|
|
Research progress on the correlation between comedo mastitis and body immunity and the immunomodulatory effect of traditional Chinese medicine |
XIE Lu XUE Peipei WAN Hua |
Department of Breast Surgery of Traditional Chinese Medicine, Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine, Shanghai 201203, China |
|
|
Abstract Comedo mastitis, includes plasma cell mastitis, granulomatous mastitis, and some rare inflammatory breast diseases, such as IgG4-related sclerosing mastitis and sclerosing lymphocytic lobular mastitis. The cause is still controversial, however, based on domestic and foreign literature study, this disease may be an immune-related disease. This paper reviews the correlation between comedo mastitis and organic immunity and the immunomodulatory effects of traditional Chinese medicine on this disease in recent ten years were reviewed. It was found that T cell mediated cellular immunity, B cell mediated humoral immunity and secretion of various cytokines, immune proteins and complement all participated in the pathological process with certain regularity. By giving full play to the advantages and characteristics of the combination of internal and external treatments and focusing on treatments by stages and syndrome differentiation, traditional Chinese medicine can significantly improve the immune status, shorten the course of the disease and improve the prognosis. This paper reviews the correlation between comedo mastitis and body immunity and the immunomodulatory effects of traditional Chinese medicine. Therefore, the immunological mechanism can be used as the research direction of comedo mastitis, and the traditional Chinese medicine is an effective method for this disease.
|
|
|
|
|
[1] 陈红风.中医外科学[M].北京:中国中医药出版社,2016: 107-109.
[2] 冯欣宇.非哺乳期乳腺炎发病的相关因素分析[D].长春:吉林大学,2015.
[3] 苏莉.浆细胞性乳腺炎CD3、CD20、CD68表达及其免疫机制研究[D].银川:宁夏医科大学,2009.
[4] 侯吉学,孙厚启,黄桂林.白细胞介素-2及-4在浆细胞性乳腺炎发病中的作用[J].中华实用诊断与治疗杂志,2015,29(11):1104-1106.
[5] 陆清,夏亚琳,李琼,等.不同时期浆细胞性乳腺炎患者的免疫功能[J].广西医学,2017,39(12):1788-1790.
[6] 魏云龙.辅助T细胞17、调节T细胞相关因子与浆细胞性乳腺炎的相关性分析[D].保定:河北大学,2018.
[7] 尤广宁,曹中伟.浆细胞性乳腺炎的免疫学研究进展[J].中国疗养医学,2019,28(4):51-54.
[8] 杨小红.肉芽肿性乳腺炎组织IL-2、IL-4表达的相关性研究[D].济南:山东中医药大学,2010.
[9] Kessler E,Wolloch Y. Granulomatous mastitis:a lesion clinically simulating carcinoma [J]. Am J Clin pathol,1972,58(6):642-646.
[10] Salesi M,Karimifar M,Salimi F,et al. A case of granulomatous mastitis with erythema nodosum and arthritis [J]. Rheumatol Int,2011,31(8):1093-1095.
[11] 陈迪,章乐虹.类固醇激素联合甲氨喋呤治疗肉芽肿性小叶性乳腺炎一例[J].中华乳腺病杂志:电子版,2010, 4(6):52.
[12] Nakamura T,Yoshioka K,Miyashita T,et al. Granulomatous mastitis complicated by arthralgia and erythema nodosum successfully treated with prednisolone and methotrexate [J]. Int Med,2012,51(20):2957-2960.
[13] Lacambra M,Thai TA,Lam CC,et al. Granulomatous mastitis:the histological differentials [J]. J Clin pathol,2011, 64(5):405-411.
[14] Ogura K,Matsumoto T,Aoki Y,et al. IgG4-related tumour-forming mastitis with histological appearances of granulomatous lobular mastitis:comparison with other types of tumour-forming mastitis [J]. Histopathol,2010, 57(1):39-45.
[15] 赵阳,王西京,张淑群,等.PI3K/AKT/mTOR通路及免疫球蛋白参与的肉芽肿性小叶乳腺炎发病机制研究[J].中国医药导报,2018,15(30):8-10.
[16] 王全义,李岩,刘静,等.IgG4相关硬化性乳腺炎临床病理观察[J].诊断病理学杂志,2013,20(9):576-580.
[17] 孔成.CD68、CD163、CD57、IgG4在肉芽肿性乳腺炎中的表达及其临床意义[D].长沙:湖南师范大学,2016.
[18] Soler N,Khardori R. Fibrous disease of the breast,thyroiditis,and cheiroarthropathy in type I diabetes mellitus [J]. Lancet,1984,323(8370):193-195.
[19] 郭慧,吴立琦,唐泽飞.硬化性淋巴细胞性小叶性乳腺炎的病理分析[J].中国实用医药,2019,14(22):196-197.
[20] 高晴倩,邵士珺,陈玮黎,等.清化痰湿法治疗粉刺性乳痈临证经验[J].辽宁中医杂志,2014,41(3):419-420.
[21] 邵士珺,高晴倩,万华.万华运用清化痰湿法结合外治法治疗浆细胞性乳腺炎经验初探[J].上海中医药杂志,2016,50(1):28-30.
[22] 顾伯华.採用掛线疗法治愈慢性复发性乳腺漏管伴有乳头内缩12例病例报告[J].上海中医药杂志,1958(9):18-20.
[23] 唐甜.拔毒生肌散治疗非哺乳期乳腺炎窦道脓腐的临床研究[D].南京:南京中医药大学,2019.
[24] 张媞.疮灵液基于解毒收敛改善浆细胞性乳腺炎疮面炎症以促进愈合临床研究[D].南京:南京中医药大学,2017.
[25] 卢中原.化痰解毒活血法对浆细胞性乳腺炎患者血清IL-10、IL-17、MIF的影响[D].合肥:安徽中医药大学,2016.
[26] 刘雄飞,范权锋,梁月.化瘀解毒法联合中医外治法治疗浆细胞性乳腺炎(肝经郁热型)的效果评价[J].海峡药学,2017,29(8):106-107.
[27] 赵慧朵,程旭锋.中药内外合治肉芽肿性乳腺炎疗效观察[J].实用中医药杂志,2017,33(5):498-499.
[28] 郭琼,邹兰英.橙皮苷对刀豆蛋白A所致小鼠免疫性肝损伤的保护作用[J].中国热带医学,2017,17(12):1202-1205.
[29] 瞿俊勇,田梦,贺建华,等.白花蛇舌草多糖对免疫抑制小鼠的免疫调节作用研究[J].中药材,2015,38(9):1942-1945. |
|
|
|