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天麻素药理作用综述

Review on pharmacological effects of gastrodin.

作者信息

Xiao Guirong, Tang Rong, Yang Nan, Chen Yanhua

机构信息

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, China.

Department of Pharmacy, Sichuan Hospital of Stomatology, Chengdu, 610031, China.

出版信息

Arch Pharm Res. 2023 Oct;46(9-10):744-770. doi: 10.1007/s12272-023-01463-0. Epub 2023 Sep 25.

DOI:10.1007/s12272-023-01463-0
PMID:37749449
Abstract

Gastrodia elata Blume is a well-known traditional Chinese medicine that is mainly used to treat diseases related to the nervous system, such as stroke, epilepsy, and headache. Gastrodin is the main bioactive component of Gastrodia elata Blume, and studies have shown that it has extensive pharmacological activity. This narrative review aims to systematically review relevant studies on the pharmacological effects of gastrodin to provide researchers with the latest and most useful information. Studies have shown that gastrodin has prominent neuroprotective effects and can treat or improve epilepsy, Tourette syndrome, Alzheimer's disease, Parkinson's disease, emotional disorders, cerebral ischemia-reperfusion injury, cognitive impairment, and neuropathic pain. Gastrodin can also improve myocardial hypertrophy, hypertension, and myocardial ischemia-reperfusion injury. In addition, gastrodin can mitigate liver, kidney, and bone tissue damage caused by oxidative stress and inflammation. In short, gastrodin is expected to treat many diseases, and it is worth investing more effort in research on this compound.

摘要

天麻是一种著名的传统中药,主要用于治疗与神经系统相关的疾病,如中风、癫痫和头痛。天麻素是天麻的主要生物活性成分,研究表明它具有广泛的药理活性。本叙述性综述旨在系统回顾天麻素药理作用的相关研究,为研究人员提供最新和最有用的信息。研究表明,天麻素具有显著的神经保护作用,可治疗或改善癫痫、抽动秽语综合征、阿尔茨海默病、帕金森病、情绪障碍、脑缺血再灌注损伤、认知障碍和神经性疼痛。天麻素还可改善心肌肥大、高血压和心肌缺血再灌注损伤。此外,天麻素可减轻氧化应激和炎症引起的肝、肾和骨组织损伤。总之,天麻素有望治疗多种疾病,值得对该化合物投入更多的研究精力。

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Review on pharmacological effects of gastrodin.天麻素药理作用综述
Arch Pharm Res. 2023 Oct;46(9-10):744-770. doi: 10.1007/s12272-023-01463-0. Epub 2023 Sep 25.
2
A Review on Central Nervous System Effects of Gastrodin.天麻素对中枢神经系统作用的综述
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The rhizome of Gastrodia elata Blume - An ethnopharmacological review.天麻的根茎——民族药理学综述。
J Ethnopharmacol. 2016 Aug 2;189:361-85. doi: 10.1016/j.jep.2016.06.057. Epub 2016 Jul 1.
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J Ethnopharmacol. 2015 Dec 24;176:49-54. doi: 10.1016/j.jep.2015.10.007. Epub 2015 Oct 22.
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Preparative isolation and purification of gastrodin from the Chinese medicinal plant Gastrodia elata by high-speed counter-current chromatography.利用高速逆流色谱法从中药材天麻中制备分离和纯化天麻素。
J Chromatogr A. 2004 Oct 15;1052(1-2):229-32. doi: 10.1016/j.chroma.2004.09.005.
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Gastrodin and Vascular Dementia: Advances and Current Perspectives.天麻素与血管性痴呆:研究进展与当前观点
Evid Based Complement Alternat Med. 2022 Apr 12;2022:2563934. doi: 10.1155/2022/2563934. eCollection 2022.

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本文引用的文献

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Gastrodin Ameliorates Cognitive Dysfunction in Vascular Dementia Rats by Suppressing Ferroptosis via the Regulation of the Nrf2/Keap1-GPx4 Signaling Pathway.天麻素通过调节 Nrf2/Keap1-GPx4 信号通路抑制铁死亡改善血管性痴呆大鼠的认知功能障碍。
Molecules. 2022 Sep 24;27(19):6311. doi: 10.3390/molecules27196311.
2
Post treatment with Gastrodin suppresses oxidative stress and attenuates motor disorders following 6-OHDA induced Parkinson disease.天麻素治疗后可抑制 6-OHDA 诱导的帕金森病氧化应激,减轻运动障碍。
Neurosci Lett. 2022 Nov 1;790:136884. doi: 10.1016/j.neulet.2022.136884. Epub 2022 Sep 23.
3
Gastrodin Regulates the Notch-1 Signal Pathway via Renin-Angiotensin System in Activated Microglia.
Gastrodin Attenuates Cerebral Ischemia-Reperfusion Injury by Enhancing Mitochondrial Fusion and Activating the AMPK-OPA1 Signaling Pathway.
天麻素通过增强线粒体融合和激活AMPK-OPA1信号通路减轻脑缺血再灌注损伤。
CNS Neurosci Ther. 2025 Aug;31(8):e70559. doi: 10.1111/cns.70559.
4
Modulation of neuroinflammation by natural plant compounds: a promising approach for ischemic stroke.天然植物化合物对神经炎症的调节作用:缺血性中风的一种有前景的治疗方法。
Front Pharmacol. 2025 Jul 18;16:1603417. doi: 10.3389/fphar.2025.1603417. eCollection 2025.
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Gastrodin reduces myocardial ischemia/reperfusion injury via transgelin2/CNPase-mediated apoptosis regulation.天麻素通过原肌球蛋白2/2',3'-环核苷酸3'-磷酸二酯酶介导的细胞凋亡调控减轻心肌缺血/再灌注损伤。
Front Pharmacol. 2025 Jul 14;16:1604408. doi: 10.3389/fphar.2025.1604408. eCollection 2025.
6
Food and medicine homology: a potential nutritional intervention strategy for post-acute COVID-19 syndrome.药食同源:一种针对新冠后急性综合征的潜在营养干预策略。
Front Pharmacol. 2025 Jul 3;16:1588037. doi: 10.3389/fphar.2025.1588037. eCollection 2025.
7
Multifunctional carbon dots from and : synthesis, characterization, and biomedical applications.源自[具体来源1]和[具体来源2]的多功能碳点:合成、表征及生物医学应用
RSC Adv. 2025 Jul 8;15(29):23845-23861. doi: 10.1039/d5ra03140k. eCollection 2025 Jul 4.
8
Gastrodin mitigates aortic valve calcification by inhibiting glycolysis and histone lactylation through interfering with valve interstitial cells.天麻素通过干扰瓣膜间质细胞抑制糖酵解和组蛋白乳酸化,从而减轻主动脉瓣钙化。
Front Pharmacol. 2025 Jun 10;16:1547716. doi: 10.3389/fphar.2025.1547716. eCollection 2025.
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Gastrodin inhibits hexokinase-2 mediated glycolysis to rescue rotenone-damaged PC12 cells.天麻素抑制己糖激酶-2介导的糖酵解以挽救鱼藤酮损伤的PC12细胞。
Naunyn Schmiedebergs Arch Pharmacol. 2025 Jun 4. doi: 10.1007/s00210-025-04348-9.
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Gastrodia protects HT22 cells from damage caused by oxygen glucose deprivation and reperfusion through inhibiting ferroptosis.天麻通过抑制铁死亡保护HT22细胞免受氧糖剥夺和再灌注引起的损伤。
Sci Rep. 2025 May 27;15(1):18470. doi: 10.1038/s41598-025-03404-x.
天麻素通过激活小胶质细胞中的肾素-血管紧张素系统调节Notch-1信号通路。
Neuromolecular Med. 2023 Mar;25(1):40-52. doi: 10.1007/s12017-022-08714-1. Epub 2022 Jun 24.
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Gastrodin From Enhances Cognitive Function and Neuroprotection of AD Mice the Regulation of Gut Microbiota Composition and Inhibition of Neuron Inflammation.天麻素通过调节肠道微生物群组成和抑制神经元炎症增强AD小鼠的认知功能和神经保护作用。
Front Pharmacol. 2022 Jun 2;13:814271. doi: 10.3389/fphar.2022.814271. eCollection 2022.
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Gastrodin protects retinal ganglion cells from ischemic injury by activating phosphatidylinositol 3-kinase/protein kinase B/nuclear factor erythroid 2-related factor 2 (PI3K/AKT/Nrf2) signaling pathway.天麻素通过激活磷脂酰肌醇 3-激酶/蛋白激酶 B/红细胞生成素相关因子 2(PI3K/AKT/Nrf2)信号通路保护视网膜神经节细胞免受缺血性损伤。
Bioengineered. 2022 May;13(5):12625-12636. doi: 10.1080/21655979.2022.2076499.
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Analgesic and Anxiolytic Effects of Gastrodin and Its Influences on Ferroptosis and Jejunal Microbiota in Complete Freund's Adjuvant-Injected Mice.天麻素对弗氏完全佐剂注射小鼠的镇痛、抗焦虑作用及其对铁死亡和空肠微生物群的影响
Front Microbiol. 2022 Apr 19;13:841662. doi: 10.3389/fmicb.2022.841662. eCollection 2022.
7
Gastrodin Alleviates Acetaminophen-Induced Liver Injury in a Mouse Model Through Inhibiting MAPK and Enhancing Nrf2 Pathways.天麻素通过抑制 MAPK 并增强 Nrf2 通路缓解对乙酰氨基酚诱导的小鼠肝损伤。
Inflammation. 2022 Aug;45(4):1450-1462. doi: 10.1007/s10753-021-01557-1. Epub 2022 Apr 26.
8
Gastrodin attenuates lipopolysaccharide-induced inflammation and oxidative stress, and promotes the osteogenic differentiation of human periodontal ligament stem cells through enhancing sirtuin3 expression.天麻素可减轻脂多糖诱导的炎症和氧化应激,并通过增强沉默调节蛋白3的表达促进人牙周膜干细胞的成骨分化。
Exp Ther Med. 2022 Apr;23(4):296. doi: 10.3892/etm.2022.11225. Epub 2022 Feb 18.
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Gastrodin exerts protective effects in reactive TNC1 astrocytes via regulation of the Notch signaling pathway.天麻素通过调节Notch信号通路对反应性TNC1星形胶质细胞发挥保护作用。
Ann Transl Med. 2021 Dec;9(24):1754. doi: 10.21037/atm-21-5787.
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Gastrodin inhibits high glucose-induced inflammation, oxidative stress and apoptosis in podocytes by activating the AMPK/Nrf2 signaling pathway.天麻素通过激活AMPK/Nrf2信号通路抑制高糖诱导的足细胞炎症、氧化应激和细胞凋亡。
Exp Ther Med. 2022 Feb;23(2):168. doi: 10.3892/etm.2021.11091. Epub 2021 Dec 23.