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1.河南中医药大学儿科医学院,郑州 450046
2.河南中医药大学第一附属医院儿科医院儿科二区,郑州 450000
Published:15 September 2024,
Received:19 March 2024,
Revised:23 July 2024,
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李梦茵,宋桂华,王婷婷等.中药通过调控细胞自噬治疗支气管哮喘的研究进展 Δ[J].中国药房,2024,35(17):2158-2164.
LI Mengyin,SONG Guihua,WANG Tingting,et al.Progress on traditional Chinese medicine in the treatment of bronchial asthma by regulating autophagy[J].ZHONGGUO YAOFANG,2024,35(17):2158-2164.
李梦茵,宋桂华,王婷婷等.中药通过调控细胞自噬治疗支气管哮喘的研究进展 Δ[J].中国药房,2024,35(17):2158-2164. DOI: 10.6039/j.issn.1001-0408.2024.17.18.
LI Mengyin,SONG Guihua,WANG Tingting,et al.Progress on traditional Chinese medicine in the treatment of bronchial asthma by regulating autophagy[J].ZHONGGUO YAOFANG,2024,35(17):2158-2164. DOI: 10.6039/j.issn.1001-0408.2024.17.18.
支气管哮喘(以下简称“哮喘”)是一种以慢性气道炎症和气道重塑为主要特征的异质性气道疾病,其发病机制复杂,发病率高且病情易反复。自噬在改善哮喘症状中发挥了重要的调控作用。中药活性成分(如黄酮类化合物、蒽醌类化合物、萜类化合物等)以及中药复方(如五虎汤、平喘颗粒、三子养亲汤等)可以通过调控自噬相关蛋白及信号通路,抑制气道炎性反应、减轻气道高反应、缓解气道重塑,从而起到治疗哮喘的目的。但目前研究多为基础研究,且证据质量不高,今后应深入开展高质量的临床与基础研究,以充分论证中药通过调控自噬治疗哮喘的科学性。
Bronchial asthma (referred to as “asthma”) is a heterogeneous airway disease characterized by chronic airway inflammation and airway remodeling. Its pathogenesis is complex, the incidence is high and the disease is easy to repeat. Autophagy plays an important regulatory role in improving asthma symptoms. By regulating autophagy-related proteins and signaling pathways,the active components of traditional Chinese medicine (such as flavonoids, anthraquinones, terpenoids) and traditional Chinese medicine compounds (such as Wuhu decoction, Pingchuan granule, Sanzi yangqin decoction) can inhibit airway inflammatory response,reduce airway hyperresponsiveness,and alleviate airway remodeling,thus playing a role in the treatment of asthma. However, most of the current studies are basic studies,and the quality of evidence is not high.In the future,high-quality clinical and basic studies should be further carried out to fully demonstrate the scientific nature of traditional Chinese medicine in the treatment of asthma by regulating autophagy.
支气管哮喘自噬中药活性成分中药复方研究进展
autophagyactive components of traditional Chinese medicinetraditional Chinese medicine compoundresearch progress
BRASIER A R. Innate immunity,epithelial plasticity,and remodeling in asthma[J]. Adv Exp Med Biol,2023,1426:265-285.
MORTIMER K,LESOSKY M,GARCÍA-MARCOS L, et al.The burden of asthma,hay fever and eczema in adults in 17 countries:GAN phase Ⅰ study[J]. Eur Respir J,2022,60(3):2102865.
黄丽丽,汪俊. 外泌体在支气管哮喘发病机制中的研究进展[J]. 中国医学科学院学报,2023,45(5):827-832.
HUANG L L,WANG J. Research progress in exosomes in the pathogenesis of bronchial asthma[J]. Acta Acad Med Sin,2023,45(5):827-832.
HEFFLER E,MADEIRA L N G,FERRANDO M,et al. Inhaled corticosteroids safety and adverse effects in patients with asthma[J]. J Allergy Clin Immunol Pract,2018,6(3):776-781.
LI B B,CHEN Y L,PANG F Z. MicroRNA-30a targets ATG5 and attenuates airway fibrosis in asthma by suppressing autophagy[J]. Inflammation,2020,43(1):44-53.
黄苏苏,王雪茹,袁久术,等. 中医药基于自噬防治糖尿病周围神经病变的实验研究进展[J]. 中国中药杂志,2023,48(23):6315-6323.
HUANG S S,WANG X R,YUAN J S,et al. Experimental research progress in traditional Chinese medicine prevention and treatment of diabetic peripheral neuropathy based on autophagy[J]. China J Chin Mater Med,2023,48(23):6315-6323.
DOWDELL A S,COLGAN S P. Metabolic host-microbiota interactions in autophagy and the pathogenesis of inflammatory bowel disease(IBD)[J]. Pharmaceuticals,2021,14(8):708.
ZHOU Y H,MANGHWAR H,HU W M,et al. Degradation mechanism of autophagy-related proteins and research progress[J]. Int J Mol Sci,2022,23(13):7301.
DIKIC I,ELAZAR Z. Mechanism and medical implications of mammalian autophagy[J]. Nat Rev Mol Cell Biol,2018,19(6):349-364.
WEN X,YANG Y,KLIONSKY D J. Moments in autophagy and disease:past and present[J]. Mol Aspects Med,2021,82:100966.
SACHDEVA K,DO D C,ZHANG Y,et al. Environmental exposures and asthma development:autophagy,mitophagy,and cellular senescence[J]. Front Immunol,2019,10:2787.
MCALINDEN K D,DESHPANDE D A,GHAVAMI S, et al. Autophagy activation in asthma airways remodeling[J]. Am J Respir Cell Mol Biol,2019,60(5):541-553.
DEBEUF N,LAMBRECHT B N. Eicosanoid control over antigen presenting cells in asthma[J]. Front Immunol,2018,9:2006.
XIA F C,DENG C W,JIANG Y Y,et al. IL4(interleukin 4)induces autophagy in B cells leading to exacerbated asthma[J]. Autophagy,2018,14(3):450-464.
BIASIZZO M,KOPITAR-JERALA N. Interplay between NLRP3 inflammasome and autophagy[J]. Front Immunol,2020,11:591803.
DAUBEUF F,SCHALL N,PETIT-DEMOULIÈRE N, et al. An autophagy modulator peptide prevents lung function decrease and corrects established inflammation in murine models of airway allergy[J]. Cells,2021,10(9):2468.
WANG L J,YUAN X X,LI Z Y,et al. The role of macrophage autophagy in asthma:a novel therapeutic strategy[J]. Mediators Inflamm,2023,2023:7529685.
朱晓华,李秋根. 哮喘气道重塑中上皮间质转化及其分子调控[J]. 中南大学学报(医学版),2018,43(5):566-570.
ZHU X H,LI Q G. Epithelial mesenchymal transition in airway remodeling of asthma and its molecular regulation[J]. J Cent South Univ Med Sci,2018,43(5):566-570.
孙鹏,张倩. 细胞自噬和支气管哮喘[J]. 南京医科大学学报(自然科学版),2021,7(5):779-784.
SUN P,ZHANG Q. Cell autophagy and bronchial asthma[J]. J Nanjing Med Univ Nat Sci,2021,7(5):779-784.
YOSHIE S,MURONO S,HAZAMA A. Approach for elucidating the molecular mechanism of epithelial to mesenchymal transition in fibrosis of asthmatic airway remode-ling focusing on Cl- channels[J]. Int J Mol Sci,2023,25(1):289.
张晓敏,王丕敏,王步青,等. 温针灸调控mTOR自噬信号在气道重塑中的作用[J]. 山西中医药大学学报,2023,24(3):261-266,343.
ZHANG X M,WANG P M,WANG B Q,et al. Role of needle-warming moxibustion in regulating mTOR autophagy signal in airway remodeling[J]. J Shanxi Univ Tradit Chin Med,2023,24(3):261-266,343.
YU H Y,CHENG Y,ZHANG G R,et al. p62-dependent autophagy in airway smooth muscle cells regulates metabolic reprogramming and promotes airway remodeling[J]. Life Sci,2021,266:118884.
PIROGOV A B,GASSAN D A,ZINOV'EV S S,et al. Destruction of the bronchial epithelium in patients with severe asthma according to different patterns of inflammation and cold airway hyperresponsiveness[J].Ter Arkh,2019,91(3):31-35.
ZHAO H Y,DONG F,LI Y H,et al. Inhibiting ATG5 mediated autophagy to regulate endoplasmic reticulum stress and CD4+ T lymphocyte differentiation:mechanisms of acupuncture’s effects on asthma[J]. Biomed Pharmacother,2021,142:112045.
LIU J,CHEN Y,CHEN H,et al. Macrophage migration inhibitory factor exacerbates asthmatic airway remodeling via dynamin-related protein 1-mediated autophagy activation[J]. Respir Res. 2023,24(1):216.
WANG S Y,WUNIQIEMU T,TANG W F,et al. Luteolin inhibits autophagy in allergic asthma by activating PI3K/Akt/mTOR signaling and inhibiting Beclin-1-PI3KC3 complex[J]. Int Immunopharmacol,2021,94:107460.
王重阳. 虎杖苷通过抑制P2X7R-NLRP3介导的自噬缓解哮喘气道炎症以及气道重塑[D]. 延吉:延边大学,2020.
WANG C Y. Polydatin can alleviate airway inflammation and airway remodeling in asthma by inhibiting autophagy mediated by P2X7R-NLRP3[D]. Yanji:Yanbian University,2020.
TIRPUDE N V,SHARMA A,KUMARI M,et al. Vitexin restores lung homeostasis by targeting vicious loop between inflammatory aggravation and autophagy mediated via multiple redox cascade and myeloid cells alteration in experimental allergic asthma[J]. Phytomedicine,2022,96:153902.
XU J F,YU Z Y,LI W. Kaempferol inhibits airway inflammation induced by allergic asthma through Nox4-mediated autophagy[J]. Hum Exp Toxicol,2023,42:9603271231154227.
YANG L H,XIAO B,HOU L X,et al. Bioactive molecule icariin inhibited proliferation while enhanced apoptosis and autophagy of rat airway smooth muscle cells in vitro[J]. Cytotechnology,2019,71(6):1109-1120.
SONG G H,ZHANG Y,YU S P,et al. Chrysophanol attenuates airway inflammation and remodeling through nuclear factor-kappa B signaling pathway in asthma[J]. Phytother Res,2019,33(10):2702-2713.
ZHU X Y,CAO Y X,SU M Y,et al. Cycloastragenol alleviates airway inflammation in asthmatic mice by inhibi-ting autophagy[J]. Mol Med Rep,2021,24(5):805.
HAN X,HU S Q,YANG Q,et al. Paeoniflorin ameliorates airway inflammation and immune response in ovalbumin induced asthmatic mice:from oxidative stress to autophagy[J]. Phytomedicine,2022,96:153835.
LI H,BI Q Y,CUI H X,et al. Suppression of autophagy through JAK2/STAT3 contributes to the therapeutic action of rhynchophylline on asthma[J]. BMC Complement Med Ther,2021,21(1):21.
CHEN X Y,LUO Y H,WANG M Q,et al. Wuhu decoction regulates dendritic cell autophagy in the treatment of respiratory syncytial virus(RSV)-induced mouse asthma by AMPK/ULK1 signaling pathway[J]. Med Sci Monit,2019,25:5389-5400.
丁伊,王孟清,罗银河,等. 五虎汤抑制STAT3蛋白调控树突细胞自噬治疗RSV诱发哮喘小鼠[J]. 中国实验方剂学杂志,2021,7(9):9-18.
DING Y,WANG M Q,LUO Y H,et al. Wuhutang alle-viates respiratory syncytial virus-induced asthma in mice by inhibiting STAT3 protein and regulating dendritic cell autophagy[J]. Chin J Exp Tradit Med Formulae,2021,7(9):9-18.
张鑫. 五虎汤通过PI3K/Akt/mTOR信号通路调节RSV诱导哮喘小鼠DCs自噬对T细胞增殖活化的影响[D]. 长沙:湖南中医药大学,2021.
ZHANG X. Wuhu decoction regulates the effect of RSV-induced DCs autophagy on T cell proliferation and activation through PI3K/Akt/mTOR signaling pathway[D]. Changsha:Hunan University of Chinese Medicine,2021.
李竹英,孙丽丽,李寒梅. 平喘颗粒对哮喘慢性持续期患者免疫功能的影响[J]. 中医药学报,2021,49(3):72-75.
LI Z Y,SUN L L,LI H M. Effect of Pingchuan granule on immune function of patients with chronic persistent asthma[J]. Acta Chin Med Pharmacol,2021,49(3):72-75.
张潇予,田春燕,孙丽丽,等. 平喘颗粒通过PERK信号通路介导的内质网应激抑制细胞自噬改善哮喘小鼠气道重塑的机制研究[J]. 中华中医药杂志,2022,37(9):5104-5108.
ZHANG X Y,TIAN C Y,SUN L L,et al. Mechanism research of Pingchuan granules ameliorate airway remode-ling in asthmatic mice by inhibiting autophagy through endoplasmic reticulum stress mediated by PERK signal pathway[J]. China J Tradit Chin Med Pharm,2022,37(9):5104-5108.
张博达,谢芳,全亚林,等. 三子养亲汤调节哮喘大鼠气道线粒体自噬相关基因BECN1 UVRAG的实验研究[J]. 医学研究杂志,2022,51(11):149-153.
ZHANG B D,XIE F,QUAN Y L,et al. Experimental study on the regulation of airway mitophagy-related gene BECN1 by Sanziyangqin decoction in asthmatic rats[J]. J Med Res,2022,51(11):149-153.
任燕群,王小乐,刘桐,等. 麻芍平喘汤通过PI3K/Akt/mTOR信号通路抑制气道上皮细胞自噬[J]. 中国实验方剂学杂志,2023,9(3):88-95.
REN Y Q,WANG X L,LIU T,et al. Mashao Pingchuan Decoction inhibits autophagy in airway epithelial cells through PI3K/Akt/mTOR signaling pathway[J]. Chin J Exp Tradit Med Formulae,2023,9(3):88-95.
王心恒.基于ROS/HMGB1/Beclin-1介导的细胞自噬研究平喘宁方缓解支气管哮喘气道炎症的作用机制[D]. 合肥:安徽中医药大学,2021.
WANG X H. Study on the mechanism of relieving inflammation of bronchial asthma by anti-asthmatic prescription PCN based on ROS/HMGB1/Beclin-1-mediated autophagy[D]. Hefei:Anhui University of Chinese Medicine,2021.
WANG B,FAN X X,SUN Q W,et al. Xiaoqinglong decoction enhances autophagy to antagonist airway inflammation induced by cold in asthmatic rats[J]. Evid Based Complement Alternat Med,2022,2022:3943343.
金丽娜,姜京植,宋艺兰,等. 鹿茸大补汤对支气管哮喘豚鼠的作用机制[J]. 中成药,2022,44(9):2984-2988.
JIN L N,JIANG J Z,SONG Y L,et al. Mechanism of Antler dabu decoction on guinea pigs with bronchial asthma[J]. Chin Tradit Pat Med,2022,44(9):2984-2988.
曹晓梅. 基于miRNA328-3p调控HMGB1通路介导细胞自噬研究阳和平喘颗粒对哮喘的作用机制[D]. 合肥:安徽中医药大学,2023.
CAO X M. The action mechanism of Yanghe pingchuan granules based on miRNA328-3p regulation of the HMGB1 pathway mediated autophagy[D]. Hefei:Anhui University of Chinese Medicine,2023.
常兴,张庆祥,刘燕,等. 基于“肺阳虚” 理论探析温阳化饮方对哮喘寒饮蕴肺证细胞自噬的作用机制[J]. 中华中医药杂志,2020,35(2):650-654.
CHANG X,ZHANG Q X,LIU Y,et al. Study on the mechanism of Wenyang huayin decoction on autophagy of asthma cells with cold yin accumulating lung syndrome based on the theory of “lung yang deficiency”[J]. China J Tradit Chin Med Pharm,2020,35(2):650-654.
向双娣,程林辉,喻强强,等. 益气温阳护卫汤调控PI3K/Akt/mTOR自噬途径治疗支气管哮喘大鼠机制[J]. 中国实验方剂学杂志,2023,29(14):38-46.
XIANG S D,CHENG L H,YU Q Q,et al. Yiqi wenyang huwei decoction regulates PI3K/Akt/mTOR pathway to treat bronchial asthma in rats[J]. Chin J Exp Tradit Med Formulae,2023,29(14):38-46.
杨斌,徐荣谦,杨冬妹,等. 加味芎蝎散对咳嗽变异性哮喘大鼠气道平滑肌中自噬蛋白表达的干预作用[J]. 中国中医急症,2018,27(9):1505-1507,1513.
YANG B,XU R Q,YANG D M,et al. Intervention effect of Jiawei xiongxie decoction on autophagy protein expression in airway smooth muscle of rats with cough variant asthma[J]. J Emerg Tradit Chin Med,2018,27(9):1505-1507,1513.
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