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中医药调控PI3K/Akt通路干预脓毒症的研究进展

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脓毒症是由细菌等病原微生物侵入机体引起的全身炎症反应综合征。除全身炎症反应综合征和原发感染病灶的表现外,重症患者还常有器官灌注不足的表现,发病率和病死率近年来均高居不下,严重影响人类生活质量。该病病理机制复杂,其中不可控炎症反应是其重要的病理生理机制之一。磷脂酰基醇3-激酶/蛋白激酶B(PI3K/Akt)信号通路在介导脓毒症对抗炎症反应等方面发挥着关键作用。目前,脓毒症的治疗主要包括复苏、抗感染、血管活性药物、强化胰岛素治疗、脏器支持等,降低患者病死率的作用不明显,因此寻找新的治疗药物是临床治疗脓毒症亟待解决的关键问题。近年大量研究发现,中医药可以多途径、多效应、多靶点调控PI3K/Akt通路,抑制炎症等反应,有效改善脓毒症病情发生发展,已逐渐成为防治脓毒症的热点。同时众多研究发现,中医药治疗脓毒症具有独特优势,其可通过调控PI3K/Akt信号通路,抑制炎症、减少氧化应激及控制细胞凋亡可有效防治脓毒症,且取得了一定的研究进展,但目前仍缺乏对中医药调控PI3K/Akt信号通路治疗脓毒症全面的综述。该文通过检索查阅近年来的相关文献,对PI3K/Akt通路与脓毒症的关系,以及中医药在其中的作用进行系统性总结,以期为脓毒症的潜在治疗及新药开发提供新的思路。
Traditional Chinese Medicine Treats Sepsis by Regulating PI3K/Akt Pathway:A Review
Sepsis is a systemic inflammatory response syndrome caused by the invasion of pathogenic microorganisms such as bacteria.In addition to the manifestations of systemic inflammatory response syndrome and primary infection lesions,critical cases often have manifestations of organ hypoperfusion.The morbidity and mortality of sepsis have remained high in recent years,which seriously affect the quality of life of the patients.The pathogenesis of sepsis is complicated,in which uncontrollable inflammation is a key mechanism.The phosphatidylinositol 3-kinase/protein kinase B(PI3K/Akt)signaling pathway plays a key role in mediating inflammation in sepsis.The available therapies of sepsis mainly include resuscitation,anti-infection,vasoactive drugs,intensive insulin therapy,and organ support,which show limited effects of reducing the mortality.Therefore,finding new therapeutic drugs is a key problem to be solved in the clinical treatment of sepsis.In recent years,studies have shown that traditional Chinese medicine(TCM)can regulate the PI3K/Akt pathway via multiple pathways,multiple effects,and multiple targets to inhibit inflammation and curb the occurrence and development of sepsis,which has gradually become a hot spot in the prevention and treatment of sepsis.Moreover,studies have suggested that TCM has unique advantages in the treatment of sepsis.TCM can regulate the PI3K/Akt signaling pathway to inhibit inflammation,reduce oxidative stress,and control apoptosis in the prevention and treatment of sepsis.Despite the research progress,a systematic review remains to be performed regarding the TCM treatment of sepsis by regulating the PI3K/Akt signaling pathway.After reviewing relevant papers published in recent years,this study systematically summarizes the relationship between PI3K/Akt pathway and sepsis and the role of TCM in the treatment of sepsis,aiming to provide new ideas for the potential treatment of sepsis and the development of new drugs.

sepsisphosphatidylinositol 3-kinase/protein kinase B(PI3K/Akt)signaling pathwaytraditional Chinese medicinereview

刘柱、王佳巍、严静、彭金婵、徐明瑶、黎丽群、谢胜

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广西中医药大学研究生院,南宁 530001

广西中医药大学第一附属医院,南宁 530001

脓毒症 磷脂酰基醇3-激酶/蛋白激酶B(PI3K/Akt)信号通路 中医药 综述

2025

中国实验方剂学杂志
中国中医科学院中药研究所 中国中西医结合学会中药专业委员会

中国实验方剂学杂志

北大核心
影响因子:1.62
ISSN:1005-9903
年,卷(期):2025.31(2)