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针刺调节阿尔茨海默病经典信号通路研究进展

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针刺对不同发病机制的阿尔茨海默病(Alzheimer's disease,AD)具有改善作用,PI3K/Akt、p38MAPK、TLR4/NF-κB等经典信号通路在调节细胞凋亡、神经元损伤、炎症和免疫激活等方面发挥着重要作用.目前,对于信号通路的研究大多为单一通路,而且信号通路与疾病的关系极其复杂,其作用可能因不同的病理阶段和细胞类型而异.另外,在以动物模型为主的基础研究中,针刺虽然可以有效改善病理机制,但其分型选穴单一,难以为临床辨证分型提供足够的参考,且受多种因素影响,临床疗效往往与实验结果存在较大差距.今后,可综合多个通路研究针刺防治AD的效应机制发现新靶点;对不同病理阶段的AD模型进行实验探究;进一步探索、验证,开展大样本、标准化的临床研究,为临床提供更充足、更有效的证据支持.
Research Progress in the Mechanisms of Acupuncture Regulation of Classic Signaling Pathways in Alzheimer's Disease
Acupuncture has shown potential in alleviating Alzheimer's disease(AD)through various mechanisms,with classic signaling pathways such as PI3K/Akt,p38MAPK,and TLR4/NF-κB playing significant roles in regulating cell apoptosis,neuronal injury,inflam-mation,and immune activation,etc.Most current studies focus on single signaling pathways,though the relationship between these path-ways and AD is highly complex and may vary across pathological stages and cell types.Additionally,while animal studies suggest that acupuncture effectively mitigates AD-related pathology,the limited acupuncture points used in these studies may not fully align with clinical syndrome differentiation.This can result in notable discrepancies between experimental and clinical outcomes due to multiple in-fluencing factors.In the future,research should benefit from an integrative approach examining multiple pathways to uncover new thera-peutic targets for AD,investigate different pathological stages,and conduct large-scale,standardized clinical studies to provide more ro-bust and effective evidence for clinical practice.

Alzheimer's disease(AD)acupuncturesignaling pathwayssenile dementia

江东林、杜艳军

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湖北中医药大学,湖北 武汉 430060

湖北时珍实验室,湖北 武汉 430060

阿尔茨海默病 针刺 信号通路 老年性痴呆

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(12)