction network of component-genes showed that the five compounds with strong interaction between guava leaf constituents and lung cancer genes were quercetin, genistein, apigenin, ursolic acid, and daidzein. The five compounds and 10 target proteins were molecularly docked by online molecular docking on the systemsDock website. The score of the database system docking was between 0 and 10. The larger the docking score, the better the docking effect, and the greater the binding activity between the docking molecule and the target. A docking score greater than 4.25 indicates that a ligand has a certain binding activity with a receptor; a score greater than 5.0 indicates a better binding activity; a score greater than 7.0 indicates a strong binding activity (Hsin et al., 2016). The PDB ID of the 10 genes was molecularly docked with the five compounds. The docking scores of all compounds and proteins were greater than 4.25, indicating the presence of binding activity. The molecular docking results are shown in Table 9.

Table 9 Docking results of receptor proteins and ligand compounds.
Ligand ID compounds Receptor proteins PDB ID gene Docking results
5,280,343 quercetin Signal transducer and activator of transcription 3 1BG1 STAT3 7.475
5,280,863 kaempferol Signal transducer and activator of transcription 3 1BG1 STAT3 7.437
5,280,961 Genistein Signal transducer and activator of transcription 3 1BG1 STAT3 7.809
5,281,708 Daidzein Signal transducer and activator of transcription 3 1BG1 STAT3 7.811
64,945 ursolic acid Signal transducer and activator of transcription 3 1BG1 STAT3 4.88
5,280,343 quercetin Cellular tumor antigen p53 5MGT TP53 6.658
5,280,863 kaempferol Cellular tumor antigen p53 5MGT TP53 6.689
5,280,961 Genistein Cellular tumor antigen p53 5MGT TP53 6.669
5,281,708 Daidzein Cellular tumor antigen p53 5MGT TP53 6.662
64,945 ursolic acid Cellular tumor antigen p53 5MGT TP53 5.464
5,280,343 quercetin RAC-alpha serine/threonine-protein kinase 3CQW AKT1 6.847
5,280,863 kaempferol RAC-alpha serine/threonine-protein kinase 3CQW AKT1 6.858
5,280,961 Genistein RAC-alpha serine/threonine-protein kinase 3CQW AKT1 6.824
5,281,708 Daidzein RAC-alpha serine/threonine-protein kinase 3CQW AKT1 6.85
64,945 ursolic acid RAC-alpha serine/threonine-protein kinase 3CQW AKT1 8.331
5,280,343 quercetin Interleukin-6 1ALU IL6 6.684
5,280,863 kaempferol Interleukin-6 1ALU IL6 6.656
5,280,961 Genistein Interleukin-6 1ALU IL6 6.632
5,281,708 Daidzein Interleukin-6 1ALU IL6 6.663
64,945 ursolic acid Interleukin-6 1ALU IL6 4.936
5,280,343 quercetin Transcription factor AP-1 5TO1 JUN 6.569
5,280,863 kaempferol Transcription factor AP-1 5TO1 JUN 6.548
5,280,961 Genistein Transcription factor AP-1 5TO1 JUN 6.59
5,281,708 Daidzein Transcription factor AP-1 5TO1 JUN 6.637
64,945 ursolic acid Transcription factor AP-1 5TO1 JUN 4.892
5,280,343 quercetin Vascular endothelial growth factor A 6BFT VEGFA 5.849
5,280,863 kaempferol Vascular endothelial growth factor A 6BFT VEGFA 5.937
5,280,961 Genistein Vascular endothelial growth factor A 6BFT VEGFA 6.601
5,281,708 Daidzein Vascular endothelial growth factor A 6BFT VEGFA 6.65
64,945 ursolic acid Vascular endothelial growth factor A 6BFT VEGFA 5.799
5,280,343 quercetin Proto-oncogene tyrosine-protein kinase Src 2BDJ SRC 6.46
5,280,863 kaempferol Proto-oncogene tyrosine-protein kinase Src 2BDJ SRC 6.785
5,280,961 Genistein Proto-oncogene tyrosine-protein kinase Src 2BDJ SRC 6.246
5,281,708 Daidzein Proto-oncogene tyrosine-protein kinase Src 2BDJ SRC 6.789
64,945 ursolic acid Proto-oncogene tyrosine-protein kinase Src 2BDJ SRC 7.927
5,280,343 quercetin Tumor necrosis factor 3ALQ TNF 4.904
5,280,863 kaempferol Tumor necrosis factor 3ALQ TNF 5.01
5,280,961 Genistein Tumor necrosis factor 3ALQ TNF 5.109
5,281,708 Daidzein Tumor necrosis factor 3ALQ TNF 5.063
64,945 ursolic acid Tumor necrosis factor 3ALQ TNF 5.945
5,280,343 quercetin GTPase HRas 6D5W HRAS 6.434
5,280,863 kaempferol GTPase HRas 6D5W HRAS 6.582
5,280,961 Genistein GTPase HRas 6D5W HRAS 6.595
5,281,708 Daidzein GTPase HRas 6D5W HRAS 6.605
64,945 ursolic acid GTPase HRas 6D5W HRAS 7.867
5,280,343 quercetin Cyclin-dependent kinase inhibitor 1 3TS8 CDKN1A 5.02
5,280,863 kaempferol Cyclin-dependent kinase inhibitor 1 3TS8 CDKN1A 5.023
5,280,961 Genistein Cyclin-dependent kinase inhibitor 1 3TS8 CDKN1A 4.663
5,281,708 Daidzein Cyclin-dependent kinase inhibitor 1 3TS8 CDKN1A 4.94
64,945 ursolic acid Cyclin-dependent kinase inhibitor 1 3TS8 CDKN1A 8.148

A heat map of the molecular docking is shown in Fig. 6A. The deeper the color, the better the docking effect. The effect of molecular docking is also shown by the heat map. Table 9 and Fig. 6A showed that the compound with the highest binding activity to the protein receptor STAT3 was genistein; that with the highest binding activity to the protein receptor TP53 was kaempferol; that with the highest binding activity to the protein receptor AKT1 was kaempferol; that with the highest binding activity to the protein receptor AKT1 was quercetin; that with the highest binding activity to the protein receptor JUN was daidzein; that with the highest binding activity to the protein receptor VEGFA was genistein; that with the highest binding activity to the protein receptor SRC was ursolic acid; that with the highest binding activity to the protein receptor TNF was ursolic acid; that with the highest binding activity to the protein receptor HRAS was ursolic acid; and that with the highest binding activity to the protein receptor CDKN1A was ursolic Acid.

Molecular docking. (A) A heat map showing the docking of receptor protein and ligand. (B) A diagram showing the genetic variation in lung squamous cell carcinoma.
Fig. 6
Molecular docking. (A) A heat map showing the docking of receptor protein and ligand. (B) A diagram showing the genetic variation in lung squamous cell carcinoma.

The 3D and 2D structures of their docking are shown in Table 10. In the 2D docking diagram of the third column, there is a specific case where the ligand binds to the receptor, and the surrounding red bar represents a bond-free protein residue within the ligand; the structure linked by the bat is a ligand compound and is subjected to the body protein. Purple represents a ligand compound; yellow represents a receptor protein. Red font represents the binding mode between the ligand and the receptor; the green dotted line represents a hydrogen bond. In these docking results, the docking activity of the receptor protein AKT1 and the ligand ursolic acid was 8.331, which was bound by Met 227 (A), Glu234 (A), and Thr291 (A); the receptor protein CDKN1A and the ligand compound ursolic acid, with docking activity of 8.148, and bound by a hydrogen bond with Asn247 (B) and Met246 (B), with bond lengths of 3.12 and 2.76, respectively, as well as with Cys242 (B), Met243 (A), Asn239 (B), Leu137 (B), Cys238 (B), Arg175 (B), and Arg174 (B), which directly bound.

Table 10 Molecular docking diagrams of the 3D and 2D structure.
Docking result of 3ALQ and ursolic acid
Docking result of 3TS8 and ursolic acid
Docking result of 5GMT and kaempferol
Docking result of 5TO1 and Daidzein
Docking result of 6BFT and Genistein
Docking result of 6D5W and ursolic acid
Docking result of 3CQW and kaempferol
Docking result of 1ALU and quercetin
Docking result of 2BDJ and ursolic acid
Docking result of 1BG1 and Daidzein

3.7

3.7 cBioPortal analysis

cBioPortal is a database used for tumor research. The expression of the genes STAT3, TP53, AKT1, IL6, and JUN in 501 patients with lung squamous cell carcinoma was studied. The expression of these genes in the selected lung cancer samples is shown in Fig. 6B. The first part is the expression of genes, including inframe mutation, missense mutation, truncating mutation, amplification, deep deletion, mRNA level upregulation (mRNA High), mRNA level downregulation (mRNA Low), and no alterations. The second part is a heat map of the gene mRNA levels.

According to the data in Fig. 6B, TP53 and AKT1 were highly expressed in these 501 cancer patients. TP53 was mainly expressed in patients with mutations (129 cases, 25.75%), increased copy number (1 case, 0.2%), mRNA level upregulation (6 cases, 1.2%), high protein level (5 cases, 1%), low protein level (8 cases, 1.8%), and multiple alterations (17 cases, 3.39%). AKT1 was expressed mainly in patients with mutations (1 case, 0.2%), increased copy number (5 cases, 1%), mRNA level upregulation (34 cases, 6.79%), mRNA level downregulation (34 cases, 6.79%), high protein level (2 cases, 0.4%), low protein level (15 cases, 2.99%), and multiple alterations (16 cases, 3.19%).

4

4 Discussion

Guava leaves are medicinal herbs with various pharmacological effects and a wide range of research and development significance. Guava leaves also have certain antitumor effects. Lung cancer is a common tumor. Currently, there is no particularly effective method for the diagnosis and treatment of lung cancer. Image detection is a commonly used diagnostic method (Hong et al., 2019), followed by genetic diagnosis (Munne and Wells, 2002). Lung cancer has a very low cure rate, and recent approaches to treat lung cancer include immunotherapy, radiotherapy, and targeted therapy (Alasti et al., 2006; Petrosyan et al., 2012; Tsang et al., 2014; Zhang et al., 2019). In this study, the role of guava leaves in lung cancer was studied by network pharmacology to elucidate their correlation and provide a relevant basis for experimental research. In recent years, the pharmacology of traditional Chinese medicine has been continuously developed and has occupied a place in medical research.

From the research point of view, examination of the potential intersection of guava leaf potential target and lung cancer genes revealed 153 common genes, and the interaction between STAT3, TP53, AKT1, IL6, JUN, and VEGFA was the strongest. Using the 66 compounds in guava leaves and the 153 genes, we constructed a “guava leaf-constituent category-active constituent-gene” network“, and our results showed that the compounds quercetin, genistein, apigenin, ursolic acid, daidzein, and lung cancer showed the strongest effect. The proteins with the strongest interaction were VDR, CDK2, MAP2K1, CDK6, MET, ABL1, PPARG, IL2, EGFR, and PGR, indicating that these genes interacted with most constituents of guava leaves, showing that these constituents have high antitumor activities.

GO annotation is an important means to examine the function of gene products (Leale et al., 2018). Through GO analysis, in biological processes, enrichment information includes apoptosis, programmed cell death, cell proliferation, etc.; in terms of cellular components, enrichment Information includes platelets, cell membranes, protein kinases, etc.; in terms of molecular function, it is mainly reflected in enzyme activity and regulation of enzyme activity.

KEGG enrichment analysis provides information on integrated metabolic pathways including metabolism, membrane trafficking, signal processing, and cell cycle. The PI3K-Akt signaling pathway is a typical tumor signaling pathway. In many primary and metastatic human cancers, PTEN activity is lost owing to mutations, deletions, or high-frequency silencing of promoter methylation. It is important for prediction in targeted therapy (Fresno Vara et al., 2004; Carnero et al., 2008; Ma and Hu, 2013). EGFR tyrosine kinases are important for the treatment of non-small cell lung cancer, including monoclonal antibodies. The current clinical representatives are cetuximab and panitumumab as well as EGFR-tyrosine kinase inhibitor. The combination inhibits the binding site of ATP and tyrosine kinase, thereby cutting the downstream signaling pathway and exerting antitumor effect (Toulabi and Ryan, 2018). EGFR is of great significance in the study of non-small cell lung cancer and has potential implications for drug therapy (Mead et al., 1980; Marchetti et al., 2005). In the small cell lung cancer pathway, the tumor suppressor genes are p53, PTEN, RB, and FHIT. ECM activates membrane receptors, and through ITGA and ITGB conduction, activates FAK conduction to activate PI3K activity and express the PKB/AKT signaling pathway. Through continuous phosphorylation and activation of IκBα, the free NF-κB signal is activated into the nucleus for gene network regulation. STAT3 and VEGF may play a reverse regulatory role on the metastasis of lung cancer (Wang et al., 2011). The p53 gene also has an antitumor effect, and Ad-p53 combined with chemotherapy can reverse the chemoresistance of tumor cells and produce a synergistic antitumor effect (Matsubara et al., 2001; Meng and El-Deiry, 2002). In addition, there are other genes expressed in lung cancer that were targeted by guava leaves, representing a potential research direction as clinical anticancer targets.

Analysis of lung squamous cell carcinoma by the cBioPortal tumor database revealed that the genes targeted by Chinese medicine and disease genes are highly expressed in cancer patients, and can undergo mutations, such as addition and deletion, and expression regulation. TP53 and AKT1 were the two most strongly expressed genes in the cancer patients surveyed. Hence, different compounds in guava leaves regulated the same target, and one compound regulated multiple targets and participated in multiple pathways and biological processes, reflecting the multi-target and multi-channel characteristics of guava leaves.

5

5 Conclusions

Through network pharmacology research, we found that guava leaves had potential targets that interacted with various tumors, regulating the signaling pathways of cancers. The PI3K-Akt signaling pathway, an important signaling pathway in the study of tumor processes, regulates the proliferation of tumor cells and plays a role in tumor cell migration, tumor adhesion, tumor angiogenesis, and extracellular matrix degradation (Chatterjee et al., 2013; Liu et al., 2014; Wang et al., 2016a). The TP53 gene is an important tumor suppressor gene involved in many gene network regulation processes, and has a reference significance in the research and development of new drugs and targeted therapy.

Many of the pharmacological effects of guava leaves are yet to be developed. There are many compounds in guava leaves. At present, antitumor studies on guava leaves are still lacking, although some studies have shown that guava leaves exert antitumor effects. This study preliminarily verified the pharmacological basis and the related mechanism of the antitumor effect of guava leaves, providing a foundation for further research. It is also hoped that specific experiments will be carried out to verify the pharmacological effects of guava leaves against tumors. If successful, the lack of cancer research on guava leaves will be overcame. In addition, network pharmacology is a hot topic of research; we hope to conduct more research projects in the future to provide a basis for future research on new drugs.

6

6 Data availability

The data used to support the findings of this study are included within the article.

Author contribution

LJ has made substantial contributions to conception and design, interpretation of data, and manuscript writing. WJ has made substantial contributions to acquisition and analysis of data. YQ and JL received the funding supporting for the study. YW has made substantial contributions to acquisition of data.

Funding

This work was supported by the Guangxi Natural Science Foundation Program [Grant number 2018GXNSFAA138140]; the Basic Competence Improvement Project for Middle and Young Teachers in Guangxi universities [Grant number KY2016LX281]; the Hechi University School Research Project [Grant number 2014QN-N005]; and the Hechi University High-level Talent Research Startup Project [Grant number XJ2018GKQ014].

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References

  1. , , , , , , , . A novel four-dimensional radiotherapy method for lung cancer: imaging, treatment planning and delivery. Phys. Med. Biol.. 2006;51:3251-3267.
    [CrossRef] [Google Scholar]
  2. , , , , , , . Critical pharmacokinetic and pharmacodynamic drug-herb interactions in rats between warfarin and pomegranate peel or guava leaves extracts. BMC Complement. Altern. Med.. 2019;19:29.
    [CrossRef] [Google Scholar]
  3. , , , , , , . Chemical composition, antioxidant, antitumor, anticancer and cytotoxic effects of Psidium guajava leaf extracts. Pharm. Biol.. 2016;54:1971-1981.
    [CrossRef] [Google Scholar]
  4. , , , , . DisGeNET: a Cytoscape plugin to visualize, integrate, search and analyze gene-disease networks. Bioinformatics. 2010;26:2924-2926.
    [CrossRef] [Google Scholar]
  5. , , , , . Network-based approaches in pharmacology. Mol. Inform.. 2017;36
    [CrossRef] [Google Scholar]
  6. , , , , , . The PTEN/PI3K/AKT signalling pathway in cancer, therapeutic implications. Curr. Cancer Drug Targets. 2008;8:187-198.
    [CrossRef] [Google Scholar]
  7. , , , , , , . The PI3K/Akt signaling pathway regulates the expression of Hsp70, which critically contributes to Hsp90-chaperone function and tumor cell survival in multiple myeloma. Haematologica. 2013;98:1132-1141.
    [CrossRef] [Google Scholar]
  8. , , , , , , . Lung cancer incidence and mortality in China in 2013. Zhonghua Zhong Liu Za Zhi. 2017;39:795-800.
    [CrossRef] [Google Scholar]
  9. , . Systems pharmacology – towards the modeling of network interactions. Eur. J. Pharm. Sci.. 2016;94:4-14.
    [CrossRef] [Google Scholar]
  10. , , , , , , , , . Targeting the Akt/PI3K signaling pathway as a potential therapeutic strategy for the treatment of pancreatic cancer. Curr. Med. Chem.. 2017;24:1321-1331.
    [CrossRef] [Google Scholar]
  11. , , , , . Cytotoxic and antioxidant constituents from the leaves of Psidium guajava. Bioorg. Med. Chem. Lett.. 2015;25:2193-2198.
    [CrossRef] [Google Scholar]
  12. , , , , , , . PI3K/Akt signalling pathway and cancer. Cancer Treat. Rev.. 2004;30:193-204.
    [CrossRef] [Google Scholar]
  13. , , , . Psidium guajava: a review of its traditional uses, phytochemistry and pharmacology. J. Ethnopharmacol.. 2008;117:1-27.
    [CrossRef] [Google Scholar]
  14. , , , . Added value of bone suppression image in the detection of subtle lung lesions on chest radiographs with regard to reader's expertise. J. Korean Med. Sci.. 2019;34:e250
    [CrossRef] [Google Scholar]
  15. , , , . Combining machine learning systems and multiple docking simulation packages to improve docking prediction reliability for network pharmacology. PLoS ONE. 2013;8:e83922
    [CrossRef] [Google Scholar]
  16. , , , , , , , . systemsDock: a web server for network pharmacology-based prediction and analysis. Nucleic Acids Res.. 2016;44:W507-513.
    [CrossRef] [Google Scholar]
  17. , , , , , , , . VNP: interactive visual network pharmacology of diseases, targets, and drugs. CPT Pharmacometrics Syst. Pharmacol.. 2014;3:e105
    [CrossRef] [Google Scholar]
  18. , , , , , , , . The antitumor activities of flavonoids. Vivo. 2005;19:895-909.
    [Google Scholar]
  19. , , , , , , , , , , , , , , . PubChem substance and compound databases. Nucleic Acids Res.. 2016;44:D1202-D1213.
    [CrossRef] [Google Scholar]
  20. , , , . Cytoscape: software for visualization and analysis of biological networks. Methods Mol. Biol.. 2011;696:291-303.
    [CrossRef] [Google Scholar]
  21. , , , , , . Inferring unknown biological function by integration of GO annotations and gene expression data. IEEE/ACM Trans. Comput. Biol. Bioinform.. 2018;15:168-180.
    [CrossRef] [Google Scholar]
  22. , , . Anticancer activity of guava (Psidium guajava L.) branch extracts against HT-29 human colon cancer cells. J. Med. Plants Res.. 2010;4:891-896.
    [Google Scholar]
  23. , . Systems biology – a pivotal research methodology for understanding the mechanisms of traditional medicine. J. Pharmacopuncture. 2015;18:11-18.
    [CrossRef] [Google Scholar]
  24. , , , , , , , , , , . Glutaminase 2 negatively regulates the PI3K/AKT signaling and shows tumor suppression activity in human hepatocellular carcinoma. Oncotarget. 2014;5:2635-2647.
    [CrossRef] [Google Scholar]
  25. , , , , , , , , , , . PharmMapper server: a web server for potential drug target identification using pharmacophore mapping approach. Nucleic Acids Res.. 2010;38:W609-614.
    [CrossRef] [Google Scholar]
  26. , , , , . Terpenoids progress in the anti-tum or research. Heilongjiang Sci. Technol. Inform.. 2016;30:149-151.
    [Google Scholar]
  27. , , , , , . Antioxidant and anti-diabetic activities of polysaccharides from guava leaves. Molecules. 2019;24
    [CrossRef] [Google Scholar]
  28. , , . Targeting PI3K/Akt/mTOR cascade: the medicinal potential, updated research highlights and challenges ahead. Curr. Med. Chem.. 2013;20(24):2991-3010.
    [CrossRef] [Google Scholar]
  29. , , , , , , . EGFR mutations in non-small-cell lung cancer: analysis of a large series of cases and development of a rapid and sensitive method for diagnostic screening with potential implications on pharmacologic treatment. J. Clin. Oncol.. 2005;23:857-865.
    [CrossRef] [Google Scholar]
  30. , , , , , , . Combinatory anti-tumor effects of electroporation-mediated chemotherapy and wild-type p53 gene transfer to human esophageal cancer cells. Int. J. Oncol.. 2001;18:825-829.
    [CrossRef] [Google Scholar]
  31. , , , , , . Small-cell lung cancer. Lancet. 1980;1:252.
    [CrossRef] [Google Scholar]
  32. Meng, R.D., El-Deiry, W.S., 2002. “CHAPTER 18 - Cancer Gene Therapy with the p53 Tumor Suppressor Gene,” in Gene Therapy of Cancer (Second Edition), eds. E.C. Lattime & S.L. Gerson. (San Diego: Academic Press), 299-313.
  33. , , . Preimplantation genetic diagnosis. Curr. Opin. Obstet. Gynecol.. 2002;14:239-244.
    [CrossRef] [Google Scholar]
  34. , , , , , , . Spectroscopic characteristics of novel Psidium meroterpenoids isolated from guava leaves. Zhongguo Zhong Yao Za Zhi. 2015;40:2898-2902.
    [Google Scholar]
  35. , , , , . Targeted therapy for lung cancer. Anticancer Drugs. 2012;23:1016-1021.
    [CrossRef] [Google Scholar]
  36. , , , , , , , , , . Epidemiology, incidence and mortality of lung cancer and their relationship with the development index in the world. J. Thorac. Dis.. 2016;8:1094-1102.
    [CrossRef] [Google Scholar]
  37. , , , , , , , , , , , , , , . TCMSP: a database of systems pharmacology for drug discovery from herbal medicines. J. Cheminform.. 2014;6:13.
    [CrossRef] [Google Scholar]
  38. , , , , , , . Study to find the best extraction solvent for use with guava leaves (Psidium guajava L.) for high antioxidant efficacy. Food Sci. Nutr.. 2014;2:174-180.
    [CrossRef] [Google Scholar]
  39. , , , , , , , . Four new triterpenoids from the leaves of Psidium guajava. J. Asian Nat. Prod. Res.. 2012;14:348-354.
    [CrossRef] [Google Scholar]
  40. , , , , , , , , , , , . Guadial A and psiguadials C and D, three unusual meroterpenoids from Psidium guajava. Org. Lett.. 2012;14:5262-5265.
    [CrossRef] [Google Scholar]
  41. , , . Research advancement of the antitumor effect and mechanisms of triterpenoid comprised by traditional Chinese medicine. J. Modern Oncol.. 2011;19:1880-1883.
    [CrossRef] [Google Scholar]
  42. , , . Stressing the need to overcome EGFR tyrosine kinase inhibitor resistance. Transl. Lung Cancer Res.. 2018;7:S123-s126.
    [CrossRef] [Google Scholar]
  43. , , , , . Non-surgical treatment of lung cancer: personalised stereotactic ablative radiotherapy. Hong Kong Med. J.. 2014;20:529-536.
    [CrossRef] [Google Scholar]
  44. , , , , , , , . PTP4A3 is a target for inhibition of cell proliferatin, migration and invasion through Akt/mTOR signaling pathway in glioblastoma under the regulation of miR-137. Brain Res.. 2016;1646:441-450.
    [CrossRef] [Google Scholar]
  45. , , , , , . Fingerprint analysis and quality consistency evaluation of flavonoid compounds for fermented Guava leaf by combining high-performance liquid chromatography time-of-flight electrospray ionization mass spectrometry and chemometric methods. J. Sep. Sci.. 2016;39:3906-3916.
    [CrossRef] [Google Scholar]
  46. , , , , , , . Significance of CXCR4, phosphorylated STAT3 and VEGF-A expression in resected non-small cell lung cancer. Exp. Ther Med.. 2011;2:517-522.
    [CrossRef] [Google Scholar]
  47. , , , , , , . Prediction of quality markers of traditional Chinese medicines based on network pharmacology. Chinese Herbal Med. 2019
    [CrossRef] [Google Scholar]
  48. , , , , , , . Integration and analysis of CPTAC proteomics data in the context of cancer genomics in the cBioPortal. Mol. Cell. Proteomics. 2019;18:1893-1898.
    [CrossRef] [Google Scholar]
  49. , , . Network pharmacology: a new approach to unveiling Traditional Chinese Medicine. Chin. J. Nat. Med.. 2015;13:1-2.
    [CrossRef] [Google Scholar]
  50. , , , , , , . Spatial association between outdoor air pollution and lung cancer incidence in China. BMC Public Health. 2019;19:1377.
    [CrossRef] [Google Scholar]
  51. , , , , , , . Immune checkpoint blockade mediated by a small-molecule nanoinhibitor targeting the PD-1/PD-L1 pathway synergizes with photodynamic therapy to elicit antitumor immunity and antimetastatic effects on breast cancer. Small. 2019;e1903881
    [CrossRef] [Google Scholar]
Show Sections