中药治疗自身免疫性肝炎:进展与未来机遇。
Chinese medicine in the treatment of autoimmune hepatitis: Progress and future opportunities.
机构信息
School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
出版信息
Animal Model Exp Med. 2022 Apr;5(2):95-107. doi: 10.1002/ame2.12201. Epub 2022 Jan 19.
Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease occurring in individuals of all ages with a higher incidence in females and characterized by hypergammaglobulinemia, elevated serum autoantibodies and histological features of interface hepatitis. AIH pathogenesis remains obscure and still needs in-depth study, which is likely associated with genetic susceptibility and the loss of immune homeostasis. Steroids alone and in combination with other immunosuppressant agents are the primary choices of AIH treatment in the clinic, whereas, in some cases, severe adverse effects and disease relapse may occur. Chinese medicine used for the treatment of AIH has proven its merits over many years and is well tolerated. To better understand the pathogenesis of AIH and to evaluate the efficacy of novel therapies, several animal models have been generated to recapitulate the immune microenvironment of patients with AIH. In the current review, we summarize recent advances in the study of animal models for AIH and their application in pharmacological research of Chinese medicine-based therapies and also discuss current limitations. This review aims to provide novel insights into the discovery of Chinese medicine-originated therapies for AIH using cutting-edge animal models.
自身免疫性肝炎(AIH)是一种发生在各年龄段人群中的慢性炎症性肝病,女性发病率较高,其特征是高γ球蛋白血症、血清自身抗体升高和界面肝炎的组织学特征。AIH 的发病机制仍不清楚,仍需要深入研究,这可能与遗传易感性和免疫平衡的丧失有关。单独使用类固醇和联合使用其他免疫抑制剂是 AIH 临床治疗的主要选择,然而,在某些情况下,可能会出现严重的不良反应和疾病复发。多年来,用于治疗 AIH 的中药已被证明具有疗效,且患者耐受性良好。为了更好地了解 AIH 的发病机制并评估新型疗法的疗效,已经产生了几种动物模型来重现 AIH 患者的免疫微环境。在当前的综述中,我们总结了 AIH 动物模型研究的最新进展及其在中药治疗药理学研究中的应用,并讨论了当前的局限性。本综述旨在通过使用先进的动物模型为 AIH 的中药治疗方法的发现提供新的见解。