Qin Zhu, Xie Liangzhen, Li Wentao, Wang Chao, Li Yan
Department of Otolaryngology, Graduate School of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang, People's Republic of China.
Department of Otolaryngology, First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang, People's Republic of China.
J Asthma Allergy. 2024 Feb 19;17:97-112. doi: 10.2147/JAA.S444923. eCollection 2024.
Allergy rhinitis (AR) is becoming more common and has serious medical and societal consequences. Sneezing, paroxysmal nasal blockage, nasal itching, mucosal edema, coughing, and rhinorrhea are symptoms of this type I allergic immunological illness. Immunoglobulin E-mediated inflammation is the cause of it. Because AR is prone to recurrent attacks, extended medication therapy may impair its effectiveness. In addition to negatively affecting the patients' physical health, this can also negatively impact their mental health. During AR development, there are inflammatory and oxidative stress responses that are linked to problems in a number of signal transduction pathways. By using the terms "allergic rhinitis", "traditional Chinese medicine", "inflammation", and "oxidative stress", we screened for pertinent research published over the previous five years in databases like PubMed. We saw that NF-KB, TLR, IL-33/ST2, PI3K/AKT, MAPK, and Nrf2 are some of the most important inflammatory and oxidative stress pathways in AR. Studies have revealed that antioxidant and anti-inflammatory therapy reduced the risk of AR and was therapeutic; however, the impact of the therapy varies widely. The Chinese medical system places a high value on traditional Chinese medicine (TCM), which has been there for virtually all of China's 5000-year history. By influencing signaling pathways related to inflammation and oxidative stress, Chinese herbal medicine and its constituent compounds have been shown to prevent allergic rhinitis. This review will focus on this evidence and provide references for clinical treatment and scientific research applications.
变应性鼻炎(AR)正变得越来越普遍,并产生严重的医学和社会后果。打喷嚏、阵发性鼻阻塞、鼻痒、黏膜水肿、咳嗽和流涕是这种I型过敏性免疫疾病的症状。其病因是免疫球蛋白E介导的炎症。由于AR易于反复发作,长期药物治疗可能会削弱其疗效。这不仅会对患者的身体健康产生负面影响,还会对其心理健康产生负面影响。在AR的发展过程中,存在炎症和氧化应激反应,这些反应与许多信号转导途径中的问题有关。通过使用“变应性鼻炎”“中医药”“炎症”和“氧化应激”等关键词,我们在PubMed等数据库中筛选了过去五年发表的相关研究。我们发现NF-KB、TLR、IL-33/ST2、PI3K/AKT、MAPK和Nrf2是AR中一些最重要的炎症和氧化应激途径。研究表明,抗氧化和抗炎治疗可降低AR的风险并具有治疗作用;然而,治疗效果差异很大。中医体系高度重视中医药,中医药在中国几乎五千年的历史中一直存在。通过影响与炎症和氧化应激相关的信号通路,中草药及其成分已被证明可预防变应性鼻炎。本综述将聚焦于这一证据,并为临床治疗和科研应用提供参考。