Feng Jiahao, Liao Li, Xu Fangfang, Zhang Lin, Zhang Jun
School of Medicine, Sun Yat-sen University, Guangzhou 510632, China.
Hunan University of Chinese Medicine, Changsha 41000, China.
Evid Based Complement Alternat Med. 2022 Mar 3;2022:6847917. doi: 10.1155/2022/6847917. eCollection 2022.
Depression is a common secondary symptom in neurodegenerative diseases (NDs) caused by the loss of neurons and glial cells. Recent research focuses on stem cell therapy to replace dead nerve cells, but the low efficiency of stem cell differentiation and short survival time are obstacles limiting the therapy's effectiveness. Clinically, patients with different diseases cannot obtain the same effect by using the same cell therapy. However, traditional Chinese medicine (TCM) often uses syndrome differentiation to determine the treatment plan for NDs. Based on TCM syndrome differentiation and treatment, this article summarizes the advantages of Chinese herbal medicine combined with stem cell therapy, mainly for the effects of various herbs on diseases and stem cells, including prolonging the survival time of stem cells, resisting inflammation, and antidepressant-like effects. In particular, it analyzes the unique pathways of the influence of drugs and acupuncture on different therapies, seeking to clarify the scientific TCM system. This review mainly elaborates on the treatment of secondary depression in TCM and the advantages of a herbal combined stem cell therapy in various methods. We believe it can provide a new clinical concept for secondary depression to obtain good clinical effects and reduce the risks borne by patients.
抑郁症是由神经元和神经胶质细胞丧失所导致的神经退行性疾病(NDs)中常见的继发症状。近期研究聚焦于干细胞疗法以替代死亡的神经细胞,但干细胞分化效率低和存活时间短是限制该疗法有效性的障碍。临床上,患有不同疾病的患者使用相同的细胞疗法无法获得相同的效果。然而,中医常通过辨证论治来确定神经退行性疾病的治疗方案。基于中医辨证论治,本文总结了中药联合干细胞疗法的优势,主要涉及各种草药对疾病和干细胞的作用,包括延长干细胞存活时间、抗炎以及抗抑郁样作用。特别地,分析了药物和针灸影响不同疗法的独特途径,力求阐明科学的中医体系。本综述主要阐述了中医对继发性抑郁症的治疗以及草药联合干细胞疗法在各种方法中的优势。我们认为其可为继发性抑郁症提供一种新的临床理念,以获得良好的临床效果并降低患者所承担的风险。