Lei Zi-Qin, Luan Fei, Gao Ming, Hu Jing-Wen, Zeng Nan
State Key Laboratory of Southwestern Chinese Medicine Resources Chengdu 611137,China School of Pharmacy, Chengdu University of Traditional Chinese Medicine Chengdu 611137, China.
Zhongguo Zhong Yao Za Zhi. 2023 Apr;48(7):1779-1791. doi: 10.19540/j.cnki.cjcmm.20221219.601.
Pyroptosis is a programmed cell death initiated by the activation of caspases, which is involved in the development and progression of several cardiovascular diseases. The gasdermins, a protein family, are key executive proteins in the development of pyroptosis, which increase cell membrane permeability, mediate the release of inflammatory factors, and aggravate the inflammatory injury. Traditional Chinese medicine(TCM)has shown unique therapeutic advantages in cardiovascular diseases with multi-component and multi-target characteristics. Currently, the effective prevention and treatment of cardiovascular diseases based on the theory of pyroptosis become a new research hotspot in this field. Based on the theories of TCM and modern medicine, this study summarized the role of pyroptosis in cardiovascular diseases such as atherosclerosis, myocardial infarction, diabetic cardiomyopathy, hypertension, and myocarditis. The role of TCM, including active monomers, crude extracts, and compound preparations, in cardiovascular protection through the regulation of pyroptosis was also summarized, providing a theoretical basis for the clinical prevention and treatment of cardiovascular diseases by TCM.
细胞焦亡是一种由半胱天冬酶激活引发的程序性细胞死亡,它参与多种心血管疾病的发生和发展。gasdermin蛋白家族是细胞焦亡发生过程中的关键执行蛋白,可增加细胞膜通透性,介导炎性因子释放,加重炎症损伤。中药在心血管疾病治疗方面具有独特优势,呈现多成分、多靶点的特点。目前,基于细胞焦亡理论有效防治心血管疾病成为该领域新的研究热点。本研究基于中医理论和现代医学,总结了细胞焦亡在动脉粥样硬化、心肌梗死、糖尿病心肌病、高血压及心肌炎等心血管疾病中的作用。同时,还总结了中药(包括活性单体、粗提物及复方制剂)通过调控细胞焦亡发挥心血管保护作用,为中药临床防治心血管疾病提供理论依据。