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[中药活性成分在炎症性肠病治疗中的应用]

[Application of active components from traditional Chinese medicine in treatment of inflammatory bowel disease].

作者信息

Shao Mei-Juan, Yan Yu-Xi, Qi Qing, Tang Wei, Zuo Jian-Ping

机构信息

Research Center for Science and Technology, Shanghai University of Traditional Chinese Medicine Shanghai 201203, China Shanghai Institute of Materia Medica, Chinese Academy of Sciences Shanghai 201203, China.

Shanghai Institute of Materia Medica, Chinese Academy of Sciences Shanghai 201203, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2019 Feb;44(3):415-421. doi: 10.19540/j.cnki.cjcmm.20180907.001.

Abstract

Inflammatory bowel disease(IBD) is a non-specific and chronic recurrent autoimmune disease that involves the gastrointestinal tract. Clinical symptoms of intestinal bleeding, diarrhea, and weight loss threat to human health and induce colorectal cancer. The pathogenesis included living environment, genetic factors, immune cell infiltration and immune stress, weakened mucosal barrier defense and intestinal flora imbalance. At present, clinical treatment drugs mainly include aminosalicylic acid, corticosteroids, immunosuppressants, biological agents, etc., in view of the disadvantages of poor therapeutic effect and expensive price. The active ingredients of traditional Chinese medicine(TCM) in the treatment IBD have various biological activities and multiple targets such as anti-inflammatory, antibacterial, anti-tumor and immune regulation. This article summarized the application and the research progress in protecting intestinal epithelial barrier, maintaining intestinal microbial homeostasis, inhibiting causative factors, and regulating Th1/Th17/Treg balance about TCM in the treatment of IBD. The review provided new ideas for further development of the new drugs on the mechanism based on active ingredients of TCM in IBD treatment.

摘要

炎症性肠病(IBD)是一种累及胃肠道的非特异性慢性复发性自身免疫性疾病。肠道出血、腹泻和体重减轻等临床症状威胁人类健康,并诱发结直肠癌。其发病机制包括生活环境、遗传因素、免疫细胞浸润与免疫应激、黏膜屏障防御减弱以及肠道菌群失衡。目前,临床治疗药物主要包括氨基水杨酸类、糖皮质激素、免疫抑制剂、生物制剂等,鉴于其治疗效果不佳且价格昂贵的缺点。中药活性成分在治疗IBD方面具有多种生物活性和多个靶点,如抗炎、抗菌、抗肿瘤和免疫调节等。本文综述了中药在治疗IBD中在保护肠上皮屏障、维持肠道微生物稳态、抑制致病因素以及调节Th1/Th17/Treg平衡方面的应用及研究进展。该综述为基于中药活性成分治疗IBD机制的新药进一步研发提供了新思路。

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