首页|基于热毒与积聚病机探究中药调控PPARγ信号通路防治动脉粥样硬化的研究进展

基于热毒与积聚病机探究中药调控PPARγ信号通路防治动脉粥样硬化的研究进展

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AS是一种慢性炎症性疾病,是冠心病和卒中的主要原因.目前西医尚无有效治疗手段,能否逆转或消退斑块是该领域研究的热点和难点.热毒与积聚为本病重要病机:气滞、痰浊、瘀血附于脉道;内热成毒,灼伤心脉,积聚成斑.与炎症机制在结构功能上具有相似性.PPARγ的失调促进了炎症的发展,促进AS病变,导致斑块形成,使PPARγ成为潜在的治疗靶点.基于热毒与积聚病机,本文探讨以清热解毒、化痰散结、理气活血法及扶正祛邪法调控PPARγ防治AS的作用机制,希冀为治疗AS提供新的思路和方法.
Research progress of Chinese medicine regulating PPARγ signaling pathway to prevent atherosclerosis based on the pathogenesis of heat toxicity and accumulation
AS is a chronic inflammatory disease and a major cause of coronary heart disease and stroke.Currently,there is no ef-fective treatment in western medicine,and whether it is possible to reverse or abate plaque is the hotpot and difficult point of research in this field.Heat and toxicity and accumulation are the important mechanisms of this disease:Qi stagnation,phlegm and blood stasis attach to the veins;internal heat becomes toxic,burns the heart veins,and accumulates into plaques.It is similar to the inflammatory mechanism in structure and function,and the dysregulation of PPARγ promotes the development of inflammation,promotes AS le-sions,and leads to plaque formation,making PPARγ a potential therapeutic target.Based on the pathomechanism of heat and toxicity and accumulation,this review discusses the mechanism of regulating PPARγ to prevent and control AS by clearing heat and removing toxins,resolving phlegm and dispersing knots,regulating qi and activating blood,and supporting the righteousness and dispelling e-vils,with the hope that it can provide a new way of thinking and methods for the treatment of AS.

AtherosclerosisPPARγSignaling pathwayThermotoxicityAccumulationReview

陆云燕、冯其茂

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上海中医药大学附属市中医医院,上海 200071

动脉粥样硬化 PPARγ 信号通路 热毒 积聚 综述

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(12)