黄酮类草药天然产物在溃疡性结肠炎中的作用和机制。
The role and mechanism of flavonoid herbal natural products in ulcerative colitis.
机构信息
Department of Immunology and Pathogenic Biology, Yanbian University College of Basic Medicine, Yanji, Jilin Province 133002, China.
Chronic Disease Research Center, Medical College, Dalian University, Dalian, Liaoning Province 116622, China; Key Laboratory of Natural Medicines of the Changbai Mountain, Ministry of Education, College of Pharmacy, Yanbian University, Yanji, Jilin Province 133002, China.
出版信息
Biomed Pharmacother. 2023 Feb;158:114086. doi: 10.1016/j.biopha.2022.114086. Epub 2022 Dec 8.
Ulcerative colitis (UC) is a chronic inflammatory disease of the intestine that presents clinically with abdominal pain, mucopurulent stools, and posterior urgency. The lesions of UC are mainly concentrated in the rectal and colonic mucosa and submucosa. For patients with mild to moderate UC, the best pharmacological treatment includes glucocorticoids, immunosuppressants, antibiotics, and biologics, but the long-term application can have serious toxic side effects. Currently, nearly 40% of UC patients are treated with herbal natural products in combination with traditional medications to reduce the incidence of toxic side effects. Flavonoid herbal natural products are the most widely distributed polyphenols in plants and fruits, which have certain antioxidant and anti-inflammatory activities. Flavonoid herbal natural products have achieved remarkable efficacy in the treatment of UC. The pharmacological mechanisms are related to anti-inflammation, promotion of mucosal healing, maintenance of intestinal immune homeostasis, and regulation of intestinal flora. In this paper, we summarize the flavonoid components of anti-ulcerative colitis and their mechanisms reported in the past 10 years, to provide a basis for rational clinical use and the development of new anti-ulcerative colitis drugs.
溃疡性结肠炎(UC)是一种慢性肠道炎症性疾病,临床上表现为腹痛、黏液脓性粪便和后急迫感。UC 的病变主要集中在直肠和结肠黏膜及黏膜下层。对于轻中度 UC 患者,最佳的药物治疗包括糖皮质激素、免疫抑制剂、抗生素和生物制剂,但长期应用会有严重的毒副作用。目前,近 40%的 UC 患者采用草药天然产品联合传统药物治疗,以降低毒副作用的发生率。类黄酮草药天然产品是植物和水果中分布最广泛的多酚类化合物,具有一定的抗氧化和抗炎活性。类黄酮草药天然产品在治疗 UC 方面取得了显著疗效。其药理机制与抗炎、促进黏膜愈合、维持肠道免疫稳态和调节肠道菌群有关。本文总结了过去 10 年报道的抗溃疡性结肠炎的类黄酮成分及其作用机制,为合理临床应用和开发新型抗溃疡性结肠炎药物提供依据。