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江西科技师范大学 药学院 江西省药物分子设计与评价重点实验室,南昌 330013
Received:07 December 2020,
Published Online:02 April 2021,
Published:20 June 2021
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吴琳静,余雪纯,柯佳群等.基于代谢组学的中药治疗化学性肝损伤研究进展[J].中国实验方剂学杂志,2021,27(12):202-215.
WU Lin-jing,YU Xue-chun,KE Jia-qun,et al.Research Progress in Treatment of Chemical Liver Injury with Chinese Medicine Based on Metabolomics[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(12):202-215.
吴琳静,余雪纯,柯佳群等.基于代谢组学的中药治疗化学性肝损伤研究进展[J].中国实验方剂学杂志,2021,27(12):202-215. DOI: 10.13422/j.cnki.syfjx.20210716.
WU Lin-jing,YU Xue-chun,KE Jia-qun,et al.Research Progress in Treatment of Chemical Liver Injury with Chinese Medicine Based on Metabolomics[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(12):202-215. DOI: 10.13422/j.cnki.syfjx.20210716.
肝脏作为机体代谢和解毒的重要器官,病毒感染、药物滥用、过度饮酒等都会给肝脏带来负担导致肝脏损害,肝脏疾病严重威胁着我国国民的生命健康,目前临床上大多数肝损伤主要通过药物治疗,深入研究保肝药物的作用机制对于临床肝病防治具有重要意义。近年来,随着我国医药事业的不断发展,将中药用于肝损伤的治疗研究逐渐增多,相比西药,中药具有不良反应小、整体调节等特点,在肝损伤的治疗中发挥着重要的作用,但其成分复杂、作用靶点多样,中药保肝的作用机制仍需进一步研究完善。代谢组学作为一门研究生物体系代谢途径的新兴学科,在中药保肝研究中表现出整体性和系统性,利用代谢组学能全面了解中药多靶点、多途径的保肝作用机制,并筛选保肝的生物标志物,为中药治疗肝损伤的研究提供了新的技术和方法。笔者对基于代谢组学的中药复方、单味中药及中药单体治疗四氯化碳,二甲基亚硝胺,
α
-萘异硫氰酸酯和遗传诱导的不同类型化学性肝损伤模型的研究进行了归纳和分析,总结了中药干预各类型肝损伤的生物标志物及相关代谢通路,旨在为中药治疗不同类型肝损伤的深入研究和临床应用提供参考。
Liver, as a critical organ of metabolism and detoxification, can be damaged by viral infection, drug abuse, and heavy drinking. Liver diseases pose a serious threat to people's health and life in China.At present, drug therapy has been primarily adopted clinically in the treatment of the liver injury.In-depth investigation of the mechanism of liver-protective drugs is of great significance to the prevention and treatment of clinical liver diseases.In recent years, with the development of the medical industry in China, an increasing number of studies have focused on the treatment of liver injury with Chinese medicine.Compared with western medicine, Chinese medicine is advantageous in few side effects and overall regulation, which plays a pivotal role in liver protection.However, its underlying mechanism in liver protection still needs to be further studied due to its complex compositions and diverse targets.Metabolomics, a new approach to studying the metabolic pathway of biological systems, provides integral and systematic views in the investigation of liver protection with Chinese medicine. By virtue of metabolomics, the mechanism of Chinese medicine in multi-target and multi-pathway liver protection can be analyzed comprehensively, and the corresponding biomarkers can also be screened out. The authors analyzed the studies of the treatment of chemical liver injury models induced by carbon tetrachloride (CCl
4
), dimethylnitrosamine (DMN),
α
-naphthyl isothiocyanate (ANIT), and alcohol by Chinese medicinal compounds, single herbal medicines, and monomers of Chinese medicine based on metabolomics, and summarized the biomarkers and related metabolic pathways of Chinese medicine in the intervention of each type of liver injury, aiming at providing a reference for the further research and clinical application in the treatment of different types of liver injuries by Chinese medicine.
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