SANG Zhihui,LI Huihong,ZHOU Lijuan.Research progress on the curative effect and mechanism of traditional Chinese medicine in the treatment of diabetic retinopathy[J].ZHONGGUO YAOFANG,2023,34(12):1532-1536.
SANG Zhihui,LI Huihong,ZHOU Lijuan.Research progress on the curative effect and mechanism of traditional Chinese medicine in the treatment of diabetic retinopathy[J].ZHONGGUO YAOFANG,2023,34(12):1532-1536. DOI: 10.6039/j.issn.1001-0408.2023.12.24.
Research progress on the curative effect and mechanism of traditional Chinese medicine in the treatment of diabetic retinopathy
Diabetic retinopathy (DR) is one of the most important microvascular complications of diabetes mellitus, which can lead to blindness in severe cases. Both traditional drug therapy and surgical treatment have certain limitations. Literature review indicates that the main pathogenesis of DR is related to inflammation and apoptosis induced by oxidative stress, and changes in growth factors, hormones, etc. Monomer of traditional Chinese medicine (chlorogenic acid), single medicine (
Panax notoginseng
,
Typha angustifolia
,
Pueraria montana
root,
Matrimony vine
, etc.), prescription (modified Buyang huanwu decoction and Liujunzi decoction, modified Xuefu zhuyu decoction, Simiaoyong’an decoction, etc.) and Chinese patent medicine (Ligustrazine injection, Furong tongmai capsule, Qiju dihuang pill, etc.) can provide beneficial supplement for the treatment of DR. Its mechanism of action mainly involves antioxidant, anti-inflammatory, anti-apoptosis, decreasing the expression of vascular endothelial growth factor, improving hormone levels and so on.
关键词
糖尿病视网膜病变中药炎症氧化应激作用机制
Keywords
traditional Chinese medicineinflammationoxidative stressmechanism of action
KANG Q Z,YANG C X. Oxidative stress and diabetic retinopathy:molecular mechanisms,pathogenetic role and therapeutic implications[J]. Redox Biol,2020,37:101799.
AVELEIRA C A,LIN C M,ABCOUWER S F,et al. TNF-α signals through PKCζ/NF-κB to alter the tight junction complex and increase retinal endothelial cell permeability[J]. Diabetes,2010,59(11):2872-2882.
WU M Y,YIANG G T,LAI T T,et al. The oxidative stress and mitochondrial dysfunction during the pathogene-sis of diabetic retinopathy[J]. Oxid Med Cell Longev,2018,2018:3420187.
MANEU V,LAX P,DE DIEGO A M G,et al. Combined drug triads for synergic neuroprotection in retinal degene-ration[J]. Biomedecine Pharmacother,2022,149:112911.
GONG Q Y,XIE J N,LI Y,et al. Enhanced ROBO4 is mediated by up-regulation of HIF-1α/SP1 or reduction in miR-125b-5p/miR-146a-5p in diabetic retinopathy[J]. J Cell Mol Med,2019,23(7):4723-4737.
ZHANG Q,FANG W,MA L,et al. VEGF levels in plasma in relation to metabolic control,inflammation,and microvascular complications in type-2 diabetes:a cohort study[J]. Medicine,2018,97(15):e0415.
CATRINA S B,ZHENG X W. Hypoxia and hypoxia-inducible factors in diabetes and its complications[J]. Diabetologia,2021,64(4):709-716.
LIN D,QIN R J,GUO L X. Thyroid stimulating hormone aggravates diabetic retinopathy through the mitochondrial apoptotic pathway[J]. J Cell Physiol,2022,237(1):868-880.
BERMEA K C,RODRÍGUEZ-GARCÍA A,TSIN A,et al. Somatolactogens and diabetic retinopathy[J]. Growth Horm IGF Res,2018,41:42-47.
NG T F,TAYLOR A W. Stimulating the melanocortin system in uveitis and diabetes preserves the structure and anti-inflammatory activity of the retina[J]. Int J Mol Sci,2023,24(8):6928.
OUYANG H,DU A,ZHOU L Y,et al. Chlorogenic acid improves diabetic retinopathy by alleviating blood-retinal-barrier dysfunction via inducing Nrf2 activation[J]. Phytother Res,2022,36(3):1386-1401.
AI X P,YU P L,HOU Y,et al. A review of traditional Chinese medicine on treatment of diabetic retinopathy and involved mechanisms[J]. Biomedecine Pharmacother,2020,132:110852.
DU A,XIE Y M,OUYANG H,et al. Si-miao-yong-an decoction for diabetic retinopathy:a combined network pharmacological and in vivo approach[J]. Front Pharmacol,2021,12:763163.
LI H S,LI R,WANG L J,et al. Proanthocyanidins attenuate the high glucose-induced damage of retinal pigment epithelial cells by attenuating oxidative stress and inhibi-ting activation of the NLRP3 inflammasome[J]. J Biochem Mol Toxicol,2021,35(9):e22845.
CHEN N,WANG J,MUCELLI A,et al. Electro-acupuncture is beneficial for knee osteoarthritis:the evidence from meta-analysis of randomized controlled trials[J]. Am J Chin Med,2017,45(5):965-985.