首页|中药通过mTOR信号通路调节线粒体自噬与凋亡治疗慢性肾脏病研究进展

中药通过mTOR信号通路调节线粒体自噬与凋亡治疗慢性肾脏病研究进展

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慢性肾脏病是多种病理因素在数月或数年内引起的肾脏功能和结构的不可逆损伤,目前尚无特效药。mTOR信号通路是细胞内合成与分解代谢的枢轴,参与调节细胞自噬与凋亡,对肾脏细胞的稳态及能量代谢过程至关重要。目前许多以调控mTOR信号途径为目标的科学研究正在从分子生物学角度阐释多种慢性病的机制。大量临床研究表明中药治疗慢性肾脏病效果显著,且中药对mTOR信号途径及其下游的线粒体自噬与凋亡具有调控作用,而自噬-凋亡平衡体现出的"以平为期"与中医"和"思想相应。本文以此为切入点,对现有中药复方、单味药及提取物通过mTOR调节线粒体自噬与凋亡防治慢性肾脏病的研究进行综述,旨在为mTOR信号通路能否作为中药发挥作用的靶点提供理论依据。
Chinese Medicine in the Treatment of Chronic Kidney Disease by Regulating Mitophagy and Mitochondrial Apoptosis through mTOR Signaling Pathway:A Review
Chronic kidney disease(CKD)arises from many heterogeneous disease pathways that alter the function and structure of the kidney irre-versibly,over months or years.At the moment,no specific drug is available.As a central regulator of intracellular synthesis and catabolism,mTOR signaling pathway modulates autophagy and apoptosis,which plays a key role in the homeostasis and energy metabolism of renal cells.Many a scholar is exploring therapies for chronic diseases via the mTOR signaling pathway from the perspective of molecular biology.Accu-mulating evidence has shown that Chinese medicine is effective for CKD and that Chinese medicine regulates mTOR signaling pathway and the downstream mitochondrial autophagy and apoptosis.The autophagy-apoptosis balance coincides with thought of"harmony"in Chinese medi-cine.Thereby,this study summarized the research on compound Chinese medicine prescriptions,Chinese medicinals,and Chinese medicine extracts in the prevention and treatment of CKD by regulating mitochondrial autophagy and apoptosis through the mTOR signaling pathway,which is expected to serve as a reference for mTOR signaling pathway as a target of Chinese medicine.

Chinese medicineChronic kidney disease(CKD)mTOR signaling pathwayMitophagyApoptosis

陈旭、米娜、王希茜、张琳琪

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河南中医药大学,郑州 450046

河南中医药大学第一附属医院肾脏病诊疗中心,郑州 450046

中药 慢性肾脏病 雷帕霉素信号通路 线粒体自噬 凋亡

国家自然科学基金面上项目河南省中医药科学研究专项重大专项

819738062019ZYZD05

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(3)
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