世界科学技术-中医药现代化2024,Vol.26Issue(10) :2676-2681.DOI:10.11842/wst.20230915001

基于"菌群-代谢-免疫"轴从"毒热"论治急性胰腺炎的思考

The Theory of"Toxin and Heat"in Acute Pancreatitis Based on the"Microbiota-Metabolism-Immunity"Axis

崔钰莹 周琪 尚东 赵亮 关溪 白长川 项红
世界科学技术-中医药现代化2024,Vol.26Issue(10) :2676-2681.DOI:10.11842/wst.20230915001

基于"菌群-代谢-免疫"轴从"毒热"论治急性胰腺炎的思考

The Theory of"Toxin and Heat"in Acute Pancreatitis Based on the"Microbiota-Metabolism-Immunity"Axis

崔钰莹 1周琪 1尚东 1赵亮 2关溪 2白长川 3项红2
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作者信息

  • 1. 大连医科大学附属第一医院 大连 116011;大连医科大学中西医结合研究院(学院)大连 116044
  • 2. 大连医科大学附属第一医院 大连 116011
  • 3. 大连市中医医院 大连 116001
  • 折叠

摘要

急性胰腺炎(Acute pancreatitis,AP)患者和动物模型具有特征性肠道菌群表型,且与AP严重程度密切相关.肠道菌群直接或将营养物质分解代谢成功能性产物间接参与宿主免疫调节.菌群及其代谢产物失衡激活免疫炎性反应,是AP重症化的主导力量.中医将肠道菌群失衡所致机体代谢异常及炎性因子大量释放归为"内毒"范畴,与诱发AP之外毒(酒毒、食毒、寒毒等)合病,毒郁不解,久则化热化火.因此,"菌群紊乱-代谢异常-免疫失调"是AP"毒热"病机演变的现代分子生物学基础.中医经典方剂和验方通过靶向调控"菌群-代谢-免疫"轴防治AP重症化,既丰富了中医"毒热"理论的科学内涵,又为中医药防治AP提供了新思路.

Abstract

Patients and animal models suffering from acute pancreatitis(AP)have characteristic phenotypes of gut microbiota,which is associated with the severity of AP.Gut microbiota directly or indirectly participates in host immune regulation by catabolizing nutrients into functional products.The imbalance of gut microbiota and its metabolites activate the immune inflammatory response,which attribute to the aggravation of AP.According to the theory of traditional Chinese medicine,the abnormal metabolism and the release of inflammatory factors caused by the imbalance of gut microbiota are classified into the category of"endotoxin",which combine with external toxins(alcohol,food,cold poisoning,etc.)to turn into heat and even fire.Therefore,"microbiota-metabolism-immunity"axis disorder is the molecular biological basis for the"toxin and heat"theory in AP.For traditional Chinese medicine,classical prescriptions and proven prescriptions could treat AP by targeting to regulate the"microbiota-metabolism-immunity"axis,which not only enriches the"toxic and heat"theory,but also provides new ideas for the prevention of AP.

关键词

毒热理论/急性胰腺炎/肠道菌群/代谢表型/宿主免疫

Key words

"Toxin and heat"theory/Acute pancreatitis/Gut microbiota/Metabolites/Host immunity

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出版年

2024
世界科学技术-中医药现代化
中科院科技政策与管理科学研究所,中国高技术产业发展促进会

世界科学技术-中医药现代化

CSTPCDCSCD北大核心
影响因子:1.175
ISSN:1674-3849
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