Huang Kai, Wang Dong, Yu Xue, Tang Jia-Yang, Yu Jiang, Wei Xiao-Qi, Pu Hai-Yin, Guo Shu-Zhen
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China.
Zhongguo Zhong Yao Za Zhi. 2023 May;48(9):2379-2386. doi: 10.19540/j.cnki.cjcmm.20230105.601.
As the disease with high morbidity and mortality in the world, heart failure affects the development of human society. Due to its complicated pathology and limited treatment options, it is urgent to discover new disease targets and develop new treatment strategies. As innate immune cells accompanied by the evolution of heart failure, macrophages play an important role in cardiac homeostasis and stress. In recent years, the role of macrophages in the heart has attracted more and more attention as a potential target for heart failure intervention, and the research on cardiac macrophages has made important progress. Traditional Chinese medicine(TCM) has significant effects on regulating inflammatory response, treating heart failure, and maintaining homeostasis. In this article, researches on the functions of cardiac macrophages and application of TCM were reviewed from the source and classification of cardiac macrophages and the relationship of macrophages and cardiac inflammation, myocardial fibrosis, cardiac angiogenesis, and cardiac electrical conduction, which provided a basis for further basic research and clinical applications.
作为全球发病率和死亡率较高的疾病,心力衰竭影响着人类社会的发展。由于其病理复杂且治疗选择有限,迫切需要发现新的疾病靶点并制定新的治疗策略。巨噬细胞作为伴随心力衰竭演变的固有免疫细胞,在心脏稳态和应激中发挥着重要作用。近年来,巨噬细胞在心脏中的作用作为心力衰竭干预的潜在靶点受到越来越多的关注,对心脏巨噬细胞的研究取得了重要进展。中药对调节炎症反应、治疗心力衰竭和维持稳态具有显著作用。本文从心脏巨噬细胞的来源与分类、巨噬细胞与心脏炎症、心肌纤维化、心脏血管生成及心脏电传导的关系等方面,对心脏巨噬细胞的功能及中药的应用研究进行综述,为进一步的基础研究和临床应用提供依据。