首页|针刺调控细胞程序性死亡治疗脊髓损伤的研究进展

针刺调控细胞程序性死亡治疗脊髓损伤的研究进展

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脊髓损伤(SCI)是具有高致残性的中枢神经系统损伤性疾病,严重影响患者的生活质量.细胞程序性死亡(PCD)是SCI继发性损伤的重要病理机制,包括凋亡、自噬、焦亡、铁死亡、坏死性凋亡等多种PCD形式.针刺作为一种非药物治疗,具有双向、整体、多层次的作用特点,可通过调节PCD通路发挥神经保护作用,在治疗SCI方面具有很大的潜力.本文系统阐述了与SCI相关的PCD途径及针刺干预作用的可能机制,包括调控细胞凋亡、细胞自噬、细胞焦亡,抑制铁死亡,调控坏死性凋亡等,提出未来研究可挖掘针刺对不同SCI中PCD各途径间串扰的作用机制,探讨最佳介入时机及不同针刺参数的影响,以及针刺对更多形式PCD的干预作用,以期为针刺调控PCD治疗SCI提供理论依据和研究思路.
Progress of researches on acupuncture treatment of spinal cord injury by regulating programmed cell death
Spinal cord injury(SCI)is a highly disabling disease of the central nervous system,and seriously affects the patients'quality of life.A large number of studies have shown that programmed cell death(PCD)is an important pathological mechanism of secondary injury in SCI.As a non-drug therapy,acupuncture therapy has the characteristics of bidirectional,holistic and multi-level actions,which can target PCD pathways to play a neuroprotective effect,and has great potential in regulating PCD in the treatment of SCI.In the present paper,we systematically elaborated the PCD pathway related to SCI and summed up the possible mechanism of acupuncture underlying improvement of SCI from 1)regulating apoptosis,2)modulating autophagy,3)regulating pyroptosis,4)inhibiting ferroptosis,and 5)suppressing necroptosis.These may provide a theoretical basis for acupuncture treatment of SCI and for further research in the coming years.

Spinal cord injuryAcupunctureProgrammed cell deathReview

韩名媛、曹馨元、杨成妍、高睿泽、吕晓琳、孙忠人、范颖、尹洪娜

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黑龙江中医药大学,哈尔滨 150040

黑龙江中医药大学附属第二医院,哈尔滨 150000

黑龙江中医药大学附属第一医院,哈尔滨 150036

脊髓损伤 针刺 细胞程序性死亡 综述

2024

针刺研究
中国中医研究院针灸研究所,中国针灸学会

针刺研究

CSTPCD北大核心
影响因子:1.656
ISSN:1000-0607
年,卷(期):2024.49(12)