首页|中药调控小胶质细胞极化改善抑郁症研究进展

中药调控小胶质细胞极化改善抑郁症研究进展

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抑郁症是危害人类健康生活的常见精神类疾病,其发病机制尚未明确。目前认为神经炎症假说与抑郁症病理生理关系密切。该假说提出,在抑郁症病程中,持续的刺激过度激活小胶质细胞(Microglia,MG)的Ml极化表型,通过分泌大量促炎因子,造成脑部病理损伤,加重抑郁的病理发展。因而通过调控MG极化表型,可能是改善抑郁症的一种有效干预策略。临床会应用抗炎药物改善患者抑郁情绪,虽然有一定的疗效,但存在适用范围窄、不良反应明显等局限性。中药具有多靶点、多途径的特点,其药性内容丰富且复杂。近年来,研究发现诸多中药通过修复线粒体功能障碍、促进脑源性神经营养因子(Brain-derived neurotrophic factor,BDNF)、调节蛋白表达、调节神经炎症反应等机制发挥了抗抑郁作用。因此,以MG为治疗靶点,对中药和复方减轻神经炎症改善抑郁症的文献研究进行梳理和探讨,期望为临床治疗抑郁症提供新的治疗思路。
Research Progress of Traditional Chinese Medicine Regulating Microglial Polarization to Alleviate Depression
Depression is a common psychiatric disease that endangers the healthy life of human beings,but its pathophysio-logical mechanism is not clarified.It is believed that the neuroinflammation hypothesis is closely related to the pathophysiology of depression.Microglia(MG)are resident immune cells in the central nervous system.The hypothesis proposes that during the de-pression,the continuous stimulation excessively activates the M1 polarization phenotype,secretes pro-inflammatory cytokines,triggers pathological damage to the brain,and then aggravates the pathological development of depression.Therefore,it may be an effective intervention strategy to regulate MG polarization phenotype to improve depression in the brain.At present,anti-inflam-matory drugs can be used to improve patients'depression,but there are some limitations such as narrow applicability and obvious adverse reactions.Traditional Chinese medicine has the characteristics of multiple targets and pathways and its medicinal proper-ties are rich and complex.In recent years,more studies have found that traditional Chinese medicine plays a good role in anti-depression by repairing mitochondrial dysfunction,promoting brain-derived neurotrophic factors,regulating protein expressions and controlling neuroinflammatory reactions and other mechanisms.Therefore,by taking MG as a therapeutic target,the article summarized and explored the literature on traditional Chinese medicine to alleviate neuroinflammation and to improve depression,hoping to provide new treatment ideas for clinical treatment of depression.

depressionmicroglial polarizationtraditional Chinese medicinemechanism

顾一鸣、马巧琳、吕转、高静、苏凯奇、罗萌、冯晓东

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河南中医药大学,河南郑州 450046

河南中医药大学第三附属医院,河南郑州 450000

河南中医药大学第一附属医院,河南郑州 450099

抑郁症 小胶质细胞极化 中药 作用机制

国家自然科学基金国家自然科学基金河南省中医药科学研究专项重点课题河南省中医管理局国家中医临床研究基地科研专项重点项目

U2004131815740422019JDZX20022018JDZX011

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
年,卷(期):2024.42(6)
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