首页|何首乌致肝损伤的信号通路及其作用机制

何首乌致肝损伤的信号通路及其作用机制

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何首乌是一种临床常用的补益类中草药,相关肝损伤事件近年来被频繁报道,其安全性问题逐渐引起国内外关注.本文梳理近年来何首乌致药物性肝损伤信号通路及作用机制的研究进展,基于信号通路角度,为临床正确合理应用何首乌提供新思路.现有研究证据表明,何首乌参与调控多条信号通路,通过破坏线粒体功能、加重胆汁酸淤积、诱发免疫应激、氧化应激、内质网应激等多种途径导致肝细胞死亡,多靶点、多途径、多层次诱导药物性肝损伤的发生发展.
Mechanism of action of Polygonum multiflorum in inducing liver injury:A study based on signaling pathways
Polygonum multiflorum(PM),a commonly used Chinese herbal medicine in clinical practice,has been associated with frequent reports of liver injury in recent years,and the medication safety of PM has attracted more and more attention in China and globally.This article reviews the recent research advances in the signaling pathways and mechanisms of PM in causing drug-induced liver injury(DILI)and aims to provide new ideas for the proper and rational use of PM in clinical practice.The results show that PM is involved in the regulation of various signaling pathways,and it leads to the death of hepatocytes by destroying mitochondrial function,exacerbating bile acid accumulation,and inducing immune response,oxidative stress,and endoplasmic reticulum stress,thereby inducing the development and progression of DILI through multiple targets,pathways,and levels.

Polygoni Multiflori RadixChemical and Drug Induced Liver InjurySignal Transduction

梁子晗、李佳辉、程爽、袁卓雅、荣文雅、刘亚杰、郝玉洁、王睿林

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河南中医药大学第一临床医学院,郑州 450000

南方医科大学中医药学院,广州 510405

解放军总医院第五医学中心中医肝病科,北京 100039

何首乌 化学性与药物性肝损伤 信号传导

国家自然科学基金面上项目中国医药教育协会2020重大科学攻关问题和医药技术难题

816738062020KTY001

2024

临床肝胆病杂志
吉林大学

临床肝胆病杂志

CSTPCD北大核心
影响因子:1.428
ISSN:1001-5256
年,卷(期):2024.40(3)
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