Zhang Guo-Zhuang, Chen Shi-Lin, Dong Lin-Lin
Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences Beijing 100700, China.
Zhongguo Zhong Yao Za Zhi. 2023 Feb;48(3):596-607. doi: 10.19540/j.cnki.cjcmm.20221101.101.
The tight relationships between microbiome and traditional Chinese medicine(TCM)have been widely recognized. New technologies, results, and theories are emerging in the field of microbiomics in recent years with the advances in high-throughput sequencing and multi-omics technologies. Based on the previous research, the present study has proposed the concept of TCM microbiomics(TCMM), which is an interdisciplinary subject aiming at elucidating the functions and applications of microbiome in the areas of herb resources, herb processing, herb storage, and clinical effects by using modern technology of biology, ecology, and informatics. This subject essentially contains the structures, functions, interactions, molecular mechanisms, and application strategies of the microbiome associated with the quality, safety, and efficacy of TCM. Firstly, the development of the TCMM concept was summarized, with the profound understanding of TCMM on the complexity and entirety of microbiome being emphasized. Then, the research contents and applications of TCMM in promoting the sustainable development of herb resources, improving the standardization and diversification of herb fermentation, strengthening the safety of herb storage, and resolving the scientific connotation of theories and clinical efficacy of TCM are reviewed. Finally, the research strategies and methods of TCM microbiomics were elaborated from basic research, application research, and system research. TCMM is expected to promote the integrative development of TCM with frontier science and technology, thereby expanding the depth and scope of TCM study and facilitating TCM modernization.
微生物组与传统中医(TCM)之间的紧密关系已得到广泛认可。近年来,随着高通量测序和多组学技术的进步,微生物组学领域不断涌现新技术、新成果和新理论。基于以往研究,本研究提出了中医微生物组学(TCMM)的概念,这是一门跨学科的学科,旨在运用现代生物学、生态学和信息学技术,阐明微生物组在中药资源、中药炮制、中药储存及临床疗效等方面的功能及应用。该学科本质上涵盖了与中药质量、安全和疗效相关的微生物组的结构、功能、相互作用、分子机制及应用策略。首先,总结了TCMM概念的发展,强调了TCMM对微生物组复杂性和整体性的深刻理解。然后,综述了TCMM在促进中药资源可持续发展、提高中药发酵的标准化和多样化、加强中药储存安全性以及解析中医理论和临床疗效的科学内涵等方面的研究内容及应用。最后,从基础研究、应用研究和系统研究方面阐述了中医微生物组学的研究策略和方法。期望TCMM推动中医与前沿科学技术的融合发展,从而拓展中医研究的深度和广度,促进中医现代化。