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湖南中医药大学 中西医结合心脑疾病防治湖南省重点实验室,长沙 410208
Received:26 May 2022,
Published Online:25 August 2022,
Published:05 November 2022
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田润英,兰斌,王国佐等.中医药靶向调节p53介导的铁死亡机制研究进展[J].中国实验方剂学杂志,2022,28(21):264-275.
TIAN Runying,LAN Bin,WANG Guozuo,et al.Mechanisms of Targeted Regulation of p53-mediated Ferroptosis by Traditional Chinese Medicine: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(21):264-275.
田润英,兰斌,王国佐等.中医药靶向调节p53介导的铁死亡机制研究进展[J].中国实验方剂学杂志,2022,28(21):264-275. DOI: 10.13422/j.cnki.syfjx.20222042.
TIAN Runying,LAN Bin,WANG Guozuo,et al.Mechanisms of Targeted Regulation of p53-mediated Ferroptosis by Traditional Chinese Medicine: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(21):264-275. DOI: 10.13422/j.cnki.syfjx.20222042.
铁死亡是一种新发现的非凋亡调节性细胞死亡形式,以铁依赖性的脂质过氧化物及活性氧(ROS)累积为主要特征。p53是一种抑癌基因,可以通过介导多种关键细胞基因的转录调控,诱导细胞周期阻滞、凋亡、自噬和衰老,进而维持基因组稳定性。新近研究发现p53还可通过影响铁代谢、多不饱和脂肪酸(PUFAs)代谢、氨基酸代谢和烟酰胺腺嘌呤二核苷酸磷酸盐(NADPH)介导的多种细胞代谢过程,调控铁死亡,参与肿瘤、神经系统疾病、心血管疾病、肝病、肾病等疾病的病理进展。该文对p53介导的铁死亡在相关疾病转归中的作用机制及其影响因素进行了系统综述,同时追踪了中医药靶向调节p53介导的铁死亡防治肿瘤、脑卒中、急性心肌梗死、慢性心力衰竭、动脉粥样硬化、溃疡性结肠炎、佐剂性关节炎等疾病的研究进展,以期为相关疾病的防治提供新思路。
Ferroptosis is a newly discovered non-apoptotic regulatory form of cell death characterized by accumulation of iron-dependent lipid peroxides and reactive oxygen species (ROS). p53
is a tumor suppressor gene that can induce cell cycle arrest, apoptosis, autophagy, and senescence to maintain genomic stability by mediating transcriptional regulation of a variety of key cellular genes. Recent studies have found that p53 can also regulate ferroptosis bidirectionally by multiple cellular responses including iron metabolism, polyunsaturated fatty acid (PUFAs) metabolism, amino acid metabolism and nicotinamide adenine dinucleotide phosphate (NADPH)-mediated metabolisms, and participate in the pathological progression of diseases such as tumors, nervous system diseases, cardiovascular diseases, liver disease, and kidney disease. This paper provided a systematic review of the mechanism of p53-mediated ferroptosis in the outcome of related diseases and its influencing factors. And the research advance in the mechanisms of targeted regulation of p53-mediated ferroptosis in the prevention and treatment of cancer, stroke, acute ischemic cardiomyopathy, chronic heart failure, atherosclerosis, ulcerative colitis, and adjuvant arthritis by traditional Chinese medicine was also elaborated. This paper was expected to provide new ideas for the prevention and treatment against related diseases.
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