Introduction::Traditional Chinese medicine, especially Bushen Huoxue decoction, has
demonstrated good therapeutic effects in the treatment of intervertebral disc degeneration and osteoarthritis,
but its mechanism of action in osteoporosis remains unclear. This study aimed to explore
its potential mechanisms against osteoporosis.
Methods::Active components of Bushen Huoxue decoction were identified through searching the
TCM databases. Osteoporosis-related genes were retrieved from three disease databases. Common
targets were used to construct a PPI network. Functional enrichment analyses (GO and KEGG),
molecular docking, molecular dynamics simulations, and literature validation were performed.
Results::A total of 112 active compounds and 343 potential targets were identified. Key bioactive
ingredients included quercetin, luteolin, kaempferol, wogonin, and baicalein. The decoction appeared
to act via multiple pathways, such as TNF, NF-κB, MAPK, PI3K/Akt, Wnt/β-catenin,
HIF-1, FoxO, AMPK, mTOR, and VEGF, affecting inflammation, metabolism, cell proliferation,
survival, and angiogenesis.
Discussion::Bushen Huoxue decoction likely exerted anti-osteoporotic effects through a multi--
component, multi-target, and multi-pathway approach, consistent with current understanding of osteoporosis
mechanisms. However, as this study was based on network pharmacology and computational
analysis, experimental validation is needed.
Conclusion::Bushen Huoxue decoction showed promise as a potential treatment for osteoporosis
through complex regulatory mechanisms. The findings provided a theoretical basis for further
pharmacological research and TCM-based drug development.