首页|从巨噬细胞极化失衡的角度探讨"百病皆因痰作祟"的机制

从巨噬细胞极化失衡的角度探讨"百病皆因痰作祟"的机制

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"百病皆因痰作祟"是中国古代医家对于诸多疑难性疾病病因病机的一种高度概括。通过阅读古今文献,从痰饮致病特征、痰饮相关病理、痰饮相关疾病与巨噬细胞极化失衡的内在关联进行整理分析,以期从巨噬细胞极化失衡角度探析"百病皆因痰作祟"的深刻内涵。研究发现无论是痰饮的形成、痰饮致病的广泛性、痰饮变化多端与巨噬细胞极化的相似性,还是痰饮所致的慢性炎症病理、糖脂代谢紊乱病理、神经功能障碍病理与巨噬细胞极化失衡的相关性,以及肥胖、阿尔茨海默病、糖尿病、哮喘和癌症等痰饮相关疾病与巨噬细胞极化失衡的关联性,均说明了"痰饮"与"巨噬细胞极化失衡"密切相关。故认为巨噬细胞极化失衡可能是"百病皆因痰作祟"的物质基础,即从巨噬细胞极化失衡角度有望诠释"百病皆因痰作祟"的现代生物学基础。
Exploring Mechanism of"Phlegm Causing All Diseases"from Perspective of Macrophage Polarization Imbalance
"All diseases are caused by phlegm"is a high generalization of the etiology and pathogenesis of many difficult diseases by ancient Chinese doctors.Through reading ancient and modern literature,this paper analyzed the pathogenic character-istics of phlegm and fluid retention,related pathology and the internal relationship between phlegm and fluid retention related dis-eases and the polarization imbalance of macrophages,in order to explore the profound connotation of"all diseases are caused by phlegm"from the perspective of the polarization imbalance of macrophages.It is found that whether the formation of phlegm and fluid retention,the pathogenicity of phlegm and fluid retention,the variation of phlegm and fluid retention were similar to the po-larization of macrophages,or the pathological correlation between chronic inflammation caused by phlegm and fluid retention,the pathological disorder of glucose and lipid metabolism,and the pathological dysfunction of nerve and the imbalance of macrophage polarization,as well as obesity,Alzheimer's disease,diabetes,asthma,cancer and other diseases related to phlegm and fluid reten-tion and the imbalance of macrophage polarization,indicating that"phlegm and fluid retention"and"macrophage polarization im-balance"is closely related.Therefore,it is believed that the imbalance of macrophage polarization may be the material basis of"all diseases caused by phlegm",that is,the modern biological basis of"all diseases caused by phlegm"can be interpreted from the angle of the imbalance of macrophage polarization.

macrophage polarizationphlegmchronic inflammationmetabolic disorderpathogenesis

宋楠楠、西旺、张洁、钟友宝、曾文雪、喻松仁

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江西中医药大学,江西南昌 330004

巨噬细胞极化 痰饮 慢性炎症 代谢紊乱 发病机制

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(12)