Shi Yingjie, Shu Haiyang, Wang Xinyu, Zhao Hanxiao, Lu Cheng, Lu Aiping, He Xiaojuan
Shanghai Innovation Center of TCM Health Service, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Front Pharmacol. 2020 Oct 7;11:561962. doi: 10.3389/fphar.2020.561962. eCollection 2020.
Bone destruction is an important pathological feature of rheumatoid arthritis (RA), which finally leads to the serious decline of life quality in RA patients. Bone metabolism imbalance is the principal factor of bone destruction in RA, which is manifested by excessive osteoclast-mediated bone resorption and inadequate osteoblast-mediated bone formation. Although current drugs alleviate the process of bone destruction to a certain extent, there are still many deficiencies. Recent studies have shown that traditional Chinese medicine (TCM) could effectively suppress bone destruction of RA. Some bioactive compounds from TCM have shown good effect on inhibiting osteoclast differentiation and promoting osteoblast proliferation. This article reviews the research progress of bioactive compounds exacted from TCM in inhibiting bone destruction of RA, so as to provide references for further clinical and scientific research.
骨破坏是类风湿关节炎(RA)的重要病理特征,最终导致RA患者生活质量严重下降。骨代谢失衡是RA骨破坏的主要因素,表现为破骨细胞介导的骨吸收过度和成骨细胞介导的骨形成不足。尽管目前的药物在一定程度上缓解了骨破坏过程,但仍存在许多不足。最近的研究表明,中药可以有效抑制RA的骨破坏。一些中药生物活性化合物在抑制破骨细胞分化和促进成骨细胞增殖方面显示出良好的效果。本文综述了从中药中提取的生物活性化合物在抑制RA骨破坏方面的研究进展,为进一步的临床和科研提供参考。