Nong Cheng, Wang Xin-Zhi, Jiang Zhen-Zhou, Zhang Lu-Yong
Jiangsu Key Laboratory of Drug Screening,China Pharmaceutical University Nanjing 210009,China.
Jiangsu Key Laboratory of Drug Screening,China Pharmaceutical University Nanjing 210009,China Jiangsu Center for Pharmacodynamics Research and Evaluation,China Pharmaceutical University Nanjing 210009,China.
Zhongguo Zhong Yao Za Zhi. 2019 Aug;44(16):3374-3383. doi: 10.19540/j.cnki.cjcmm.20190419.401.
Traditional Chinese medicine Tripterygium wilfordii Hook.f( TWHF) is a natural botanical drug in China. It has complex chemical compositions and has been used for a long history. TWHF was used as an insecticide to protect crops at early stage,and it was later found to have significant effects in the treatment of rheumatoid arthritis,attaining great concerns. With further researches,it was found that TWHF can treat various diseases in the medical field due to a variety of pharmacological activities such as anti-cancer,neuroprotection,anti-inflammatory and immune-suppressing,particularly. Multiple extracts of TWHF have unique immunosuppressive function,playing an immune role through multi-target and multi-channel,with significant effect in the treatment of autoimmune diseases. As an immune-suppressing drug,TWHF is worthy of in-depth research due to its broad application prospects. While achieving good clinical efficacy,reports about its toxic effects to multiple systems of the body are also increasing,greatly hindering its clinical application. In order to fully understand the immune-suppressing function of TWHF and reduce or avoid the occurrence of toxic and side effects,we summarized recent progress of TWHF on the immune organs,cells and factors in recent years,as well as the pharmacology and toxic effects,hoping to provide a scientific and reasonable reference for its wider use in clinical treatment.
中药雷公藤是中国的一种天然植物药。其化学成分复杂,应用历史悠久。雷公藤早期被用作杀虫剂来保护农作物,后来发现它在治疗类风湿性关节炎方面有显著效果,受到极大关注。随着进一步研究发现,雷公藤因其具有抗癌、神经保护、抗炎和免疫抑制等多种药理活性,在医学领域可治疗多种疾病。特别是雷公藤的多种提取物具有独特的免疫抑制功能,通过多靶点、多途径发挥免疫作用,在治疗自身免疫性疾病方面效果显著。作为一种免疫抑制药物,雷公藤因其广阔的应用前景值得深入研究。在取得良好临床疗效的同时,关于其对机体多个系统毒性作用的报道也日益增多,极大地阻碍了其临床应用。为了全面了解雷公藤的免疫抑制作用并减少或避免毒副作用的发生,我们总结了近年来雷公藤对免疫器官、细胞和因子的研究进展以及药理和毒理作用,希望为其在临床治疗中的更广泛应用提供科学合理的参考。