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姜黄素及其改良制剂在炎症性肠病(IBD)中的应用:迄今为止的情况及未来展望

Curcumin and Its Modified Formulations on Inflammatory Bowel Disease (IBD): The Story So Far and Future Outlook.

作者信息

Karthikeyan Adhimoolam, Young Kim Na, Moniruzzaman Mohammad, Beyene Anteneh Marelign, Do Kyoungtag, Kalaiselvi Senthil, Min Taesun

机构信息

Subtropical Horticulture Research Institute, Jeju National University, Jeju 63243, Korea.

Department of Animal Biotechnology, Jeju International Animal Research Center (JIA) and Sustainable Agriculture Research Institute (SARI), Jeju National University, Jeju 63243, Korea.

出版信息

Pharmaceutics. 2021 Apr 2;13(4):484. doi: 10.3390/pharmaceutics13040484.

DOI:10.3390/pharmaceutics13040484
PMID:33918207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8065662/
Abstract

Inflammatory bowel disease (IBD) is a chronic relapsing and remitting inflammatory disorder of the small intestine and colon. IBD includes ulcerative colitis (UC) and Crohn's disease (CD), and it is a major factor for the development of colon cancer, referred to as colitis-associated cancer (CAC). The current treatment of IBD mainly includes the use of synthetic drugs and monoclonal antibodies. However, these drugs have side effects over long-term use, and the high relapse rate restricts their application. In the recent past, many studies had witnessed a surge in applying plant-derived products to manage various diseases, including IBD. Curcumin is a bioactive component derived from a rhizome of turmeric (). Numerous in vitro and in vivo studies show that curcumin may interact with many cellular targets (NF-κB, JAKs/STATs, MAPKs, TNF-γ, IL-6, PPARγ, and TRPV1) and effectively reduce the progression of IBD with promising results. Thus, curcumin is a potential therapeutic agent for patients with IBD once it significantly decreases clinical relapse in patients with quiescent IBD. This review aims to summarize recent advances and provide a comprehensive picture of curcumin's effectiveness in IBD and offer our view on future research on curcumin in IBD treatment.

摘要

炎症性肠病(IBD)是一种发生于小肠和结肠的慢性复发性炎症性疾病。IBD包括溃疡性结肠炎(UC)和克罗恩病(CD),并且它是结肠癌(称为结肠炎相关癌,CAC)发生的一个主要因素。IBD的当前治疗主要包括使用合成药物和单克隆抗体。然而,这些药物长期使用有副作用,且高复发率限制了它们的应用。最近,许多研究见证了植物源产品在管理包括IBD在内的各种疾病方面的应用激增。姜黄素是一种从姜黄根茎中提取的生物活性成分。大量体外和体内研究表明,姜黄素可能与许多细胞靶点(NF-κB、JAKs/STATs、MAPKs、TNF-γ、IL-6、PPARγ和TRPV1)相互作用,并有效减缓IBD的进展,结果令人满意。因此,一旦姜黄素能显著降低静止期IBD患者的临床复发率,它将成为IBD患者的一种潜在治疗药物。本综述旨在总结近期进展,并全面介绍姜黄素在IBD中的有效性,同时就姜黄素在IBD治疗方面的未来研究提出我们的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/5c8e9bd82746/pharmaceutics-13-00484-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/5dae76ba4f05/pharmaceutics-13-00484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/6e65599d1b3f/pharmaceutics-13-00484-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/5c8e9bd82746/pharmaceutics-13-00484-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/5dae76ba4f05/pharmaceutics-13-00484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/6e65599d1b3f/pharmaceutics-13-00484-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1925/8065662/5c8e9bd82746/pharmaceutics-13-00484-g003.jpg

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本文引用的文献

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Curcumin Nanoformulations with Metal Oxide Nanomaterials for Biomedical Applications.用于生物医学应用的含金属氧化物纳米材料的姜黄素纳米制剂
Nanomaterials (Basel). 2021 Feb 11;11(2):460. doi: 10.3390/nano11020460.
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Oral nanotherapeutics with enhanced mucus penetration and ROS-responsive drug release capacities for delivery of curcumin to colitis tissues.用于将姜黄素递送至结肠炎组织的增强黏液穿透性和 ROS 响应性药物释放能力的口服纳米治疗剂。
J Mater Chem B. 2021 Feb 14;9(6):1604-1615. doi: 10.1039/d0tb02092c. Epub 2021 Jan 20.
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Composites of yeast glucan particles and curcumin lead to improvement of dextran sulfate sodium-induced acute bowel inflammation in rats.
姜黄素通过调节肠道微生物群和代谢产物改善右旋糖酐硫酸钠诱导的小鼠结肠炎。
Life (Basel). 2025 Jul 21;15(7):1153. doi: 10.3390/life15071153.
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Research advances in nanomaterials with aromatic functional groups for the treatment of inflammatory bowel disease.用于治疗炎症性肠病的含芳香官能团纳米材料的研究进展
Front Bioeng Biotechnol. 2025 Jun 24;13:1614939. doi: 10.3389/fbioe.2025.1614939. eCollection 2025.
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Curcumin for the clinical treatment of inflammatory bowel diseases: a systematic review and meta-analysis of placebo-controlled randomized clinical trials.姜黄素用于炎症性肠病的临床治疗:安慰剂对照随机临床试验的系统评价和荟萃分析
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Formulation, characterization, and evaluation of curcumin-loaded ginger-derived nanovesicles for anti-colitis activity.用于抗结肠炎活性的姜源载姜黄素纳米囊泡的制备、表征及评价
J Pharm Anal. 2024 Dec;14(12):101014. doi: 10.1016/j.jpha.2024.101014. Epub 2024 May 30.
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The Dynamic Role of Curcumin in Mitigating Human Illnesses: Recent Advances in Therapeutic Applications.姜黄素在减轻人类疾病中的动态作用:治疗应用的最新进展
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The efficacy of curcumin/Qing Dai combination in children with active ulcerative colitis: a multicenter retrospective cohort study.姜黄素/青黛联合用药治疗儿童活动性溃疡性结肠炎的疗效:一项多中心回顾性队列研究
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Highly Bioavailable Curcumin Derivative Ameliorates Crohn's Disease Symptoms: A Randomized, Double-Blind, Multicenter Study.高生物利用度姜黄素衍生物可改善克罗恩病症状:一项随机、双盲、多中心研究。
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