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1.中国中医科学院 广安门医院,北京 100053
2.湖北中医药大学,武汉 430000
Received:04 December 2025,
Revised:2026-02-04,
Accepted:27 February 2026,
Online First:02 March 2026,
Published:05 June 2026
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张泽明,刘兰椿,李启杨等.中医药调控血管新生作用机制的研究进展[J].中国实验方剂学杂志,2026,32(11):277-286.
ZHANG Zeming,LIU Lanchun,LI Qiyang,et al.Mechanisms of Traditional Chinese Medicine in Regulating Angiogenesis: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):277-286.
张泽明,刘兰椿,李启杨等.中医药调控血管新生作用机制的研究进展[J].中国实验方剂学杂志,2026,32(11):277-286. DOI: 10.13422/j.cnki.syfjx.20260262.
ZHANG Zeming,LIU Lanchun,LI Qiyang,et al.Mechanisms of Traditional Chinese Medicine in Regulating Angiogenesis: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):277-286. DOI: 10.13422/j.cnki.syfjx.20260262.
血管新生作为维持组织灌注和修复缺血损伤的核心机制,在冠心病、外周动脉疾病等缺血性疾病中发挥关键作用。中医药凭借其多靶点、协同调节的优势,为血管再生治疗提供了独特视角。基于此,笔者拟深入探讨血管内皮生长因子/血管内皮生长因子受体(VEGF/VEGFR)、Notch、磷脂酰肌醇3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(PI3K/Akt/mTOR)及血管生成素/内皮细胞TEK酪氨酸激酶(Ang/Tie2)等关键信号通路的协同作用,并阐释内皮细胞代谢重编程与外泌体介导的细胞间通讯在其中的驱动机制。基于现有文献,总结了中药天然活性成分(如萜类、丹参酮类及黄酮类等)对血管新生的微环境依赖性与双向调控特征。此外,系统论述了中医经典复方如何通过保护神经-血管单元、募集周细胞及重塑微环境,实现血管生成与功能完善。现有文献强调了中医药的多靶点协同与时序调控优势,但也存在异质性强、缺乏功能性评估与高质量临床试验等问题;未来需整合多组学解析网络机制、优化复方配伍,并开展多中心研究,推动创新制剂开发。该综述凸显了中医药在血管新生中的学术价值,为缺血性疾病提供证据基础,并支持多学科融合创新。
Angiogenesis, as a core mechanism for maintaining tissue perfusion and repairing ischemic injury, plays a crucial role in ischemic diseases such as coronary heart disease and peripheral arterial disease. Traditional Chinese medicine(TCM), with its advantages of multi-target and synergistic regulation, provides a unique perspective for therapeutic angiogenesis. Based on this, this article intends to delve into the synergistic effects of key signaling pathways, including vascular endothelial growth factor(VEGF)/VEGF receptor(VEGFR), Notch, phosphoinositide 3-kinase/ protein kinase B/mammalian target of rapamycin(PI3K/Akt/mTOR), and angiopoietin/endothelial TEK tyrosine kinase(Ang/Tie2), and elucidate the driving mechanisms of endothelial cell metabolic reprogramming and exosome-mediated intercellular communication within this process. Based on existing literature, it summarizes the microenvironment-dependent and bidirectional regulatory characteristics of natural active components of TCM(such as terpenes, tanshinones, and flavonoids) on angiogenesis. Furthermore, it systematically discusses how classical TCM formulas achieve blood vessel formation and functional maturation by protecting the neurovascular units, recruiting pericytes, and remodeling the microenvironment. Current evidence highlights the advantages of multi-target synergy and temporal regulation in TCM, but also reveals challenges such as high heterogeneity and a lack of functional evaluations and high-quality clinical trials. Future efforts should integrate multi-omics to decipher network mechanisms, optimize formula compatibility, and conduct multicenter studies to promote the development of innovative preparations. This review highlights the academic value of TCM in angiogenesis, provides an evidence base for treating ischemic diseases, and supports multidisciplinary integration and innovation.
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