Objective:The objective of this study is to analyze and identify the main chemical
components and blood-absorbed components of Xuantu Granules and predict their pharmacological
substance basis and mechanism in the treatment of DKD.Methods:A DKD rat model was established by feeding SD rats a high-fat and high-sugar diet
and administering intraperitoneal injections of streptozotocin (STZ). The therapeutic effect of
Xuantu granules was evaluated. Drug-containing serum was prepared after gavage, and the major
chemical components of Xuantu Granules and the drug-containing serum were detected using
UHPLC-Q-Exactive-HRMS. Blood-absorbed components were identified based on retention
time, mass-to-charge ratio, and MS/MS spectrum. Blood-absorbed components’ target proteins
were searched using the CTD, SwissTarget, BindingDB, and TargetNet databases. DKD disease
target genes were screened from the GEO database using WGCNA. A “bioactive blood-absorbed
component-target-disease” PPI network was constructed using Cytoscape software, and the key
clustering subnetworks were identified by MCODE plugin. GO functional analysis and KEGG
pathway enrichment analysis were performed on subnetworks.Results:Xuantu Granules lowered fasting blood glucose, improved renal function, reduced proteinuria,
and improved renal tissue pathological changes in DKD rats. 36 chemical components
were identified, among which 12 compounds, including β -Carboline-1-propionic acid, Morin,
Afzelin, Schizandrin, Gomisin A were identified as blood-absorbed components. Bioinformatics
analysis indicated that AKT1, TNF, TP53, IL6, SRC, IL1B, EGFR, JUN, BCL2, and CASP3
might be the main therapeutic targets. The involved pathways included the IL-17 signaling
pathway, PI3K-Akt signaling pathway, AGE-RAGE signaling pathway in diabetic complications
and so on.Conclusion:Xuantu Granules may exert therapeutic effects on DKD through multiple targets
and pathways.