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1.黑龙江中医药大学,哈尔滨 150040
2.惠州学院 生命科学学院,广东 惠州 516007
3.惠州市第三人民医院/广州医科大学 附属惠州医院,广东 惠州 516002
Received:15 January 2022,
Published Online:19 March 2022,
Published:05 October 2022
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马洪月,宋琳,朴钟源等.线粒体自噬在临床疾病中的作用及中药对其影响的研究进展[J].中国实验方剂学杂志,2022,28(19):250-257.
MA Hongyue,SONG Lin,PIAO Zhongyuan,et al.Effect of Mitochondrial Autophagy in Clinical Diseases and Intervention by Chinese Medicine: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(19):250-257.
马洪月,宋琳,朴钟源等.线粒体自噬在临床疾病中的作用及中药对其影响的研究进展[J].中国实验方剂学杂志,2022,28(19):250-257. DOI: 10.13422/j.cnki.syfjx.20221003.
MA Hongyue,SONG Lin,PIAO Zhongyuan,et al.Effect of Mitochondrial Autophagy in Clinical Diseases and Intervention by Chinese Medicine: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(19):250-257. DOI: 10.13422/j.cnki.syfjx.20221003.
线粒体自噬是清除细胞质中功能失调的线粒体,从而维持线粒体功能的完整性和细胞稳态的自噬方式。线粒体自噬是一个复杂的生理过程,能够维持线粒体质量和数量的平衡,在饥饿及恶劣条件下维持细胞生存,并具有维持细胞内环境稳定等功能。其分子机制涉及多种蛋白,许多因素可引发线粒体自噬,如饥饿、氧化胁迫、低氧、去极化、其他各种胁迫等,未折叠蛋白的积累也可诱发线粒体自噬。近年来,作为研究热点,线粒体形态和功能的异常与多种疾病的发生密切相关,线粒体自噬与临床疾病发病机制相关研究越来越受到重视,例如肿瘤、心血管系统疾病、肝脏疾病、神经系统疾病和糖代谢紊乱等疾病。人们发现调节线粒体自噬或许成为一些疾病治疗新的方向。同时临床研究人员对中医药重视程度逐渐升高,随着研究的不断深入发现中药在调节线粒体自噬中有一定价值。就线粒体自噬在相关疾病的发病机制及中药对其影响的研究中发现,目前中药调控肿瘤、心血管系统疾病及神经系统疾病线粒体自噬报道相对较多,但在线粒体自噬作用机制,线粒体自噬平衡及中药对线粒体自噬激活或抑制的作用差异仍存在疑问。调控线粒体自噬已成为中药防治疾病新的研究靶向策略。该文分析汇总近年来国内外文献,为中药对线粒体自噬调控研究提供参考资料,可为后续中药在线粒体自噬方面的研究提供思路。
Mitochondrial autophagy is a process to clear dysfunctional mitochondria in the cytoplasm to maintain the integrity of mitochondrial function and cell homeostasis. Mitochondrial autophagy is a complex physiological process, which can maintain the balance of mitochondrial quality and quantity, cell survival under starvation and harsh conditions, and the stability of the intracellular environment. Its molecular mechanism involves a variety of proteins. Many factors can induce mitochondrial autophagy, such as starvation, oxidative stress, hypoxia, depolarization, and other stresses. The accumulation of unfolded proteins can also induce mitochondrial autophagy. In recent years, as a research hotspot, the abnormality of mitochondrial morphology and function is closely related to the occurrence of a variety of diseases. The research on mitochondrial autophagy and the pathogenesis of clinical diseases has attracted more attention, such as tumors, cardiovascular diseases, liver diseases, nervous system diseases, and glucose metabolism disorders. It has been found that regulating mitochondrial autophagy may inspire the treatment of some diseases. Meanwhile, clinical researchers have paid more attention to traditional Chinese medicine (TCM). As revealed by in-depth research, Chinese medicine has a certain value in regulating mitochondrial autophagy. The research on the pathogenesis of mitochondrial autophagy in related diseases and the intervention of Chinese medicine has found that there are many reports on the regulation of mitochondrial autophagy by Chinese medicine in tumors, cardiovascular diseases, and nervous system diseases. However, the mechanism of mitochondrial autophagy, the balance of mitochondrial autophagy, and the difference in the activation or inhibition of mitochondrial autophagy by Chinese medicine remain unclear. The regulation of mitochondrial autophagy has become a new research target strategy of Chinese medicine in the prevention and treatment of diseases. This paper reviewed the available literature in recent years to provide reference materials for the regulation of mitochondrial autophagy by Chinese medicine and ideas for the follow-up research of Chinese medicine in mitochondrial autophagy.
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