Yang Hui-Ru, Song Shan-Shan, Yi Xiao-Li, Yu Jun, Xu Chuan-Ming
Translational Medicine Centre, Jiangxi University of Chinese Medicine Nanchang 330004, China.
Lewis Katz School of Medicine, Temple University Philadelphia 19140, USA.
Zhongguo Zhong Yao Za Zhi. 2024 Aug;49(15):4031-4043. doi: 10.19540/j.cnki.cjcmm.20240422.601.
Vascular calcification is a pathological stage involved in the occurrence and development of cardiovascular diseases, seriously threatening human life and health. At present, few drugs can completely reverse or cure vascular calcification in clinical practice. The pathogenesis of vascular calcification mainly involves the disturbance of calcium and phosphorus homeostasis, autophagy dysfunction, loss of endogenous calcium inhibition, and the apoptosis, cytokine storm, cell osteoblastic transdifferentiation, and stromal vesicle release induced by endoplasmic reticulum stress. Following the therapeutic concepts of warming channels and dredging vessels, activating blood and resolving stasis, tonifying kidney and invigorating spleen, and removing dampness and eliminating turbid, a large number of traditional Chinese medicine(TCM) active compounds/extracts and TCM prescriptions/Chinese patent medicines have shown satisfactory performance in treating vascular calcification, while the specific mechanisms remain unclear and awaits further investigations. This article systematically summarized the pathogenesis of vascular calcification and the latest research progress of TCM in the prevention and treatment of vascular calcification, providing theoretical support for the clinical application of TCM in the prevention and treatment of vascular calcification.
血管钙化是心血管疾病发生发展过程中的一个病理阶段,严重威胁人类生命健康。目前,临床上很少有药物能够完全逆转或治愈血管钙化。血管钙化的发病机制主要涉及钙磷稳态紊乱、自噬功能障碍、内源性钙抑制作用丧失,以及内质网应激诱导的细胞凋亡、细胞因子风暴、细胞成骨转分化和基质小泡释放。遵循温通脉络、活血化瘀、补肾健脾、祛湿化浊的治疗理念,大量中药活性成分/提取物及中药方剂/中成药在治疗血管钙化方面已显示出令人满意的效果,但其具体机制尚不清楚,有待进一步研究。本文系统总结了血管钙化的发病机制以及中药在血管钙化防治方面的最新研究进展,为中药在血管钙化防治中的临床应用提供理论支持。