首页|氧化应激在子宫内膜异位症中的机制及中西医抗氧化治疗的研究进展

氧化应激在子宫内膜异位症中的机制及中西医抗氧化治疗的研究进展

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子宫内膜异位症(endometriosis,EMs)是一种常见的激素炎性疾病,具有与恶性肿瘤相似的特征,包括细胞生长、侵袭、远处转移和复发,且发病率呈逐渐上升趋势。大量研究证明,高水平的氧化应激有助于炎症、血管生成和细胞增殖,与EMs的发生存在相关性,并参与EMs多个生理、病理过程。因此,提高抗氧化能力是治疗EMs的一个重要切入点。作者对近年来国内外相关研究进行梳理,从氧化应激引发盆腔内环境铁超载、慢性炎症反应、血管生成等方面,分析其在EMs发病中的作用,并从中药单体、复方、针灸治疗及西药有效成分两个角度总结抗氧化治疗EMs的机制,发现中医及西医治疗均可通过多靶点、多通路调控相关因子的转录表达,调节炎症反应、性激素表达水平并缩小异位灶体积,提升体内抗氧化能力。该文拟对氧化应激在EMs中的发病机制进行总结,探讨中西医调控抗氧化治疗EMs的作用机制,旨在为利用中西药治疗EMs提供新的视角和思路。
Mechanism of Oxidative Stress in Endometriosis and Research Progress of Tradition Chinese and Western Medicine Antioxidant Treatment
Endometriosis(EMs)is a common hormonal inflammatory disease with features similar to those of malignancy,including cell growth,invasion,distant metastasis,and recurrence,and the incidence of the disease is gradually increasing.Numerous studies have demonstrated that high levels of oxidative stress contribute to inflammation,angiogenesis,and cell proliferation,which correlate with the development of EMs and are involved in several physiological and pathological processes in EMs.Therefore,improving antioxidant capacity is an important entry point for the treatment of EMs.The authors reviewed the relevant studies at home and abroad in recent years,and analyzed the role of oxidative stress in the pathogenesis of iron overload in the pelvic environment,chronic inflammatory response,and angiogenesis,and summarized the mechanism of antioxidant treatment of EMs from the perspective of traditional Chinese medicine(TCM)monomers,compounds,and Western medicine,and found that both TCM and Western medical treatments can regulate the transcriptional expression of relevant factors,modulate inflammatory response,sex hormone expression levels,and reduce isoforms through multi-targets and multi-channels.It was found that both TCM and Western medical treatments could regulate the inflammatory response through multi-target and multi-pathway regulation of the transcriptional expression of related factors,the expression level of sex hormones and reduce the size of the ectopic foci,and enhance the antioxidant capacity in the body.In this paper,we would like to summarize the pathogenesis of oxidative stress in EMs and discuss the mechanism of trandition Chinese and Western medicine in regulating antioxidant therapy for EMs,with the aim of providing new perspectives and ideas for the use of trandition Chinese and Western medicines in the treatment of EMs.

oxidative stressendometriosisiron overloadangiogenesistranditional Chinese and Western medicine treatment

王若琳、相珊、连方

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山东中医药大学,山东济南,250014

山东中医药大学附属医院,山东济南,250014

氧化应激 子宫内膜异位症 铁超载 血管生成 中西医治疗

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)