首页|基于Notch1信号通路的中医药干预溃疡性结肠炎的研究进展

基于Notch1信号通路的中医药干预溃疡性结肠炎的研究进展

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溃疡性结肠炎(ulcerative colitis,UC)是世界范围内常见的消化道疑难疾病之一,近年来患病率不断上升,已严重威胁到全球人类的生活健康,成为一个亟需解决的难题.有研究证明包括肠干细胞分泌谱系改变、黏液层破坏、细胞间连接紊乱、免疫功能亢进、肠道菌群失衡在内的肠黏膜屏障功能障碍是UC的重要发病因素和分子基础.Notch信号通路是真核生物种系进化中高度保守的信号通路,通过相邻细胞的细胞连接传递信号,影响细胞增殖、分化、发育、迁移、凋亡等一系列过程.因此,Notch信号通路可调节肠干细胞、CD4+T细胞、先天淋巴样细胞(innate lymphoid cells,ILCs)、巨噬细胞(macrophages,Mø)、肠道微生态等,进而影响肠道黏膜化学、物理、免疫、生物黏膜屏障.其作用广泛且独特,区别于作用集中于抗炎、抗氧化应激的信号通路,可以从不同角度阐释中医药的治疗效应.该文综述了近年来国内外有关Notch1信号通路在UC发病机制中的作用以及中医药靶向Notch1信号通路防治UC的相关文献,意在为进一步研究UC的有效防治提供新靶标及理论支持.
Research progress of traditional Chinese medicine intervention for ulcerative colitis based on Notch1 signaling pathway
Ulcerative colitis(UC)is one of the common gastrointestinal diseases worldwide.In recent years,the incidence of UC has been continuously increasing,seriously threatening the health of people globally.It thus has become an urgent problem that needs to be addressed.There is research evidence that intestinal mucosal barrier dysfunction,including changes in intestinal stem cell secretion lineage,mucosal layer damage,disruption of cell junctions,overactive immune function,and imbalanced gut microbiota,is an important pathogenic factor and molecular basis of UC.The Notch signaling pathway is a highly conserved signaling pathway in eukaryotes during evolution,which transmits signals through cell connections between adjacent cells,affecting a series of processes such as cell proliferation,differentiation,development,migration,and apoptosis.Therefore,the Notch signaling pathway can regulate intestinal stem cells,CD4+T cells,innate lymphoid cells(ILCs),macrophages(Me),and intestinal microbiota and thus affect the chemical,physical,immune,and biological mucosal barriers of the intestinal mucosa.Its function is extensive and unique,different from those signaling pathways that mainly focus on anti-inflammatory and antioxidant stress.It can explain the therapeutic effects of traditional Chinese medicine from different perspectives.This article reviewed the role of the Notch1 signaling pathway in the pathogenesis of UC and the relevant literature on the targeted prevention and treatment of UC with traditional Chinese medicine,so as to provide new targets and theoretical support for further research on the effective prevention and treatment of UC.

ulcerative colitisNotch1mucosal barriertraditional Chinese medicineresearch progress

宁杭、易梦妮、黄心雨、刘杰民、蔺晓源

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湖南中医药大学,湖南长沙 410208

贵州省人民医院,贵州贵阳 550002

湖南中医药大学第一附属医院,湖南长沙 410007

溃疡性结肠炎 Notch1 黏膜屏障 中医药 研究进展

国家自然科学基金项目贵州省高层次创新型人才项目2023年湖南省大学生创新创业训练计划项目

82060850黔科合平台人才[2020]6016-2S202310541013

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(7)
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