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1.广西中医药大学研究生学院,南宁 530001
2.广西中医药大学第一附属医院治未病中心,南宁 530001
Published:15 November 2024,
Received:01 April 2024,
Revised:20 September 2024,
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刘柱,王佳巍,方以峻等.中药干预JAK/STAT信号通路防治脓毒症的研究进展 Δ[J].中国药房,2024,35(21):2697-2702.
LIU Zhu,WANG Jiawei,FANG Yijun,et al.Research progress on the prevention and treatment of sepsis by intervening in JAK/STAT signaling pathway with traditional Chinese medicine[J].ZHONGGUO YAOFANG,2024,35(21):2697-2702.
刘柱,王佳巍,方以峻等.中药干预JAK/STAT信号通路防治脓毒症的研究进展 Δ[J].中国药房,2024,35(21):2697-2702. DOI: 10.6039/j.issn.1001-0408.2024.21.20.
LIU Zhu,WANG Jiawei,FANG Yijun,et al.Research progress on the prevention and treatment of sepsis by intervening in JAK/STAT signaling pathway with traditional Chinese medicine[J].ZHONGGUO YAOFANG,2024,35(21):2697-2702. DOI: 10.6039/j.issn.1001-0408.2024.21.20.
脓毒症是一种由感染引发的危及生命的器官功能障碍,Janus激酶/信号转导和转录激活因子(JAK/STAT)信号通路在其中起着关键作用,参与了炎症反应、氧化应激和细胞凋亡的调控。一些中药单体,如黄酮类(如紫杉叶素等)、生物碱类(如青藤碱等)、二苯乙烯类(如白皮杉醇等)能通过调控JAK/STAT信号通路发挥抗炎、抗氧化、抑制细胞凋亡等作用,有助于改善脓毒症。中药复方(如左金方)和中药注射剂(如黄芪注射液、血必净注射液等)也能通过抑制JAK/STAT信号通路,抑制炎症反应和保护器官功能,减轻脓毒症相关损伤。尽管中药在脓毒症防治中显示出巨大潜力,但目前的研究主要集中在体外实验和动物实验,有待开展更多相应临床研究。
epsis is a life-threatening organ dysfunction caused by infection. Janus kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathway plays a key role in the regulation of inflammatory response, oxidative stress and apoptosis. Some traditional Chinese medicine monomers, such as flavonoids (such as taxifolin), alkaloids (such as sinomenine), and stilbenes (such as piceatannol) can exert anti-inflammatory, anti-oxidation, and inhibition of apoptosis by regulating the JAK/STAT signaling pathway, which is helpful to improve sepsis. Traditional Chinese medicine compounds (such as Zuojinfang) and traditional Chinese medicine injections (such as Astragalus injection, Xuebijing injection) can also inhibit inflammation, protect organ function, and reduce sepsis-related damage by regulating JAK/STAT signaling pathway. Although traditional Chinese medicine has shown great potential in the prevention and treatment of sepsis, the current research mainly focuses on
in vitro
and animal models, and more relative clinical researches need to be conducted.
中药脓毒症Janus激酶/信号转导和转录激活因子信号通路炎症反应
sepsisJAK/STAT signaling pathwayinflammatory response
LEI S Y,LI X L,ZHAO H L,et al. Prevalence of sepsis among adults in China:a systematic review and meta-analysis[J]. Front Public Health,2022,10:977094.
WANG W H,HE Z H. Gasdermins in sepsis[J]. Front Immunol,2023,14:1203687.
王仲,魏捷,朱华栋,等. 中国脓毒症早期预防与阻断急诊专家共识[J]. 中国急救医学,2020,40(7):577-588.
WANG Z,WEI J,ZHU H D,et al. Consensus of Chinese experts on early prevention and blocking of sepsis[J]. Chin J Crit Care Med,2020,40(7):577-588.
杜欣欣,于湘友. 2021脓毒症指南:临床研究回顾与思考[J]. 中国急救医学,2022,42(4):281-284.
DU X X,YU X Y. 2021 sepsis guideline:review and reflections on clinical researches[J]. Chin J Crit Care Med,2022,42(4):281-284.
FLEISCHMANN-STRUZEK C,MELLHAMMAR L,ROSE N,et al. Incidence and mortality of hospital- and ICU-treated sepsis:results from an updated and expanded systematic review and meta-analysis[J]. Intensive Care Med,2020,46(8):1552-1562.
HUANG M,CAI S L,SU J Q. The pathogenesis of sepsis and potential therapeutic targets[J]. Int J Mol Sci,2019,20(21):5376.
刘柱,王佳巍,严静,等. 中医药调控PI3K/Akt通路干预脓毒症的研究进展[J/OL]. 中国实验方剂学杂志:1-10(2024-03-29)[2024-07-11]. https://doi.org/10.13422/j.cnki.syfjx.20240611https://doi.org/10.13422/j.cnki.syfjx.20240611.
LIU Z,WANG J W,YAN J,et al. Research progress of traditional Chinese medicine in regulating PI3K/Akt pathway to intervene in sepsis[J]. Chin J Exp Tradit Med Formulae:1-10(2024-03-29)[2024-07-11]. https://doi.org/10.13422/j.cnki.syfjx.20240611https://doi.org/10.13422/j.cnki.syfjx.20240611.
PENG Z,LV X L,WANG X T,et al. ACT001 improved cardiovascular function in septic mice by inhibiting the production of proinflammatory cytokines and the expression of JAK-STAT signaling pathway[J]. Front Pharmacol,2023,14:1265177.
赵红芳,江其敏. 刘清泉教授应用中医药治疗脓毒症的临床经验[J]. 中国中医急症,2017,26(9):1563-1565.
ZHAO H F,JIANG Q M. Professor Liu Qingquan’s clinical experience in treating sepsis with traditional Chinese medicine[J]. J Emerg Tradit Chin Med,2017,26(9):1563-1565.
金悦婷,刘芳宇,杜元,等. 基于CiteSpace中医药治疗脓毒症心肌损伤的可视化分析[J]. 中国医药导报,2023,20(32):22-27.
JIN Y T,LIU F Y,DU Y,et al. Visualization of myocardial injury in sepsis treated with traditional Chinese medicine based on CiteSpace[J]. China Med Her,2023,20(32):22-27.
陈腾飞,陈剑明,徐霄龙,等. 中医古代脓毒症医案的疾病分布研究[J]. 中国中医急症,2021,30(8):1321-1323,1369.
CHEN T F,CHEN J M,XU X L,et al. Study on the distribution of sepsis cases in ancient Chinese medicine[J]. J Emerg Tradit Chin Med,2021,30(8):1321-1323,1369.
HU Q,BIAN Q H,RONG D C,et al. JAK/STAT pathway:extracellular signals,diseases,immunity,and therapeutic regimens[J]. Front Bioeng Biotechnol,2023,11:1110765.
VILLARINO A V,KANNO Y,FERDINAND J R,et al. Mechanisms of JAK/STAT signaling in immunity and di-sease[J]. J Immunol,2015,194(1):21-27.
CLERE-JEHL R,MARIOTTE A,MEZIANI F,et al. JAK-STAT targeting offers novel therapeutic opportunities in sepsis[J]. Trends Mol Med,2020,26(11):987-1002.
O’SHEA J J,SCHWARTZ D M,VILLARINO A V,et al. The JAK-STAT pathway:impact on human disease and therapeutic intervention[J]. Annu Rev Med,2015,66:311-328.
MURRAY P J. The JAK-STAT signaling pathway:input and output integration[J]. J Immunol,2007,178(5):2623-2629.
MULLER R. JAK inhibitors in 2019,synthetic review in 10 points[J]. Eur J Intern Med,2019,66:9-17.
BOYLE K,ZHANG J G,NICHOLSON S E,et al. Deletion of the SOCS box of suppressor of cytokine signaling 3(SOCS3)in embryonic stem cells reveals SOCS box-dependent regulation of JAK but not STAT phosphorylation[J]. Cell Signal,2009,21(3):394-404.
LA MANNA S,DE BENEDICTIS I,MARASCO D. Proteomimetics of natural regulators of JAK-STAT pathway:novel therapeutic perspectives[J]. Front Mol Biosci,2021,8:792546.
王凌峰,卢尧,孙桂香,等. 血红素上调STAT3磷酸化放大脂多糖诱导的小鼠炎症反应[J]. 中国输血杂志,2018,31(12):1354-1357.
WANG L F,LU Y,SUN G X,et al. Hemin amplified LPS-inducedmurine inflammatory reaction by up-regulating STAT3 phosphorylation[J]. Chin J Blood Transfus,2018,31(12):1354-1357.
尹江宁,殷雪平,陈义坤,等. 重组人白细胞介素-11对脓毒症大鼠肺损伤的保护作用[J]. 中国急救医学,2020,40(2):164-169.
YIN J N,YIN X P,CHEN Y K,et al. Protective effect of recombinant human interleukin-11 on lung injury in the rats with sepsis[J]. Chin J Crit Care Med,2020,40(2):164-169.
杨菊,张照,王加伟,等. 清瘟败毒饮对脂多糖诱导急性肺损伤的改善作用及机制[J]. 中国实验方剂学杂志,2023,29(15):1-13.
YANG J,ZHANG Z,WANG J W,et al. Ameliorative effect and mechanism of Qingwen baiduyin on lipopolysaccharide-induced acute lung injury[J]. Chin J Exp Tradit Med Formulae,2023,29(15):1-13.
DEMARET J,DUPONT G,VENET F,et al. STAT5 phosphorylation in T cell subsets from septic patients in re- sponse to recombinant human interleukin-7:a pilot study[J]. J Leukoc Biol,2015,97(4):791-796.
ZHEN G S,LIANG W,JIA H M,et al. Melatonin relieves sepsis-induced myocardial injury via regulating JAK2/STAT3 signaling pathway[J]. Minerva Med,2022,113(6):983-989.
SHEN M W,LIN B B,QIAN F H,et al. Taxifolin ameliorates sepsis-induced lung capillary leak through inhibiting the JAK/STAT3 pathway[J]. Allergol Immunopathol,2022,50(2):7-15.
LU Y L,LI D,HUANG Y Y,et al. Pretreatment with eupatilin attenuates inflammation and coagulation in sepsis by suppressing JAK2/STAT3 signaling pathway[J]. J Inflamm Res,2023,16:1027-1042.
TAN Z K,LIU Q Q,CHEN H J,et al. Pectolinarigenin alleviated septic acute kidney injury via inhibiting JAK2/STAT3 signaling and mitochondria dysfunction[J]. Biomedecine Pharmacother,2023,159:114286.
SUN L G,CHEN Z Y,NI Y J,et al. Network pharmacology-based approach to explore the underlying mechanism of sinomenine on sepsis-induced myocardial injury in rats[J]. Front Pharmacol,2023,14:1138858.
JIANG L Q,ZHANG L Y,YANG J C,et al. 1-Deoxynojirimycin attenuates septic cardiomyopathy by regulating oxidative stress,apoptosis,and inflammation via the JAK2/STAT6 signaling pathway[J]. Biomedecine Pharmacother,2022,155:113648.
张益维,王珏,朱浩,等. 川芎嗪对脓毒症小鼠肝组织铁调素的表达调控及机制研究[J]. 浙江医学,2021,43(21):2311-2315.
ZHANG Y W,WANG J,ZHU H,et al. Ligustrazine regulates expression of hepcidin in septic mice and its mechanism[J]. Zhejiang Med J,2021,43(21):2311-2315.
XIE L P,WU Y T,ZHOU C Y,et al. Piceatannol protects against sepsis-induced myocardial dysfunction via direct inhibition of JAK2[J]. Int Immunopharmacol,2021,96:107639.
XUE H,LI M X. Protective effect of pterostilbene on sepsis-induced acute lung injury in a rat model via the JAK2/STAT3 pathway[J]. Ann Transl Med,2020,8(21):1452.
BIAN X X,ZHAO X,MA C H,et al. Arbutin alleviates LPS induced sepsis pneumonia in mice[J]. Evid Based Complement Alternat Med,2022,2022:5863952.
LI D,WENG Y B,WANG G,et al. Anti-septic potential of 7-α-obacunyl acetate isolated from the Toona sinensis on cecal ligation/puncture mice via suppression of JAK-STAT/NF-κB signal pathway[J]. Infect Drug Resist,2021,14:1813-1821.
冷昌龙,林款,周梅,等. 红景天苷调控RAGE/JAK1/STAT3信号通路对糖尿病肾病小鼠的肾脏保护作用研究[J]. 中国中药杂志,2024,49(8):2188-2196.
LENG C L,LIN K,ZHOU M,et al. Protective effect of salidroside on renal damage in diabetic nephropathy mice by regulating RAGE/JAK1/STAT signaling pathway[J]. China J Chin Mater Med,2024,49(8):2188-2196.
孙永,史兆博,刘美香,等. 山药多糖对脓毒症大鼠心肌损伤及JAK2/STAT3信号通路的影响[J]. 中国动脉硬化杂志,2022,30(8):669-675.
SUN Y,SHI Z B,LIU M X,et al. Effects of yam polysaccharide on myocardial injury and JAK2/STAT3 signal pathway in septic rats[J]. Chin J Arterioscler,2022,30(8):669-675.
JEONG S H,PARK J Y,RYU Y B,et al. Myristica fragrans extract inhibits platelet desialylation and activation to ameliorate sepsis-associated thrombocytopenia in a murine CLP-induced sepsis model[J]. Int J Mol Sci,2023,24(10):8863.
LIN Z H,JIN J,SHAN X Y. Fish oils protects against cecal ligation and puncture-induced septic acute kidney injury via the regulation of inflammation,oxidative stress and apoptosis[J]. Int J Mol Med,2019,44(5):1771-1780.
YIN J N,YU Z,HOU C Y,et al. Protective effect of Zuojin fang on lung injury induced by sepsis through downregulating the JAK1/STAT3 signaling pathway[J]. Biomed Res Int,2021,2021:1419631.
王国全,李莎,余林中,等. 基于JAK2/STAT3和IKKα/NF-κB信号通路探讨清瘟败毒饮对脓毒症急性肺损伤大鼠的保护作用及机制研究[J]. 中药药理与临床,2018,34(3):2-5.
WANG G Q,LI S,YU L Z,et al. Explore the mechanism of prevention of Qingwen baidu yin via JAK2/STAT3 and IKKα/NF-κB signal transduction pathway in sepsis rat[J]. China Ind Econ,2018,34(3):2-5.
王国全,李莎,林洁,等. 清瘟败毒饮对脓毒症急性肺损伤大鼠JAK2/STAT3信号通路及其负反馈机制的影响[J]. 中药药理与临床,2018,34(4):7-11.
WANG G Q,LI S,LIN J,et al. The effect and mechanism of Qingwen baidu decoction on JAK2/STAT3 pathway and negative feedback in sepsis rats[J].China Ind Econ,2018,34(4):7-11.
王国全,李莎,晁旭,等. 清瘟败毒饮对脓毒症急性肺损伤大鼠p38 MAPK和JAK2/STAT3信号通路的干预作用[J]. 中医学报,2018,33(11):2076-2082.
WANG G Q,LI S,CHAO X,et al. Intervention of Qing-wen baidu decoction on p38 MAPK and JAK2/STAT3 signaling pathway in rats with acute lung injury caused by sepsis[J]. Acta Chin Med,2018,33(11):2076-2082.
郭雪红. 黄芪注射液的药理作用及临床应用研究进展[J]. 中国药房,2015,26(21):3018-3021.
GUO X H. Research progress on pharmacological action and clinical application of Astragalus injection[J]. China Pharm,2015,26(21):3018-3021.
ZHAO Z H,WANG X J,LI X M,et al. Protective effect of Astragalus injection against myocardial injury in septic young rats via inhibition of JAK/STAT signal pathway and regulation of inflammation[J]. Trop J Pharm Res,2020,19(3):565-569.
LI C Y,WANG P,LI M,et al. The current evidence for the treatment of sepsis with Xuebijing injection:bioactive constituents,findings of clinical studies and potential mechanisms[J]. J Ethnopharmacol,2021,265:113301.
KANG X F,LU X L,BI C F,et al. Xuebijing injection protects sepsis induced myocardial injury by mediating TLR4/NF-κB/IKKα and JAK2/STAT3 signaling pathways[J]. Aging(Albany NY),2023,15(16):8501-8517.
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