首页|中药黄酮类化合物在细胞程序性死亡介导的骨关节疾病中的作用机制研究进展

中药黄酮类化合物在细胞程序性死亡介导的骨关节疾病中的作用机制研究进展

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骨关节疾病的发生呈现年轻化趋势,且患病率逐渐升高,常见的疾病包括骨质疏松症、骨关节炎、类风湿关节炎等。细胞程序性死亡(programmedcell death,PCD)是生物体普遍存在的现象,与生物的生长发育、组织修复和疾病产生有关,主要包括细胞凋亡、焦亡、自噬、铁死亡、坏死性凋亡、铜死亡和中性粒细胞外陷阱相关死亡(neutrophil extracellular traps-osis,NETosis)等。研究证实,PCD的过度激活或抑制在骨关节疾病中起至关重要的作用。近年来,采用中药活性黄酮类成分治疗骨关节疾病引起了人们广泛的关注,药理学研究表明,黄酮类化合物通过抑制或诱导骨功能细胞的PCD发挥作用。本文通过查阅近年来国内外中药黄酮类成分治疗骨关节疾病的文献,对中药黄酮类成分调控间充质干细胞、成骨细胞、软骨细胞、破骨细胞的凋亡、自噬、焦亡以及铁死亡机制进行系统性归纳和总结,为揭示中药治疗骨关节疾病的机制提供新思路和方法,为临床运用中医药防治骨关节疾病提供依据。
Progress on the Mechanism of Action of Flavonoids from Traditional Chinese Medicine in Cell Programmed Death-mediated Bone and Joint Diseases
The occurrence of bone and joint diseases shows a trend in youth,and the prevalence is gradually increasing.The common diseases include osteoporosis,osteoarthritis,rheumatoid arthritis,and so on.Programmed cell death(PCD)is a common phenomenon in living organisms,which is related to the growth and development of organisms,tissue repair,and disease development,which includes apoptosis,pyroptosis,autophagy,ferroptosis,necroptosis,cuproptosis and neutrophil extracellular traps-osis(NETosis).Previous studies have been confirmed that the activation or inhibition of PCD plays a crucial role in bone and joint diseases.In recent years,treatment of bone and joint diseases using active components of flavonoids in traditional Chinese medicine(TCM)has raised concern.Pharmacological research has demonstrated that flavonoids play a role in functional cells of bone by inhibiting or inducing PCD.This paper reviewed literature on the treatment of bone and joint diseases with flavonoid components of TCM at home and abroad in recent years,then summarized the mechanisms of apoptosis,autophagy,pyroptosis,and ferroptosis of mesenchymal stem cells,osteoblasts,chondrocytes and osteoclasts.This review aims to offer a novel perspective and methodology for elucidating the mechanisms underlying the efficacy of TCM in the treatment of bone and joint diseases.Additionally,it seeks to establish a foundation for the clinical application of TCM in the prevention and management of bone and joint diseases.

programmed cell deathbone and joint diseasestraditional Chinese medicineflavonoids

周旋、缪毛毛、李孟颖、童培建、寿旦、张扬

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浙江中医药大学第四临床医学院,杭州 310053

浙江中医药大学药学院,杭州 310053

浙江中医药大学附属第一医院骨伤研究所基础研究部,杭州 310053

细胞程序性死亡 骨关节疾病 中药 黄酮类化合物

浙江省自然科学基金重大项目浙江省基础公益研究计划浙江省中医药科技计划浙江中医药大学科研项目资助

LD22C060002LGF21H2800042021ZA0332023JKZKTS34

2024

中国现代应用药学
中国药学会

中国现代应用药学

CSTPCD北大核心
影响因子:0.877
ISSN:1007-7693
年,卷(期):2024.41(15)