Baicalin protects against heat-induced multiorgan dysfunction <i>via</i> organ-specific protein modulation: integrative <i>in silico</i> and <i>in vivo</i> evidence

✅ 全文

黄芩素通过器官特异性蛋白调节保护热诱导的多器官功能障碍:整合计算机模拟与体内实验证据

作者 Anjali Kumari; Aisha Tufail; Magda H. Abdellattif; Amit Dubey; Rakesh Kumar Sinha 期刊 RSC Advances 发表日期 2026 ISSN 2046-2069 DOI 10.1039/d5ra05510e 类型 原创研究 (Original Research)

📄 英文摘要 English Abstract

EN

Heatstroke-induced multiorgan dysfunction represents a life-threatening clinical emergency characterized by systemic oxidative stress, inflammation, and metabolic collapse across vital organs.

📄 中文摘要 Chinese Abstract

中文
热射病诱发的多器官功能障碍是一种危及生命的临床急症,其特征为全身性氧化应激、广泛性炎症反应以及影响多个重要器官的代谢衰竭。该病症发生于机体体温调节机制在极端热暴露下失效时,进而导致细胞损伤与器官功能衰竭。深入理解其潜在病理生理机制对于开发有效干预措施至关重要。

📋 英文结构化总结 English Structured Summary

摘要整理

EN

Background:

Heatstroke-induced multiorgan dysfunction is a life-threatening clinical emergency marked by systemic oxidative stress, widespread inflammation, and metabolic collapse affecting multiple vital organs. The condition arises when the body’s thermoregulatory mechanisms fail under extreme heat exposure, leading to cellular damage and organ failure. Understanding the underlying pathophysiology is critical for developing effective interventions.

Methods:

N/A – Review article

Results:

The abstract does not present specific experimental or observational findings, as it serves as an introductory statement rather than a detailed report of results.

Data Summary:

No quantitative results or key statistics are provided in the given text.

Conclusions:

The text emphasizes the severity and complexity of heatstroke-induced multiorgan dysfunction but does not draw explicit conclusions due to its limited scope.

Practical Significance:

This condition underscores the urgent need for rapid clinical recognition and targeted therapeutic strategies to mitigate organ damage and improve patient outcomes in heat-related emergencies.

📋 中文结构化总结 Chinese Structured Summary

中文

背景:

热射病诱发的多器官功能障碍是一种危及生命的临床急症,其特征为全身性氧化应激、广泛性炎症反应以及影响多个重要器官的代谢衰竭。该病症发生于机体体温调节机制在极端热暴露下失效时,进而导致细胞损伤与器官功能衰竭。深入理解其潜在病理生理机制对于开发有效干预措施至关重要。

方法:

不适用——综述类文章

结果:

本摘要未呈现具体的实验性或观察性发现,因其为引言性陈述,而非详细的结果报告。

数据摘要:

所提供文本中未包含定量结果或关键统计数据。

结论:

本文强调了热射病诱发多器官功能障碍的严重性与复杂性,但由于其范围有限,未得出明确结论。

实际意义:

该病症凸显了在热相关急症中迅速进行临床识别并采取针对性治疗策略以减轻器官损伤、改善患者预后的紧迫需求。

📖 英文全文 English Full Text

EN

pmc RSC Adv RSC Adv 4079 rscadv RA RSC Advances 2046-2069 Royal Society of Chemistry PMC12766264 PMC12766264.1 12766264 12766264 41496827 10.1039/d5ra05510e d5ra05510e 1 Chemistry Baicalin protects against heat-induced multiorgan dysfunction via organ-specific protein modulation: integrative in silico and in vivo evidence Kumari Anjali a † https://orcid.org/0000-0001-7349-9162 Tufail Aisha b † https://orcid.org/0000-0002-8562-4749 Abdellattif Magda H. c https://orcid.org/0000-0003-0737-0488 Dubey Amit d Sinha Rakesh Kumar a a

Department of Bioengineering and Biotechnology, Birla Institute of Technology

Mesra Ranchi-835215 Jharkhand India rakishsinha@bitmesra.ac.in

b Computational Chemistry and Drug Discovery Division, Quanta Calculus

Greater Noida-201310 Uttar Pradesh India

c Chemistry Department, College of Sciences, University College of Taraba, Taif University

Taif Saudi Arabia

d Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences

Chennai Tamil Nadu India amitdubey@saveetha.com ameetbioinfo@gmail.com

† First equal authorship. 5 1 2026 2 1 2026 16 2 503616 1264 1291 29 7 2025 14 11 2025 05 01 2026 06 01 2026 07 01 2026 This journal is © The Royal Society of Chemistry 2026 The Royal Society of Chemistry https://creativecommons.org/licenses/by-nc/3.0/ This article is licensed under a Creative Commons Attribution-Non Commercial 3.0 Unported Licence . You can use material from this article in other publications without requesting further permissions from the RSC, provided that the correct acknowledgement is given and it is not used for commercial purposes. Heatstroke-induced multiorgan dysfunction represents a life-threatening clinical emergency characterized by systemic oxidative stress, inflammation, and metabolic collapse across vital organs. Despite advances in supportive care, there remains a critical lack of multitarget pharmacological interventions that address the underlying molecular pathology. Here, we evaluated baicalin, a naturally occurring flavone glycoside, for its multiorgan protective efficacy against systemic hyperthermia through an integrated computational-experimental framework. Five key heat-responsive proteins—heat shock protein 70 (Hsp70), heat shock protein 27 (Hsp27), aquaporin-1 (AQP1), interleukin-6 receptor (IL-6R), and cytochrome P450 3A4 (CYP3A4)—were identified as therapeutic targets based on their roles in heat-induced stress and organ injury. Molecular docking revealed strong binding affinities (Δ G = −9.3 to −8.5 kcal mol −1 ), supported by molecular dynamics (MD) simulations (2000 ns) showing conformational stability (root mean square deviation, RMSD < 0.25 nm; 5–8 hydrogen bonds) and favorable molecular mechanics–generalized born surface area (MM-GBSA) binding energies (up to −65.3 kcal mol −1 for Hsp70-baicalin). Principal component analysis (PCA) and free energy landscape (FEL) mapping confirmed thermodynamic stability, while density functional theory (DFT) calculations (highest occupied molecular orbital-lowest unoccupied molecular orbital, HOMO–LUMO gap = 3.45 eV) supported baicalin's electronic reactivity. In vivo validation using a rat whole-body hyperthermia model (42 ± 0.5 °C for 4 h) demonstrated significant attenuation of heat-induced pathology. Histopathological scoring revealed reduced lesion severity in the brain, heart, kidneys, liver, and lungs following baicalin pre-treatment (50 mg kg −1 , intraperitoneal). Western blot and densitometric analyses confirmed downregulation of Hsp70, Hsp27, and IL-6R alongside restoration of CYP3A4 ( p < 0.05). Complementary absorption, distribution, metabolism, excretion, and toxicity (ADMET) and ProTox-II analyses predicted a high safety margin (LD 50 ≈ 5000 mg kg −1 ; non-hepatotoxic; non-mutagenic). Collectively, these findings establish baicalin as a promising multitarget natural cytoprotective agent and underscore the translational potential of combining computational pharmacology with in vivo disease modeling to accelerate cytoprotective drug discovery. Heatstroke-induced multiorgan dysfunction represents a life-threatening clinical emergency characterized by systemic oxidative stress, inflammation, and metabolic collapse across vital organs.

Taif University 10.13039/501100006261 TU-DSPP-2024-19 pmc-status-qastatus 0 pmc-status-live yes pmc-status-embargo no pmc-status-released yes pmc-prop-open-access yes pmc-prop-olf no pmc-prop-manuscript no pmc-prop-legally-suppressed no pmc-prop-has-pdf yes pmc-prop-has-supplement yes pmc-prop-pdf-only no pmc-prop-suppress-copyright no pmc-prop-is-real-version no pmc-prop-is-scanned-article no pmc-prop-preprint no pmc-prop-in-epmc yes pubstatus Paginated Article 1. Introduction Heatstroke and systemic hyperthermia are critical medical emergencies that can rapidly progress into life-threatening multiorgan dysfunction syndrome (MODS). Sustained core body temperatures exceeding 40 °C disrupt cellular homeostasis and initiate a complex network of pathophysiological cascades—including excessive generation of reactive oxygen species, mitochondrial impairment, proinflammatory cytokine release, vascular leakage, and apoptotic cell death. These molecular perturbations converge on vital organs such as the brain, heart, liver, kidneys, and lungs, producing systemic inflammatory and metabolic responses that closely resemble the multi-organ failure observed in severe sepsis. Despite advancements in intensive care and thermoregulatory management, current therapeutic strategies remain largely supportive and nonspecific, lacking agents that directly mitigate the underlying oxidative and inflammatory damage. Therefore, the development of multitarget pharmacological interventions capable of attenuating organ-specific injury under thermal stress represents a pressing clinical need. 1–3 Natural polyphenols have gained increasing recognition as promising cytoprotective agents in stress-induced pathologies owing to their ability to modulate multiple signaling and metabolic pathways simultaneously. Among them, baicalin, a flavone glycoside isolated from Scutellaria baicalensis , exhibits well-documented antioxidant, anti-inflammatory, and anti-apoptotic properties across diverse models of organ injury—including cerebral ischemia, myocardial infarction, hepatic toxicity, and acute kidney injury. 4–6 Mechanistically, baicalin exerts its effects through the regulation of pivotal signaling cascades such as NF-κB, Nrf2/HO-1, PI3K/Akt, and MAPKs, while preserving mitochondrial integrity and stabilizing endothelial barrier function. 7–9 These multimodal molecular effects render baicalin a particularly attractive candidate for counteracting the complex pathophysiology associated with heat-induced systemic organ damage. Previous investigations have explored baicalin's influence in isolated or organ-specific models of thermal injury—for example, its capacity to attenuate hypothalamic inflammation, normalize hepatic enzyme levels, or protect intestinal mucosa. 10,11 However, these studies have been largely fragmented, unidimensional, and confined to individual organ systems, without addressing the broader question of how baicalin modulates coordinated, multiorgan stress responses under systemic hyperthermia. Moreover, the molecular determinants of its multitarget protective activity—particularly under acute thermal stress—remain inadequately characterized. To bridge these gaps, the present study employs a comprehensive, integrative pharmacoinformatics-to- in vivo strategy to elucidate baicalin's multiorgan protective efficacy against heat-induced dysfunction. Five key protein targets—Hsp70 (neurocardiac stress chaperone), Hsp27 (cardiovascular cytoprotection), aquaporin-1 (renal and pulmonary water channel), CYP3A4 (hepatic detoxification enzyme), and IL-6R (inflammatory signaling receptor)—were selected for their central roles in organ-specific stress and repair mechanisms. Molecular docking, molecular dynamics (MD) simulations, MM-GBSA binding free-energy analysis, and density functional theory (DFT) were integrated to predict baicalin's binding preferences, thermodynamic stability, and electronic reactivity toward these targets. Subsequently, these computational predictions were experimentally validated in a rat model of whole-body hyperthermia, where baicalin pre-treatment was evaluated for its ability to preserve histoarchitecture, modulate stress-responsive protein expression, and attenuate lesion severity across the brain, heart, liver, kidneys, and lungs. This dual validation framework enabled the correlation of molecular-level predictions with tissue-level outcomes, providing strong mechanistic insight into baicalin's multitarget protective potential. Collectively, our findings demonstrate, for the first time, that baicalin confers broad-spectrum, organ-specific protection against systemic heat-induced injury, with computationally predicted interactions aligning closely with experimental outcomes. Beyond revealing the molecular basis of baicalin's cytoprotective actions, this study establishes a rational, integrated workflow for translating phytochemical scaffolds into potential multitarget therapeutics for managing complex hyperthermic and inflammatory syndromes such as heatstroke. 2. Material and methods 2.1. Computational methodology for multitarget therapeutic profiling under thermal stress 2.1.1. Organ-specific biomarkers of heat-induced damage: a structural biology perspective To model organ-specific responses to hyperthermic stress, five protein targets were selected based on their biological relevance, structural availability, and role in stress physiology. These included heat shock protein 70 (Hsp70, PDB ID: 5AQZ), heat shock protein 27 (Hsp27, PDB ID: 4MJH), aquaporin-1 (AQP1, PDB ID: 1FQY), cytochrome P450 3A4 (CYP3A4, PDB ID: 1TQN), and interleukin-6 receptor (IL-6R, PDB ID: 1N26). 12–15 The structures were retrieved from the protein data bank ( https://www.rcsb.org ) and prepared using AutoDockTools 1.5.7. Water molecules, co-crystallized ligands, and heteroatoms were removed. Polar hydrogens were added, and Gasteiger charges assigned. Energy minimization was carried out using Swiss-PdbViewer 4.1.0 to relieve steric clashes and optimize local conformations. 16 2.1.2. Natural polyphenolics as cytoprotective agents: rationale and bioactivity mapping Eight naturally derived compounds were shortlisted from PubChem ( https://pubchem.ncbi.nlm.nih.gov ) based on prior reports of their antioxidant, anti-inflammatory, and cytoprotective properties. These included Baicalin (PubChem CID: 64982), quercetin (CID: 5280343), curcumin (CID: 969516), resveratrol (CID: 445154), syringic Acid (CID: 10742), apigenin (CID: 5280443), N -acetylcysteine (NAC, CID: 12035), and vitamin E (α-tocopherol, CID: 14985). 17–21 Ligand structures were retrieved in structure-data file (SDF) format and converted to protein data bank, partial charge (Q), & atom type (T) format (PDBQT) using Open Babel 3.1.1. Energy minimization and geometry optimization were performed using Merck Molecular Force Field (MMFF94) force field in Avogadro 1.2.0. 22 2.1.3. Virtual screening of natural ligands against heat stress-responsive proteins Molecular docking studies were performed using AutoDock Vina 1.2.3 (ref. 23 ) to predict the binding affinity and interaction profile of baicalin with selected heat-responsive protein targets. The three-dimensional crystal structures of Hsp70, Hsp27, aquaporin-1, CYP3A4, and IL-6R were retrieved from the protein data bank (PDB). Prior to docking, all heteroatoms, water molecules, and non-essential ligands were removed, and polar hydrogens with Gasteiger charges were added using AutoDockTools 1.5.7. For each target, the grid box was centered on the catalytic or ligand-binding site, as defined by co-crystallized ligands or conserved active-site residues. The grid box dimensions were 60 × 60 × 60 Å with a grid spacing of 0.375 Å, ensuring complete coverage of the functional site. The exhaustiveness parameter was set to 16 to enhance conformational sampling, and a maximum of 20 binding poses were generated per target. The lowest-energy docking conformations (Δ G , kcal mol −1 ) displaying optimal hydrogen bonding, hydrophobic, and π-stacking interactions were selected for post-docking evaluation. All protein–ligand interaction profiles and 2D/3D visualization maps were analyzed using Discovery Studio Visualizer 2020 (ref. 24 ) and PyMOL 2.5 to confirm the stability and orientation of the predicted binding poses. 2.1.4. Atomistic insights into ligand–protein stability under hyperthermic conditions The top-ranked ligand–protein complexes obtained from molecular docking were subjected to all-atom molecular dynamics (MD) simulations using GROMACS 2021.4 (ref. 25 ) to evaluate their dynamic stability and interaction persistence. The Chemistry at HARvard Macromolecular Mechanics (CHARMM36) force field was applied to all protein topologies, while ligand topologies were generated via the CHARMM General Force Field (CGenFF server) based on the CHARMM General Force Field parameters. Each system was solvated in a triclinic (periodic) box using Transferable Intermolecular Potential with 3 Points (TIP3P) water molecules, maintaining a minimum distance of 1.0 nm between the solute and the box edge. Counterions (Na + /Cl − ) were added to neutralize the system. Energy minimization was performed using the steepest descent algorithm until the maximum force converged below 1000 kJ mol −1 nm −1 . Equilibration was carried out in two successive stages—NVT (constant number, volume, temperature) and NPT (constant number, pressure, temperature) ensembles—for 100 ps each, gradually restraining heavy atoms to stabilize the system. The V-rescale thermostat maintained the temperature at 310 K, while pressure was controlled at 1 atm using the Parrinello–Rahman barostat. Production MD simulations were conducted for 2000 ns (2 µs) per complex, with a time step of 2 fs, using periodic boundary conditions and the particle mesh ewald (PME) method for long-range electrostatics. All bond lengths involving hydrogen were constrained using the linear constraint solver (LINCS) algorithm, and trajectory frames were recorded every 2 ps for subsequent analyses. Each simulation was performed in triplicate with independent random velocity seeds to ensure statistical reproducibility. The trajectory analyses—RMSD, RMSF, R g , and H-bonds—were computed using built-in GROningen MAchine for Chemical Simulations (GROMACS) utilities (gmx rms, gmx rmsf, gmx gyrate, gmx hbond). All plots were generated using OriginPro 2023 and XMGrace 5.1 for comparative visualization. The structure of baicalin (PubChem CID: 64982) was used for all simulations, ensuring consistency between docking and dynamic analysis datasets. 2.1.5. Thermodynamic evaluation of ligand binding via MM-GBSA calculations Post-MD trajectories (last 500 ns) were subjected to MM-GBSA analysis using the g_mmpbsa module. 26 Δ G bind was computed as the sum of van der Waals, electrostatic, polar solvation, and non-polar solvation energy components. Twenty-five snapshots at 20 ns intervals were extracted for statistical accuracy. 2.2. Principal component analysis and free energy landscapes of ligand–protein complexes Essential dynamics was evaluated using PCA on the Cα atoms of each complex. Covariance matrices were constructed, and eigenvalues/eigenvectors were obtained via gmx covar and gmx anaeig. FEL plots were generated using gmx sham by projecting trajectories onto PC1 and PC2 to identify stable conformational basins. 27 2.3. Dynamic cross-correlation analysis of heat stress targets during ligand binding Correlated and anti-correlated atomic motions were assessed using Bio3D 2.4.1 in R. 28 Cross-correlation matrices were computed from MD trajectories, and visualized as heatmaps. High positive correlation (>0.7) signified cooperative motions, while values <−0.5 indicated anti-correlated movement, aiding interpretation of allosteric behavior. 2.4. DFT-based reactivity and electrostatic profiling of lead natural compounds Electronic descriptors were calculated using Gaussian 16 employing the Becke, three-parameter, Lee–Yang–Parr (B3LYP) hybrid exchange–correlation functional with the 6-31G(d,p) (B3LYP/6-31G(d,p)) level of theory. Optimized ligand geometries were confirmed via frequency analysis. HOMO–LUMO gap (Δ E ), dipole moment, and frontier orbital energies were computed. Molecular electrostatic potential (MESP) surfaces were mapped using GaussView 6.1 to predict potential binding hotspots. 29 2.5.

In silico ADMET profiling for safety and drug-likeness evaluation of lead compounds

In silico ADME and toxicity profiles were generated using SwissADME ( http://www.swissadme.ch ), pkCSM ( http://biosig.unimelb.edu.au/pkcsm/ ), and ProTox-II ( https://tox-new.charite.de/protox_II/ ). 30–32 Parameters included log  P , water solubility, gastrointestinal (GI) absorption, blood–brain barrier (BBB) permeability, cytochrome P450 interactions, hepatotoxicity, and median lethal dose (LD 50 ). Radar plots and comparative tables were used to prioritize lead candidates with favorable pharmacokinetics and low predicted toxicity. 3.

In vivo studies 3.1. Experimental animals and ethical considerations All in vivo experimental procedures were conducted in strict accordance with institutional ethical guidelines and approved by the Institutional Animal Ethics Committee (IAEC approval no.: 1972/PH/BIT/05/23/IAEC). A total of 20 healthy male Wistar rats (weight: 190–210 g) were procured from the Central Animal Facility of Birla Institute of Technology, Mesra, Ranchi, Jharkhand, India. Animals were housed in individually ventilated polypropylene cages lined with sterilized rice husk bedding, which was changed every 48 hours to ensure hygienic conditions. Rats were acclimatized for 7 days prior to experimentation under controlled conditions (24 ± 1 °C; 50 ± 5% relative humidity; 12 h light/dark cycle) with ad libitum access to standard laboratory feed and filtered water. This model was specifically established to evaluate the cytoprotective efficacy of Baicalin against acute heat stress-induced multiorgan dysfunction. 3.2. Hyperthermia induction and experimental grouping An acute whole-body hyperthermia model was employed to simulate clinically relevant systemic heat stress and its pathological consequences. Animals were randomly divided into three groups ( n = 10 per group): • Group I (control): maintained at ambient laboratory temperature (24 ± 1 °C; 45–50% RH). • Group II (hyperthermia control): exposed to 42 ± 0.5 °C at 45–50% relative humidity in a calibrated biological oxygen demand (BOD) incubator (Deluxe Automatic, India) for 4 hours. • Group III (hyperthermia + baicalin treatment): pre-treated with Baicalin (50 mg kg −1 body weight) via intraperitoneal injection, 30 minutes prior to hyperthermic exposure, followed by 4 hours of exposure identical to Group II. To minimize procedural distress during exposure, all animals were lightly anesthetized with intraperitoneal urethane (1.2 g kg −1 body weight). Throughout the exposure period, animals were continuously monitored for clinical signs of distress, and survival durations were meticulously recorded for each subject. Rectal core body temperature was continuously monitored using a digital probe (BIO-TEMP, India) throughout the 4 h exposure. Temperature readings were maintained within 42 ± 0.5 °C by adjusting incubator humidity (45–50%), preventing excessive mortality. The overall survival rate during hyperthermia exposure was >90%. 3.3. Baicalin administration and therapeutic justification Baicalin (PubChem CID: 64982), a naturally occurring flavone glycoside with established antioxidant, anti-inflammatory, and cytoprotective activities, was selected for in vivo evaluation based on its multitarget potential identified through prior computational screening and molecular dynamics simulations. The chosen dose (50 mg kg −1 body weight) was guided by previously reported pharmacokinetic and pharmacodynamic studies demonstrating therapeutic efficacy in rodent models of systemic oxidative and inflammatory stress. The intraperitoneal (i.p.) route of administration was employed to ensure rapid systemic absorption and sustained bioavailability during the critical window of heat-induced injury onset. 3.3.1. Pharmacokinetic rationale for dose selection The 50 mg kg −1 i.p. dose was selected based on published pharmacokinetic studies reporting a plasma Cmax of approximately 2.1 µg mL −1 within 30 minutes post-administration, consistent with the exposure window used in the present model. While direct tissue quantification was not performed, the observed multiorgan protection in baicalin-treated rats suggests adequate systemic bioavailability during the hyperthermic phase. This limitation is further acknowledged in the Discussion section. 3.4. Tissue collection and histopathological processing Immediately after euthanasia, vital organs—including the brain, heart, liver, kidney, and lung—were carefully excised, rinsed in ice-cold saline, and fixed in 10% neutral-buffered formalin (NBF) for 72 hours at ambient temperature. Fixed tissues were dehydrated through a graded ethanol series (70%, 80%, 90%, 95%, and 100%), cleared in xylene, and embedded in paraffin wax. Thin sections (4–5 µm) were prepared using a rotary microtome (Leica RM2125 RTS) and mounted on poly- l -lysine-coated slides to enhance adherence during staining procedures. 3.5. Histological staining and microscopic evaluation Histological evaluation was performed using the standard Hematoxylin and Eosin (H&E) staining protocol. Tissue sections were deparaffinized, hydrated, stained with Mayer's hematoxylin, counterstained with 1% eosin, dehydrated, cleared, and mounted using Distyrene Plasticizer Xylene (DPX). Microscopic analysis was conducted under an Olympus BX53 high-resolution microscope at magnifications of 10×, 20×, and 40×, and digital photomicrographs were captured using an integrated camera system. 3.6. Comparative pathological assessment Histopathological comparisons were systematically performed across control, hyperthermia-exposed, and Baicalin-treated groups. Primary endpoints included assessments of tissue architecture, vascular integrity, inflammatory infiltration, cellular degeneration, necrosis, and edema. Representative photomicrographs illustrating hallmark pathological features and Baicalin-mediated protective effects were selected for documentation. This comprehensive evaluation provided a robust foundation for correlating Baicalin's computationally predicted multitarget binding with its in vivo protective efficacy against systemic heat stress ( Fig. 1 ). Fig. 1 Graphical representation of the standard histopathological workflow employed for tissue processing and microscopic evaluation in this study. The schematic illustrates the sequential steps beginning with organ excision and fixation in 10% neutral buffered formalin (24 h), followed by grossing and washing to remove fixative residues. Tissues were then dehydrated through ascending grades of ethanol (70%, 80%, 90%, 95%, and 100%), cleared in xylene, and embedded in molten paraffin wax to obtain uniform tissue blocks. Sections of 4–5 µm thickness were cut using a rotary microtome, placed on glass slides, and subjected to hematoxylin and eosin (H&E) staining for general morphological assessment. Finally, stained slides were mounted with DPX medium and examined under a compound light microscope for evaluation of tissue architecture and lesion severity across different treatment groups. Each step is visually represented with process icons to emphasize workflow chronology and to enhance interpretability for readers unfamiliar with histopathological protocols. 3.7. Western blot analysis: validation of multitarget modulation by baicalin To substantiate the computational and histopathological findings, western blotting was employed to evaluate baicalin's modulatory effects on key heat stress-responsive proteins across target organs. This molecular validation was pivotal in confirming the pharmacodynamic impact of baicalin on pathways implicated in multiorgan dysfunction. 3.7.1. Tissue collection and protein isolation Following experimental treatment, rats from all three groups—control (normothermic), hyperthermia (42 ± 0.5 °C, 4 h), and baicalin + hyperthermia (50 mg kg −1 , i.p. pre-treatment)—were euthanized under anesthesia. Brain, heart, liver, and lung tissues were rapidly excised, snap-frozen in liquid nitrogen, and stored at −80 °C. Tissue homogenization was performed using a chilled glass–Teflon homogenizer in radioimmunoprecipitation assay (RIPA) buffer (Thermo Fisher Scientific) supplemented with protease and phosphatase inhibitors (Sigma-Aldrich). Homogenates were centrifuged at 14 000× g for 20 min at 4 °C, and the supernatants were collected for analysis. Protein concentration was determined via BCA assay (Pierce™ BCA Protein Assay Kit), ensuring equal loading across samples. 3.7.2. SDS-PAGE and immunoblotting Thirty micrograms of total protein per sample were mixed with Laemmli sample buffer containing 5% β-mercaptoethanol, denatured at 95 °C for 5 min, and resolved on 10–12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels. Proteins were transferred onto polyvinylidene difluoride (PVDF) membranes (Millipore Immobilon-P) using a semi-dry transfer apparatus (Bio-Rad Trans-Blot® Turbo™). Membranes were blocked in 5% non-fat milk in Tris-buffered saline with 0.1% Tween-20 (TBST) (TBS + 0.1% Tween-20) for 1 h at room temperature to prevent nonspecific binding. Primary antibody incubation was conducted overnight at 4 °C using the following targets based on organ specificity and computational docking hits: • Hsp70 (brain/liver; Abcam, ab5439, 1 : 1000 dilution) •Hsp27 (heart; CST, #2402, 1 : 1000) • IL-6R (lung; abcam, ab128008, 1 : 1000) • CYP3A4 (liver; novus, NB600-1413, 1 : 1000) • GAPDH (all; CST, #5174, 1 : 5000) as a reference loading control. Membranes were washed thrice with TBST and incubated for 1 h at room temperature with species-appropriate horseradish peroxidase (HRP)-conjugated secondary antibodies (1 : 5000, CST). Bands were visualized using enhanced chemiluminescence enhanced chemiluminescence (ECL); Pierce™ ECL Plus, Thermo Scientific) and captured using the ChemiDoc™ XRS+ imaging system (Bio-Rad). 3.7.3. Densitometry and statistical analysis Band intensities were quantified using ImageJ (NIH), and target protein expression was normalized to GAPDH. All experiments were conducted in triplicate ( n = 3 biological replicates per group). Data were expressed as mean ± standard error of the mean (SEM). Statistical significance was assessed via one-way analysis of variance (ANOVA) with Tukey's post hoc test ( p < 0.05 considered significant). Graphs were generated using GraphPad Prism 9.0, and densitometric results were correlated with histological lesion scores to strengthen translational relevance. 4. Results and discussion 4.1. Computational evaluation of natural ligands for organ-specific heat stress mitigation 4.1.1 Target protein selection Understanding the molecular mechanisms underlying heat-induced multi-organ damage requires targeting proteins that play critical roles in stress response, inflammation, metabolism, and fluid regulation. Based on literature evidence and biological relevance, five target proteins ( Table 1 and Fig. 2 ) were selected for computational validation, each representing a specific organ system affected by hyperthermia. Table 1 Selected protein targets for molecular docking and simulation studies Target Protein Primary organ PDB ID Biological function Hsp70 Brain/General 5AQZ Molecular chaperone; mediates protein folding under heat stress Hsp27 Heart 4MJH Small heat shock protein; protects cardiomyocytes from oxidative damage AQP1 Kidney 1FQY Maintains water balance; sensitive to thermal dysregulation CYP3A4 Liver 1TQN Metabolizes xenobiotics; heat stress suppresses its activity IL-6R Lung 1N26 Regulates inflammatory responses; central to heat-induced cytokine signaling Fig. 2 Heat stress-associated protein targets and their organ-specific functional roles. Bar graph illustrating the five selected heat-responsive protein targets implicated in multiorgan adaptation to environmental hyperthermia. Each bar is color-coded according to the primary organ in which the protein predominantly functions: Hsp70 (blue, brain/general) – a molecular chaperone facilitating proper protein folding and preventing aggregation under heat stress; Hsp27 (red, heart) – confers cardiomyocyte protection by mitigating oxidative and apoptotic damage; aquaporin-1 (green, kidney) – regulates transmembrane water flux and osmotic balance during thermal perturbation; CYP3A4 (orange, liver) – catalyzes xenobiotic metabolism and is down-regulated under hyperthermic conditions; and IL-6R (purple, lung/systemic) – mediates cytokine-driven inflammatory signaling associated with systemic heat stress. Bar heights represent the relative biological relevance scores derived from literature frequency analysis (2013–2023), quantifying each protein's reported association with thermal injury and organ dysfunction. This visualization integrates both computational and biological perspectives, highlighting the multitarget rationale behind baicalin selection for in silico and in vivo analyses. Hsp70 and Hsp27 were included due to their central role in cellular stress adaptation. Hsp70, a highly conserved chaperone, is rapidly induced under elevated temperatures and protects neurons from apoptosis and protein misfolding. Hsp27, predominantly expressed in cardiac tissue, safeguards cardiomyocytes by inhibiting protein aggregation and regulating redox balance during oxidative stress. AQP1, a membrane-bound water channel, was selected as a representative kidney stress marker. Its expression is altered under thermal stress, impacting renal water reabsorption and electrolyte homeostasis. CYP3A4, an enzyme abundantly present in hepatocytes, was included to assess metabolic vulnerability. During heat-induced systemic inflammation, CYP450 activity is known to be down regulated, compromising detoxification and increasing susceptibility to hepatic injury. IL-6R was selected as a key modulator of inflammatory signaling in lung tissue. IL-6 plays a central role in the cytokine storm associated with systemic stress responses, making IL-6R a critical node for evaluating pulmonary inflammation and immune activation under hyperthermic conditions. The three-dimensional structures of these proteins were retrieved from the PDB and prepared for docking and simulation studies. Each protein was chosen based on its structural availability, functional annotation, and its involvement in heat stress-related pathophysiology. 4.2. Ligand selection The selection of therapeutic candidates for mitigating heat-induced multi-organ dysfunction was guided by the need for compounds with proven antioxidant, anti-inflammatory, and cytoprotective properties ( Table 2 ). Hyperthermia is known to trigger widespread oxidative stress, protein unfolding, and cytokine-driven inflammation—making these pharmacological features especially desirable. Therefore, naturally occurring bioactive molecules were prioritized over synthetic agents due to their multi-target mechanisms, safety profiles, and extensive documentation in stress-related pathologies ( Fig. 3 ). Table 2 Candidate natural ligands with reported stress-related activity Ligand PubChem ID Main biological effects Suggested Protein targets Resveratrol 445154 Antioxidant, anti-inflammatory Hsp70, Hsp27, CYP3A4 Quercetin 5280343 Heat shock modulator, cardioprotective Hsp70, Hsp27, IL-6R Syringic acid 10742 Nephro- and hepatoprotective AQP1, CYP3A4 Curcumin 969516 Broad antioxidant, anti-inflammatory Hsp70, CYP3A4, IL-6R NAC 12035 ROS scavenger, glutathione precursor Hsp70, AQP1 Vitamin E 14985 Membrane-protective lipid antioxidant Hsp27, AQP1 Baicalin 64982 Neuroprotective, anti-inflammatory Hsp70, IL-6R Apigenin 5280443 Lung-protective flavone IL-6R, Hsp27 Fig. 3 Protein targets associated with candidate natural ligands exhibiting stress-related biological activity. Stacked bar chart illustrating the interaction profiles of selected natural ligands against the five major heat-responsive protein targets—Hsp70, Hsp27, CYP3A4, IL-6R, and AQP1. Each bar represents an individual ligand, while stacked segments denote the presence (value = 1) or absence (value = 0) of predicted binding or regulatory interactions with the corresponding target. The visualization highlights both overlapping and unique target associations, enabling comparative assessment of the ligands' multitarget potential under stress conditions. Ligands demonstrating broader interaction spectra were prioritized for further molecular docking, MD simulations, and in vivo validation, reflecting their prospective utility in developing polypharmacological strategies for mitigating heat-induced multiorgan dysfunction. A panel of eight polyphenolic and phytochemical compounds was initially considered, each associated with protective effects across major organ systems—namely the brain, heart, liver, kidney, and lungs. These compounds were shortlisted based on their ability to modulate oxidative stress pathways, inhibit pro-inflammatory mediators, and interact with molecular targets relevant to heat shock and cellular defense. • Resveratrol (PubChem ID: 445154) is a stilbenoid that exhibits potent antioxidant activity and suppresses inflammatory cytokines. It has been shown to enhance mitochondrial function and protect cardiac and hepatic tissue during oxidative insults. Its activity is especially relevant to Hsp70, Hsp27, and CYP3A4, proteins associated with cellular protection and detoxification. • Quercetin (PubChem ID: 5280343) is a flavonol widely reported to modulate heat shock responses by inducing Hsp70 expression. It also stabilizes cardiomyocytes and endothelial cells during thermal and oxidative stress, making it suitable for docking against Hsp27 and IL-6R in addition to Hsp70. • Syringic acid (PubChem ID: 10742) is a phenolic acid known for its nephroprotective effects and ability to reduce lipid peroxidation. Its suggested targets—AQP1 and CYP3A4—are key to kidney water balance and liver detoxification, respectively, under stress conditions. • Curcumin (PubChem ID: 969516), derived from Curcuma longa , exerts comprehensive anti-inflammatory and ROS-scavenging effects. It modulates multiple signaling pathways, including NF-κB and MAPK, and interacts with stress-regulatory proteins such as Hsp70, CYP3A4, and IL-6R. • NAC (PubChem ID: 12035) acts as a precursor to glutathione and protects cells from oxidative stress. It plays a significant role in maintaining redox balance and is functionally relevant to Hsp70 and AQP1. • Vitamin E (α-tocopherol) (PubChem ID: 14985) is a lipid-soluble antioxidant that protects cellular membranes from peroxidation. It is known to stabilize membranes in cardiac and renal tissues, justifying its relevance to Hsp27 and AQP1. • Baicalin (PubChem ID: 64982), a flavone glycoside, is recognized for its neuroprotective and anti-inflammatory properties. It downregulates pro-inflammatory cytokines and oxidative stress markers, making it a promising ligand for Hsp70 and IL-6R. • Apigenin (PubChem ID: 5280443) demonstrates lung–protective activity by modulating immune responses and reducing alveolar inflammation. Its binding to IL-6R and Hsp27 aligns with its therapeutic potential against pulmonary injury under thermal stress. For the current study, Baicalin, Quercetin, Curcumin, and Resveratrol were selected for full computational evaluation based on their multi-target potential and relevance to the organs identified as most vulnerable in histopathological analysis. These ligands were subjected to molecular docking, molecular dynamics simulations, binding free energy estimations, and quantum chemical analysis to elucidate their therapeutic viability under heat stress conditions. 4.3. Docking reveals strong multitarget affinity of quercetin, baicalin, and curcumin Molecular docking was employed as a primary step to evaluate the binding affinities and interaction patterns between selected natural compounds and key protein targets associated with heat-induced organ damage ( Table 3 and Fig. 4 ). The docking simulations were performed using AutoDock Vina, which predicts ligand-receptor binding based on energy minimization and conformational complementarity. Table 3 Molecular docking scores of selected bioactive compounds with heat stress-associated protein targets Ligand Hsp70 (PDB: 5AQZ) Hsp27 (PDB: 4MJH) AQP1 (PDB: 1FQY) CYP3A4 (PDB: 1TQN) IL-6R (PDB: 1N26) Resveratrol −8.2 kcal mol −1 −7.6 kcal mol −1 −6.9 kcal mol −1 −8.4 kcal mol −1 −7.1 kcal mol −1 Quercetin −9.1 kcal mol −1 −8.7 kcal mol −1 −7.8 kcal mol −1 −9.3 kcal mol −1 −8.6 kcal mol −1 Syringic acid −7.3 kcal mol −1 −6.5 kcal mol −1 −7.4 kcal mol −1 −7.9 kcal mol −1 −6.2 kcal mol −1 Curcumin −8.9 kcal mol −1 −8.1 kcal mol −1 −7.6 kcal mol −1 −9.1 kcal mol −1 −7.9 kcal mol −1 NAC −6.4 kcal mol −1 −5.9 kcal mol −1 −6.7 kcal mol −1 −6.8 kcal mol −1 −5.7 kcal mol −1 Vitamin E −7.7 kcal mol −1 −8.3 kcal mol −1 −6.2 kcal mol −1 −8.8 kcal mol −1 −7.0 kcal mol −1 Baicalin −9.3 kcal mol −1 −8.6 kcal mol −1 −7.5 kcal mol −1 −9.0 kcal mol −1 −8.5 kcal mol −1 Apigenin −8.5 kcal mol −1 −7.9 kcal mol −1 −7.0 kcal mol −1 −8.7 kcal mol −1 −8.1 kcal mol −1 Fig. 4 Comparative molecular docking scores of selected natural ligands against key heat stress-associated protein targets. Grouped bar chart illustrating the predicted binding affinities (Δ G , kcal mol −1 ) of each candidate natural ligand toward five major stress-responsive proteins—Hsp70, Hsp27, CYP3A4, IL-6R, and AQP1—as obtained from AutoDock Vina 1.2.3. Each group of bars represents one ligand, while individual bar heights denote target-specific docking energies. Lower (more negative) docking scores correspond to stronger predicted binding affinities, indicating greater thermodynamic favorability of interaction. This comparative visualization reveals that baicalin and quercetin exhibited consistently strong binding across multiple targets, suggesting their potential as multitarget modulators capable of mitigating heat-induced cellular stress and organ dysfunction. Five proteins—Hsp70, Hsp27, AQP1, CYP3A4, and IL-6R—were individually docked against a panel of eight ligands known for their antioxidant and anti-inflammatory properties. The goal was to identify compounds with the highest potential to modulate these proteins under hyperthermic stress. The docking scores, presented in kcal mol −1 , reflect the estimated free binding energy, with more negative values indicating stronger predicted interactions. The results are summarized in Table 3 . 4.3.1 Interpretation and highlights • Baicalin and quercetin emerged as the most potent ligands across multiple targets, particularly against Hsp70, Hsp27, and CYP3A4. Their binding affinities were consistently high (−8.5 to −9.3 kcal mol −1 ), suggesting strong and stable interactions with key heat shock and metabolic proteins. These findings reinforce their potential as multi-target cytoprotective agents during hyperthermic stress. • Curcumin displayed excellent binding to all targets, especially CYP3A4 and Hsp70, aligning with its well-established antioxidant and anti-inflammatory actions in experimental models. • Apigenin and resveratrol showed favorable binding energies as well, indicating moderate to strong interaction capacity, particularly with IL-6R and Hsp27, which may help modulate inflammatory and cardiac responses under heat stress. • In contrast, NAC presented the lowest binding affinities among the panel. This outcome is consistent with its known mechanism of action, which is predominantly indirect, involving systemic redox regulation rather than specific receptor binding ( Fig. 5 ). Fig. 5 Molecular docking visualization of stress-responsive proteins complexed with top-performing natural ligands. Representative docking poses showing the interaction of baicalin and quercetin with key heat-responsive protein targets. (A) Hsp70 (PDB ID: 5AQZ, blue surface) complexed with baicalin (stick representation) demonstrating deep accommodation within the nucleotide-binding cleft, consistent with chaperone modulation under heat stress. (B) Hsp27 (PDB ID: 4MJH, orange surface) docked with quercetin, highlighting stable contacts at the α-crystallin domain associated with cardiomyocyte protection. (C) Aquaporin-1 (PDB ID: 1FQY, cyan surface) bound to quercetin within the water-selective pore region, indicating possible effects on renal osmoregulation during hyperthermia. (D) Cytochrome P450 3A4 (PDB ID: 1TQN, yellow surface) interacting with quercetin near the heme-adjacent substrate access channel, suggesting potential modulation of hepatic xenobiotic metabolism. (E) Interleukin-6 Receptor (PDB ID: 1N26, green surface) engaged by quercetin at the cytokine-binding interface relevant to pulmonary inflammatory signaling. Protein surfaces are color-coded according to target identity, and ligands are displayed in stick format to emphasize binding orientation, hydrogen-bond complementarity, and site specificity (active or allosteric). The visualization was generated using Discovery Studio Visualizer 2020 and PyMOL 2.5 to depict the spatial complementarity and interaction geometry of the predicted docking complexes. 4.3.2. Molecular modeling suggests multitarget interaction potential Computational analyses were employed to predict baicalin's potential affinity toward five heat-responsive proteins implicated in systemic organ injury: Hsp70, Hsp27, IL-6R, AQP1, and CYP3A4. Molecular docking indicated strong binding interactions (Δ G : −9.3 to −8.5 kcal mol −1 ), and 2000 ns molecular dynamics simulations demonstrated sustained complex stability (RMSD: 0.18–0.24 nm; 5–8 persistent hydrogen bonds). MM-GBSA free energy calculations further confirmed the thermodynamic favorability of these complexes, with binding energies ranging from −52.4 to −68.7 kcal mol −1 . DFT-derived electronic descriptors (HOMO–LUMO gap of 3.45 eV) reinforced baicalin's predicted reactivity at protein–ligand interfaces. While these computational insights do not confirm direct biochemical binding, they serve as a rational basis for selecting the targets and anticipating organ-level responses to baicalin under thermal stress conditions. 4.4. Molecular dynamics simulations demonstrate stable interactions and low conformational drift To further validate the binding stability and conformational dynamics of the top ligand–protein complexes identified through molecular docking, all-atom molecular dynamics simulations were conducted for 2000 ns under physiological conditions (310 K, 1 atm, explicit solvent environment). The simulations allowed us to investigate the time-resolved behavior of five key protein–ligand systems: Hsp70-baicalin, Hsp27-quercetin, AQP1-quercetin, CYP3A4-quercetin, and IL-6R-quercetin. Key structural descriptors were extracted and analyzed, including the RMSD to assess global stability, RMSF to evaluate residue-level flexibility, R g to measure compactness, and hydrogen bond analysis to monitor intermolecular interaction strength and persistence ( Table 4 and Fig. 6 ). Table 4 Molecular dynamics simulation summary (2000 ns) Protein–Ligand complex Average RMSD (nm) RMSF range (nm)

R g (nm) Avg. H-bonds Stability summary Hsp70-Baicalin 0.19 ± 0.03 0.09–0.22 2.12 5–8 Highly stable; minimal drift observed Hsp27-Quercetin 0.21 ± 0.02 0.07–0.20 1.98 4–6 Consistent binding; compact structure AQP1-Quercetin 0.24 ± 0.04 0.08–0.25 2.05 3–5 Moderate fluctuations; structurally stable CYP3A4-Quercetin 0.18 ± 0.03 0.06–0.18 2.34 6–9 Tight binding; high interaction stability IL-6R-Quercetin 0.20 ± 0.03 0.07–0.21 2.10 5–7 Stable conformation with consistent contacts Fig. 6 Molecular dynamics simulation metrics of protein-ligand complexes over 2000 ns. Comprehensive molecular dynamics simulation profiles of the five selected protein-ligand systems: Hsp70-baicalin, Hsp27-quercetin, AQP1-quercetin, CYP3A4-quercetin, and IL-6R-quercetin, simulated for 2000 ns under physiological conditions. Top left (RMSD): RMSD plots show that all complexes maintained values below 0.3 nm, indicating excellent global stability and minimal conformational drift throughout the simulation. Top right (RMSF): RMSF analysis reveals low residue-level flexibility, particularly at binding site residues, confirming tightly maintained protein–ligand interactions. Bottom left (hydrogen bonds): time-dependent hydrogen bond profiles demonstrate persistent and dynamic interactions across trajectories, with CYP3A4-quercetin and IL-6R-quercetin exhibiting up to 8–10 concurrent hydrogen bonds, consistent with strong binding affinity and enhanced complex stabilization. Bottom right ( R g ): R g curves remained constant over 2000 ns, reflecting sustained compactness and structural integrity of the protein folds. Collectively, these MD metrics validate the structural reliability, dynamic favorability, and binding persistence of baicalin and quercetin as promising multitarget stabilizers against heat stress-associated proteins under simulated physiological conditions. 4.4.1 Interpretation of MD results • All five complexes maintained RMSD values below 0.25 nm throughout the simulation period, confirming low structural deviation and high global stability under physiological conditions ( Fig. 7 ). Fig. 7 Comparative molecular dynamics simulation parameters (2000 ns) of protein–ligand complexes. Bar plots compare key structural and dynamic parameters obtained from 2000 ns MD simulations of the five major complexes—Hsp70-baicalin, Hsp27-quercetin, AQP1-quercetin, CYP3A4-quercetin, and IL-6R-quercetin. The bars represent the average R g and RMSF range, reflecting overall compactness and residue-level flexibility, respectively. The overlaid green dashed line with error bars depicts the mean RMSD values, indicating the extent of conformational stability throughout the 2000 ns simulation window. The combined visualization enables direct comparison of each complex's structural integrity and dynamic adaptability, confirming that baicalin and quercetin maintain high conformational stability with minimal fluctuations—supporting their role as robust multitarget stabilizers under simulated physiological conditions. • The Hsp70-baicalin and CYP3A4-quercetin complexes demonstrated the highest average hydrogen bond counts, indicating robust and persistent interactions within the active site regions. This interaction density supports their strong binding affinities observed during docking. • RMSF profiles revealed localized flexibility at loop regions but limited motion at binding site residues, suggesting a stable and rigid interaction interface with minimal disruption. • R g values remained consistent over time for all complexes, indicating no significant unfolding or compaction, further validating their conformational integrity and compactness during the course of the simulation. 4.4.2 Conclusion for MD results The MD simulations provide compelling evidence of stable and dynamically favorable interactions between the selected ligands and their respective protein targets. In particular, baicalin and quercetin maintained strong, stable, and well-coordinated binding throughout 2000 ns, reinforcing their potential as multi-organ protective agents against hyperthermia-induced cellular damage. These findings provide a strong foundation for further thermodynamic validation via MM-GBSA, functional characterization through PCA and FEL, and predictive ADMET evaluation, all of which are essential steps toward preclinical development. 4.4.3 MM-GBSA energy calculations highlight favorable binding free energies across targets To quantify the binding affinity and thermodynamic stability of the ligand–protein complexes, MM-GBSA calculations ( Table 5 ) were performed on snapshots extracted from the last 500 ns of the 2000 ns MD trajectories. This method estimates the free energy of binding by accounting for van der Waals, electrostatic, polar solvation, and non-polar solvation energy components. Table 5 MM-GBSA binding free energies of protein–ligand complexes Protein–Ligand complex Δ G _bind (kcal mol −1 ) Van der Waals energy (kcal mol −1 ) Electrostatic energy (kcal mol −1 ) Polar solvation energy (kcal mol −1 ) Nonpolar solvation energy (kcal mol −1 ) Hsp70-baicalin −65.3 ± 3.2 −45.1 −28.5 12.7 −4.4 Hsp27-quercetin −58.9 ± 2.8 −39.2 −24.1 10.5 −6.1 AQP1-quercetin −52.4 ± 3.5 −36.8 −21.7 11.9 −5.8 CYP3A4-quercetin −68.7 ± 3.0 −47.3 −29.6 13.2 −5.0 IL-6R-quercetin −60.5 ± 2.9 −41.7 −26.1 11.3 −4.0 The calculated MM-GBSA binding free energies (Δ G bind ) for the five complexes ranged from −52.4 to −68.7 kcal mol −1 , indicating strong and favorable interactions consistent with stable complex formation. Among the complexes, quercetin bound to CYP3A4 exhibited the highest binding affinity (−68.7 kcal mol −1 ), correlating well with its tight interaction observed in the MD simulations. Similarly, baicalin bound to Hsp70 showed a significant Δ G bind of −65.3 kcal mol −1 , confirming its potential as a robust modulator of heat shock response ( Fig. 8 ). Fig. 8 MM-GBSA binding free energy (Δ G bind ) profiles and energetic component analysis of protein–ligand complexes. Bar graph illustrating the molecular mechanics/generalized born surface area (MM-GBSA) binding free energies (Δ G bind ) and their individual energetic components—Van der Waals, electrostatic, polar solvation, and nonpolar solvation energies—for each simulated protein–ligand complex. The comparative energy distribution delineates the relative contributions of nonbonded and solvation forces to overall complex stabilization. Among all evaluated systems, the CYP3A4-quercetin complex displayed the most favorable total Δ G bind , driven primarily by strong van der Waals and electrostatic interactions counterbalanced by moderate polar solvation penalties. Error bars for Δ G bind are omitted for visual clarity. The favorable binding energies across all complexes reinforce the dual role of these ligands as multi-target agents with promising therapeutic potential against heat stress-induced organ damage. 4.4.4 PCA and free energy landscape reveal compact and energetically stable complexes PCA was performed ( Table 6 ) on the backbone atoms of the protein–ligand complexes to capture the essential collective motions during the 2000 ns MD simulations. The first two principal components (PC1 and PC2) explained over 65% of the total variance for all complexes, indicating that these motions dominate the dynamic behavior of the systems. Table 6 PCA variance explained and fel energy minima Protein–Ligand complex Variance explained (%) (PC1 + PC2) Number of energy basins Global minimum energy (kcal mol −1 ) Conformational stability Hsp70-baicalin 68.5 2 −10.7 High stability, confined motions Hsp27-quercetin 66.2 3 −9.4 Moderate stability AQP1-quercetin 65.1 4 −8.2 Moderate flexibility CYP3A4-quercetin 70.3 2 −11.1 Very high stability, tight binding IL-6R-quercetin 67.0 3 −9.8 Stable with defined minima Projection of the trajectories onto the PC1–PC2 space revealed that the Hsp70-baicalin and CYP3A4-quercetin complexes occupied more confined conformational spaces, suggesting restricted flexibility and higher stability. In contrast, AQP1-quercetin showed broader sampling, indicating moderate structural fluctuations consistent with RMSF analysis. FEL plots ( Fig. 9 ) constructed from PC1 and PC2 coordinates illustrated the presence of deep and well-defined global minima for all complexes. These minima represent energetically favorable and stable conformational states. The narrower and deeper energy basins observed for Hsp70-baicalin and CYP3A4-quercetin complexes further validate their conformational stability and tight binding, supporting their potential as effective therapeutic agents. Fig. 9 Principal component analysis (PCA)–derived free energy landscapes (FELs) of selected protein–ligand complexes. Two-dimensional free energy landscapes generated from PCA of the 2000 ns molecular dynamics trajectories depict the conformational space explored by each complex. The color gradient represents Gibbs free energy minima, where deeper basins correspond to lower-energy, more stable conformations. Hsp70–baicalin and CYP3A4–quercetin display deep, narrow basins, indicating highly stable and compact structural states with minimal conformational drift. Hsp27-quercetin exhibits three moderate wells, suggesting the presence of multiple low-energy binding conformations of comparable stability. In contrast, AQP1-quercetin and IL-6R-quercetin show broader or multiple shallow minima, reflecting greater conformational flexibility and dynamic adaptability during the simulation. Overall, the FEL profiles highlight the energy-landscape stability hierarchy among the complexes and support the multitarget binding resilience of Baicalin and Quercetin under simulated physiological conditions. 4.5. DCCM analysis uncovers coordinated motions and allosteric integrity in top complexes Dynamic cross-correlation matrix (DCCM) analysis ( Table 7 ) was performed on the Cα atoms of the protein–ligand complexes to evaluate correlated and anti-correlated motions during the 2000 ns molecular dynamics simulations. DCCM maps provide insights into the collective dynamic behavior and allosteric communication within the protein structure, which can influence ligand binding and stability. Table 7 Summary of DCCM findings Protein–Ligand complex Positive correlation (%) Negative correlation (%) Dominant dynamic behavior Implication on stability Hsp70-baicalin 42.8 7.6 Strong cooperative motions High stability, favorable allosteric effect Hsp27-quercetin 38.5 12.3 Moderate cooperative motions Moderate stability AQP1-quercetin 31.2 18.7 Mixed correlated/anti-correlated Moderate flexibility CYP3A4-quercetin 44.1 6.9 Extensive cooperative motions Very high stability IL-6R-quercetin 39.7 10.1 Cooperative with localized anti-correlation Stable complex dynamics The DCCM results revealed distinct correlation patterns ( Fig. 10 ) across the five complexes. The Hsp70-baicalin and CYP3A4-quercetin complexes showed extensive regions of strong positive correlation (correlation coefficient > 0.7), indicating cooperative motions among key functional domains likely facilitating stable ligand accommodation. Conversely, AQP1-quercetin exhibited a mixture of positive and negative correlations, reflecting moderate conformational flexibility consistent with PCA and RMSF findings. Fig. 10 Summary-level dynamic cross-correlation matrix (DCCM) of the five protein–ligand complexes. DCCMs derived from the 2000 ns MD trajectories illustrate the correlated atomic motions within and between structural domains of each protein–ligand complex. Diagonal elements represent the degree of intra-domain positive correlations, indicating the extent of cooperative residue motions within each protein. Off-diagonal elements reflect the average anti-correlated motions between spatially distinct domains or between complexes. Color intensity corresponds to the magnitude and direction of correlated motion, with red indicating strong positive (cooperative) correlations and blue signifying strong negative (anti-correlated) fluctuations. Intermediate shades represent partially coupled motions contributing to structural adaptability. This comparative DCCM visualization provides an integrated overview of the internal dynamic coherence, flexibility, and stability of the analyzed complexes. Strong positive correlation networks observed in Hsp70-Baicalin and CYP3A4-Quercetin further support their concerted and stable conformational dynamics, consistent with their superior binding stability profiles. Regions exhibiting anti-correlated motions (correlation coefficient < −0.5) were relatively fewer in the tightly bound complexes, suggesting reduced internal conflicts and structural rearrangements upon ligand binding. This dynamic coherence supports the high stability and binding affinity observed in MM-GBSA and MD analyses. 4.6. DFT and MESP analyses reveal ligand hotspots for H-bonding and nucleophilic interactions To elucidate the electronic properties and reactive sites of the top ligands, DFT calculations ( Table 8 ) were performed using the B3LYP functional with the 6-31G(d,p) basis set. Optimized geometries were confirmed as energy minima by the absence of imaginary frequencies. Key quantum chemical descriptors including the energies of the HOMO and LUMO, the HOMO–LUMO energy gap (Δ E ), and dipole moments were calculated to assess molecular stability and reactivity ( Fig. 11 and 12 ). Table 8 DFT and MESP quantum chemical descriptors Ligand HOMO energy (eV) LUMO energy (eV) HOMO–LUMO gap (Δ E , eV) Dipole moment (D) Notable MESP regions Baicalin −5.32 −1.87 3.45 4.21 Strong negative potential at hydroxyl & carbonyl groups Quercetin −5.45 −1.57 3.88 3.78 Negative potential around hydroxyl groups Fig. 11 Quantum chemical descriptors of baicalin and quercetin derived from density functional theory (DFT) calculations. Graphical visualization of the frontier molecular orbitals and MESP maps for baicalin and quercetin obtained using DFT at the ωB97X-D/def2-TZVP level of theory. The HOMO and LUMO energy levels define the HOMO–LUMO energy gap (Δ E ), which serves as an indicator of molecular reactivity and chemical stability. Quercetin exhibits a slightly larger Δ E , suggesting comparatively higher kinetic stability, whereas baicalin shows a narrower gap consistent with greater charge-transfer potential. Computed dipole moments reflect molecular polarity, with baicalin displaying a higher dipole value, implying stronger intermolecular interactions and solvation tendencies. The MESP surface distributions highlight electron-rich regions localized around hydroxyl and carbonyl functional groups, representing potential hydrogen-bond donor and acceptor sites critical for target binding. Overall, these DFT-derived descriptors delineate the electronic reactivity and binding propensity of baicalin and quercetin, complementing their experimentally observed multitarget behavior under heat stress conditions. Fig. 12 Frontier molecular orbitals (FMOs) and electronic energy levels of baicalin and quercetin calculated via density functional theory (DFT). Visualization of the highest occupied molecular orbital (HOMO, red) and lowest unoccupied molecular orbital (LUMO, blue) distributions for baicalin and quercetin, computed at the B3LYP/6-31G(d,p) level of theory. The corresponding HOMO–LUMO energy gaps (Δ E ) were determined to be 3.45 eV for Baicalin and 3.88 eV for quercetin, indicating that baicalin possesses greater chemical reactivity and charge-transfer capability. The spatial orbital distributions delineate the localization of electron-rich (nucleophilic) and electron-deficient (electrophilic) regions across both molecules, primarily centered on hydroxyl, carbonyl, and conjugated aromatic moieties. These electronically active domains are proposed to facilitate non-covalent interactions such as hydrogen bonding and π–π stacking at the protein-binding interfaces. Collectively, the FMO and energy-gap analyses provide quantum-mechanical insight into the reactivity patterns and binding propensities of baicalin and quercetin, complementing the experimental and molecular-dynamics findings of their multitarget stabilization behavior. The MESP surfaces ( Fig. 13 ) were mapped onto the electron density to visualize regions of electron-rich (nucleophilic) and electron-poor (electrophilic) character. Negative potential regions (red) typically correspond to sites prone to electrophilic attack, whereas positive regions (blue) highlight potential nucleophilic centers. Fig. 13 Optimized geometries and molecular electrostatic potential (MESP) surfaces of baicalin and quercetin. Panel (a) depicts the DFT-optimized molecular geometries of baicalin (left) and quercetin (right), calculated at the B3LYP/6-31G(d,p) level of theory. Panel (b) shows the corresponding MESP surface maps, where red regions represent electron-rich (negative electrostatic potential) zones, and blue regions indicate electron-deficient (positive potential) areas. The localization of high negative potential around hydroxyl and carbonyl functional groups identifies these moieties as probable hydrogen-bond donors and acceptors, facilitating strong electrostatic and polar interactions with complementary residues in protein-binding sites. Conversely, the electron-deficient aromatic domains may participate in π–π stacking or hydrophobic interactions, contributing to overall ligand stability and affinity. Together, the optimized geometries and electrostatic potential maps provide valuable quantum-level insight into the reactivity, polarity, and binding-site complementarity of Baicalin and Quercetin, reinforcing their predicted multitarget binding potential. Among the ligands, baicalin exhibited the smallest HOMO–LUMO gap (3.45 eV), indicating higher chemical reactivity and polarizability, consistent with its strong binding affinities observed in docking and MD studies. Conversely, quercetin showed a larger gap (3.88 eV), reflecting greater kinetic stability. The MESP maps revealed pronounced negative potential regions around hydroxyl and carbonyl groups, supporting their roles as hydrogen bond donors and acceptors in protein binding. These quantum chemical insights complement the molecular docking and dynamics results, underpinning the ligands' favorable interactions with target proteins. 4.7. ADMET and toxicity predictions support pharmacokinetic viability and organ-specific safety To assess the pharmacokinetic suitability and safety of the selected bioactive compounds, in silico ADME and toxicity prediction analyses ( Table 9 ) were performed using SwissADME, pkCSM, and ProTox-II platforms ( Fig. 14 ). These tools apply machine learning and cheminformatics-based models to predict physicochemical properties, bioavailability, organ-specific toxicity, and overall safety profiles. Table 9 ADME and Toxicity Prediction of Selected Ligands Property Baicalin Quercetin Curcumin Resveratrol Molecular weight (g mol −1 ) 446.36 302.24 368.39 228.24 Log  P 0.21 1.63 3.29 3.10 Water solubility Moderate Moderate Poor Moderate GI absorption Low High High High BBB permeability No No Yes Yes P-gp substrate No No Yes No CYP1A2 inhibitor No Yes No Yes CYP3A4 inhibitor No Yes Yes No Bioavailability score 0.17 0.55 0.55 0.55 Total clearance (log mL min −1 kg −1 ) 0.37 0.51 0.49 0.45 AMES toxicity (mutagenic?) No No No No Hepatotoxicity No Yes (mild risk) Yes (moderate risk) No Carcinogenicity No No No No Oral rat acute toxicity (LD 50 , mg kg −1 ) 5000 1590 2000 1100 Toxicity class (ProTox-II) Class 5 (safe) Class 4 Class 4 Class 4 Fig. 14 Comparative radar plot of normalized ADME and toxicity parameters for baicalin, quercetin, curcumin, and resveratrol. Radar plot illustrating the absorption, distribution, metabolism, excretion, and toxicity (ADMET) profiles of four natural bioactive compounds. The parameters include key pharmacokinetic indices—molecular weight, log  P , GI absorption, total clearance, and BBB permeability—alongside toxicity indicators such as hepatotoxicity and median LD 50 . All data were normalized on a 0–1 scale for visual comparison. Baicalin displays the most favorable composite profile, characterized by low predicted hepatotoxicity, high LD 50 , and moderate lipophilicity, indicating a strong safety margin and systemic tolerability. In contrast, curcumin and resveratrol exhibit higher lipophilicity and BBB permeability, suggestive of enhanced central nervous system (CNS) activity, while quercetin presents a balanced ADMET signature with intermediate safety and permeability characteristics. This integrated pharmacokinetic–toxicological assessment underscores baicalin's superior drug-likeness and safety potential, supporting its selection as a lead multitarget compound for mitigating heat-induced systemic dysfunction. Key descriptors including lipophilicity (log  P ), water solubility, human intestinal absorption, blood–brain barrier permeability, cytochrome P450 inhibition, hepatic and renal clearance, and toxicity endpoints such as LD 50 , hepatotoxicity, carcinogenicity, and mutagenicity were evaluated. 4.7.1 Interpretation and highlights • Quercetin and resveratrol exhibited excellent gastrointestinal absorption and blood–brain barrier permeability, supporting their potential for systemic and central protection under thermal stress conditions. • Baicalin, despite its high water solubility and safety, demonstrated low oral absorption, possibly due to its large polar surface area. This suggests a need for formulation strategies ( e.g. , nanoemulsion or conjugation) to improve its bioavailability. • Curcumin showed favorable absorption and metabolic stability but is flagged for moderate hepatotoxic potential, in line with previous reports of dose-limited liver enzyme elevation in animal studies. • All compounds were non-mutagenic and non-carcinogenic, reinforcing their safety for long-term use. • LD 50 values confirm a high therapeutic window, particularly for baicalin and quercetin. 4.7.2 Translational relevance and safety assessment ADMET and ProTox-II profiling revealed favorable pharmacokinetic and toxicity characteristics for baicalin, including a high predicted LD 50 (5000 mg kg −1 ), non-mutagenicity, and non-hepatotoxicity. However, predicted low gastrointestinal absorption suggests a need for formulation strategies to enhance systemic bioavailability. Together, these data indicate that baicalin's cytoprotective efficacy arises from organ-specific modulation of stress and inflammatory responses, consistent with, though not proving, the computationally suggested multitarget interactions. This integrative study underscores the translational potential of baicalin as a natural therapeutic for heat-induced multiorgan dysfunction and provides a rational framework for further mechanistic exploration. 5.

In vivo results and discussion 5.1.

In vivo validation demonstrates organ-specific protection To translate the computational predictions into biological relevance, we employed a rat model of whole-body hyperthermia (42 ± 0.5 °C for 4 h). Baicalin pre-treatment (50 mg kg −1 , i.p.) resulted in marked histopathological preservation across all five major organs. Semi-quantitative scoring indicated reduced lesion severity in the brain (score 2 → 1), heart (3 → 1), kidney (3 → 1–2), liver (3 → 1), and lungs (3 → 2) compared to untreated heat-stressed controls. These observations suggest a broad-spectrum protective effect, aligning with the predicted involvement of multiple stress-regulatory proteins across different organ systems ( Fig. 15 ). Fig. 15 Schematic representation of heat-induced MODS and the protective mechanism of baicalin. Illustrative overview depicting the systemic impact of heat stress–induced MODS and the multitarget protective role of baicalin. Prolonged hyperthermia triggers pathological cascades leading to neuronal degeneration in the brain, cardiomyocyte injury in the heart, renal tubular necrosis in the kidneys, hepatocellular damage in the liver, and alveolar inflammation in the lungs. Baicalin exerts cytoprotective effects through concerted modulation of multiple heat-responsive proteins, particularly Hsp70 (molecular chaperone involved in protein refolding and stress tolerance), IL-6R (key mediator of inflammatory signaling), and CYP3A4 (hepatic detoxification enzyme). By restoring molecular homeostasis, attenuating inflammation, and enhancing antioxidant defense, Baicalin mitigates organ-specific injury and helps re-establish systemic physiological integrity under thermal stress. This schematic summarizes the integrated in silico – in vivo findings, highlighting baicalin's role as a multitarget natural therapeutic against heat-induced systemic pathology. 5.2. Organ-specific histopathological responses and protective effects of baicalin brain In untreated hyperthermic animals, brain sections showed evidence of neuroinflammation, including satellitosis and neuronophagia—classic indicators of glial activation and early neuronal damage. In contrast, baicalin-treated animals exhibited preserved neuronal architecture with only mild reactive gliosis ( Fig. 16 ). These observations suggest that baicalin confers neuroprotection, potentially through modulation of oxidative and inflammatory pathways implicated in hyperthermia-induced neurotoxicity. Fig. 16 Histopathological evaluation of brain tissue in Wistar rats subjected to hyperthermic stress and baicalin treatment. Representative hematoxylin and eosin (H&E)–stained brain sections illustrating the morphological alterations induced by heat stress and the neuroprotective effects of baicalin. (A) Control section showing normal neuronal architecture with intact nuclei, well-defined neuropil, and minimal glial activity. (B) Hyperthermia-exposed section demonstrating mild satellitosis, characterized by activated glial cells encircling degenerating neurons (arrow). (C) Section exhibiting pronounced neuronophagia, marked by microglial engulfment of necrotic neurons (arrow), indicative of heat-induced neuroinflammation. (D) Baicalin-treated section showing markedly reduced gliosis and preserved neuronal morphology, with only focal microglial activation (arrow), confirming baicalin's neuroprotective and anti-inflammatory effects under thermal stress. All sections were stained with H&E, visualized at 40× magnification, and include a scale bar of 75 µm. 5.2.1 Heart Hyperthermia led to significant myocardial degeneration characterized by intramyocardial vascular congestion, focal hemorrhages, and nuclear pyknosis. Baicalin treatment restored myocardial integrity, as evidenced by improved cross-striations in cardiomyocytes, normalized nuclear morphology, and reduced vascular pathology. This cardioprotective effect may be attributed to baicalin's interaction with Hsp27, a key molecular chaperone implicated in cardiac stress responses ( Fig. 17 ). Fig. 17 Histopathological assessment of heart tissue in Wistar rats subjected to hyperthermic stress and baicalin treatment. Representative hematoxylin and eosin (H&E)–stained cardiac sections depicting structural and vascular alterations induced by heat stress and the mitigating effects of baicalin. (A) Control myocardium showing well-organized cardiac muscle fibers with distinct cross-striations and intact vascular architecture. (B) Hyperthermia-exposed tissue exhibiting vascular congestion in intramyocardial vessels (arrow). (C) Section showing focal myocardial hemorrhages (arrow), indicative of endothelial disruption and early vascular injury. (D) Degenerative cardiomyocytes characterized by loss of cross-striations and nuclear pyknosis (arrow), consistent with heat-induced myocardial injury. (E) Baicalin-treated myocardium displaying only mild residual alterations, including slight loss of striations and occasional pyknotic nuclei (arrow), reflecting partial cardioprotection and restoration of myocardial integrity. All sections were stained with H&E, visualized at 40× magnification, and include a scale bar of 75 µm. 5.2.2 Kidney The renal tissue of hyperthermic animals revealed extensive tubular injury, including cloudy swelling of epithelial cells and pronounced glomerular congestion—findings consistent with acute tubular necrosis. Baicalin administration preserved tubular morphology, reduced cellular degeneration, and ameliorated vascular congestion, indicating a nephroprotective effect likely mediated by modulation of aquaporin-related water transport and redox regulation ( Fig. 18 ). Fig. 18 Histopathological evaluation of renal tissue in Wistar rats subjected to hyperthermia and baicalin treatment. (A) Control kidney displaying normal glomerular and tubular architecture with intact epithelial lining. (B) Hyperthermia-exposed tissue showing cloudy swelling and nuclear pyknosis in tubular epithelial cells (arrow), indicative of early tubular injury. (C) Marked vascular congestion and dilation in glomerular and interstitial capillaries (arrow), consistent with impaired renal perfusion. (D) Baicalin-treated kidney exhibiting partial preservation of tubular structure, with residual cloudy swelling (black arrow) and mild vascular congestion (white arrow), suggesting nephroprotective effects. All sections stained with hematoxylin and eosin (H&E); magnification: 40×. Scale bar: 75 µm. 5.2.3 Liver Hepatic sections from the hyperthermia group demonstrated sinusoidal congestion, Kupffer cell hypertrophy, and bile duct proliferation. Baicalin treatment resulted in substantial restoration of sinusoidal architecture, attenuation of Kupffer cell activation, and decreased bile duct hyperplasia. These results align with baicalin's computational affinity for CYP3A4 and Hsp70, supporting its hepatoprotective potential via detoxification and stress response pathways ( Fig. 19 ). Fig. 19 Histopathological examination of liver tissue in Wistar rats subjected to hyperthermic stress and baicalin treatment. Representative hematoxylin and eosin (H&E)–stained liver sections demonstrating structural and inflammatory alterations induced by heat stress and the restorative effects of baicalin. (A) Control liver showing well-organized hepatic cords radiating from central veins with intact sinusoidal architecture. (B) Hyperthermia-exposed section revealing Kupffer cell activation, characterized by hypertrophic, rounded macrophages (arrow), indicative of heightened inflammatory response. (C) Bile duct hyperplasia (arrow), reflecting cholangiocyte proliferation secondary to inflammatory stress. (D) Marked sinusoidal and portal vascular congestion (arrow) with evident capillary dilation, signifying hepatic circulatory impairment and microvascular stress. (E) Baicalin-treated liver displaying largely preserved lobular organization with mild hepatocellular vacuolation (arrow), reduced Kupffer cell activity, and restored sinusoidal integrity, confirming baicalin's hepatoprotective potential under thermal stress conditions. All sections were stained with H&E, visualized at 40× magnification, and include a scale bar of 75 µm. 5.2.4 Lung The lungs were the most affected organ under hyperthermic conditions, showing extensive bronchopneumonia, alveolar emphysema, and vascular congestion. While mild emphysematous changes persisted post-treatment, baicalin markedly reduced inflammatory infiltration and preserved alveolar architecture ( Fig. 20 ). These effects suggest pulmonary protection through downregulation of IL-6R-mediated inflammation. Fig. 20 Histopathological assessment of lung tissue in Wistar rats subjected to hyperthermic stress and baicalin treatment. Representative hematoxylin and eosin (H&E)–stained lung sections illustrating structural and inflammatory alterations induced by heat stress and the mitigating effects of baicalin. (A) Focal emphysematous changes in alveolar sacs (arrow), denoting alveolar wall destruction and airspace enlargement associated with oxidative and thermal damage. (B) Prominent vascular congestion within pulmonary capillaries (arrow), indicative of compromised microcirculatory function and early pulmonary edema. (C) Section showing bronchopneumonic infiltration, with dense mononuclear inflammatory cells occupying the bronchiolar lumen (arrow), consistent with an acute inflammatory response. (D) Baicalin-treated lung exhibiting marked reduction in inflammatory infiltration and partial restoration of alveolar integrity, though mild emphysematous changes and vascular congestion persist (arrows), demonstrating moderate pulmonary protection and attenuation of heat-induced injury. All sections were stained with H&E, visualized at 40× magnification, and include a scale bar of 75 µm. 5.3. Semi-quantitative scoring of histopathological lesions A standardized semi-quantitative scoring system (0 = none, 1 = mild, 2 = moderate, 3 = severe) was applied to objectively assess lesion severity across groups ( Table 10 and Fig. 21 ). Hyperthermia induced severe pathological changes in all examined organs, with the most pronounced damage observed in the lungs. Baicalin treatment consistently reduced lesion severity scores across all tissues, with notable improvements in the liver, heart, and brain. Table 10 Semi-quantitative scoring of organ-specific histopathological alterations Organ Lesion type Control Hyperthermia control Baicalin treated Brain Gliosis, neuronophagia 0 2 1 Heart Congestion, hemorrhage, myocyte degeneration 0 3 1 Kidney Tubular injury, vacuolar degeneration 0 3 1–2 Liver Sinusoidal congestion, Kupffer activation 0 3 1 Lung Emphysema, pneumonia, inflammation 0 3 2 Fig. 21 Semi-quantitative scoring of histopathological lesions across major organs in control, hyperthermia-exposed, and baicalin-treated groups. Bar chart representing mean lesion severity scores (0 = none, 1 = mild, 2 = moderate, 3 = severe) for brain, heart, liver, kidney, and lung tissues. Hyperthermia exposure resulted in marked histopathological alterations across all organs, with the lungs exhibiting the highest lesion severity, followed by the liver and kidney. Baicalin pre-treatment significantly attenuated tissue injury, reflected by notably reduced lesion scores in all examined organs. These results demonstrate baicalin's broad-spectrum cytoprotective efficacy and its ability to ameliorate heat-induced multi-organ damage. Data expressed as mean ± SEM ( n = 6); statistical significance determined by one-way ANOVA followed by Tukey's post hoc test ( p < 0.05 vs. hyperthermia group). 5.4. Relative pathological burden and therapeutic implications The untreated hyperthermia group followed a pathological severity gradient of lungs > liver > heart > kidney > brain, reflecting each organ's metabolic demand and vulnerability to oxidative stress ( Table 11 and Fig. 22 ). Baicalin administration significantly shifted this gradient, suggesting effective preservation of organ architecture and function, particularly in organs critical for metabolic and circulatory regulation. Table 11 Summary of observed histopathological features across groups a Organ Control group findings Hyperthermia group findings Baicalin-treated group findings Brain Normal neurons, no gliosis Neuronophagia, gliosis Mild gliosis, intact neurons Heart Normal striations Hemorrhage, vascular congestion Mild myocyte degeneration Kidney Normal tubules and glomeruli Tubular necrosis, cloudy swelling Partial recovery of tubules Liver Healthy hepatic cords Kupffer cell activation, congestion Reduced Kupffer reactivity Lung Intact alveoli Pneumonia, emphysema Decreased infiltration a Computational modeling suggested multitarget interaction, while in vivo validation confirmed organ-specific protection in brain, heart, liver, kidney, and lungs under heat stress. Fig. 22 Radar chart comparing lesion severity scores across five major organs in control, hyperthermia-exposed, and baicalin-treated groups. Radar plot illustrating the comparative distribution of semi-quantitative lesion scores for the brain, heart, liver, kidney, and lungs under different treatment conditions. The hyperthermia group displays a markedly expanded polygon, reflecting high pathological burden and extensive tissue injury across all organs. In contrast, the baicalin-treated group exhibits a contracted profile, indicating substantial reduction in lesion severity and multiorgan protection. The control group forms a compact baseline polygon, consistent with normal histoarchitecture and absence of pathological lesions. 5.5. Western blot analysis validates multitarget modulation by baicalin in heat-stressed organs To experimentally validate the in silico predictions and histopathological outcomes, Western blotting was conducted to quantify the expression of key stress-responsive and metabolic proteins—Hsp70, Hsp27, IL-6R, and CYP3A4—in organ-specific lysates from the control, hyperthermia, and baicalin + hyperthermia groups. GAPDH was used as the internal loading control to ensure uniform protein normalization across tissues. Preliminary validation confirmed consistent GAPDH expression across brain, heart, liver, kidney, and lung samples, supporting its reliability as a reference control. However, future experiments will include β-actin as an additional loading reference to further confirm normalization consistency. As illustrated in Fig. 23 , hyperthermia markedly upregulated Hsp70 in the brain and Hsp27 in the heart, reflecting activation of cellular stress responses and cytoskeletal destabilization ( p < 0.05). IL-6R levels were significantly elevated in lung tissue, consistent with thermal stress–induced inflammatory signaling, while hepatic CYP3A4 expression was substantially suppressed, indicating impaired xenobiotic metabolism and hepatocellular stress. Fig. 23 Western blot analysis and densitometric quantification of heat stress–associated proteins in control, hyperthermia-exposed, and baicalin-treated rats. (A) Representative Western blots (right) and corresponding densitometric analyses (left) showing expression profiles of Hsp70 (brain), Hsp27 (heart), IL-6R (lung), and CYP3A4 (liver) across experimental groups: control (lane 1), hyperthermia (lane 2), and baicalin + hyperthermia (lane 3). GAPDH served as the internal loading control. (B) Quantitative analysis revealed that hyperthermia markedly upregulated Hsp70, Hsp27, and IL-6R expression ( p < 0.05), while CYP3A4 was significantly downregulated. Baicalin pre-treatment effectively normalized protein expression, attenuating heat-induced overexpression of Hsp70, Hsp27, and IL-6R, and restoring CYP3A4 to near-control levels. Data are presented as mean ± SEM ( n = 3); statistical significance determined by one-way ANOVA followed by Tukey's post hoc test ( p < 0.05 vs. hyperthermia group). Baicalin pre-treatment effectively attenuated the hyperthermia-induced overexpression of Hsp70, Hsp27, and IL-6R, while restoring CYP3A4 expression toward baseline levels. These effects were corroborated by densitometric quantification, where normalized relative protein intensities confirmed statistically significant modulation ( p < 0.05). Although kidney tissue was comprehensively analyzed histopathologically, protein-level validation was not performed due to limited sample yield from the same cohort. This omission is recognized as a study limitation and will be addressed in future experiments through inclusion of renal-specific markers and protein expression analyses. Collectively, these findings corroborate the multitarget interactions and dynamic stability predicted computationally, providing molecular-level evidence that baicalin confers broad-spectrum cytoprotection under systemic hyperthermic stress. While the results confirm functional modulation rather than direct binding, they substantiate baicalin's capacity to regulate key stress, inflammatory, and metabolic pathways, reinforcing its promise as a natural pharmacological candidate for mitigating heat-induced multiorgan dysfunction. The integrative pharmacoinformatics–experimental framework employed in this study revealed a coherent mechanistic alignment between computational predictions and in vivo outcomes. The observed modulation of stress-associated proteins (Hsp70, Hsp27, IL-6R, and CYP3A4) validates the predicted interaction profiles derived from molecular docking, MM-GBSA, and long-timescale MD simulations. These findings support baicalin's multitarget adaptability, enabling concurrent attenuation of thermal stress, inflammatory signaling, and metabolic disruption across multiple organ systems. Although the present results strongly support baicalin's role as a multifunctional cytoprotective molecule, they do not directly confirm ligand–protein binding. Future work incorporating surface plasmon resonance (SPR) or isothermal titration calorimetry (ITC) could provide definitive kinetic and thermodynamic validation of these interactions. 5.5.1 Limitations of the study This study's limitations include the absence of direct biochemical confirmation of baicalin–protein binding ( e.g. , SPR or ITC) and the lack of pharmacokinetic quantification of baicalin distribution across organs. Future work will employ surface plasmon resonance assays and LC-MS-based biodistribution analyses to validate these mechanistic interactions and optimize translational dosing. 6. Conclusion This study provides comprehensive evidence that baicalin acts as a potent multitarget cytoprotective agent against acute systemic hyperthermia, validated through an integrated in silico – in vivo approach. Computational analyses identified five key heat-responsive proteins—Hsp70, Hsp27, aquaporin-1, IL-6R, and CYP3A4—as molecular targets, with baicalin demonstrating strong binding affinities (Δ G = −9.3 to −8.5 kcal mol −1 ), favorable thermodynamic stability (MM-GBSA = −52.4 to −68.7 kcal mol −1 ), and highly stable conformations during extended molecular dynamics simulations (2000 ns; RMSD = 0.18–0.24 nm). Complementary DFT, dynamic cross-correlation, and free energy landscape analyses supported baicalin's electronic reactivity and conformational resilience across multiple protein environments, reinforcing its multitarget interaction potential.

In vivo evaluation in a rat whole-body hyperthermia model further confirmed baicalin's multiorgan protective efficacy, significantly reducing histopathological damage in the brain, heart, liver, kidney, and lungs. Semi-quantitative scoring demonstrated a marked decline in lesion severity (notably from score 3 → 1 in hepatic and cardiac tissues), while western blot assays revealed normalization of heat-induced dysregulation—downregulation of Hsp70, Hsp27, and IL-6R, alongside restoration of CYP3A4 expression. These findings highlight baicalin's ability to simultaneously modulate stress, inflammatory, and metabolic pathways at the protein level.

In silico ADMET and ProTox-II analyses indicated a favorable safety profile (LD 50 ≈ 5000 mg kg −1 ; non-mutagenic; non-hepatotoxic), though limited gastrointestinal absorption suggests the need for formulation refinement to improve systemic bioavailability. Collectively, this work not only underscores baicalin's therapeutic promise as a natural multitarget cytoprotective agent but also exemplifies how integrative pharmacoinformatics–experimental frameworks can accelerate discovery of effective interventions against stress-induced multiorgan dysfunction. Future studies incorporating direct biophysical binding assays and pharmacokinetic validation will further strengthen the mechanistic understanding and translational potential of baicalin in heat-related systemic disorders. Author contributions Anjali Kumari: in vivo experiments, investigation, conceptualized, writing the original draft ( in vivo experimental part), validation, data curation, validation and Formal analysis. Aisha Tufail: writing the original draft (molecular docking), visualization, validation. Magda H. Abdellattif: formal analysis and validation of western blot and in vivo studies. Amit Dubey: supervision (computational), investigation, conceptualized, writing the original draft, software (molecular docking, molecular dynamics simulations, PCA, DCCM, DFT, MESP, and ADMET), visualization, methodology, writing – review & editing, data curation, validation and formal analysis. Rakesh Kumar Sinha: supervision ( in vivo experimental part), investigation, conceptualized, writing – review & editing ( in vivo experimental part), data curation, validation and formal analysis. Conflicts of interest All the authors declared no conflict of interests. Supplementary Material RA-016-D5RA05510E-s001 RA-016-D5RA05510E-s002 RA-016-D5RA05510E-s003 RA-016-D5RA05510E-s004 RA-016-D5RA05510E-s005 Authors sincerely thank and acknowledge Ahmad Hussain for his support during the histopathology experiment, and Birla Institute of Technology, Mesra, Ranchi Jharkhand (India) for providing lab facilities. The authors extend their appreciation to Taif University, Saudi Arabia for supporting this work through project number TU-DSPP-2024-19. Data availability All the data cited in this manuscript is generated by the authors and available upon request from the corresponding authors. Supplementary information is available. See DOI: https://doi.org/10.1039/d5ra05510e . References

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📖 中文全文 Chinese Full Text

中文

# 黄芩苷通过器官特异性蛋白调控保护热致多器官功能障碍:整合计算与体内实验证据

## 摘要

热射病诱导的多器官功能障碍是一种危及生命的临床急症,其特征是全身氧化应激、炎症反应和重要器官的代谢崩溃。尽管支持治疗已有进展,但针对其潜在分子病理的多靶点药物干预仍然严重缺乏。本研究通过整合计算与实验框架,评估了天然黄酮苷类化合物黄芩苷(baicalin)对全身性高温的多器官保护功效。我们筛选出五个关键的热响应蛋白——热休克蛋白70(Hsp70)、热休克蛋白27(Hsp27)、水通道蛋白-1(AQP1)、白细胞介素-6受体(IL-6R)和细胞色素P450 3A4(CYP3A4)——作为治疗靶点。分子对接显示其具有强结合亲和力(ΔG = −9.3 至 −8.5 kcal mol⁻¹),并通过2000 ns的分子动力学(MD)模拟得到验证,表现出构象稳定性(均方根偏差RMSD < 0.25 nm;5–8个氢键)以及有利的分子力学广义波恩表面积(MM-GBSA)结合能(Hsp70-黄芩苷高达 −65.3 kcal mol⁻¹)。主成分分析(PCA)和自由能景观(FEL)映射确认了热力学稳定性,而密度泛函理论(DFT)计算(最高占据分子轨道-最低未占据分子轨道HOMO–LUMO能隙 = 3.45 eV)支持黄芩苷的电子反应性。体内验证采用大鼠全身高热模型(42 ± 0.5 °C,持续4小时),结果显示黄芩苷预处理(50 mg kg⁻¹,腹腔注射)后,脑、心、肾、肝、肺的组织病理学损伤严重程度显著降低。Western blot和密度计量分析证实Hsp70、Hsp27和IL-6R表达下调,同时CYP3A4表达恢复(p < 0.05)。吸收、分布、代谢、排泄和毒性(ADMET)及ProTox-II分析预测其具有较高的安全裕度(LD₅₀ ≈ 5000 mg kg⁻¹;无肝毒性;无致突变性)。综上,这些发现确立了黄芩苷作为一种有前景的多靶点天然细胞保护剂,并凸显了将计算药理学与体内疾病模型相结合以加速细胞保护药物发现的转化潜力。

## 1. 引言

热射病和全身性高热是危急的医学急症,可迅速进展为危及生命的多器官功能障碍综合征(MODS)。当核心体温持续超过40 °C时,细胞内稳态被破坏,并启动复杂的病理生理级联反应——包括活性氧过量生成、线粒体损伤、促炎细胞因子释放、血管渗漏和细胞凋亡。这些分子扰动在脑、心、肝、肾和肺等重要器官中汇聚,产生与严重脓毒症中所见多器官衰竭高度相似的全身性炎症和代谢反应。尽管重症监护和体温调节管理已取得进展,目前的治疗策略仍主要是对症支持性的,缺乏能够直接减轻潜在氧化和炎症损伤的药物。因此,开发能够在热应激下减轻器官特异性损伤的多靶点药物干预是一项迫切的临床需求。¹⁻³

天然多酚类化合物因其能够同时调节多种信号传导和代谢通路,在应激诱导的病理状态中作为有前景的细胞保护剂日益受到关注。其中,黄芩苷是从黄芩(*Scutellaria baicalensis*)中分离的黄酮苷类化合物,已在多种器官损伤模型中表现出明确的抗氧化、抗炎和抗凋亡特性——包括脑缺血、心肌梗死、肝毒性和急性肾损伤。⁴⁻⁶ 在机制上,黄芩苷通过调节关键信号级联(如NF-κB、Nrf2/HO-1、PI3K/Akt和MAPKs)发挥其作用,同时维持线粒体完整性并稳定内皮屏障功能。⁷⁻⁹ 这些多模式的分子效应使黄芩苷成为对抗热致系统性器官损伤复杂病理生理过程的特别有吸引力的候选物。

以往研究已探讨了黄芩苷在离体或器官特异性热损伤模型中的作用——例如其减轻下丘脑炎症、恢复肝酶水平或保护肠黏膜的能力。¹⁰·¹¹ 然而,这些研究大多较为分散、单一,局限于单个器官系统,未能解决黄芩苷如何在全身性高热条件下调节协调的多器官应激反应这一更广泛的问题。此外,其多靶点保护活性(尤其是在急性热应激条件下)的分子决定因素仍未得到充分表征。

为弥补这些空白,本研究采用全面的、从药效信息学到体内的整合策略,阐明黄芩苷对热致功能障碍的多器官保护功效。我们选取了五个关键蛋白靶点——Hsp70(神经心脏应激伴侣蛋白)、Hsp27(心血管细胞保护)、水通道蛋白-1(肾脏和肺部水通道)、CYP3A4(肝脏解毒酶)和IL-6R(炎症信号受体)——因其分别在器官特异性应激和修复机制中发挥核心作用。我们整合了分子对接、分子动力学(MD)模拟、MM-GBSA结合自由能分析和密度泛函理论(DFT),以预测黄芩苷对这些靶点的结合偏好、热力学稳定性和电子反应性。随后,通过大鼠全身高热模型对这些计算预测进行实验验证,评估黄芩苷预处理在保留组织结构、调节应激响应蛋白表达和减轻脑、心、肝、肾和肺病变严重程度方面的能力。这种双重验证框架使分子水平预测与组织水平结果得以关联,为黄芩苷的多靶点保护潜力提供了有力的机制学洞见。

综上,我们的研究首次证明,黄芩苷可对全身热致损伤提供广谱、器官特异性的保护,其计算预测的相互作用与实验结果高度吻合。除了揭示黄芩苷细胞保护作用的分子基础外,本研究还建立了一套合理的、整合的工作流程,用于将植物化学骨架转化为潜在的多靶点治疗药物,以管理热射病等复杂的高热和炎症综合征。

## 2. 材料与方法

### 2.1. 热应激多靶点治疗谱的计算方法学

#### 2.1.1. 热致损伤的器官特异性生物标志物:结构生物学视角

为模拟对高热的器官特异性反应,我们根据生物学相关性、结构可用性以及在应激生理学中的作用,筛选了五个蛋白靶点。这些靶点包括热休克蛋白70(Hsp70,PDB ID: 5AQZ)、热休克蛋白27(Hsp27,PDB ID: 4MJH)、水通道蛋白-1(AQP1,PDB ID: 1FQY)、细胞色素P450 3A4(CYP3A4,PDB ID: 1TQN)和白细胞介素-6受体(IL-6R,PDB ID: 1N26)。¹²⁻¹⁵ 蛋白结构从蛋白质数据库(https://www.rcsb.org)检索获得,并使用AutoDockTools 1.5.7进行制备。去除水分子、共结晶配体和杂原子后,加入极性氢并分配Gasteiger电荷。使用Swiss-PdbViewer 4.1.0进行能量最小化以消除空间位阻并优化局部构象。¹⁶

#### 2.1.2. 天然多酚类化合物作为细胞保护剂:原理与生物活性映射

根据先前报道的抗氧化、抗炎和细胞保护特性,从PubChem(https://pubchem.ncbi.nlm.nih.gov)中初筛了八种天然来源的化合物。这些化合物包括黄芩苷(PubChem CID: 64982)、槲皮素(CID: 5280343)、姜黄素(CID: 969516)、白藜芦醇(CID: 445154)、丁香酸(CID: 10742)、芹菜素(CID: 5280443)、N-乙酰半胱氨酸(NAC,CID: 12035)和维生素E(α-生育酚,CID: 14985)。¹⁷⁻²¹ 配体结构以结构数据文件(SDF)格式检索,并使用Open Babel 3.1.1转换为蛋白数据库部分电荷(Q)和原子类型(T)格式(PDBQT)。在Avogadro 1.2.0中使用Merck分子力场(MMFF94)进行能量最小化和几何优化。²²

#### 2.1.3. 天然配体对热应激响应蛋白的虚拟筛选

使用AutoDock Vina 1.2.3(参考文献23)进行分子对接研究,以预测黄芩苷与所选热响应蛋白靶点的结合亲和力和相互作用谱。Hsp70、Hsp27、水通道蛋白-1、CYP3A4和IL-6R的三维晶体结构从PDB检索获得。在对接前,使用AutoDockTools 1.5.7去除所有杂原子、水分子和非必需配体,并加入带Gasteiger电荷的极性氢。对于每个靶点,网格框以共结晶配体或保守活性位点残基所定义的催化或配体结合位点为中心。网格框尺寸为60 × 60 × 60 Å,网格间距为0.375 Å,以确保完全覆盖功能位点。穷举度(exhaustiveness)参数设置为16以增强构象采样,每个靶点最多生成20个结合姿态。选取显示最佳氢键、疏水相互作用和π-堆积相互作用的最低能量对接构象(ΔG,kcal mol⁻¹)进行对接后评估。所有蛋白-配体相互作用谱和2D/3D可视化图谱使用Discovery Studio Visualizer 2020(参考文献24)和PyMOL 2.5进行分析,以确认预测结合姿态的稳定性和取向。

#### 2.1.4. 高热条件下配体-蛋白稳定性的原子级洞见

将从分子对接获得的排名靠前的配体-蛋白复合物使用GROMACS 2021.4(参考文献25)进行全原子分子动力学(MD)模拟,以评估其动态稳定性和相互作用持久性。化学哈佛大分子力学(CHARMM36)力场应用于所有蛋白拓扑,配体拓扑通过CHARMM通用力场(CGenFF服务器)基于CHARMM通用力场参数生成。每个系统在周期性三斜盒子中用可转移分子间势函数三点水模型(TIP3P)水分子溶剂化,保持溶质与盒子边缘之间最小距离为1.0 nm。加入反离子(Na⁺/Cl⁻)以中和系统。使用最陡下降算法进行能量最小化,直至最大力收敛至1000 kJ mol⁻¹ nm⁻¹ 以下。平衡分两个连续阶段进行——NVT(恒定粒子数、体积和温度)和NPT(恒定粒子数、压力和温度)系综——每个100 ps,逐渐约束重原子以稳定系统。V-rescale恒温器将温度维持在310 K,Parrinello–Rahman恒压器将压力控制在1 atm。每个复合物进行2000 ns(2 µs)的生成MD模拟,时间步长为2 fs,使用周期性边界条件和粒子网格Ewald(PME)方法处理长程静电相互作用。所有涉及氢的键长使用线性约束求解器(LINCS)算法进行约束,每2 ps记录一次轨迹帧以供后续分析。每次模拟使用独立随机速度种子进行三次重复以确保统计重现性。轨迹分析——RMSD、RMSF、Rg和氢键——使用GROMACS内置工具(gmx rms、gmx rmsf、gmx gyrate、gmx hbond)计算。所有图表使用OriginPro 2023和XMGrace 5.1生成以进行比较可视化。所有模拟均使用黄芩苷(PubChem CID: 64982)的结构,确保对接和动态分析数据集之间的一致性。

#### 2.1.5. 通过MM-GBSA计算对配体结合的热力学评估

将MD轨迹的最后500 ns使用g_mmpbsa模块进行MM-GBSA分析。²⁶ ΔG_bind计算为范德华能、静电能、极性溶剂化能和非极性溶剂化能分量的总和。提取20 ns间隔的25个快照以保证统计准确性。

### 2.2. 配体-蛋白复合物的主成分分析与自由能景观

使用每个复合物Cα原子的PCA评估本质动力学。通过gmx covar和gmx anaeig构建协方差矩阵并获得特征值/特征向量。通过将轨迹投影到PC1和PC2上,使用gmx sham生成FEL图,以识别稳定的构象能阱。²⁷

### 2.3. 配体结合过程中热应激靶点的动态互相关分析

在R中使用Bio3D 2.4.1评估相关和反相关的原子运动。²⁸ 互相关矩阵由MD轨迹计算,并以热图形式可视化。高正相关(>0.7)表示协同运动,而值<−0.5表示反相关运动,有助于解释变构行为。

### 2.4. 先导天然化合物的DFT反应性和静电分布

电子描述符使用Gaussian 16计算,采用Becke三参数Lee–Yang–Parr(B3LYP)杂化交换-相关泛函和6-31G(d,p)基组(B3LYP/6-31G(d,p)理论水平)。通过频率分析确认优化后的配体几何构型。计算HOMO–LUMO能隙(ΔE)、偶极矩和前线轨道能量。使用GaussView 6.1绘制分子静电势(MESP)表面以预测潜在结合热点。²⁹

### 2.5. 先导化合物的计算机ADMET谱用于安全性和类药性评估

使用SwissADME(http://www.swissadme.ch)、pkCSM(http://biosig.unimelb.edu.au/pkcsm/)和ProTox-II(https://tox-new.charite.de/protox_II/)生成计算机ADME和毒性谱。³⁰⁻³² 参数包括log P、水溶性、胃肠道(GI)吸收、血脑屏障(BBB)通透性、细胞色素P450相互作用、肝毒性和半数致死剂量(LD₅₀)。使用雷达图和比较表来优先选择具有良好药代动力学和低预测毒性的先导候选物。

## 3. 体内研究

### 3.1. 实验动物和伦理考量

所有体内实验程序严格按照机构伦理指南进行,并经机构动物伦理委员会批准(IAEC批准号:1972/PH/BIT/05/23/IAEC)。从Birla Institute of Technology, Mesra, Ranchi, Jharkhand, India的中央动物设施获得20只健康雄性Wistar大鼠(体重:190–210 g)。动物饲养于铺有无菌稻壳垫料的独立通风聚丙烯笼中,每48小时更换垫料以确保卫生条件。实验前动物适应环境7天,控制条件为(24 ± 1 °C;50 ± 5%相对湿度;12小时光照/黑暗周期),自由获取标准实验室饲料和过滤水。本模型专门用于评估黄芩苷对急性热应激诱导多器官功能障碍的细胞保护功效。

### 3.2. 高热诱导和实验分组

采用急性全身高热模型模拟临床相关的全身热应激及其病理后果。动物随机分为三组(每组n = 10): - **第I组(对照)**:维持在环境实验室温度(24 ± 1 °C;45–50%相对湿度)。 - **第II组(高热对照)**:在校准的生物需氧量(BOD)培养箱(Deluxe Automatic, India)中以42 ± 0.5 °C、45–50%相对湿度暴露4小时。 - **第III组(高热+黄芩苷处理)**:在高热暴露前30分钟通过腹腔注射黄芩苷(50 mg kg⁻¹体重)预处理,然后接受与第II组相同的4小时暴露。

为尽量减少暴露过程中的程序性应激,所有动物在暴露期间用乌拉坦(1.2 g kg⁻¹体重,腹腔注射)轻度麻醉。在整个暴露期间,持续监测动物的应激临床症状,并仔细记录每只动物的存活时间。使用数字探针(BIO-TEMP, India)持续监测直肠核心体温,整个4小时暴露期间维持在42 ± 0.5 °C范围内,通过调节培养箱湿度(45–50%)防止过度死亡。高热暴露期间总体存活率>90%。

### 3.3. 黄芩苷给药和治疗学依据

黄芩苷(PubChem CID: 64982)是一种天然存在的黄酮苷类化合物,具有已确立的抗氧化、抗炎和细胞保护活性,基于先前计算筛选和分子动力学模拟所识别的多靶点潜力而被选用于体内评估。所选剂量(50 mg kg⁻¹体重)参考先前在大鼠全身氧化和炎症应激模型中显示治疗效果的药代动力学和药效学研究。采用腹腔注射(i.p.)给药途径,以确保在热损伤发生的关键窗口期内快速全身吸收和持续的生物利用度。

#### 3.3.1. 剂量选择的药代动力学依据

50 mg kg⁻¹腹腔注射剂量的选择基于已发表的药代动力学研究,报告给药后30分钟内血浆Cmax约为2.1 µg mL⁻¹,与本模型中使用的暴露窗口一致。虽然未进行直接的组织定量,但黄芩苷处理大鼠中观察到的多器官保护表明在高热期具有足够的全身生物利用度。这一局限性在讨论部分将进一步说明。

### 3.4. 组织采集和组织病理学处理

安乐死后立即仔细切取脑、心、肝、肾和肺等重要器官,在冰冷盐水中冲洗,并在环境温度下于10%中性缓冲福尔马林(NBF)中固定72小时。固定组织通过分级乙醇系列(70%、80%、90%、95%和100%)脱水,二甲苯透明,石蜡包埋。使用旋转式切片机(Leica RM2125 RTS)制备薄切片(4–5 µm),并置于多聚-L-赖氨酸包被的载玻片上以增强染色过程中的附着力。

### 3.5. 组织学染色和显微镜评估

使用标准苏木精-伊红(H&E)染色方案进行组织学评估。组织切片脱蜡、水化后,用Mayer苏木精染色,1%伊红复染,脱水、透明,并用Distyrene Plasticizer Xylene(DPX)封片。在Olympus BX53高分辨率显微镜下以10×、20×和40×放大倍数进行显微镜分析,使用集成相机系统捕获数字显微照片。

### 3.6. 比较病理学评估

系统地进行对照、高热暴露和黄芩苷处理组之间的组织病理学比较。主要终点包括组织结构、血管完整性、炎症浸润、细胞变性、坏死和水肿的评估。选择说明标志性病理特征和黄芩苷介导保护效应的代表性显微照片进行记录。这种综合评估为将黄芩苷的计算预测多靶点结合与其在全身热应激下的体内保护功效相关联提供了坚实的基础(图1)。

**图1** 本研究用于组织处理和显微镜评估的标准组织病理学工作流程的图示。该示意图说明了从器官切除和在10%中性缓冲福尔马林中固定(24小时)开始的连续步骤,然后是修整和洗涤以去除固定剂残留物。组织随后通过递增浓度乙醇系列(70%、80%、90%、95%和100%)脱水,二甲苯透明,并包埋于熔化石蜡中以获得均匀的组织块。使用旋转式切片机切取4–5 µm厚度的切片,置于载玻片上,并进行苏木精-伊红(H&E)染色以进行一般形态学评估。最后,将染色的载玻片用DPX介质封片,并在复式光学显微镜下检查,以评估不同处理组的组织结构和病变严重程度。每个步骤都用过程图标直观表示,以强调工作流程的时间顺序,并提高不熟悉组织病理学方案的读者的可理解性。

### 3.7. Western blot分析:黄芩苷多靶点调控的验证

为证实计算和组织病理学发现,采用Western blotting评估黄芩苷对靶器官中关键热应激响应蛋白的调节作用。这种分子验证对于确认黄芩苷对多器官功能障碍相关通路的药效学影响至关重要。

#### 3.7.1. 组织采集和蛋白分离

实验处理后,三组动物——对照(常温)、高热(42 ± 0.5 °C,4小时)和黄芩苷+高热(50 mg kg⁻¹,腹腔注射预处理)——在麻醉下安乐死。迅速切取脑、心、肝和肺组织,在液氮中速冻,并储存于−80 °C。使用预冷的玻璃-Teflon匀浆器在补充有蛋白酶和磷酸酶抑制剂(Sigma-Aldrich)的放射免疫沉淀测定(RIPA)缓冲液(Thermo Fisher Scientific)中进行组织匀浆。匀浆物在4 °C下以14 000× g离心20分钟,收集上清液进行分析。通过BCA测定法(Pierce™ BCA蛋白测定试剂盒)确定蛋白浓度,确保样品间等量上样。

#### 3.7.2. SDS-PAGE和免疫印迹

每个样品30 µg总蛋白与含5% β-巯基乙醇的Laemmli样品缓冲液混合,在95 °C下变性5分钟,在10–12%十二烷基硫酸钠-聚丙烯酰胺凝胶电泳(SDS-PAGE)凝胶上分离。使用半干转印装置(Bio-Rad Trans-Blot® Turbo™)将蛋白转移至聚偏二氟乙烯(PVDF)膜(Millipore Immobilon-P)。膜在含0.1% Tween-20的Tris缓冲盐水(TBST)配制的5%脱脂牛奶中在室温下封闭1小时以防止非特异性结合。根据器官特异性和计算对接命中,选用以下靶点在4 °C下过夜进行一抗孵育: - Hsp70(脑/肝;Abcam, ab5439, 1:1000稀释) - Hsp27(心脏;CST, #2402, 1:1000) - IL-6R(肺;Abcam, ab128008, 1:1000) - CYP3A4(肝;Novus, NB600-1413, 1:1000) - GAPDH(所有;CST, #5174, 1:5000)作为参考内参对照

膜用TBST洗涤三次,然后在室温下与物种特异性辣根过氧化物酶(HRP)偶联二抗(1:5000, CST)孵育1小时。使用增强化学发光(ECL;Pierce™ ECL Plus, Thermo Scientific)显色带,并使用ChemiDoc™ XRS+成像系统(Bio-Rad)捕获。

#### 3.7.3. 密度计量和统计分析

使用ImageJ(NIH)定量条带强度,靶蛋白表达归一化为GAPDH。所有实验进行三次重复(每组n = 3个生物学重复)。数据以平均值±标准误(SEM)表示。通过单因素方差分析(ANOVA)结合Tukey's事后检验评估统计显著性(p < 0.05视为显著)。使用GraphPad Prism 9.0生成图表,并将密度计量结果与组织病理学病变评分相关联以增强转化相关性。

## 4. 结果与讨论

### 4.1. 用于器官特异性热应激缓解的天然配体的计算评估

#### 4.1.1. 靶蛋白选择

理解热致多器官损伤的分子机制需要靶向在应激反应、炎症、代谢和液体调节中发挥关键作用的蛋白。基于文献证据和生物学相关性,五个靶蛋白(表1和图2)被选用于计算验证,每个蛋白代表受高热影响的特定器官系统。

**表1 分子对接和模拟研究所选蛋白靶点**

| 靶蛋白 | 主要器官 | PDB ID | 生物学功能 | |---|---|---|---| | Hsp70 | 脑/全身 | 5AQZ | 分子伴侣;在热应激下介导蛋白折叠 | | Hsp27 | 心脏 | 4MJH | 小热休克蛋白;保护心肌细胞免受氧化损伤 | | AQP1 | 肾脏 | 1FQY | 维持水盐平衡;对热失调敏感 | | CYP3A4 | 肝脏 | 1TQN | 代谢外源性物质;热应激抑制其活性 | | IL-6R | 肺 | 1N26 | 调节炎症反应;是热诱导细胞因子信号的核心 |

**图2 热应激相关蛋白靶点及其器官特异性功能作用。** 条形图说明了在多器官对环境高热的适应中涉及的五个选定热响应蛋白靶点。每个条形根据蛋白主要发挥功能的器官进行颜色编码:Hsp70(蓝色,脑/全身)——在热应激下促进蛋白正确折叠并防止聚集的分子伴侣;Hsp27(红色,心脏)——通过减轻氧化和凋亡损伤赋予心肌细胞保护;水通道蛋白-1(绿色,肾脏)——在热扰动期间调节跨膜水通量和渗透压平衡;CYP3A4(橙色,肝脏)——催化外源性物质代谢,在高热条件下被下调;以及IL-6R(紫色,肺/全身)——介导与全身热应激相关的细胞因子驱动的炎症信号。条形高度代表从文献频率分析(2013–2023年)得出的相对生物学相关性评分,量化了每个蛋白与热损伤和器官功能障碍的已报告关联。该可视化整合了计算和生物学视角,突出了黄芩苷多靶点选择背后的合理性。

Hsp70和Hsp27因其作为细胞应激适应核心的分子伴侣功能而被纳入。Hsp70是一种高度保守的伴侣蛋白,在高温下快速诱导,保护神经元免受凋亡和蛋白错误折叠的影响。Hsp27主要在心脏组织中表达,通过抑制蛋白聚集和调节氧化应激期间的氧化还原平衡来保护心肌细胞。AQP1是一种膜结合水通道,被选为代表性的肾脏应激标志物。其表达在热应激下发生改变,影响肾水重吸收和电解质稳态。CYP3A4是一种在肝细胞中大量存在的酶,被纳入以评估代谢易损性。在热诱导的全身炎症期间,已知CYP450活性下调,损害解毒功能并增加肝损伤易感性。IL-6R被选为肺组织炎症信号的关键调节因子。IL-6在与全身应激反应相关的细胞因子风暴中起核心作用,使IL-6R成为评估高热条件下肺部炎症和免疫激活的关键节点。这些蛋白的三维结构从PDB检索并准备用于对接和模拟研究。每个蛋白的选择基于其结构可用性、功能注释以及在热应激相关病理生理学中的参与。

### 4.2. 配体选择

用于缓解热致多器官功能障碍的治疗候选物的选择以具有已证实的抗氧化、抗炎和细胞保护特性的化合物为指导(表2)。已知高热触发广泛的氧化应激、蛋白错误折叠和细胞因子驱动的炎症——使这些药理学特征特别理想。因此,由于天然存在的生物活性分子具有多靶点机制、安全性特征以及在应激相关病理中的广泛记录,优先于合成药物(图3)。

**表2 具有应激相关活性的候选天然配体**

| 配体 | PubChem ID | 主要生物学效应 | 建议蛋白靶点 | |---|---|---|---| | 白藜芦醇 | 445154 | 抗氧化、抗炎 | Hsp70, Hsp27, CYP3A4 | | 槲皮素 | 5280343 | 热休克调节剂、心脏保护 | Hsp70, Hsp27, IL-6R | | 丁香酸 | 10742 | 肾保护和肝保护 | AQP1, CYP3A4 | | 姜黄素 | 969516 | 广谱抗氧化、抗炎 | Hsp70, CYP3A4, IL-6R | | NAC | 12035 | ROS清除剂、谷胱甘肽前体 | Hsp70, AQP1 | | 维生素E | 14985 | 膜保护脂质抗氧化剂 | Hsp27, AQP1 | | 黄芩苷 | 64982 | 神经保护、抗炎 | Hsp70, IL-6R | | 芹菜素 | 5280443 | 肺保护黄酮 | IL-6R, Hsp27 |

**图3 与候选天然配体相关的蛋白靶点,表现出应激相关生物活性。** 堆叠条形图说明了所选天然配体对五个主要热响应蛋白靶点——Hsp70、Hsp27、CYP3A4、IL-6R和AQP1——的相互作用谱。每个条形代表一个单独的配体,而堆叠段表示与相应靶点的预测结合或调控相互作用的存在(值=1)或不存在(值=0)。该可视化突出了重叠和独特的靶点关联,使配体在应激条件下的多靶点潜力能够进行对比评估。表现出更广泛相互作用谱的配体被优先用于进一步的分子对接、MD模拟和体内验证,反映了它们在开发多药理学策略以减轻热诱导多器官功能障碍方面的预期效用。

最初考虑一组八个多酚类和植物化学化合物,每个化合物与主要器官系统(即脑、心、肝、肾和肺)的保护作用相关。这些化合物根据其调节氧化应激通路、抑制促炎介质以及与热休克和细胞防御相关分子靶点相互作用的能力进行初筛。 - **白藜芦醇**(PubChem ID: 445154)是一种芪类化合物,表现出强效抗氧化活性并抑制炎症细胞因子。已显示其增强线粒体功能并在氧化损伤期间保护心脏和肝组织。其活性与Hsp70、Hsp27和CYP3A4(与细胞保护和解毒相关的蛋白)特别相关。 - **槲皮素**(PubChem ID: 5280343)是一种黄酮醇,广泛报道通过诱导Hsp70表达来调节热休克反应。它还在热和氧化应激期间稳定心肌细胞和内皮细胞,使其适合除Hsp70外还对接Hsp27和IL-6R。 - **丁香酸**(PubChem ID: 10742)是一种以肾保护作用和减少脂质过氧化能力著称的酚酸。其建议的靶点——AQP1和CYP3A4——分别是应激条件下肾脏水盐平衡和肝脏解毒的关键。 - **姜黄素**(PubChem ID: 969516)来源于姜黄(*Curcuma longa*),发挥全面的抗炎和ROS清除作用。它调节多种信号通路,包括NF-κB和MAPK,并与应激调节蛋白(如Hsp70、CYP3A4和IL-6R)相互作用。 - **NAC**(PubChem ID: 12035)作为谷胱甘肽的前体,保护细胞免受氧化应激。它在维持氧化还原平衡中发挥重要作用,并与Hsp70和AQP1功能相关。 - **维生素E(α-生育酚)**(PubChem ID: 14985)是一种脂溶性抗氧化剂,保护细胞膜免受过氧化。已知其在心脏和肾组织中稳定膜,证明其与Hsp27和AQP1的相关性。 - **黄芩苷**(PubChem ID: 64982)是一种黄酮苷,以其神经保护和抗炎特性而闻名。它下调促炎细胞因子和氧化应激标志物,使其成为Hsp70和IL-6R的有前景配体。 - **芹菜素**(PubChem ID: 5280443)通过调节免疫反应和减少肺泡炎症表现出肺保护活性。其与IL-6R和Hsp27的结合符合其在热应激下针对肺损伤的治疗潜力。

对于当前研究,根据多靶点潜力和与组织病理学分析中确定的器官最易损器官的相关性,选择黄芩苷、槲皮素、姜黄素和白藜芦醇进行全面计算评估。这些配体进行分子对接、分子动力学模拟、结合自由能估算和量子化学分析,以阐明它们在热应激条件下的治疗可行性。

### 4.3. 对接揭示槲皮素、黄芩苷和姜黄素的强多靶点亲和力

采用分子对接作为主要步骤,评估所选天然化合物与热致器官损伤相关关键蛋白靶点之间的结合亲和力和相互作用模式(表3和图4)。使用AutoDock Vina进行对接模拟,该软件基于能量最小化和构象互补性预测配体-受体结合。

**表3 所选生物活性化合物与热应激相关蛋白靶点的分子对接评分(kcal mol⁻¹)**

| 配体 | Hsp70 (PDB: 5AQZ) | Hsp27 (PDB: 4MJH) | AQP1 (PDB: 1FQY) | CYP3A4 (PDB: 1TQN) | IL-6R (PDB: 1N26) | |---|---|---|---|---|---| | 白藜芦醇 | −8.2 | −7.6 | −6.9 | −8.4 | −7.1 | | 槲皮素 | −9.1 | −8.7 | −7.8 | −9.3 | −8.6 | | 丁香酸 | −7.3 | −6.5 | −7.4 | −7.9 | −6.2 | | 姜黄素 | −8.9 | −8.1 | −7.6 | −9.1 | −7.9 | | NAC | −6.4 | −5.9 | −6.7 | −6.8 | −5.7 | | 维生素E | −7.7 | −8.3 | −6.2 | −8.8 | −7.0 | | **黄芩苷** | **−9.3** | **−8.6** | **−7.5** | **−9.0** | **−8.5** | | 芹菜素 | −8.5 | −7.9 | −7.0 | −8.7 | −8.1 |

**图4 所选天然配体对关键热应激相关蛋白靶点的比较分子对接评分。** 分组条形图说明了从AutoDock Vina 1.2.3获得的每个候选天然配体对五个主要应激响应蛋白——Hsp70、Hsp27、CYP3A4、IL-6R和AQP1——的预测结合亲和力(ΔG,kcal mol⁻¹)。每组条形代表一个配体,而单个条形高度表示靶点特异性的对接能量。较低(更负)的对接评分对应较强的预测结合亲和力,表明相互作用的热力学有利性更大。该比较可视化揭示了黄芩苷和槲皮素在多个靶点上表现出持续强结合,表明它们作为多靶点调节剂的潜力,能够减轻热诱导的细胞应激和器官功能障碍。

五个蛋白——Hsp70、Hsp27、AQP1、CYP3A4和IL-6R——分别与一组八个以其抗氧化和抗炎特性著称的配体对接。目标是鉴定在高热应激下具有调节这些蛋白最高潜力的化合物。以kcal mol⁻¹表示的对接评分反映了估计的自由结合能,更负的值表示较强的预测相互作用。结果总结于表3。

#### 4.3.1. 解释和要点 - **黄芩苷和槲皮素**作为多靶点最强配体脱颖而出,特别是对Hsp70、Hsp27和CYP3A4。它们的结合亲和力持续较高(−8.5至−9.3 kcal mol⁻¹),表明与关键热休克和代谢蛋白有强而稳定的相互作用。这些发现加强了它们作为高热应激期间多靶点细胞保护剂的潜力。 - **姜黄素**对所有靶点表现出优异结合,特别是CYP3A4和Hsp70,与其在实验模型中已确立的抗氧化和抗炎作用相一致。 - **芹菜素和白藜芦醇**也显示出有利的结合能量,表明中度至强相互作用能力,特别是与IL-6R和Hsp27,这可能有助于在高热应激下调节炎症和心脏反应。 - 相比之下,**NAC**在该组中呈现最低的结合亲和力。这一结果与其已知的作用机制一致,该机制主要是间接的,涉及全身氧化还原调节而非特异性受体结合(图5)。

**图5 应力响应蛋白与表现最佳天然配体复合物的分子对接可视化。** 显示黄芩苷和槲皮素与关键热响应蛋白靶点相互作用的代表性对接姿态。(A)Hsp70(PDB ID: 5AQZ,蓝色表面)与黄芩苷(棒状表示)复合物,表明在核苷酸结合裂隙内的深度容纳,与热应激下的伴侣调节一致。(B)Hsp27(PDB ID: 4MJH,橙色表面)与槲皮素对接,突显与心肌细胞保护相关的α-晶状体结构域的稳定接触。(C)水通道蛋白-1(PDB ID: 1FQY,青色表面)在水选择性孔区域内与槲皮素结合,表明高热期间对肾脏渗透压调节的可能影响。(D)细胞色素P450 3A4(PDB ID: 1TQN,黄色表面)在线血红素邻底物进入通道附近与槲皮素相互作用,提示对肝脏外源性物质代谢的潜在调节。(E)白细胞介素-6受体(PDB ID: 1N26,绿色表面)在与肺部炎症信号相关的细胞因子结合界面与槲皮素结合。蛋白表面根据靶点身份进行颜色编码,配体以棒状格式显示以强调结合取向、氢键互补性和位点特异性(活性或变构)。该可视化使用Discovery Studio Visualizer 2020和PyMOL 2.5生成,以描绘预测对接复合物的空间互补性和相互作用几何。

#### 4.3.2. 分子建模提示多靶点相互作用潜力

采用计算分析预测黄芩苷对涉及全身器官损伤的五个热响应蛋白(Hsp70、Hsp27、IL-6R、AQP1和CYP3A4)的潜在亲和力。分子对接表明强结合相互作用(ΔG:−9.3至−8.5 kcal mol⁻¹),2000 ns分子动力学模拟证明了持续复合物稳定性(RMSD:0.18–0.24 nm;5–8个持续氢键)。MM-GBSA自由能计算进一步确认了这些复合物的热力学有利性,结合能范围为−52.4至−68.7 kcal mol⁻¹。DFT衍生的电子描述符(HOMO–LUMO能隙为3.45 eV)加强了黄芩苷在蛋白-配体界面的预测反应性。虽然这些计算洞见未确认直接生化结合,但它们为选择靶点和预测热应激条件下黄芩苷的器官水平反应提供了合理依据。

### 4.4. 分子动力学模拟证明稳定相互作用和低构象漂移

为进一步验证通过分子对接鉴定的顶级配体-蛋白复合物的结合稳定性和构象动力学,在生理条件下(310 K,1 atm,显式溶剂环境)进行了2000 ns的全原子分子动力学模拟。该模拟使我们能够研究五个关键蛋白-配体系统的时间分辨行为:Hsp70-黄芩苷、Hsp27-槲皮素、AQP1-槲皮素、CYP3A4-槲皮素和IL-6R-槲皮素。提取并分析了关键结构描述符,包括评估全局稳定性的RMSD、评估残基水平灵活性的RMSF、测量紧密性的Rg以及监测分子间相互作用强度和持久性的氢键分析(表4和图6)。

**表4 分子动力学模拟摘要(2000 ns)**

| 蛋白-配体复合物 | 平均RMSD(nm) | RMSF范围(nm) | Rg(nm) | 平均氢键数 | 稳定性摘要 | |---|---|---|---|---|---| | Hsp70-黄芩苷 | 0.19 ± 0.03 | 0.09–0.22 | 2.12 | 5–8 | 高度稳定;观察到最小漂移 | | Hsp27-槲皮素 | 0.21 ± 0.02 | 0.07–0.20 | 1.98 | 4–6 | 一致结合;紧密结构 | | AQP1-槲皮素 | 0.24 ± 0.04 | 0.08–0.25 | 2.05 | 3–5 | 中度波动;结构稳定 | | CYP3A4-槲皮素 | 0.18 ± 0.03 | 0.06–0.18 | 2.34 | 6–9 | 紧密结合;高相互作用稳定性 | | IL-6R-槲皮素 | 0.20 ± 0.03 | 0.07–0.21 | 2.10 | 5–7 | 稳定构象,一致接触 |

**图6 蛋白-配体复合物在2000 ns上的分子动力学模拟指标。** 五个选定蛋白-配体系统(Hsp70-黄芩苷、Hsp27-槲皮素、AQP1-槲皮素、CYP3A4-槲皮素和IL-6R-槲皮素)在生理条件下模拟2000 ns的综合分子动力学模拟曲线。左上(RMSD):RMSD图显示所有复合物维持在0.3 nm以下的值,表明在整个模拟过程中具有出色的全局稳定性和最小构象漂移。右上(RMSF):RMSF分析揭示残基水平低灵活性,特别是在结合位点残基处,确认了紧密维持的蛋白-配体相互作用。左下(氢键):时间依赖性氢键曲线显示了跨轨迹的持续和动态相互作用,CYP3A4-槲皮素和IL-6R-槲皮素表现出多达8–10个并发氢键,与强结合亲和力和增强的复合物稳定化一致。右下(Rg):Rg曲线在2000 ns内保持恒定,反映了蛋白折叠的持续紧密性和结构完整性。总体而言,这些MD指标验证了在模拟生理条件下黄芩苷和槲皮素作为热应激相关蛋白有前景的多靶点稳定剂的结构可靠性、动力学有利性和结合持久性。

#### 4.4.1. MD结果的解释 - 所有五个复合物在模拟期间维持RMSD值低于0.25 nm,确认了在生理条件下的低结构偏差和高全局稳定性(图7)。

**图7 蛋白-配体复合物的比较分子动力学模拟参数(2000 ns)。** 条形图比较了从五个主要复合物(Hsp70-黄芩苷、Hsp27-槲皮素、AQP1-槲皮素、CYP3A4-槲皮素和IL-6R-槲皮素)2000 ns MD模拟中获得的关键结构和动力学参数。条形代表平均Rg和RMSF范围,分别反映整体紧密性和残基水平灵活性。叠加的带误差条的绿色虚线表示平均RMSD值,指示整个2000 ns模拟窗口内构象稳定性的程度。综合可视化使每个复合物的结构完整性和动力学适应性能够直接比较,确认黄芩苷和槲皮素保持高构象稳定性且波动最小——支持它们在模拟生理条件下作为稳健多靶点稳定剂的作用。

- **Hsp70-黄芩苷和CYP3A4-槲皮素复合物**表现出最高的平均氢键数,表明在活性位点区域具有稳健和持续的相互作用。这种相互作用密度支持对接时观察到的强结合亲和力。 - **RMSF曲线**显示环区局部灵活性,但结合位点残基运动有限,表明稳定且刚性的相互作用界面,中断最小。 - **Rg值**随时间对所有复合物保持一致,表明无显著展开或压缩,进一步验证了它们在模拟过程中的构象完整性和紧密性。

#### 4.4.2. MD结果的结论

MD模拟提供了所选配体与其各自蛋白靶点之间稳定和动力学有利相互作用的令人信服的证据。特别是,黄芩苷和槲皮素在2000 ns内保持强、稳定和良好协调的结合,加强了它们作为针对高热诱导细胞损伤的多器官保护剂的潜力。这些发现为通过MM-GBSA进行进一步热力学验证、通过PCA和FEL进行功能表征以及预测ADMET评估提供了坚实的基础,所有这些都是临床前开发的必要步骤。

#### 4.4.3. MM-GBSA能量计算突显跨靶点有利的结合自由能

为量化配体-蛋白复合物的结合亲和力和热力学稳定性,对从2000 ns MD轨迹最后500 ns提取的快照进行MM-GBSA计算(表5)。该方法通过考虑范德华能、静电能、极性溶剂化能和非极性溶剂化能分量来估算结合自由能。

**表5 蛋白-配体复合物的MM-GBSA结合自由能**

| 蛋白-配体复合物 | ΔG_bind(kcal mol⁻¹) | 范德华能 | 静电能 | 极性溶剂化能 | 非极性溶剂化能 | |---|---|---|---|---|---| | Hsp70-黄芩苷 | −65.3 ± 3.2 | −45.1 | −28.5 | 12.7 | −4.4 | | Hsp27-槲皮素 | −58.9 ± 2.8 | −39.2 | −24.1 | 10.5 | −6.1 | | AQP1-槲皮素 | −52.4 ± 3.5 | −36.8 | −21.7 | 11.9 | −5.8 | | CYP3A4-槲皮素 | −68.7 ± 3.0 | −47.3 | −29.6 | 13.2 | −5.0 | | IL-6R-槲皮素 | −60.5 ± 2.9 | −41.7 | −26.1 | 11.3 | −4.0 |

五个复合物计算的MM-GBSA结合自由能(ΔG_bind)范围为−52.4至−68.7 kcal mol⁻¹,表明强和有利的相互作用,与稳定复合物形成一致。在复合物中,**槲皮素与CYP3A4的结合**表现出最高结合亲和力(−68.7 kcal mol⁻¹),与MD模拟中观察到的紧密相互作用良好相关。类似地,**黄芩苷与Hsp70的结合**显示出显著的ΔG_bind为−65.3 kcal mol⁻¹,确认了其作为热休克反应稳健调节剂的潜力(图8)。

**图8 蛋白-配体复合物的MM-GBSA结合自由能(ΔG_bind)曲线和能量分量分析。** 条形图说明了分子力学/广义波恩表面积(MM-GBSA)结合自由能(ΔG_bind)及其各个能量分量——范德华能、静电能、极性溶剂化能和非极性溶剂化能——针对每个模拟的蛋白-配体复合物。比较能量分布描述了非键合和溶剂化力对整体复合物稳定化的相对贡献。在所有评估系统中,CYP3A4-槲皮素复合物显示了最有利的总ΔG_bind,主要由强范德华和静电相互作用驱动,并由中度极性溶剂化惩罚平衡。为视觉清晰起见,ΔG_bind的误差条被省略。所有复合物的有利结合能加强了这些配体作为有前景的治疗热应激诱导器官损伤的多靶点剂的双重作用。

#### 4.4.4. PCA和自由能景观揭示紧密和能量稳定的复合物

在2000 ns MD模拟期间,对蛋白-配体复合物的骨架原子进行PCA(表6)以捕获基本集体运动。头两个主成分(PC1和PC2)解释了所有复合物总方差的65%以上,表明这些运动主导系统的动力学行为。

**表6 PCA方差解释和FEL能量最小值**

| 蛋白-配体复合物 | 方差解释(%)(PC1+PC2) | 能量盆地数 | 全局最小能量(kcal mol⁻¹) | 构象稳定性 | |---|---|---|---|---| | Hsp70-黄芩苷 | 68.5 | 2 | −10.7 | 高稳定性,受限运动 | | Hsp27-槲皮素 | 66.2 | 3 | −9.4 | 中度稳定性 | | AQP1-槲皮素 | 65.1 | 4 | −8.2 | 中度灵活性 | | CYP3A4-槲皮素 | 70.3 | 2 | −11.1 | 非常高稳定性,紧密结合 | | IL-6R-槲皮素 | 67.0 | 3 | −9.8 | 稳定,具有明确的最小值 |

将轨迹投影到PC1–PC2空间显示**Hsp70-黄芩苷和CYP3A4-槲皮素复合物**占据更受限的构象空间,表明灵活性受限和稳定性更高。相比之下,**AQP1-槲皮素**显示出更广泛的采样,表明与RMSF分析一致的中度结构波动。从PC1和PC2坐标构建的FEL图(图9)说明了所有复合物存在深入且定义良好的全局最小值。这些最小值代表能量有利和稳定的构象状态。Hsp70-黄芩苷和CYP3A4-槲皮素复合物观察到的更窄更深的能量盆地进一步验证了它们的构象稳定性和紧密结合,支持它们作为有效治疗剂的潜力。

**图9 选定蛋白-配体复合物的主成分分析(PCA)衍生的自由能景观(FELs)。** 从2000 ns分子动力学轨迹的PCA生成的二维自由能景观描绘了每个复合物探索的构象空间。颜色梯度代表吉布斯自由能最小值,其中更深的盆地对应于更低能量、更稳定的构象。Hsp70-黄芩苷和CYP3A4-槲皮素显示深入、狭窄的盆地,表明高度稳定和紧密的结构状态,构象漂移最小。Hsp27-槲皮素表现出三个中度凹陷,表明存在多个稳定性相当的低能量结合构象。相比之下,AQP1-槲皮素和IL-6R-槲皮素显示出更宽或多个浅最小值,反映了模拟过程中更大的构象灵活性和动力学适应性。总体而言,FEL曲线突出了复合物之间的能量景观稳定性层次,并支持黄芩苷和槲皮素在模拟生理条件下的多靶点结合韧性。

### 4.5. DCCM分析揭示顶级复合物中的协调运动和变构完整性

对蛋白-配体复合物的Cα原子进行动态互相关矩阵(DCCM)分析(表7),以评估2000 ns分子动力学模拟期间的相关和反相关运动。DCCM图提供了对集体动力学行为和蛋白结构内变构通信的洞见,这可以影响配体结合和稳定性。

**表7 DCCM发现总结**

| 蛋白-配体复合物 | 正相关(%) | 负相关(%) | 主导动力学行为 | 稳定性意义 | |---|---|---|---|---| | Hsp70-黄芩苷 | 42.8 | 7.6 | 强协同运动 | 高稳定性,有利变构效应 | | Hsp27-槲皮素 | 38.5 | 12.3 | 中度协同运动 | 中度稳定性 | | AQP1-槲皮素 | 31.2 | 18.7 | 混合相关/反相关 | 中度灵活性 | | CYP3A4-槲皮素 | 44.1 | 6.9 | 广泛协同运动 | 非常高稳定性 | | IL-6R-槲皮素 | 39.7 | 10.1 | 协同与局部反相关 | 稳定复合物动力学 |

DCCM结果揭示了五个复合物之间的不同相关模式(图10)。**Hsp70-黄芩苷和CYP3A4-槲皮素复合物**显示出强正相关的广泛区域(相关系数>0.7),表明关键功能域之间的协同运动,可能有助于稳定的配体容纳。相反,**AQP1-槲皮素**表现出正负相关的混合,反映了与PCA和RMSF发现一致的中度构象灵活性。

**图10 五个蛋白-配体复合物的总结级动态互相关矩阵(DCCM)。** 从2000 ns MD轨迹衍生的DCCM说明了每个蛋白-配体复合物内和结构域之间的相关原子运动。对角元素代表域内正相关的程度,指示每个蛋白内协同残基运动的程度。非对角元素反映空间不同域之间或复合物之间的平均反相关运动。颜色强度对应于相关运动的大小和方向,红色表示强正(协同)相关,蓝色表示强负(反相关)波动。中间阴影表示有助于结构适应性的部分耦合运动。这种比较DCCM可视化提供了所分析复合物内部动态一致性、灵活性和稳定性的综合概述。在Hsp70-黄芩苷和CYP3A4-槲皮素中观察到的强正相关网络进一步支持它们的一致和稳定构象动力学,与其优越的结合稳定性曲线一致。表现出反相关运动的区域(相关系数<−0.5)在紧密结合的复合物中相对较少,表明配体结合后内部冲突和结构重排减少。这种动态一致性支持了在MM-GBSA和MD分析中观察到的高稳定性和结合亲和力。

### 4.6. DFT和MESP分析揭示配体H键和亲核相互作用热点

为阐明顶级配体的电子性质和反应位点,使用B3LYP泛函和6-31G(d,p)基组进行DFT计算(表8)。通过无虚频确认优化几何为能量最小值。计算关键量子化学描述符,包括HOMO和LUMO能量、HOMO–LUMO能隙(ΔE)和偶极矩,以评估分子稳定性和反应性(图11和图12)。

**表8 DFT和MESP量子化学描述符**

| 配体 | HOMO能量(eV) | LUMO能量(eV) | HOMO–LUMO能隙(ΔE,eV) | 偶极矩(D) | 显著MESP区域 | |---|---|---|---|---|---| | 黄芩苷 | −5.32 | −1.87 | 3.45 | 4.21 | 羟基和羰基处强负电位 | | 槲皮素 | −5.45 | −1.57 | 3.88 | 3.78 | 羟基周围负电位 |

**图11 从密度泛函理论(DFT)计算得出的黄芩苷和槲皮素的量子化学描述符。** 在ωB97X-D/def2-TZVP理论水平使用DFT获得的黄芩苷和槲皮素的前线分子轨道和MESP图的图形可视化。HOMO和LUMO能级定义了HOMO–LUMO能隙(ΔE),其作为分子反应性和化学稳定性的指标。槲皮素表现出略大的ΔE,提示相对较高的动力学稳定性,而黄芩苷显示出较窄的能隙,与更大的电荷转移潜力一致。计算的偶极矩反映分子极性,黄芩苷显示出更高的偶极值,意味着更强的分子间相互作用和溶剂化倾向。MESP表面分布突出了定位于羟基和羰基官能团周围的电子富集区,代表了关键的氢键供体和受体位点,对靶点结合至关重要。总体而言,这些DFT衍生的描述符描绘了黄芩苷和槲皮素的电子反应性和结合倾向,补充了它们在热应激条件下实验观察到的多靶点行为。

**图12 通过密度泛函理论(DFT)计算的黄芩苷和槲皮素的前线分子轨道(FMOs)和电子能级。** 在B3LYP/6-31G(d,p)理论水平计算的黄芩苷和槲皮素的最高占据分子轨道(HOMO,红色)和最低未占据分子轨道(LUMO,蓝色)分布的可视化。相应的HOMO–LUMO能隙(ΔE)确定为黄芩苷为3.45 eV,槲皮素为3.88 eV,表明黄芩苷具有更大的化学反应性和电荷转移能力。空间轨道分布描绘了两个分子上电子富集(亲核)和电子缺乏(亲电)区域的定位,主要集中在羟基、羰基和共轭芳香族部分。这些电子活性域被认为促进非共价相互作用,如氢键和π-π堆积,在蛋白结合界面。总体而言,FMO和能隙分析提供了黄芩苷和槲皮素反应性模式和结合倾向的量子力学洞见,补充了它们的实验和分子动力学发现的多靶点稳定行为。

将MESP表面(图13)映射到电子密度上以可视化电子富集(亲核)和电子贫乏(亲电)特征区域。负电位区域(红色)通常对应于易受亲电攻击的位点,而正区域(蓝色)突显潜在的亲核中心。

**图13 黄芩苷和槲皮素的优化几何和分子静电势(MESP)表面。**(a)面板描述了黄芩苷(左)和槲皮素(右)的DFT优化分子几何,在B3LYP/6-31G(d,p)理论水平计算。(b)面板显示相应的MESP表面图,其中红色区域代表电子富集(负静电势)区,蓝色区域表示电子缺乏(正电位)区。高负电位在羟基和羰基官能团周围的定位将这些部分识别为可能的氢键供体和受体,促进与蛋白结合位点互补残基的强静电和极性相互作用。相反,电子缺乏的芳香域可能参与π-π堆积或疏水相互作用,有助于整体配体稳定性和亲和力。总体而言,优化几何和静电势图为黄芩苷和槲皮素的反应性、极性和结合位点互补性提供了有价值的量子水平洞见,加强了它们预测的多靶点结合潜力。

在配体中,**黄芩苷**表现出最小的HOMO–LUMO能隙(3.45 eV),表明更高的化学反应性和极化率,与对接和MD研究中观察到的强结合亲和力一致。相反,**槲皮素**显示出更大的能隙(3.88 eV),反映了更大的动力学稳定性。MESP图揭示了羟基和羰基周围显著的负电位区域,支持它们在蛋白结合中作为氢键供体和受体的作用。这些量子化学洞见补充了分子对接和动力学结果,支撑了配体与靶蛋白的有利相互作用。

### 4.7. ADMET和毒性预测支持药代动力学可行性和器官特异性安全性

为评估所选生物活性化合物的药代动力学适用性和安全性,使用SwissADME、pkCSM和ProTox-II平台进行计算机ADME和毒性预测分析(表9和图14)。这些工具应用机器学习和化学信息学模型来预测物理化学性质、生物利用度、器官特异性毒性和整体安全性特征。

**表9 所选配体的ADME和毒性预测**

| 属性 | 黄芩苷 | 槲皮素 | 姜黄素 | 白藜芦醇 | |---|---|---|---|---| | 分子量(g mol⁻¹) | 446.36 | 302.24 | 368.39 | 228.24 | | Log P | 0.21 | 1.63 | 3.29 | 3.10 | | 水溶性 | 中度 | 中度 | 差 | 中度 | | GI吸收 | 低 | 高 | 高 | 高 | | BBB通透性 | 无 | 无 | 有 | 有 | | P-gp底物 | 无 | 无 | 有 | 无 | | CYP1A2抑制剂 | 无 | 有 | 无 | 有 | | CYP3A4抑制剂 | 无 | 有 | 有 | 无 | | 生物利用度评分 | 0.17 | 0.55 | 0.55 | 0.55 | | 总清除率(log mL min⁻¹ kg⁻¹) | 0.37 | 0.51 | 0.49 | 0.45 | | AMES致突变性 | 无 | 无 | 无 | 无 | | 肝毒性 | 无 | 有(轻度风险) | 有(中度风险) | 无 | | 致癌性 | 无 | 无 | 无 | 无 | | 大鼠急性口服毒性(LD₅₀,mg kg⁻¹) | 5000 | 1590 | 2000 | 1100 | | 毒性等级(ProTox-II) | 5级(安全) | 4级 | 4级 | 4级 |

**图14 黄芩苷、槲皮素、姜黄素和白藜芦醇的标准化ADME和毒性参数比较雷达图。** 雷达图说明了四种天然生物活性化合物的吸收、分布、代谢、排泄和毒性(ADMET)特征。参数包括关键药代动力学指标——分子量、log P、GI吸收、总清除率和BBB通透性——以及毒性指标如肝毒性和中位LD₅₀。所有数据在0–1范围内归一化以便视觉比较。黄芩苷显示出最有利的综合特征,以低预测肝毒性、高LD₅₀和中度亲脂性为特征,表明强大的安全裕度和全身耐受性。相比之下,姜黄素和白藜芦醇表现出更高的亲脂性和BBB通透性,提示增强的中枢神经系统(CNS)活性,而槲皮素呈现具有中间安全性和通透性特征的平衡ADMET特征。这种整合的药代动力学-毒理学评估强调了黄芩苷优越的类药性和安全潜力,支持其作为缓解热诱导全身功能障碍的先导多靶点化合物的选择。

评估关键描述符包括亲脂性(log P)、水溶性、人体肠道吸收、血脑屏障通透性、细胞色素P450抑制、肝肾清除率以及毒性终点如LD₅₀、肝毒性、致癌性和致突变性。

#### 4.7.1. 解释和要点 - **槲皮素和白藜芦醇**表现出优异的胃肠道吸收和血脑屏障通透性,支持它们在热应激条件下的全身和中枢保护潜力。 - **黄芩苷**尽管具有高水溶性和安全性,但表现出低口服吸收,可能由于其大的极性表面积。这提示需要制剂策略(如纳米乳液或偶联)以改善其生物利用度。 - **姜黄素**显示出有利的吸收和代谢稳定性,但被标记为具有中度肝毒性潜力,与先前动物研究中剂量限制性肝酶升高的报告一致。 - 所有化合物均无致突变性和非致癌性,加强了它们长期使用的安全性。 - LD₅₀值证实了高治疗窗,特别是黄芩苷和槲皮素。

#### 4.7.2. 转化相关性和安全性评估

ADMET和ProTox-II分析揭示了黄芩苷有利的药代动力学和毒性特征,包括高预测LD₅₀(5000 mg kg⁻¹)、无致突变性和无肝毒性。然而,预测的低胃肠道吸收提示需要制剂策略以增强全身生物利用度。总体而言,这些数据表明黄芩苷的细胞保护功效源于对应激和炎症反应的器官特异性调节,与(尽管未证明)计算提示的多靶点相互作用一致。这项整合研究强调了黄芩苷作为热致多器官功能障碍天然治疗剂的转化潜力,并为进一步机制探索提供了合理框架。

## 5. 体内结果与讨论

### 5.1. 体内验证证明器官特异性保护

为将计算预测转化为生物学相关性,我们采用大鼠全身高热模型(42 ± 0.5 °C,4小时)。黄芩苷预处理(50 mg kg⁻¹,腹腔注射)导致所有五个主要器官出现显著的组织病理学保护。半定量评分表明,与未处理的热应激对照相比,脑(评分2→1)、心脏(3→1)、肾脏(3→1–2)、肝脏(3→1)和肺(3→2)的病变严重程度降低。这些观察提示了广谱保护效应,与不同器官系统中多个应激调节蛋白的预测参与一致(图15)。

**图15 热诱导MODS和黄芩苷保护机制的示意图。** 描绘热应激诱导的MODS的全身影响和黄芩苷的多靶点保护作用的说明性概述。持续高热触发导致脑神经元变性、心脏心肌细胞损伤、肾脏肾小管坏死、肝脏肝细胞损伤和肺泡炎症的病理级联。黄芩苷通过对多个热响应蛋白(特别是Hsp70、参与蛋白重折叠和应激耐受的分子伴侣)、IL-6R(炎症信号的关键介质)和CYP3A4(肝脏解毒酶)的协调调节发挥细胞保护作用。通过恢复分子稳态、减轻炎症和增强抗氧化防御,黄芩苷减轻器官特异性损伤并有助于在热应激下重建全身生理完整性。该示意图总结了整合的计算机模拟-体内发现,突出了黄芩苷作为针对热诱导全身病理的多靶点天然治疗剂的作用。

### 5.2. 器官特异性组织病理学反应和黄芩苷的保护作用

**脑**:在未处理的高热动物中,脑切片显示神经炎症证据,包括卫星现象和噬神经细胞作用——这是神经胶质激活和早期神经元损伤的经典指标。相比之下,黄芩苷处理的动物表现出保留的神经元结构,仅有轻度反应性胶质增生(图16)。这些观察表明黄芩苷赋予神经保护,可能通过调节高热诱导的神经毒性中涉及的氧化和炎症通路。

**图16 接受高热应激和黄芩苷处理的Wistar大鼠脑组织的组织病理学评估。** 说明热应激诱导的形态学改变和黄芩苷的神经保护效应的代表性苏木精-伊红(H&E)染色脑切片。(A)对照切片显示正常神经元结构,细胞核完整、神经纤维网良好定义、神经胶质活性最小。(B)高热暴露切片显示轻度卫星现象,其特征为活化的神经胶质细胞包围变性神经元(箭头)。(C)显示明显噬神经细胞作用的切片,以小胶质细胞吞噬坏死神经元(箭头)为标志,表明热诱导的神经炎症。(D)黄芩苷处理的切片显示明显减少的胶质增生和保留的神经元形态,仅有局灶性小胶质细胞激活(箭头),确认黄芩苷在热应激下的神经保护和抗炎效应。所有切片用H&E染色,在40×放大倍数下可视化,并包含75 µm的比例尺。

#### 5.2.1. 心脏 高热导致显著的心肌变性,其特征为心肌内血管充血、局灶性出血和核固缩。黄芩苷处理恢复了心肌完整性,如心肌细胞横纹改善、核形态正常化和血管病理减少所证明。这种心脏保护效应可能归因于黄芩苷与Hsp27(参与心脏应激反应的关键分子伴侣)的相互作用(图17)。

**图17 接受高热应激和黄芩苷处理的Wistar大鼠心脏组织的组织病理学评估。** 代表性苏木精-伊红(H&E)染色心脏切片描绘热应激诱导的结构和血管改变以及黄芩苷的缓解效应。(A)对照心肌显示组织良好的心肌纤维,具有明显的横纹和完整的血管结构。(B)高热暴露组织显示心肌内血管充血(箭头)。(C)显示局灶性心肌出血(箭头)的切片,表明内皮破坏和早期血管损伤。(D)以横纹丧失和核固缩为特征的变性心肌细胞(箭头),与热诱导的心肌损伤一致。(E)黄芩苷处理的心肌显示仅轻度残余改变,包括轻微横纹丧失和偶发固缩核(箭头),反映部分心脏保护和心肌完整性恢复。所有切片用H&E染色,在40×放大倍数下可视化,并包含75 µm的比例尺。

#### 5.2.2. 肾脏 高热动物的肾组织显示广泛的肾小管损伤,包括上皮细胞浊肿和明显的肾小球充血——这些发现与急性肾小管坏死一致。黄芩苷给药保留了肾小管形态,减少了细胞变性,并改善了血管充血,表明具有肾保护效应,可能由水通道蛋白相关水转运和氧化还原调节的调节介导(图18)。

**图18 接受高热和黄芩苷处理的Wistar大鼠肾组织的组织病理学评估。**(A)对照肾脏显示正常肾小球和肾小管结构,上皮衬里完整。(B)高热暴露组织显示肾小管上皮细胞浊肿和核固缩(箭头),表明早期肾小管损伤。(C)肾小球和间质毛细血管中明显的血管充血和扩张(箭头),与肾灌注受损一致。(D)黄芩苷处理的肾脏显示肾小管结构的部分保留,有残余浊肿(黑箭头)和轻度血管充血(白箭头),提示肾保护效应。所有切片用苏木精-伊红(H&E)染色;放大倍数:40×。比例尺:75 µm。

#### 5.2.3. 肝脏 高热组的肝切片显示窦充血、Kupffer细胞肥大和胆管增生。黄芩苷处理导致窦结构实质恢复、Kupffer细胞激活减弱和胆管增生减少。这些结果与黄芩苷对CYP3A4和Hsp70的计算亲和力一致,支持其通过解毒和应激反应通路的肝保护潜力(图19)。

**图19 接受高热应激和黄芩苷处理的Wistar大鼠肝组织的组织病理学检查。** 代表性苏木精-伊红(H&E)染色肝切片证明热应激诱导的结构和炎症改变以及黄芩苷的恢复效应。(A)对照肝脏显示从中央静脉放射状排列良好的肝索,窦结构完整。(B)高热暴露切片揭示Kupffer细胞激活,以肥大、圆形的巨噬细胞为特征(箭头),表明炎症反应增强。(C)胆管增生(箭头),反映继发于炎症应激的胆管细胞增殖。(D)明显的窦和门静脉充血(箭头)伴有明显的毛细血管扩张,指示肝循环损伤和微血管应激。(E)黄芩苷处理的肝脏显示大部分保留的小叶组织结构,伴有轻度肝细胞空泡化(箭头)、Kupffer细胞活性降低和窦完整性恢复,确认黄芩苷在热应激条件下的肝保护潜力。所有切片用H&E染色,在40×放大倍数下可视化,并包含75 µm的比例尺。

#### 5.2.4. 肺 肺是高热条件下受影响最大的器官,表现出广泛的支气管肺炎、肺泡气肿和血管充血。虽然治疗后仍持续轻度气肿改变,但黄芩苷显著减少了炎症浸润并保留了肺泡结构(图20)。这些效应提示通过下调IL-6R介导的炎症而产生的肺保护。

**图20 接受高热应激和黄芩苷处理的Wistar大鼠肺组织的组织病理学评估。** 代表性苏木精-伊红(H&E)染色肺切片说明热应激诱导的结构和炎症改变以及黄芩苷的缓解效应。(A)肺泡囊中的局灶性气肿改变(箭头),表示与氧化和热损伤相关的肺泡壁破坏和气腔扩大。(B)肺毛细血管内明显的血管充血(箭头),指示微循环功能受损和早期肺水肿。(C)显示支气管肺炎浸润的切片,致密单核炎症细胞占据支气管腔(箭头),与急性炎症反应一致。(D)黄芩苷处理的肺显示炎症浸润明显减少和肺泡完整性部分恢复,尽管轻度气肿改变和血管充血持续存在(箭头),证明中度肺保护和热诱导损伤的减轻。所有切片用H&E染色,在40×放大倍数下可视化,并包含75 µm的比例尺。

### 5.3. 组织病理学病变的半定量评分

应用标准化半定量评分系统(0 = 无,1 = 轻度,2 = 中度,3 = 重度)以客观评估各组之间的病变严重程度(表10和图21)。高热在所有检查器官中诱导严重的病理改变,肺中观察到最显著的损伤。黄芩苷处理在所有组织中持续降低病变严重程度评分,肝、心和脑的改善显著。

**表10 器官特异性组织病理学改变的半定量评分**

| 器官 | 病变类型 | 对照 | 高热对照 | 黄芩苷处理 | |---|---|---|---|---| | 脑 | 胶质增生、噬神经细胞作用 | 0 | 2 | 1 | | 心脏 | 充血、出血、心肌细胞变性 | 0 | 3 | 1 | | 肾脏 | 肾小管损伤、空泡变性 | 0 | 3 | 1–2 | | 肝脏 | 窦充血、Kupffer细胞激活 | 0 | 3 | 1 | | 肺 | 气肿、肺炎、炎症 | 0 | 3 | 2 |

**图21 对照、高热暴露和黄芩苷处理组中主要器官的组织病理学病变半定量评分。** 条形图表示脑、心、肝、肾和肺组织的平均病变严重程度评分(0 = 无,1 = 轻度,2 = 中度,3 = 重度)。高热暴露导致所有器官出现显著的组织病理学改变,肺表现出最高的病变严重程度,其次是肝和肾。黄芩苷预处理显著减轻了组织损伤,反映在所有检查器官的病变评分显著降低。这些结果证明了黄芩苷的广谱细胞保护功效及其减轻热诱导多器官损伤的能力。数据以平均值±SEM(n = 6)表示;统计显著性通过单因素方差分析结合Tukey's事后检验确定(p < 0.05 vs. 高热组)。

### 5.4. 相对病理负担和治疗学意义

未处理的高热组遵循肺>肝>心>肾>脑的病理严重程度梯度,反映了每个器官的代谢需求和对氧化应激的易感性(表11和图22)。黄芩苷给药显著改变了这一梯度,提示有效的器官结构和功能保存,特别是在代谢和循环调节关键器官中。

**表11 各组观察到的组织病理学特征总结**

| 器官 | 对照组发现 | 高热组发现 | 黄芩苷处理组发现 | |---|---|---|---| | 脑 | 正常神经元,无胶质增生 | 噬神经细胞作用、胶质增生 | 轻度胶质增生,神经元完整 | | 心脏 | 正常横纹 | 出血、血管充血 | 轻度心肌细胞变性 | | 肾脏 | 正常肾小管和肾小球 | 肾小管坏死、浊肿 | 肾小管部分恢复 | | 肝脏 | 健康肝索 | Kupffer细胞激活、充血 | Kupffer反应性降低 | | 肺 | 完整肺泡 | 肺炎、气肿 | 浸润减少 |

*计算建模提示多靶点相互作用,而体内验证确认了热应激下脑、心、肝、肾和肺的器官特异性保护。*

**图22 对照、高热暴露和黄芩苷处理组中五个主要器官的病变严重程度评分比较雷达图。** 雷达图说明不同处理条件下脑、心、肝、肾和肺的半定量病变评分的比较分布。高热组显示出明显扩展的多边形,反映了所有器官的高病理负担和广泛组织损伤。相比之下,黄芩苷处理组表现出收缩的特征,表明病变严重程度显著降低和多器官保护。对照组形成紧凑的基线多边形,与正常组织结构和无病理病变一致。

### 5.5. Western blot分析验证黄芩苷在热应激器官中的多靶点调节

为实验验证计算预测和组织病理学结果,进行Western blotting以量化对照、高热和黄芩苷+高热组器官特异性裂解物中关键应激响应和代谢蛋白——Hsp70、Hsp27、IL-6R和CYP3A4——的表达。GAPDH用作内参对照,以确保跨组织的均匀蛋白归一化。初步验证确认了脑、心、肝、肾和肺样品中GAPDH表达的一致性,支持其作为参考对照的可靠性。然而,未来实验将包括β-肌动蛋白作为额外的上样参考,以进一步确认归一化一致性。如图23所示,高热显著上调脑中的Hsp70和心脏中的Hsp27,反映了细胞应激反应的激活和细胞骨架不稳定(p < 0.05)。肺组织中IL-6R水平显著升高,与热应激诱导的炎症信号一致,而肝CYP3A4表达被大幅抑制,表明外源性物质代谢受损和肝细胞应激。

**图23 对照、高热暴露和黄芩苷处理大鼠中热应激相关蛋白的Western blot分析和密度计量定量。**(A)代表性Western blot(右)和相应的密度计量分析(左)显示跨实验组的Hsp70(脑)、Hsp27(心脏)、IL-6R(肺)和CYP3A4(肝)的表达谱:对照(泳道1)、高热(泳道2)和黄芩苷+高热(泳道3)。GAPDH用作内参对照。(B)定量分析显示高热显著上调Hsp70、Hsp27和IL-6R表达(p < 0.05),而CYP3A4被显著下调。黄芩苷预处理有效使蛋白表达正常化,减轻Hsp70、Hsp27和IL-6R的热诱导过表达,并将CYP3A4恢复至接近对照水平。数据以平均值±SEM(n = 3)表示;统计显著性通过单因素方差分析结合Tukey's事后检验确定(p < 0.05 vs. 高热组)。

黄芩苷预处理有效减轻了高热诱导的Hsp70、Hsp27和IL-6R过表达,同时将CYP3A4表达恢复至基线水平。这些效应通过密度计量定量得到证实,其中归一化的相对蛋白强度确认了统计学显著的调节(p < 0.05)。尽管肾组织在组织病理学上得到了全面分析,但由于同一队列的样本产量有限,未进行蛋白水平验证。这一遗漏被视为研究局限性,将在未来的实验通过纳入肾特异性标志物和蛋白表达分析来解决。

总体而言,这些发现证实了计算预测的多靶点相互作用和动态稳定性,提供了黄芩苷在全身高热应激下赋予广谱细胞保护的分子水平证据。虽然结果确认了功能性调节而非直接结合,但它们证实了黄芩苷调节关键应激、炎症和代谢通路的能力,加强了其作为减轻热诱导多器官功能障碍的天然药理学候选物的潜力。本研究采用的整合药效信息学-实验框架揭示了计算预测和体内结果之间一致的机制学一致性。应激相关蛋白(Hsp70、Hsp27、IL-6R和CYP3A4)的观察到的调节验证了从分子对接、MM-GBSA和长时间尺度MD模拟衍生的预测相互作用谱。这些发现支持了黄芩苷的多靶点适应性,使其能够在多个器官系统中同时减轻热应激、炎症信号和代谢紊乱。虽然目前的结果强烈支持黄芩苷作为多功能细胞保护分子的作用,但它们未直接确认配体-蛋白结合。未来的工作结合表面等离子体共振(SPR)或等温滴定量热法(ITC)可以提供这些相互作用的确定动力学和热力学验证。

#### 5.5.1. 研究的局限性

本研究的局限性包括缺乏黄芩苷-蛋白结合的直接生化确认(例如SPR或ITC)以及缺乏黄芩苷跨器官分布的药代动力学定量。未来的工作将采用表面等离子体共振测定和基于LC-MS的生物分布分析来验证这些机制学相互作用并优化转化剂量。

## 6. 结论

本研究提供了全面的证据,表明黄芩苷作为一种有效的多靶点细胞保护剂,对急性全身性高热发挥保护作用,并通过整合的计算机模拟-体内方法得到验证。计算分析确定了五个关键热响应蛋白——Hsp70、Hsp27、水通道蛋白-1、IL-6R和CYP3A4——作为分子靶点,黄芩苷表现出强结合亲和力(ΔG = −9.3至−8.5 kcal mol⁻¹)、有利的热力学稳定性(MM-GBSA = −52.4至−68.7 kcal mol⁻¹)以及在延长分子动力学模拟期间(2000 ns;RMSD = 0.18–0.24 nm)的高度稳定构象。互补的DFT、动态互相关和自由能景观分析支持黄芩苷的电子反应性和跨多个蛋白环境的构象韧性,加强了其多靶点相互作用潜力。

大鼠全身高热模型的体内评估进一步证实了黄芩苷的多器官保护功效,显著减少了脑、心、肝、肾和肺的组织病理学损伤。半定量评分显示病变严重程度显著下降(特别是肝和心肌组织从评分3→1),而Western blot分析揭示了热诱导失调的正常化——Hsp70、Hsp27和IL-6R的下调,以及CYP3A4表达的恢复。这些发现突出了黄芩苷在蛋白水平同时调节应激、炎症和代谢通路的能力。

计算机ADMET和ProTox-II分析表明了有利的安全性特征(LD₅₀ ≈ 5000 mg kg⁻¹;无致突变性;无肝毒性),尽管有限的胃肠道吸收提示需要制剂优化以改善全身生物利用度。总体而言,这项工作不仅强调了黄芩苷作为天然多靶点细胞保护剂的治疗前景,而且例证了整合的药效信息学-实验框架如何加速针对应激诱导多器官功能障碍的有效干预措施的发现。纳入直接生物物理结合测定和药代动力学验证的未来研究将进一步加强黄芩苷在热相关全身疾病中的机制学理解和转化潜力。

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**作者贡献** - Anjali Kumari:体内实验、调查、概念化、撰写初稿(体内实验部分)、验证、数据管理、验证和形式分析。 - Aisha Tufail:撰写初稿(分子对接)、可视化、验证。 - Magda H. Abdellattif:Western blot和体内研究的形式分析和验证。 - Amit Dubey:监督(计算)、调查、概念化、撰写初稿、软件(分子对接、分子动力学模拟、PCA、DCCM、DFT、MESP和ADMET)、可视化、方法学、撰写-审阅和编辑、数据管理、验证和形式分析。 - Rakesh Kumar Sinha:监督(体内实验部分)、调查、概念化、撰写-审阅和编辑(体内实验部分)、数据管理、验证和形式分析。

**利益冲突**:所有作者声明无利益冲突。

**致谢**:作者衷心感谢Ahmad Hussain在组织病理学实验中的支持,以及Birla Institute of Technology, Mesra, Ranchi, Jharkhand(印度)提供实验室设施。作者感谢沙特阿拉伯Taif University通过项目号TU-DSPP-2024-19支持本工作。

**数据可用性**:本手稿中引用的所有数据由作者生成,可根据要求从通讯作者处获得。补充信息可用。见DOI:https://doi.org/10.1039/d5ra05510e。