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上海中医药大学 交叉科学研究院,上海 201203
Received:29 May 2023,
Published Online:18 September 2023,
Published:05 January 2024
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王佳,胡宇婷,陆奕宇.组蛋白甲基转移酶在纤维化疾病中的作用机制及其中药干预研究进展[J].中国实验方剂学杂志,2024,30(01):264-275.
WANG Jia,HU Yuting,LU Yiyu.Role of Histone Methyltransferase in Fibrosis and Traditional Chinese Medicine Treatment: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(01):264-275.
王佳,胡宇婷,陆奕宇.组蛋白甲基转移酶在纤维化疾病中的作用机制及其中药干预研究进展[J].中国实验方剂学杂志,2024,30(01):264-275. DOI: 10.13422/j.cnki.syfjx.20231118.
WANG Jia,HU Yuting,LU Yiyu.Role of Histone Methyltransferase in Fibrosis and Traditional Chinese Medicine Treatment: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(01):264-275. DOI: 10.13422/j.cnki.syfjx.20231118.
纤维化是介于良恶之间的类肿瘤病变,纤维化多发生于肝脏、肾脏、心脏、肺脏、骨髓等器官组织中,几乎可以影响每一个器官,并最终诱发多器官衰竭,引起癌变,严重危害生命健康。如能在纤维化阶段及时将病情阻断,防止癌变,具有重要意义。器官纤维化发病机制目前仍未完全明确,研究纤维化的发生发展与作用机制及治疗靶点的筛选具有重要的临床意义。组蛋白甲基转移酶主要定位于细胞核中参与构成多梳抑制复合物,使组蛋白H3的第27位赖氨酸发生三甲基化修饰(H3K27me3),并通过经典和非经典作用诱导基因沉默,发挥转录抑制或转录激活作用。他在细胞生长、增殖、分化及凋亡方面发挥重要作用,其作用与不同靶点和信号通路的调控有关。Zeste人类同源物2(EZH2)调节肌成纤维细胞的转化并参与多个组织的纤维化,近年来的研究显示EZH2在纤维化相关的上皮间质转化、氧化应激、炎症反应等病理生理过程中扮演重要角色。以EZH2为靶点各器官纤维化的研究、特异性EZH2抑制剂及EZH2相关中药活性成分与中药复方的研究逐渐成为热门研究方向,EZH2可能是器官纤维化的潜在有力靶点。探究EZH2的结构功能分布、在纤维化疾病的作用机制、其抑制剂的开发及挖掘靶向EZH2的中药及其活性成分,具有重要意义。综述EZH2在纤维化疾病中的研究进展,可以为纤维化的诊断,治疗及药物开发提供新的思路。
Fibrosis, a tumor-like lesion between benign tissue and malignant tumor, mostly occurs in the liver, kidney, heart, lung, bone marrow and other organs and tissues. It can affect almost every organ and eventually induce multiple organ failure and cancers, seriously endangering human life. It will be of great importance to prevent cancer if the disease can be opportunely blocked in the fibrotic stage. The pathogenesis of fibrosis is still not completely clear. It is of great clinical significance to study the occurrence, development, and mechanism of fibrosis as well as to screen new therapeutic targets. Enhancer of zeste homolog 2 (EZH2) is mainly located in the nucleus and involved in the formation of the polycomb repressive complex 2. EZH2 is a methyltransferase which makes the lysine on position 27 of histone H3 (H3K27me3) undergo trimethyl modification induces gene silencing through classical or nonclassical actions, so as to inhibit or activate transcription. EZH2 plays a critical role in cell growth, proliferation, differentiation, and apoptosis, which is regulated by different targets and signaling pathways. EZH2 regulates the transformation of myofibroblasts and participates in the fibrosis of multiple organs. Recent studies have shown that EZH2 plays a role in fibrosis-related pathophysiological processes such as epithelial-mesenchymal transition, oxidative stress, and inflammation. EZH2 as the target of fibrosis, EZH2 inhibitors, and EZH2-related traditional Chinese medicine (TCM) formula and active compounds have gradually become hot research directions. EZH2 may be a powerful target for organ fibrosis. Exploring the structure, function, and distribution of EZH2, the role of EZH2 in fibrosis, the EZH2 inhibitors, and TCM formulas and active components targeting EZH2 has great meanings. This paper reviews the research progress in EZH2 and fibrosis, providing new ideas for the diagnosis, treatment, and drug development of fibrosis.
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