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1.南华大学 衡阳医学院 基础医学院,湖南 衡阳 421001
2.郴州市第一人民医院 心血管内科,湖南 郴州 423000
Published:05 September 2023,
Published Online:29 June 2023,
Received:25 April 2023,
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严易之,李超亚,邓曼菲等.基于关键病理生理学过程的网络药理学分析新思路[J].中国实验方剂学杂志,2023,29(17):203-211.
YAN Yizhi,LI Chaoya,DENG Manfei,et al.A New Approach to Network Pharmacological Analysis Based on Key Pathophysiological Processes[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(17):203-211.
严易之,李超亚,邓曼菲等.基于关键病理生理学过程的网络药理学分析新思路[J].中国实验方剂学杂志,2023,29(17):203-211. DOI: 10.13422/j.cnki.syfjx.20230814.
YAN Yizhi,LI Chaoya,DENG Manfei,et al.A New Approach to Network Pharmacological Analysis Based on Key Pathophysiological Processes[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(17):203-211. DOI: 10.13422/j.cnki.syfjx.20230814.
近年来网络药理学(NP)领域发展迅猛,但存在缺陷的、套路化的工作流程严重影响了NP分析结果的科学性与可靠性。对于由环境与遗传因素共同导致的复杂疾病,对症治疗或靶向单一病理生理学过程的药物并不能阻止或者延缓病情的进展,因而药物研发失败或退出市场。因此,迫切需要发展结合多个病理生理学过程的NP分析新思路。关键病理生理学过程是疾病的发生发展和转归过程中重要的、成套的病理变化,代表了目前对疾病本质全面的、深刻的认识。为提高NP研究质量、促进NP领域健康发展,该文提出了基于关键病理生理学过程的NP分析的新思路。该方法基于长期中医临床实践与疾病的关键病理生理学过程,从关键病理生理学过程的角度全面解析中药复方药理学机制及活性成分,增加了分析结果的科学性、可靠性与可重复性。本文以阿尔兹海默病(AD)为例阐述了该方法的必要性、可行性、主要工作流程与优缺点等,有望筛选阻止或逆转疾病病程的疾病修饰药物、促进研究成果的临床转化等。
In recent years, the field of network pharmacology (NP) has developed rapidly, but the flawed and routine workflow has seriously affected the scientificity and reliability of NP analysis results. For complex diseases caused by environmental and genetic factors, symptomatic treatment or drugs targeting a single pathophysiological process cannot prevent or delay the progression of the disease, so the drug development fails or withdraws from the market. Therefore, there is an urgent need to develop new ideas for NP analysis that combines multiple pathophysiological processes. The key pathophysiological process is an important and complete set of pathological changes in the process of the occurrence, development, and outcome of the disease, which represents the current comprehensive and profound understanding of the nature of the disease. In order to improve the quality of NP research and promote the healthy development of the NP field, this paper proposes a new idea of NP analysis based on key pathophysiological processes. Based on the long-term clinical practice of traditional Chinese medicine and the key pathophysiological process of the disease, the method comprehensively analyzes the pharmacological mechanism and active ingredients of traditional Chinese medicine compound from the perspective of key pathophysiological process, which increases the scientifically, reliability, and repeatability of the analysis results. This paper takes Alzheimer's disease (AD) as an example to illustrate the necessity, feasibility, main workflow, advantages, and disadvantages of this method, and it is expected to screen disease-modifying drugs that prevent or reverse the course of the disease and promote the clinical transformation of research results.
复杂疾病关键病理生理学过程网络药理学分析新思路阿尔兹海默病
complex diseaseskey pathophysiological processesnetwork pharmacology analysisnew ideasAlzheimer’s disease
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