Melasma is a common pigmented skin disease, which is common in women(Handel et al. 2014). It has a long course and is easy to relapse. (Rigopoulos et al. 2007). In recent years, the incidence of melasma has been increasing year by year, and the prevention and treatment of melasma have attracted wide attention(Kwon et al. 2019). However, the pathogenesis of melasma has not been fully elucidated. Studies show that there are many pathogenic factors of melasma, among which ultraviolet radiation, endocrine dysregulation, oxygen free radicals, and improper use of drugs and cosmetics are the main causes of melasma(Passeron 2013). At present, there are many methods for the clinical treatment of melasma, but the overall efficacy is not ideal(Babbush et al. 2020). According to traditional Chinese medicine (TCM), the liver, spleen and kidney are closely related to melasma, which is caused by stagnation of the liver, dampness of the spleen and deficiency of the kidney(Zhang et al. 2019). Therefore, the treatment of melasma based on TCM theory will be a promising method.
Traditional Chinese medicine (TCM) is a medical system with a long history and unique theories and techniques(Conroy et al. 2020, Li et al. 2022). In recent years, the use of Chinese herbal medicine treatment of diseases associated with melasma has attracted wide attention. For example, Zhang et al. found that the cream containing camellia, mulberry, Dauphin oil and purslane could improve melasma by various mechanisms such as anti-inflammatory, anti-oxidant, improving microcirculation, inhibiting melanin production and improving the skin permeability barrier(Zhang, Tu, Gu, Sun, Wu, Man, Chen, Liu, Ma and He 2019). The Licorice rose beverage (LRB) includes Licorice, Rose flowers, Tangerine peel, Wolfberry, Poria cocos, Mulberry leaf and Cinnamon. Among them, Licorice is a very famous ancient herb and one of the most commonly used in TCM, such as antibacterial, antiviral, anti-inflammatory, antidiabetic, immunomodulatory, liver protection, etc.(Yang et al. 2017); In addition to glycyrrhizic acid, flavonoids, saponins, triterpenes, isoflavones and chalcones, the major active ingredients in licorice also contain large amounts of iron (Fe), manganese (Mn) and cobalt (Co). These chemical elements are the reasons for the comprehensive utilization of glycyrrhiza in health(Icer 2017). The beauty and fragrance of rose flowers have been known since ancient times, known as the "gift of angels"(Mahboubi 2016). Rose flowers are rich in beneficial components, such as flavonoids (flavonols and anthocyanins) and aromatic components (essential oils), which can be used as disinfectants, anti-inflammatory agents and antioxidants, and are widely used in the food industry, perfume and cosmetics(Mileva et al. 2021); Tangerine peel is the mature peel of Rutaceae and its cultivated varieties. It is rich in phenolic compounds and carotenoids. It is an excellent source of dietary fiber and minerals. It is widely used in the food, pharmaceutical and cosmetic industries(Singh et al. 2020); Wolfberry has been used in TCM for thousands of years as a healthy food and a treatment for diseases. According to TCM theory and practice, wolfberry can function on both the liver meridian and kidney meridian, wolfberry's main health effects is to nourish the liver and kidney. According to China's State Food and Drug Administration, medlar is one of 87 kinds of TCM ingredients that can be used as both normal food and functional food(Wenli et al. 2021); Poria cocos (Polyporaceae) is a saprophytic fungus that grows in different species of pine. TCM believes that Poria cocos have a diuretic, sedative and nourishing effect. Modern medical research shows that Poria Cocos has anti-inflammatory, anti-tumor and other pharmacological activities, widely used in medicine and the health food field(Rios 2011); Mulberry leaves are very valuable food plants for nutrition and nutrient composition. In some Asian countries it is widely used as ethnic medicine and functional food, such as tea, drinks, noodles, etc., due to its biological and nutritional value(Zhang et al. 2022); Cinnamon is an eternal tree used in tropical medicine and is one of the most important spices used daily. Cinnamon contains manganese, iron, dietary fiber, cinnamaldehyde, cinnamic acid and polyphenols. It has antioxidant, anti-inflammatory, anti-diabetic, anti-bacterial and anti-cancer effects(Hariri and Ghiasvand 2016). LRB can regulate qi, tonify the spleen and kidney, promote blood circulation and regulate menstruation through the combined action of seven medicines, so as to play the role of beauty and beauty, skin nourishment and melasma removal. In general, although the pharmacological effects of these seven drugs are significant, the molecular mechanism of the combination of these drugs to treat melasma remains unclear.
Network pharmacology is an emerging discipline to explore the mechanism of action of TCM with multi-components, multi-targets and multi-pathways(Guo et al. 2022). It is helpful to study the active components, targets and molecular mechanisms of TCM in the intervention of diseases and provides direction for the development of new drugs. Molecular docking technology is a further analysis method based on the prediction of network pharmacology, which can explain the molecular mechanism of drug molecules acting on disease-related targets(Hu et al. 2022).
In order to reveal the mechanism of action of LRB in treating melasma, this study carried out a strategy based on TCM network pharmacology combined with calculation prediction and experimental verification. Firstly, network pharmacology and molecular docking technology were used to explore the molecular mechanism of LRB in the treatment of melasma, and in vitro experiments and mouse melasma model was used to verify it, so as to provide the scientific basis for the future development and clinical application of this product.