首页|天麻钩藤饮防治神经系统疾病作用机制研究进展

天麻钩藤饮防治神经系统疾病作用机制研究进展

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神经系统疾病往往病因复杂,症状繁多,疾病难治.天麻钩藤饮作为平肝降逆之剂,被临床医家广泛应用于神经系统疾病的防治中且取效确切.但由于中药复方成分复杂,且存在相互作用,故天麻钩藤饮防治神经系统疾病的机制尚不完全清楚,且现有研究结果杂乱,因此本文拟整合近十年来关于天麻钩藤饮的基础性研究.研究发现天麻钩藤饮可通过抑制核因子κB/Toll样受体4 信号通路、抑制相关炎性因子表达从而抑制炎性反应;可激活Klotho/成纤维细胞生长因子23、核因子E2 相关因子2/血红素加氧酶-1 通路、抑制N-甲基-D-天冬氨酸受体/细胞外调节蛋白激酶信号通路、增强线粒体融合蛋白2 表达改善氧化应激损伤;可诱导脂质代谢、抑制神经炎症、调控自噬、防止多巴胺神经元变性发挥神经保护作用;可通过调节线粒体功能、下调N-甲基-D-天冬氨酸2B受体表达、上调B淋巴细胞瘤-2 蛋白、激活c-Jun氨基末端激酶信号通路来抑制细胞凋亡;以及调节5-羟色胺神经递质水平等机制发挥防治神经系统疾病的作用.本文通过综述天麻钩藤饮防治神经系统疾病的作用机制,以期为后续本方的药理研究及临床应用提供参考.
Research progress on the mechanism of Tianma Gouteng decoction in preventing and treating nervous system diseases
Nervous system diseases often have complex causes,various symptoms and refractory diseases.Tianma Gouteng decoction is widely used in the prevention and treatment of nervous system diseases by clinical doctors for calming liver and reducing adverse reactions.However,due to the complex composition of traditional Chinese medicine compound and the interaction between them,the mechanism of Tianma Gouteng decoction in preventing and treating neurological diseases has not been completely clear,and the existing research results are messy.Therefore,this paper reviewed the basic research on Tianma Gouteng decoction in the past ten years.The study found that Tianma Gouteng decoction can inhibit the in-flammatory response by inhibiting the nuclear factor kappa B/Toll-like receptor 4 signaling pathway and in-hibiting the expression of related inflammatory factors;it can activate Klotho/fibroblast growth factor 23,nuclear factor E2-related factor 2/heme oxygenase-1 pathway,inhibit N-methyl-D-aspartate receptor/extracellular regulated protein kinase signaling pathway,and enhance mitochondrial fusion protein 2 expression to improve oxidative stress injury;it can induce lipid metabolism,inhibit neuroinflammation,regulate autophagy,and prevent dopamine neuron degeneration to play a neuroprotective role;it can inhibit apoptosis by regulating mitochondrial function,down-regulating N-methyl-D-aspartate 2B receptor expression,up-regulating B-cell lymphoma-2 protein,and activating c-Jun N-terminal kinase signaling pathway.And the regulation of 5-hydroxytryptamine neurotransmitter levels and other mechanisms play a role in the prevention and treatment of neurological diseases.This article reviews the mechanism of Tianma Gouteng decoction in preventing and treating nervous system diseases,in order to provide references for the subsequent pharmacological research and clinical application of this prescription.

Tianma Gouteng decoctionneurological diseasesmechanism of actionresearch progress

周悦、杨志宏、郭珍、康钰、周开俊

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712000 咸阳,陕西中医药大学第一临床医学院

陕西中医药大学附属医院脑病四科

天麻钩藤饮 神经系统疾病 作用机制 研究进展

陕西省第三届名中医杨志宏传承工作室建设项目

陕卫中医发2019004号

2024

环球中医药
中华国际医学交流基金会

环球中医药

CSTPCD
影响因子:1.553
ISSN:1674-1749
年,卷(期):2024.17(1)
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