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Discussion on the immunological strategies of traditional Chinese medicine for ulcerative colitis based on the theory of “spleen acting as the defense for host” |
ZHANG Wenji WANG Zhibin CHEN Xinran LI Junxiang YUAN Yali XING Yunqi WANG Muyuan MAO Tangyou |
Department of Gastroenterology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China |
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Abstract The theory of “spleen acting as the defense for host” believes that the spleen is the source of qi and blood biochemistry, transforming defensive qi, which can resist external evil and protect the body, which is mainly related to the physiological functions of “spleen governing transportation and transformation”, “spleen governing ascending and clearing”. The abnormal physiological function of the spleen is manifested by “spleen losing its duty as the defense”, and all diseases are born. In the development of ulcerative colitis, the breakdown of intestinal mucosal immune barrier plays a key role, and the disturbance of immune cell balance leads to inflammatory damage. It can be seen that the function of immune cells is closely related to the distribution and movement of defensive qi, and the mechanism of intestinal mucosal immune barrier is coupled with the connotation of the theory of “spleen acting as the defense for host”. This paper traces the theoretical origin of “spleen acting as the defense for host”, and combines with the immunological mechanism in modern medicine to explore the new idea of traditional Chinese medicine in the treatment of ulcerative colitis, which is helpful for traditional Chinese medicine to play a greater role in the immunotherapy of ulcerative colitis.
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[1] Du L,Ha C. Epidemiology and Pathogenesis of Ulcerative Colitis [J]. Gastroenterol Clin North Am,2020,49(4):643- 654. [2] Jori C,Chaudhary AA,Rashid S,et al. Biomaterial-based strategies for immunomodulation in IBD:current and future scenarios [J]. J Mater Chem B,2023,11(25):5668-5692. [3] Kucharzik T,Koletzko S,Kannengiesser K,et al. Ulcerative Colitis-Diagnostic and Therapeutic Algorithms [J]. Dtsch Arz- tebl Int,2020,117(33/34):564-574. [4] 张声生,赵鲁卿.中医药治疗溃疡性结肠炎的研究进展述评[J].北京中医药,2022,41(9):944-950. [5] 许月月,陈敏,谢欣,等.从“脾为之卫”浅析腹泻型肠易激综合征肠黏膜机械屏障损伤机制[J].陕西中医,2021,42(8):1096-1099. [6] 吴琼,高天舒.高天舒从维生素D代谢论述自身免疫性甲状腺炎“脾失之卫”[J].中医药临床杂志,2022,34(9):1648-1651. [7] 翟亚荣,吴瑶,裘雪莹,等.基于“脾为之卫”探讨中医药调节免疫系统对肿瘤的影响[J].世界中医药,2022,17(8):1105-1109. [8] 姜婷,纪文岩,陆为民.从肠道菌群浅析“脾为之卫”的科学内涵与临床应用[J].中国中西医结合杂志,2020,40(10):1268-1272. [9] 王安,王磊,胡素敏.从“脾失之卫”探讨急性放射损伤的中医病机[J].北京中医药大学学报,2021,44(1):14-18. [10] 张丽敏,宋忠阳,杜婷婷,等.基于脾为之卫探讨失眠症[J].新中医,2021,53(17):206-210. [11] Saez A,Herrero-Fernandez B,Gomez-Bris R,et al. Pathophysiology of Inflammatory Bowel Disease:Innate Immune System [J]. Int J Mol Sci,2023,24(2):1526. [12] 侯颖,令狐莲洁,刘模荣.细胞因子在炎症性肠病发病机制中的研究进展[J].海南医学,2023,34(5):740-743. [13] Na YR,Stakenborg M,Seok SH,et al. Macrophages in intestinal inflammation and resolution:a potential therapeutic target in IBD [J]. Nat Rev Gastroenterol Hepatol,2019,16(9):531-543. [14] Bernardo D,Chaparro M,Gisbert JP. Human Intestinal Den- dritic Cells in Inflammatory Bowel Diseases [J]. Mol Nutr Food Res,2018,62(7):e1700931. [15] Takashima S,Martin ML,Jansen SA,et al. T cell-derived interferon-γ programs stem cell death in immune-mediated intestinal damage[J]. Sci Immunol,2019,4(42):eaay 8556. [16] Hou Q,Huang J,Ayansola H,et al. Intestinal Stem Cells and Immune Cell Relationships:Potential Therapeutic Targets for Inflammatory Bowel Diseases [J]. Front Immunol,2021, 11:623691. [17] Tamburini B,La Manna MP,La Barbera L,et al. Immunity and nutrition:the right balance in inflammatory bowel disease [J]. Cells,2022,11(3):455. [18] 雷媛,杜凌.免疫抑制剂治疗炎症性肠病的研究进展[J].北方药学,2023,20(1):194-196. [19] Seishima R,Okabayashi K,Ikeuchi H,et al. Effect of Biologics on the Risk of Advanced-Stage Inflammatory Bowel Disease-Associated Intestinal Cancer:A Nationwide Stu- dy [J]. Am J Gastroenterol,2023,118(7):1248-1255. [20] 吴正雪,张桂菊.基于肠道黏膜屏障探讨从脾论治肥胖儿童胰岛素抵抗[J].环球中医药,2022,15(11):2125- 2128. [21] 刘杰民,蔺晓源,文中群,等.健脾益肠散对溃疡性结肠炎大鼠CD80、LFA-1表达的影响[J].中华中医药学刊,2021,39(12):114-116,283-285. [22] 韩啸,李军祥,陈晓伟,等.清肠温中方对溃疡性结肠炎患者黏膜屏障功能的调控作用研究[J].中国中西医结合消化杂志,2022,30(10):713-718. [23] 孙中美,丁庞华,王文婷,等.清肠温中方通过miR- 675-5p/VDR信号通路调控溃疡性结肠炎Th17/Treg免疫平衡及肠黏膜屏障的机制研究[J].中国中医急症,2019,28(1):94-97,108. [24] 陈志涛,郑轶,杨静,等.除湿健脾汤对溃疡性结肠炎小鼠IL-10/JAK1/STAT3通路及肠上皮细胞凋亡的影响[J].中医药导报,2021,27(5):13-17. [25] 葛洋,赵绍林,杨栋,等.黄芪颗粒联合双歧杆菌四联活菌片治疗溃疡性结肠炎的疗效分析[J].重庆医学,2019,48(8):1359-1362. [26] 刘雪枫,乔婧,高建德,等.党参水煎液对大鼠溃疡性结肠炎的抗炎作用及机制[J].中兽医医药杂志,2020,39(5):21-25. [27] Shi G,Kong J,Wang Y,et al. Glycyrrhiza uralensis Fisch. alleviates dextran sulfate sodium-induced colitis in mice through inhibiting of NF-κB signaling pathways and modulating intestinal microbiota [J]. J Ethnopharmacol,2022, 298:115640. [28] Elhennawy MG,Abdelaleem EA,Zaki AA,et al. Cinnamaldehyde and hesperetin attenuate TNBS-induced ulcerative colitis in rats through modulation of the JAk2/ STAT3/SOCS3 pathway [J]. J Biochem Mol Toxicol,2021, 35(5):e22730. [29] Yang M,Zhang Q,Taha R,et al. Polysaccharide from Atractylodes macrocephala Koidz. ameliorates DSS-induced colitis in mice by regulating the Th17/Treg cell balance [J]. Front Immunol,2022,13:1021695. [30] 缪志伟,严晶,顾鸣佳,等.人参皂苷Rg3对DSS诱导的溃疡性结肠炎小鼠Th1/Th2失衡的影响[J].中药药理与临床,2019,35(1):47-51. [31] 梁桐尔,刘杨洋,王烜.基于IL-33/ST2信号通路的茯苓多糖调控溃疡性结肠炎大鼠肥大细胞活化的机制研究[J].中国免疫学杂志,2020,36(11):1324-1329,1337. |
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