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1.甘肃中医药大学,兰州 730000
2.甘肃省中医药防治慢性疾病重点实验室,兰州 73000
3.甘肃中医药大学 附属医院,甘肃省中医药防治慢性疾病重点实验室,兰州 730000
Published:20 July 2023,
Published Online:28 October 2022,
Received:08 August 2022,
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赵晓彬,蒋虎刚,王新强等.Nrf2/HO-1信号通路在心肌梗死中的作用及中医药干预研究进展[J].中国实验方剂学杂志,2023,29(14):248-255.
ZHAO Xiaobin,JIANG Hugang,WANG Xinqiang,et al.Role of Nrf2/HO-1 Signaling Pathway in Myocardial Infarction and Traditional Chinese Medicine Intervention: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(14):248-255.
赵晓彬,蒋虎刚,王新强等.Nrf2/HO-1信号通路在心肌梗死中的作用及中医药干预研究进展[J].中国实验方剂学杂志,2023,29(14):248-255. DOI: 10.13422/j.cnki.syfjx.20220890.
ZHAO Xiaobin,JIANG Hugang,WANG Xinqiang,et al.Role of Nrf2/HO-1 Signaling Pathway in Myocardial Infarction and Traditional Chinese Medicine Intervention: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(14):248-255. DOI: 10.13422/j.cnki.syfjx.20220890.
心肌梗死(MI)是临床常见的一种心血管系统疾病,是造成心血管病死亡的主要原因之一,其发病机制复杂,与氧化应激反应相关。核转录因子E
2
相关因子2(Nrf2)是调节氧化应激反应的关键因子,可调控其下游血红素氧合酶-1(HO-1)的表达,在机体中发挥维持氧化还原稳态的作用。MI的病程中Nrf2与HO-1的生物活性及含量水平均下降,组织抗氧化和抗炎能力减弱,心肌血管内皮受损,血管细胞黏附因子释放,血管内皮功能发生障碍。近年来,诸多基础研究探索中医药通过调控Nrf2/HO-1信号通路治疗MI的作用及机制,结果表明Nrf2/HO-1信号通路是中医药治疗MI的重要潜在靶点。该文就Nrf2/HO-1 信号通路在MI中的作用机制及靶向调控该通路的中医药研究进展进行了综述,以期为MI疾病的防治以及进一步的药物开发提供理论依据。
Myocardial infarction (MI) is a common cardiovascular disease in clinical practice and one of the main causes of cardiovascular mortality. Its pathogenesis is complex and associated with oxidative stress reactions. Nuclear factor E
2
-related factor 2 (Nrf2) is a key factor in regulating oxidative stress reactions. It can regulate the expression of heme oxygenase-1 (HO-1), playing a role in maintaining the oxidative-reductive homeostasis in the body. During the course of MI, the biological activity and levels of Nrf2 and HO-1 decrease, leading to weakened tissue antioxidant and anti-inflammatory capabilities, endothelial damage in myocardial blood vessels, release of vascular cell adhesion factors, and impaired endothelial function. In recent years, many basic research studies have explored the role and mechanisms of traditional Chinese medicine (TCM) in treating MI by modulating the Nrf2/HO-1 signaling pathway. The results have indicated that the Nrf2/HO-1 signaling pathway is an important potential target for TCM in the treatment of MI. This article reviewed the mechanism of the Nrf2/HO-1 signaling pathway in MI and the research progress of TCM in targeting and regulating this pathway, aiming to provide a theoretical basis for the prevention and treatment of MI and further drug development.
心肌梗死核转录因子E2相关因子2(Nrf2)/血红素氧合酶-1(HO-1)信号通路中医药作用机制
myocardial infarctionnuclear factor E2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) signaling pathwaytraditional Chinese medicinemechanism of action
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