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中医调控自噬防治阿尔茨海默病实验研究进展

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阿尔茨海默病(alzheimer's disease,AD)是一种进行性神经退行性疾病,其致病因素多、病理机制复杂,涉及到多个生物学过程和分子机制的紊乱。中医的治疗理念强调整体观念和个体化治疗,能够针对AD的多个病理环节进行干预,提高患者的生活质量。许多研究表明,自噬在中医治疗AD过程中发挥着重要作用,文章总结近5年的实验研究,发现中医的多种干预手段均能够调控自噬及其信号通路,进而发挥治疗AD的作用。这些干预手段主要包括中药及其复方和针灸治疗。中药及其复方通过其多组分、多靶点的特性,能够针对AD的多个病理环节进行干预,既能够促进自噬的活性,清除异常蛋白的堆积,也能够抑制过度活跃的自噬,防止神经元自我损伤。针灸治疗则通过刺激穴位,调节神经系统的功能,影响自噬相关基因的表达和信号通路的活性,进而改善AD的病理状态。文章重点分析了中医手段如何调控自噬来防治阿尔茨海默病的现代病理机制,旨在从调控自噬的角度为临床改善AD提供新的研究方向和治疗靶点。
Experimental Research Progress on the Regulation of Autophagy in Traditional Chinese Medicine for the Prevention and Treatment of Alzheimer's Disease
Alzheimer's disease(AD)is a progressive neurodegenerative disease with multiple pathogenic factors and complex pathological mechanisms,involving the disruption of multiple biological processes and molecular mechanisms.The treatment philosophy of traditional Chinese medicine emphasizes a holistic approach and individualized treatment,which can intervene in multiple pathological stages of AD and improve the quality of life of patients.Many studies have shown that autophagy plays an important role in the treatment of AD in traditional Chinese medicine.This article summarizes experimental research in the past five years and finds that various intervention methods in traditional Chinese medicine can regulate autophagy and its signaling pathways,thereby exerting therapeutic effects on AD.These interventions mainly include traditional Chinese medicine and its compounds and acupuncture and moxibustion treatment.Traditional Chinese medicine and its compound formulas,through their multi-component and multi-target characteristics,can intervene in multiple pathological stages of Alzheimer's disease.They can promote autophagy activity,eliminate abnormal protein accumulation,and inhibit excessive autophagy,preventing neuronal self damage.Acupuncture and moxibustion therapy can regulate the function of nervous system by stimulating acupoints,affect the expression of autophagy related genes and the activity of signal pathways,and then improve the pathological status of AD.This article focuses on the modern pathological mechanism of how traditional Chinese medicine regulates autophagy to prevent and treat Alzheimer's disease,aiming to provide new research directions and therapeutic targets for clinical improvement of Alzheimer's disease from the perspective of regulating autophagy.

Alzheimer's diseaseautophagytraditional Chinese medicineresearch progressacupuncture and moxibustion

张译丹、张淼、张思琪、胡晓阳

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黑龙江中医药大学,黑龙江哈尔滨 150006

黑龙江中医药大学附属第二医院,黑龙江哈尔滨 150001

阿尔茨海默病 自噬 中医药 研究进展 针灸

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)