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基于中西医临床病证特点的扩张型心肌病动物模型分析

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扩张型心肌病(dilated cardiomyopathy,DCM)是导致心力衰竭、心律失常和猝死的常见疾病之一。DCM病因复杂多样,机制尚未完全阐明,现有干预措施对患者的预后改善有限,10年存活率不足25%。本研究基于DCM动物模型国内外研究成果,结合西医临床诊断标准与中医辨证分型,总结DCM动物模型构建特征并评价模型中西医临床吻合度。研究发现,DCM造模方法主要涉及基因编辑、药物诱导、免疫诱导、病毒感染、快速起搏诱导等,实验动物主要包括鼠、斑马鱼、果蝇、猪等,以小鼠和大鼠为主。基因编辑是最常用的DCM造模方法,其次是阿霉素诱导造模。目前同一类型DCM动物模型所选实验动物、实验用药及其单次或累积剂量、给药方式、造模周期等均有差异,中西医临床吻合度水平参差不齐,同一模型中医临床吻合度普遍较西医临床吻合度低。此外,DCM动物模型成模标准多以西医理论为基础,而中医证候模型辨证标准及四诊信息采集标准尚未规范统一,未来有待建立稳定、均一、临床吻合度高的病证结合动物模型,为DCM机制研究和新药研发提供依据。
Analysis of dilated cardiomyopathy animal models based on clinical characteristics of traditional Chinese and Western medicines
Dilated cardiomyopathy(DCM)is a common disease leading to heart failure,arrhythmia,and sudden death.The etiology of DCM is complex and diverse,and the mechanisms have not been fully elucidated.Conventional interventions have a limited ability to improve the prognosis of patients,who have a 10-year survival rate of less than 25%.This study aimed to summarize the construction and characteristics of a DCM animal model and evaluate the clinical compatibility of the model with traditional Chinese and Western medicines.Analysis was based on domestic and overseas research into DCM animal models,Western clinical diagnostic criteria,and traditional Chinese medicine syndrome differentiation.The DCM modeling method mainly involved gene editing,drug induction,immune induction,viral infection,and rapid pacing induction.Experimental animals included muroids,zebrafish,Drosophila,and pigs,of which mice and rats were most commonly used.Gene editing was the most commonly used method for modelling DCM,followed by doxorubicin-induction.In the literature,the experimental animals,drugs,single or cumulative doses,administration method,and modeling period used varied among studies involving DCM animal models.The level of clinical anastomosis according to traditional Chinese and Western medicines varied considerably,being generally lower in traditional Chinese medicine than Western medicine in the same model.In addition,the modeling standards for DCM animal models were mostly based on Western medicine theories.The differentiation of syndrome models and information collection for the four diagnoses have not been standardized and unified.In the future,stable and homogeneous animal models of high clinical consistency combining both disease and syndrome need to be established to provide a basis for DCM mechanism research and drug development.

dilated cardiomyopathycombination of Chinese traditional and Western medicinecombination of disease and syndromeanimal model

陶诗怡、于林童、李军、杨德爽、吴佳芸、黄力、邵明晶、黄炫淳

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北京中医药大学,北京 100029

中国中医科学院广安门医院,北京 100053

中日友好医院,北京 100029

北京中医药大学深圳医院(龙岗),广东 深圳 518000

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扩张型心肌病 中西医结合 病证结合 动物模型

2024

中国实验动物学报
中国实验动物学会,中国医学科学院医学实验动物研究所

中国实验动物学报

CSTPCD北大核心
影响因子:0.767
ISSN:1005-4847
年,卷(期):2024.32(11)