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从平凡到经典:青藤碱作为一种多效治疗药物。

From mundane to classic: Sinomenine as a multi-therapeutic agent.

作者信息

Li Dan, Zhong Zhangfeng, Ko Chung-Nga, Tian Tiantian, Yang Chao

机构信息

State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Macao Centre for Research and Development in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao SAR, China.

出版信息

Br J Pharmacol. 2025 May;182(10):2159-2180. doi: 10.1111/bph.16267. Epub 2023 Nov 27.

DOI:10.1111/bph.16267
PMID:37846470
Abstract

Sinomenine is an active substance extracted from the traditional Chinese medicine Sinomenium acutum. Sinomenine has been shown to mediate a wide range of pharmacological actions and is known to possess good anti-inflammatory, immunosuppressive, antitumor, neuroprotective, antiarrhythmic and other pharmacological effects. Understanding the underlying mechanisms and the association between the targets and the pharmaceutical effects on different diseases is crucial to the discovery and design of new treatment strategies. In this review, we aim to give a systematic and comprehensive overview of the research progress of sinomenine over the past 20 years. We first describe the metabolism of sinomenine in vivo and then summarize the pharmacological actions of sinomenine on different diseases. Furthermore, the potential binding properties of sinomenine and the potential of developing new sinomenine-based drugs are also reviewed. LINKED ARTICLES: This article is part of a themed issue Natural Products and Cancer: From Drug Discovery to Prevention and Therapy. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v182.10/issuetoc.

摘要

青藤碱是从传统中药青风藤中提取的一种活性物质。已证明青藤碱可介导多种药理作用,并且已知具有良好的抗炎、免疫抑制、抗肿瘤、神经保护、抗心律失常等药理作用。了解其潜在机制以及靶点与不同疾病药物效应之间的关联对于发现和设计新的治疗策略至关重要。在本综述中,我们旨在对青藤碱在过去20年的研究进展进行系统而全面的概述。我们首先描述青藤碱在体内的代谢,然后总结青藤碱对不同疾病的药理作用。此外,还综述了青藤碱的潜在结合特性以及开发基于青藤碱的新药的潜力。相关文章:本文是主题为“天然产物与癌症:从药物发现到预防与治疗”的一期特刊的一部分。要查看本节中的其他文章,请访问http://onlinelibrary.wiley.com/doi/10.1111/bph.v182.10/issuetoc。

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1
From mundane to classic: Sinomenine as a multi-therapeutic agent.从平凡到经典:青藤碱作为一种多效治疗药物。
Br J Pharmacol. 2025 May;182(10):2159-2180. doi: 10.1111/bph.16267. Epub 2023 Nov 27.
2
7 I, a structurally modified sinomenine, exerts dual anti-GBM effects by inhibiting glioblastoma proliferation and inducing necroptosis which further mediates lysosomal cell death.7-I,一种结构修饰的青藤碱,通过抑制胶质母细胞瘤增殖和诱导坏死性凋亡发挥双重抗胶质母细胞瘤作用,坏死性凋亡进一步介导溶酶体细胞死亡。
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Towards Better Sinomenine-Type Drugs to Treat Rheumatoid Arthritis: Molecular Mechanisms and Structural Modification.朝着更好的治疗类风湿关节炎的盐酸青藤碱类药物发展:分子机制与结构修饰。
Molecules. 2022 Dec 7;27(24):8645. doi: 10.3390/molecules27248645.
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Comparative pharmacokinetics study of sinomenine in rats after oral administration of sinomenine monomer and Sinomenium acutum extract.青藤碱单体及青风藤提取物灌胃给药后大鼠体内青藤碱的比较药代动力学研究
Molecules. 2014 Aug 12;19(8):12065-77. doi: 10.3390/molecules190812065.
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Pharmacology of sinomenine, an anti-rheumatic alkaloid from Sinomenium acutum.青藤碱的药理学,一种来自青风藤的抗风湿生物碱。
Acta Med Okayama. 1976 Feb;30(1):1-20.
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[New study progress of sinomenine].[青藤碱的新研究进展]
Zhongguo Zhong Yao Za Zhi. 2005 Oct;30(20):1573-6.
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Sinomenine inhibits the inflammatory responses of human fibroblast-like synoviocytes the TLR4/MyD88/NF-κB signaling pathway in rheumatoid arthritis.青藤碱抑制类风湿关节炎中人类成纤维样滑膜细胞的炎症反应及TLR4/MyD88/NF-κB信号通路。
Pharmazie. 2017 Jun 1;72(6):355-360. doi: 10.1691/ph.2017.6946.
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The sinomenine enteric-coated microspheres suppressed the TLR/NF-κB signaling in DSS-induced experimental colitis.青藤碱肠溶微球抑制了葡聚糖硫酸钠(DSS)诱导的实验性结肠炎中的Toll样受体(TLR)/核因子κB(NF-κB)信号通路。
Int Immunopharmacol. 2017 Sep;50:251-262. doi: 10.1016/j.intimp.2017.06.033. Epub 2017 Jul 12.
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Sinomenium acutum: a review of chemistry, pharmacology, pharmacokinetics, and clinical use.青风藤:化学、药理学、药代动力学和临床应用的综述。
Pharm Biol. 2012 Aug;50(8):1053-61. doi: 10.3109/13880209.2012.656847.
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Anti-inflammatory activities of Chinese herbal medicine sinomenine and Liang Miao San on tumor necrosis factor-α-activated human fibroblast-like synoviocytes in rheumatoid arthritis.中药青藤碱和梁丘散对肿瘤坏死因子-α激活的类风湿关节炎成纤维样滑膜细胞的抗炎作用。
J Ethnopharmacol. 2011 Sep 1;137(1):457-68. doi: 10.1016/j.jep.2011.05.048. Epub 2011 Jun 6.

引用本文的文献

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Research progress in treatment of rheumatoid arthritis with Sinomenine and related formulations based on different administration routes.青藤碱及其不同给药途径相关制剂治疗类风湿关节炎的研究进展
Front Pharmacol. 2025 Aug 6;16:1613679. doi: 10.3389/fphar.2025.1613679. eCollection 2025.
2
Natural products for intervertebral disc degeneration: mechanistic insights and therapeutic potentials.用于椎间盘退变的天然产物:作用机制及治疗潜力
Front Pharmacol. 2025 Jul 25;16:1605764. doi: 10.3389/fphar.2025.1605764. eCollection 2025.
3
Feasibility analysis of Sinomenine alleviating fibrosis of filtering bleb after glaucoma filtering surgery: a mini review.
青藤碱减轻青光眼滤过术后滤过泡纤维化的可行性分析:一篇综述
Front Med (Lausanne). 2025 Jul 8;12:1607500. doi: 10.3389/fmed.2025.1607500. eCollection 2025.
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Safety Profile, Toxicokinetic, and Intestinal Absorption Differences of a Naturally-Derived Anti-Rheumatic Drug, Sinomenine Hydrochloride, in Normal and Arthritic Rats.天然来源的抗风湿药物盐酸青藤碱在正常大鼠和关节炎大鼠中的安全性、毒代动力学及肠道吸收差异
Pharmaceutics. 2025 Apr 7;17(4):484. doi: 10.3390/pharmaceutics17040484.
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Sinomenine alleviates neuroinflammation in chronic cerebral hypoperfusion by promoting M2 microglial polarization and inhibiting neuronal pyroptosis via exosomal miRNA-223-3p.青藤碱通过促进M2型小胶质细胞极化并经由外泌体miRNA-223-3p抑制神经元焦亡,从而减轻慢性脑灌注不足中的神经炎症。
Acta Neuropathol Commun. 2025 Mar 5;13(1):48. doi: 10.1186/s40478-025-01950-z.
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N-demethylsinomenine metabolite and its prototype sinomenine activate mast cells via MRGPRX2 and aggravate anaphylaxis.N-去甲基青藤碱代谢物及其原型青藤碱通过MRGPRX2激活肥大细胞并加重过敏反应。
Front Pharmacol. 2024 Jul 31;15:1389761. doi: 10.3389/fphar.2024.1389761. eCollection 2024.
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Sinomenine Alleviates Rheumatoid Arthritis by Suppressing the PI3K-Akt Signaling Pathway, as Demonstrated Through Network Pharmacology, Molecular Docking, and Experimental Validation.盐酸青藤碱通过抑制 PI3K-Akt 信号通路缓解类风湿关节炎:基于网络药理学、分子对接和实验验证的研究。
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Sinomenine ameliorates bleomycin-induced pulmonary fibrosis by inhibiting the differentiation of fibroblast into myofibroblast.青藤碱通过抑制成纤维细胞向肌成纤维细胞分化来改善博来霉素诱导的肺纤维化。
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Promising Role of Alkaloids in the Prevention and Treatment of Thyroid Cancer and Autoimmune Thyroid Disease: A Comprehensive Review of the Current Evidence.生物碱在预防和治疗甲状腺癌及自身免疫性甲状腺疾病中的应用前景:对现有证据的全面综述。
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