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中医药治疗骨关节炎作用机制的研究进展

Insights into the Action Mechanisms of Traditional Chinese Medicine in Osteoarthritis.

作者信息

Li Linfu, Liu Haiqing, Shi Weimei, Liu Hai, Yang Jianqiong, Xu Daohua, Huang Hao, Wu Longhuo

机构信息

College of Pharmacy, Gannan Medical University, Ganzhou 341000, China.

Department of Clinical Research Center, The First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, China.

出版信息

Evid Based Complement Alternat Med. 2017;2017:5190986. doi: 10.1155/2017/5190986. Epub 2017 Jan 22.

Abstract

Osteoarthritis (OA) is a chronic degenerative joint disease characterized by articular cartilage destruction, synovial inflammation, and osteophyte formation. No effective treatments are available. The current pharmacological medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics, accompanied by possible adverse effects, might ameliorate OA symptoms. But they do not arrest the progression of OA. Traditional Chinese medicine (TCM) provides medical value by modification of disease and symptoms in OA. Valuable work on exploring TCM merits for OA patients has been investigated using modern technologies, although the complicated interacting network among the numerous components indicates the uncertainty of target specification. This review will provide an overview of the action mechanism of TCM in the last 5 years, discussing the TCM activities of anti-inflammation, antiapoptosis, antioxidation, anticatabolism, and proliferation in OA. TCM is a proposed medical option for OA treatment.

摘要

骨关节炎(OA)是一种慢性退行性关节疾病,其特征为关节软骨破坏、滑膜炎症和骨赘形成。目前尚无有效的治疗方法。当前的药物治疗,如非甾体抗炎药(NSAIDs)和镇痛药,虽可能伴有不良反应,但或许能改善OA症状。不过,它们无法阻止OA的进展。传统中医(TCM)通过改善OA的疾病和症状提供医学价值。尽管众多成分之间复杂的相互作用网络表明靶点确定存在不确定性,但利用现代技术已经对探索中医对OA患者的益处进行了有价值的研究。本综述将概述过去5年中医的作用机制,讨论中医在OA中的抗炎、抗凋亡、抗氧化、抗分解代谢和增殖活性。中医是一种被提议用于OA治疗的医学选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0769/5292158/3202b8574804/ECAM2017-5190986.001.jpg

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