首页|中药单体调控PI3K/Akt信号通路干预类风湿关节炎的研究进展

中药单体调控PI3K/Akt信号通路干预类风湿关节炎的研究进展

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类风湿关节炎(RA)是一种以周围关节炎症与组织增生为特征的慢性自身免疫性疾病,目前治疗主要依靠抗炎、镇痛、免疫抑制药物,但仍面临复发及药物不良反应问题.在RA的调控机制中,磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/Akt)信号通路具有重要作用,涉及细胞生长、增殖、代谢和炎症反应,成为新兴的治疗靶点.中医治疗RA的效果显著,中药单体调控PI3K/Akt通路的研究日益增多.通过分析中药单体如雷公藤甲素、青藤碱等影响该通路,抑制骨破坏、促进关节保护、免疫抑制、抗炎、抗血管生成及减轻药物耐药性等机制,揭示对RA的多重治疗潜力.这些进展不仅为中医药治疗RA提供有力的科学依据,也为其临床应用开拓新的方向.
Research progress of Chinese medicine monomers modulating PI3K/Akt signaling pathway to intervene in rheumatoid arthritis
Rheumatoid arthritis(RA)is a chronic autoimmune disease characterized by peripheral joint inflammation and tissue hyperplasia.Cur-rent treatments rely on anti-inflammatory,analgesic and immunosuppressive drugs but face challenges with recurrence and adverse drug reactions.Phosphatidylinositol 3-kinase/protein kinase B(PI3K/Akt)signaling pathway plays a crucial role in RA,involved in cell growth,proliferation,metabolism,and inflammation,emerging as a novel therapeutic target.Traditional Chinese medicine has shown efficacy in treating RA,with in-creasing research on Chinese herbal monomers modulating PI3K/Akt pathway.Studies on Chinese herbal monomers like celastrol and sinomenine affecting this pathway reveal potential for multiple therapies for RA in inhibiting bone destruction,promoting joint protection,immune suppression,anti-inflammation,anti-angiogenesis,and reducing drug resistance.These advancements provide a solid scientific basis for traditional Chinese medicine treatment of RA and open new directions for its clinical application.

Chinese herbal monomerRheumatoid arthritisPhosphatidylinositol 3-kinase/protein kinase B signaling pathwayResearch progress

王小玉、孔佑虔、李泽光

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黑龙江中医药大学研究生院,黑龙江哈尔滨 150040

黑龙江中医药大学附属第一医院风湿病科,黑龙江哈尔滨 150040

中药单体 类风湿关节炎 磷脂酰肌醇3-激酶/蛋白激酶B信号通路 研究进展

国家自然科学基金资助项目白求恩·医学科学研究基金资助项目

81473563TY144EN

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
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