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补骨脂肝毒性及配伍减毒机制研究进展

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补骨脂是豆科补骨脂属植物补骨脂(Psoralea corylifolia Linn。)的干燥成熟果实,有补肾壮阳、固精缩尿、纳气平喘、温脾止泻、消风祛斑的作用。但不当的应用会造成一定不良反应,其中肝毒性是最主要的毒性反应之一。补骨脂的化学成分十分复杂,其中包括补骨脂素、异补骨脂素以及补骨脂酚等多种化合物,这些化合物不仅是有效成分,同时也是导致肝脏损伤的主要原因,其毒性机制与胆汁淤积、内质网应激、氧化应激、线粒体损伤、诱发肝脏脂变、破坏脂质代谢稳态等有关。配伍减毒为中药学中常用的降低药物毒性的方法,研究发现补骨脂与其他中药如五味子、肉豆蔻、黄芪、何首乌、赤芍、甘草、杜仲配伍能通过抗氧化、缓解内质网应激、降低毒性成分体内暴露量、抑制炎症反应、减慢毒性代谢产物的产生等方式有效降低肝毒性。文章综述了补骨脂肝毒性及其配伍减毒有关机制的最新研究进展,为进一步开发补骨脂及其临床安全用药提供借鉴。
Research Progress on Hepatotoxicity of Buguzhi(Psoraleae Fructus)and Its Mechanism of Compatibility and Attenuation
Buguzhi(Psoraleae Fructus)is the dried mature fruit of the leguminous plant of Psoralea corylifolia Linn.,which has the effect of tonifying the kidney and strengthening the Yang,fixing essence and shrinking urine,nourishing the Qi and calming the asthma,warming the spleen and stopping diarrhea,and eliminating the wind and removing the blemishes.However,improper application can cause certain adverse reactions,of which hepatotoxicity is one of the most significant toxic reactions.The chemical composition of Buguzhi(Psoraleae Fructus)is very complex,including psoralen,isopsoralen,and bakuchiol and other compounds,which are not only the active ingredients,but also the main cause of liver injury,and its toxicity mechanism is related to cholestasis,endoplasmic reticulum stress,oxidative stress,mitochondrial damage,induced hepatic lipoatrophy,and disruption of lipid metabolism homeostasis.Compounding to reduce toxicity is a commonly used method to reduce the toxicity of drugs in traditional Chinese medicine.It was found that the combination of Buguzhi(Psoraleae Fructus)with other herbs such as Wuweizi(Schisandrae Chinensis Fructus),Roudoukou(Myristicae Semen),Huangqi(Astragali Radix),Heshouwu(Polygoni Multiflori Radix),Chishao(Paeoniae Radix Rubra),Gancao(Glycyrrhizae Radix Et Rhizoma),Duzhong(Eucommiae Cortex)can effectively reduce hepatotoxicity through antioxidant,relieving endoplasmic reticulum stress,decreasing in vivo exposure to toxic components,inhibiting inflammatory response,and slowing down the production of toxic metabolites.The paper summarizes the latest research progress on the hepatotoxicity of Buguzhi(Psoraleae Fructus)and the mechanisms related to their toxicity reduction,with a view to providing a reference for the further development of Buguzhi(Psoraleae Fructus)and their safe use in clinical practice.

Buguzhi(Psoraleae Fructus)hepatotoxicitycompatibilitydetoxificationmechanism

杨宇婷、陈亮亮、杨娟娟、高峰、罗定强、邹俊波、杨彦平、孟大利、卫培峰

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陕西中医药大学,陕西咸阳 712046

陕西中医药大学第二附属医院,陕西咸阳 712000

陕西省食品药品检验研究院,陕西西安 710065

西安市中心医院,陕西西安 710003

沈阳药科大学,辽宁沈阳 110016

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补骨脂 肝毒性 配伍 减毒 作用机制

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)