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Research progress of Radix et Rhizoma Rhei improving microinflammatory state of chronic kidney disease by promoting autophagy |
WU Xinye1 BAI Tianli2 ZHU Bingbing2 MENG Sixuan1 WANG Yunman2 |
1.Education Planning and Training Section, Shanghai Putuo District Central Hospital, Shanghai 200333, China;
2.Department of Nephrology, Shanghai Putuo District Central Hospital, Shanghai 200333, China
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Abstract In recent years, the incidence of chronic kidney disease has been increasing, and the onset of chronic kidney disease is becoming younger, which has caused serious harm to human life and health. Microinflammatory state is one of the common pathological changes of chronic kidney disease and an important factor leading to the occurrence and development of chronic kidney disease. Studies have shown that autophagy is involved in the occurrence and development of chronic kidney disease and promoting autophagy can improve the microinflammatory state of chronic kidney disease. Based on the new target of autophagy treatment, the application of traditional Chinese medicine to promote autophagy has obvious advantages in improving the microinflammatory state of chronic kidney disease. The monomeric components of Radix et Rhizoma Rhei in Chinese herbal medicine and its composition of drug pairs and compounds can play the role of anti-inflammation, anti-oxidative stress, anti-apoptosis, and anti-fibrosis by promoting autophagy, which is of great significance in delaying the progression of chronic kidney disease, and is expected to become one of the effective treatment methods for chronic kidney disease and its complications.
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[1] 刘沛,郭威,王中亮,等.基于logistic回归和随机森林的慢性肾脏病危险程度预测模型[J].中国卫生统计,2020, 37(4):514-518.
[2] 中国病理生理学会肾脏病专业委员会.细胞自噬与肾脏疾病研究中国专家共识[J].中国病理生理杂志,2021,37(10):1876-1887.
[3] 罗珊,宋立群,代丽娟,等.中医药在肾间质纤维化中自噬相关机制研究进展[J].中医药学报,2021,49(2):98- 103.
[4] Zhang F,Wu R,Liu Y,et al. Nephroprotective and nephrotoxic effects of Rhubarb and their molecular mechanisms [J]. Biomed Pharmacother,2023,160:114297.
[5] Saha S,Panigrahi DP,Patil S,et al. Autophagy in health and disease:A comprehensive review [J]. Biomed Pharmacother,2018,104:485-495.
[6] Amdur RL,Feldman HI,Gupta J,et al. Inflammation and Progression of CKD:The CRIC Study [J]. Clin J Am Soc Neph rol,2016,11(9):1546-1556.
[7] 龚丽苏,刘锋,尹敏,等.慢性肾脏病微炎症状态与肠道菌群失调的研究进展[J].中国实验诊断学,2022,26(6):927-930.
[8] 谭蓉,陈郑珊,杨栋,等.肠道菌群介导高蛋白饮食引起小鼠肠道炎症研究[J].解放军预防医学杂志,2020,38(10):81-83.
[9] 刘会芳,夏雨,徐倩,等.高尿酸通过TLR4/NF-κB信号通路诱导肾小管上皮细胞上皮-间充质转化的作用研究[J].第三军医大学学报,2017,39(19):1919-1925.
[10] Huang X,Song Y,Wei L, et al. The emerging roles of ferroptosis in organ fibrosis and its potential therapeutic effect [J]. Int Immunopharmacol,2023,116:109812.
[11] 芦倩倩,常沁涛,方敬爱,等.维持性血液透析患者微炎症状态的研究进展[J].中国血液净化,2021,20(7):483- 485.
[12] Deretic V. Autophagy in inflammation,infection,and immu- nometabolism [J]. Immunity,2021,54(3):437-453.
[13] 栗华,高艺萍,陈观,等.重组ProTα诱导肝癌细胞自噬的作用及机制[J].中国医药科学,2022,12(19):25-29.
[14] 高婷,王子旭,陈祝茗,等.ROS介导的氧化应激与自噬[J].中国畜牧兽医,2018,45(3):656-662.
[15] Liu Y,Liu W,Zhang Z,et al. Yishen capsule promotes podocyte autophagy through regulating SIRT1/NF-κB signaling pathway to improve diabetic nephropathy[J]. Ren Fail,2021,43(1):128-140.
[16] Lv W,Booz GW,Fan F,et al. Oxidative Stress and Renal Fibrosis:Recent Insights for the Development of Novel Therapeutic Strategies [J]. Front Physiol,2018,9:105.
[17] 牛晨媛,刘光珍.刘光珍教授运用消法治疗慢性肾脏病(血瘀证)经验总结[J].中国中西医结合肾病杂志,2022, 23(3):192-194.
[18] 易岚,周恩超,高坤,等.国医大师邹燕勤教授运用“和法缓治”学术思想治疗慢性肾脏病经验[J].南京中医药大学学报,2020,36(4):552-556.
[19] 王杰,何立群.何立群教授从虚、瘀、湿、风论治慢性肾脏病经验撷要[J].中国医药导报,2020,17(2):136-138, 143.
[20] 黄贵华,纪云西,吴大力,等.细胞自噬与中医气虚痰瘀关系探讨[J].中医杂志,2011,52(20):1717-1719.
[21] 胡光勇,潘茜.血府逐瘀汤对大鼠肾小球内皮细胞增殖和凋亡作用研究[J].辽宁中医药大学学报,2020,22(1):40-43,221.
[22] 胡小勤,蒙丹,付蓉,等.高血压病气虚血瘀证患者血清对CRL-1730线粒体细胞色素C凋亡途径的影响[J].西部中医药,2022,35(2):21-26.
[23] 陈雪吟,康福琴,杨丽虹,等.中医湿证与微炎症状态的相关性探讨[J].中医杂志,2021,62(21):1841-1845,1854.
[24] 马晓娟,殷惠军,陈可冀.血瘀证与炎症相关性的研究进展[J].中国中西医结合杂志,2007,27(7):669-672.
[25] 仁增加,切羊让忠,华吉卓玛,等.基于网络药理学的大黄抗炎作用机制分析[J].中国高原医学与生物学杂志,2020,41(1):60-66.
[26] 周珊珊,艾中柱,李伟男,等.大黄抗肾脏纤维化的网络药理学及其活性成分的作用机制[J].中国实验方剂学杂志,2020,26(10):163-172.
[27] 涂玥,孙伟,万毅刚.大黄酸通过AMPK/mTOR信号通路抑制自噬改善肾小管损伤的作用和机制[C]//.2016年中国中西医结合学会肾脏疾病专业委员会学术年会论文摘要汇编,2016:108.
[28] 冯伟科,于华芸,王媛,等.小檗碱和大黄酸对LPS诱导巨噬细胞炎症反应及TLR2/NF-κB信号通路的影响[J].山东医药,2018,58(42):24-27.
[29] 吴新程.大黄酸对IgA肾病大鼠肾间质纤维化的影响与机制[D].南昌:南昌大学,2019.
[30] 龚豪,黄丽,张庆红,等.大黄酚对IgA肾病大鼠肾损伤和免疫反应的调控作用[J].临床和实验医学杂志,2019,18(6):568-572.
[31] 白亚君,杜艳彬,袁心柱,等.大黄酚介导TLR4/NF-κB通路对IgA肾病大鼠肾损伤和免疫反应的调控作用[J].四川大学学报(医学版),2019,50(6):840-846.
[32] 杨成华,巫岳龙,李敏,等.大黄酚与转化生长因子-β1对体外培养人成纤维细胞胶原及盘状结构域受体2的调控作用及机制[J].中国老年学杂志,2020,40(18):3947-3950.
[33] 齐宝宁,熊永爱,潘艳芳,等.大黄素调控miR-21介导细胞自噬减轻糖尿病肾病小鼠肾脏氧化性损伤机制研究[J].天然产物研究与开发,2020,32(12):2012-2019.
[34] 赵瀚微,陈文阁.大黄素通过调节ILK/MAPK信号通路对糖尿病肾脏病大鼠肾组织的改善作用[J].中医药导报,2022,28(8):6-11.
[35] 窦芳,丁一,姚敏娜,等.大黄素通过激活自噬对TGF- β1诱导的HK-2细胞纤维化因子的影响[J].中国药理学通报,2018,34(11):1555-1559.
[36] 陈源.基于肠道菌群-炎症反应途径探讨黄连大黄药对干预2型糖尿病的作用机制研究[D].成都:成都中医药大学,2020.
[37] 张博荀.基于“肠道菌群—黏膜屏障”研究“黄芩—黄连”药对治疗T2DM的疗效机制及配伍效应[D].成都:成都中医药大学,2020.
[38] 龚学忠,王跃荣,符丹,等.制大黄-川芎药对对造影剂肾病大鼠肾小管上皮细胞凋亡的影响[J].中国中西医结合肾病杂志,2012,13(8):675-677,756.
[39] 郝健,许丽萍,吕铁钢.制大黄-川芎药对通过TLR4/ Myd88/NF-κB信号对造影剂诱导大鼠肾小管上皮细胞凋亡及肾组织炎症因子IL-6、IL-1β的影响[J].中国老年学杂志,2018,38(23):5772-5775.
[40] 贺海峰,华鹏,崔翔.大黄牡丹汤对脂多糖诱导肠上皮细胞焦亡及NLRP3/caspase-1通路的影响[J].河北医学,2021,27(11):1791-1795.
[41] 涂玥.经方“大黄附子汤”及其有效成分减轻肾小管损伤分子机制的研究[D].南京:南京中医药大学,2015. |
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