中华中医药学刊2024,Vol.42Issue(3) :64-69.DOI:10.13193/j.issn.1673-7717.2024.03.011

小檗碱治疗痛风的作用机制研究进展

Research Progress on Mechanism of Berberine in Treatment of Gout

岳青云 刘维 陈婌娟 林芳芳 卡玉秀 顾庆香 丁久力
中华中医药学刊2024,Vol.42Issue(3) :64-69.DOI:10.13193/j.issn.1673-7717.2024.03.011

小檗碱治疗痛风的作用机制研究进展

Research Progress on Mechanism of Berberine in Treatment of Gout

岳青云 1刘维 1陈婌娟 1林芳芳 1卡玉秀 1顾庆香 1丁久力1
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作者信息

  • 1. 天津中医药大学第一附属医院,天津 300193;国家中医针灸临床医学研究中心,天津 300193
  • 折叠

摘要

近年来,随着人们生活方式和饮食结构的改变,痛风(Gout)的发病率逐年攀升.痛风急性发作期出现关节红肿热痛难忍,日久可形成痛风石,严重影响患者的生活质量.目前西医主要通过降低尿酸水平及抗炎止痛的方式治疗,但稍有不慎极易诱发关节疼痛反复发作,且存在肝肾功能损伤、胃肠道等不良反应而影响疗效.故而,痛风治疗方式多样性的探索逐渐引起了许多学者的兴趣.中医药在治疗痛风上有着独到的优势.其中,作为存在于黄连、黄柏等传统药物中的天然异喹啉生物碱,小檗碱(Berberine,BBR)对于痛风的治疗作用正逐渐受到学者们的广泛关注.许多研究报道显示,小檗碱在改善痛风患者的临床症状及降低实验室指标等方面均可发挥有益作用.通过查阅文献发现,其作用机制涉及调节免疫、缓解炎症、降低尿酸、保护肾脏、维持肠道菌群平衡、调节机体细胞凋亡及骨代谢等方面.通过分类综述小檗碱治疗痛风的作用机制,以期为痛风的中医药临床治疗及小檗碱的进一步开发提供思路和参考.

Abstract

Recently,with the change of people's lifestyle and diet,the incidence of gout is increasing year by year.The main symptoms of gout acute attack stage is joints swelling and heat pain,which is unbearable.It can also form gouty stone over time,which can seriously affect the quality of life of patients.At present,western medicine treatment is mainly reducing uric acid levels and anti-inflammation and pain relief.However,a little carelessness can easily induce joints pain recurrence.There are also side effects such as liver and kidney function damage and gastrointestinal adverse reactions,which can have an impact on the ef-fectiveness.Therefore,the exploration of the diversity of gout treatment has gradually attracted the interest of many scholars.Tra-ditional Chinese medicine has unique advantages in the treatment of gout.Among them,as a natural isoquinoline alkaloid that ex-ists in traditional medicines such as Huanglian(Coptidis Rhizoma)and Huangbai(Phellodendri Chinensis Cortex),the therapeu-tic effect of berberine on gout is gradually attracting wide attention from scholars.Many studies had reported that berberine can play a beneficial role in improving clinical symptoms and reducing laboratory indicators in patients with gout.By reviewing the lit-erature,it was found that its mechanism of action including regulating immunity,alleviating inflammation,reducing uric acid,resu-ming renal function,maintaining microbial flora balance,regulating cell apoptosis and bone metabolism.This article mainly re-viewed the mechanism of berberine in the treatment of gout by classification,in order to provide ideas and references for the clini-cal treatment of gout with traditional Chinese medicine and the further research and development of berberine.

关键词

小檗碱/痛风/作用机制/研究进展

Key words

berberine/gout/mechanism of action/review

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基金项目

国家自然科学基金(82074377)

国家中医药局中医药重点学科能力提升项目(2018ZDXK001)

中医药传承与创新"百千万"人才工程(岐黄工程)项目(国中医人教函[2018]12号)

出版年

2024
中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
参考文献量79
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