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Research progress on prevention and treatment of liver fibrosis by traditional Chinese medicine |
XIE Aize1 LYU Chao2 SHI Qinglan3 MAO Dewen3 BAI Wenjie2 CHEN Yueqiao3 |
1.The First Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China;
2.Guangxi University of Traditional Chinese Medicine, Guangxi Zhuang Autonomous Region, Nanning 530200, China;
3.the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Guangxi Zhuang Autonomous Region, Nanning 530023, China |
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Abstract Liver fibrosis is a pathophysiological process of abnormal hyperplasia of intrahepatic connective tissue caused by a variety of causes. Its pathogenesis is complex, and there is no effective treatment to prevent or slow down the process of liver fibrosis. In recent years, studies have found that traditional Chinese medicine has a unique therapeutic effect on the process of liver fibrosis. Traditional Chinese medicine antagonizes liver fibrosis by inhibiting the activation of hepatic stellate cells, regulating adipocytokines, alleviating liver inflammatory response, improving oxidative stress, inhibiting the capillarization of sinusoidal endothelial cells, etc.; acupuncture and moxibustion can improve the immune function of the body, improve the state of liver function, and block liver fibrosis progress of liver fibrosis. This paper reviews the effects of traditional Chinese medicine on the pathogenesis of liver fibrosis.
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[1] Forouzanfar MH,Afshin A,Alexander LT,et al. Global,regional,and national comparative risk assessment of 79 behavioural,environmental and occupational,and metabolic risks or clusters of risks,1990-2015:a systematic analysis for the Global Burden of Disease Study 2015 [J]. The Lancet,2016,388(10053):1659-1724.
[2] 刘成海,赵志敏,吕靖.中医对肝纤维化逆转的认识与治疗[J].临床肝胆病杂志,2019,35(4):728-733.
[3] 姜玥,韩向晖,王春丽,等.中药抑制肝星状细胞活化治疗肝纤维化研究进展[J].世界科学技术-中医药现代化,2019,(3):431-436.
[4] Jung YK,Yim HJ. Reversal of liver cirrhosis:current evidence and expectations [J]. Korean J Intern Med,2017,32(2):213.
[5] Twamley-Stein GM,Pepperkok R,Ansorge W,et al. The Src family tyrosine kinases are required for platelet-derived growth factor-mediated signal transduction in NIH 3T3 cells [J]. Proc Natl Acad Sci USA,1993,90(16):7696-7700.
[6] Shibuya M. Vascular endothelial growth factor and its receptor system:physiological functions in angiogenesis and pathological roles in various diseases [J]. J Biochem,2013,153(1):13-19.
[7] 吴灿,黄亮,莫立乾,等.丹参多酚酸盐通过TGF-β1/Smad和PI3K/AKT/mTOR信号通路抑制大鼠肝纤维化的进展[J].中国医院药学杂志,2019,39(7):670-675.
[8] 揭磊,洪汝涛,张玉洁.褪黑素对PDGF-BB激活的HSCs自噬作用的研究[J].安徽医科大学学报,2018,53(11):1677-1680.
[9] 陈兰羽,马继征,刘咏梅,等.基于HIF-1α介导的VEGF mRNA表达探讨膈下逐瘀汤抗肝纤维化血管新生的机制[J].中草药,2019,50(2):449-456.
[10] 霍新梅,黄会芳.脂肪细胞因子在肝纤维化进展中的作用及机制[J].临床肝胆病杂志,2019,35(3):644-647.
[11] 赵书刚.益肾化痰法对非酒精性脂肪肝患者脂联素、瘦素、白介素18及肝纤维化的影响[J].中国中西医结合消化杂志,2018,26(6):496-499.
[12] 苟娟,李鳌,金梅.葛根芩连汤联合恩替卡韦治疗乙型肝炎后肝硬化合并糖代谢异常对脂肪细胞因子和肝纤维化指标的影响[J].现代中西医结合杂志,2018,27(36):4028-4032.
[13] 冯藜枥,曹文富,叶凤.莪术含药血清抑制大鼠HSC中Gli1和β-catenin表达的机制研究[J].重庆医科大学学报,2017,42(3):308-314.
[14] 孟霞,王学丛,丰平,等.瘦素对大鼠肝纤维化的信号转导调控及槲寄生碱的干预作用[J].中国比较医学杂志,2015,25(10):1-6.
[15] Pradere JP,Troeger JS,Dapito DH,et al. Toll-like receptor 4 and hepatic fibrogenesis [C]. Semin Liver Dis,2010,30(3):232-244.
[16] 张文富,黄晶晶,黄鸿娜,等.鳖甲煎丸辅助治疗乙肝后肝纤维化的疗效观察[J].安徽医药,2019,23(3):584-587.
[17] 成嘉祁,龚芸芸,谢海静,等.青蒿总黄酮联合有氧间歇运动训练抑制肝纤维化小鼠模型炎症反应[J].动物医学进展,2018,39(11):56-61.
[18] 吴庆,曹文富,张永越,等.益气化瘀化痰法制剂对CCL-4所致肝纤维化大鼠肝组织KLF15、NF-κB及下游炎症因子的影响[J].中药新药与临床药理,2018,29(5):557-563.
[19] 韦月平,王鹏.小金海棠多酚对肝纤维化的改善及机制研究[J].食品与生物技术学报,2018,37(7):764-768.
[20] Halina,Cichoz-Lach,Agata,et al. Oxidative stress as a crucial factor in liver diseases [J]. World J Gastroenterol,2014,20(25):8082-8091.
[21] 马冬梅,高雅,郭丹,等.田基黄提取物抗CCl-4诱导大鼠肝纤维化的作用及其机制研究[J].天然产物研究与开发,2018,30(11):1890-1897.
[22] 胡志伟.红花提取物对肝纤维化大鼠肝线粒体的作用[J].医学研究杂志,2018,47(5):108-112.
[23] 许琼梅,李跃龙,曹后康,等.溪黄草水提物对四氯化碳诱导大鼠肝纤维化的保护作用及机制研究[J].中国药房,2018,29(20):2791-2796.
[24] Schaffner F,Popper H. Capillarization of hepatic sinusoids in man [J]. Gastroenterology,1963,44(3):239-242.
[25] Xu M,Wang X,Zou Y,et al. Key role of liver sinusoidal endothelial cells in liver fibrosis [J]. Biosci Trends,2017,11(2):163-168.
[26] 刘绍能,刘慧敏,周海艳,等.芪术颗粒对肝纤维化模型大鼠肝窦内皮细胞vWF及Caveolin-1表达的影响[J].北京中医药,2019,38(3):230-233,305.
[27] 夏雪皎,黄棪,鲁军,等.疏肝健脾活血方含药血清对肝纤维化模型大鼠肝窦内皮细胞失窗孔化的影响[J].中医杂志,2018,59(23):2037-2042.
[28] 陈文玲,陈文慧,杜良,等.健脾软肝方对CCL_4诱导的肝纤维化大鼠肝窦内皮细胞失窗孔的影响[J].中医药导报,2018,24(17):13-18,30.
[29] 段雪琳,彭岳,赵铁建,等.姜黄素抗肝窦毛细血管化作用及机制[J].中国组织工程研究,2018,22(8):1247-1254.
[30] 赵天平,仇裕丰.关于针灸抗肝纤维化可行性的探讨[J].中国针灸,2000,20(10):59-61.
[31] 魏珂,柳杨,田年秀,等.合俞配穴法对肝纤维化大鼠血清透明质酸、层黏连蛋白影响的研究[J].中华中医药杂志,2015,30(7):2604-2606.
[32] 罗钦.天灸、电针对大鼠肝纤维化及肝俞穴区肥大细胞影响的比较研究[D].北京:北京中医药大学,2015.
[33] 魏珂.探究刺络泻血疗法对肝纤维化大鼠肝星状细胞凋亡及凋亡调控基因Bcl-2、Bax表达的影响[D].北京:北京中医药大学,2015.
[34] Zhang F,Ma J,Lu Y,et al. Inhibitoryeffect of acupuncture on hepatic extracellular matrix production in carbontetrachloride-induced liver fibrosis rats [J]. Zhen Ci Yan Jiu,2012,37(1):8-14.
[35] Kong DS,Ma J,Lu Y,et al. Effects of acupuncture intervention on hepatic platelet-derived growth factorsignaling pathway in CCl4-induced hepatic fibrosis rats [J]. Zhen Ci Yan Jiu,2012,37(2):87-92. |
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