National TCM Key Laboratory of Serum Pharmacochemistry, Key Laboratory of Metabolomics and Chinmedomics, Department of Pharmaceutical Analysis, Heilongjiang University of Chinese Medicine, Heping Road 24, Harbin 150040, China.
Evid Based Complement Alternat Med. 2013;2013:402159. doi: 10.1155/2013/402159. Epub 2013 Nov 4.
Chinese medicine syndrome (CMS, "ZHENG" in Chinese) is an understanding of the regularity of disease occurrence and development as well as a certain stage of a comprehensive response of patients with body condition. However, because of the complexity of CMS and the limitation of present investigation method, the research for deciphering the scientific basis and systematic features of CMS is difficult to go further. Metabolomics enables mapping of early biochemical changes in disease and hence provides an opportunity to develop predictive biomarkers. Moreover, its method and design resemble those of traditional Chinese medicine (TCM) which focuses on human disease via the integrity of close relationship between body and syndromes. In the systemic context, metabolomics has a convergence with TCM syndrome; therefore it could provide useful tools for exploring essence of CMS disease, facilitating personalized TCM, and will help to in-depth understand CMS. The integration of the metabolomics and CMS aspects will give promise to bridge the gap between Chinese and Western medicine and help catch the traditional features of CMS. In this paper, particular attention will be paid to the past successes in applications of robust metabolomic approaches to contribute to low-molecular-weight metabolites (biomarkers) discovery in CMS research and development.
中医证候(CMS,“证”)是对疾病发生发展规律的认识,以及机体在一定阶段的整体反应状态。然而,由于 CMS 的复杂性和目前调查方法的局限性,对 CMS 科学基础和系统特征的研究难以深入。代谢组学能够描绘疾病早期的生化变化,从而为开发预测性生物标志物提供了机会。此外,其方法和设计类似于注重人体疾病的整体性的中医(TCM),通过密切的身体和证候关系来研究人体疾病。在系统环境中,代谢组学与 TCM 证候具有一致性;因此,它可以为探索 CMS 疾病的本质、促进个性化 TCM 提供有用的工具,并有助于深入了解 CMS。代谢组学和 CMS 方面的结合有望弥合中西医学之间的差距,帮助捕捉 CMS 的传统特征。本文将特别关注稳健代谢组学方法在 CMS 研究和开发中对低分子量代谢物(生物标志物)发现的应用所取得的过去的成功。