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近期有证据支持传统中医可恢复单纯性肥胖患者的正常瘦素功能。

Recent evidence in support of traditional chinese medicine to restore normal leptin function in simple obesity.

作者信息

Shao Jialin, Li Chen, Bai Litao, Ni Xiaolin, Ge Shaoqin, Zhang Jinghui, Zhao Hanqing

机构信息

College of Traditional Chinese Medicine, Hebei University, Baoding, PR China.

Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, PR China.

出版信息

Heliyon. 2022 May 19;8(5):e09482. doi: 10.1016/j.heliyon.2022.e09482. eCollection 2022 May.

Abstract

Reducing the incidence of obesity is the focus of global attention, and traditional Chinese medicine (TCM) may play an important role in achieving this goal. Numerous studies have shown that most individuals with obesity have leptin resistance, exogenous leptin is ineffective in individuals with obesity, and the effect of leptin decreases with increased serum leptin levels in individuals with obesity. At present, there are many hypotheses regarding the mechanism of leptin resistance, but there is no definite conclusion. TCM has a long history of treating obesity, and single and compound TCM is an effective obesity treatment method. However, TCM's mechanism of action is complex and resists further weight loss drug development. In the last decade, network pharmacology has become an important tool for exploring the mechanism of compound TCMs. In this study, we reviewed the interrelation between TCM obesity treatment and leptin resistance, and network pharmacology studies of TCM intervention in simple obesity revealed that their targets overlap with the leptin pathway. We also summarized TCM pairs that effectively interfere with leptin resistance and their related intervention mechanisms, providing targets for anti-obesity drug development.

摘要

降低肥胖发生率是全球关注的焦点,而中医药可能在实现这一目标中发挥重要作用。大量研究表明,大多数肥胖个体存在瘦素抵抗,外源性瘦素对肥胖个体无效,且肥胖个体中瘦素的作用会随着血清瘦素水平升高而降低。目前,关于瘦素抵抗的机制有许多假说,但尚无定论。中医药治疗肥胖历史悠久,单味中药和复方中药都是有效的肥胖治疗方法。然而,中医药的作用机制复杂,不利于进一步开发减肥药物。在过去十年中,网络药理学已成为探索复方中药作用机制的重要工具。在本研究中,我们综述了中医药治疗肥胖与瘦素抵抗之间的相互关系,并且中医药干预单纯性肥胖的网络药理学研究表明,它们的靶点与瘦素通路重叠。我们还总结了有效干预瘦素抵抗的中药药对及其相关干预机制,为抗肥胖药物开发提供靶点。

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