College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shangdong Province 250355, China; Shandong Co-Innovation Center of Classic TCM formula, Shandong University of Traditional Chinese Medicine, Jinan, Shangdong Province 250355, China.
Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shangdong Province 250011, China.
Biomed Pharmacother. 2022 Dec;156:113806. doi: 10.1016/j.biopha.2022.113806. Epub 2022 Oct 10.
Stroke is a serious threat to human survival and health due to its high morbidity and mortality. The pathological mechanism of stroke is complex and involves various regulated cell death (RCD) modalities such as autophagy, apoptosis and necroptosis. ferroptosis, a novel form of RCD characterised by iron-dependent accumulation of lipid peroxides and reactive oxygen radicals, has been found to be closely associated with the prognosis and outcome of stroke. At the same time, ferroptosis is also associated with other forms of RCD with varying degrees of crosstalk. Traditional Chinese medicine(TCM), with its multi-component, multi-pathway and multi-target action characteristics, has unique advantages and good prospects for application in stroke prevention and treatment. Using ferroptosis and its crosstalk with other forms of RCD as an entry point, we review the research on TCM with anti-stroke effects discovered in the past 10 years, with a view to providing reference for further scientific development and application of anti-stroke therapeutic drugs.
中风因其高发病率和死亡率,是对人类生存和健康的严重威胁。中风的病理机制复杂,涉及多种调控性细胞死亡(RCD)方式,如自噬、细胞凋亡和坏死性凋亡。铁死亡是一种新的 RCD 形式,其特征是铁依赖性脂质过氧化物和活性氧自由基的积累,与中风的预后和结局密切相关。同时,铁死亡也与其他形式的 RCD 存在不同程度的串扰。中药(TCM)具有多成分、多途径、多靶点的作用特点,在中风的防治方面具有独特的优势和广阔的应用前景。以铁死亡及其与其他形式的 RCD 的串扰为切入点,我们对过去 10 年具有抗中风作用的中药研究进行了综述,以期为进一步开发和应用抗中风治疗药物提供参考。