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中医治疗慢性乙型肝炎:信号通路调控机制

Chinese medicine in the treatment of chronic hepatitis B: The mechanisms of signal pathway regulation.

作者信息

Zheng Shihao, Qi Wenying, Xue Tianyu, Zao Xiaobin, Xie Jinchi, Zhang Peng, Li Xiaoke, Ye Yongan, Liu Aimin

机构信息

Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100007, China.

Beijing University of Chinese Medicine, Beijing, 100102, China.

出版信息

Heliyon. 2024 Oct 12;10(20):e39176. doi: 10.1016/j.heliyon.2024.e39176. eCollection 2024 Oct 30.

Abstract

Chronic hepatitis B (CHB) is a chronic inflammatory disease of the liver caused by infection with the hepatitis B virus (HBV), which in later stages can lead to the development of end-stage liver diseases such as cirrhosis and hepatocellular carcinoma in severe cases, jeopardizing long-term quality of life, with a poor prognosis, and placing a serious financial burden on many families around the world. The pathogenesis of the disease is complex and closely related to the immune function of the body, which has not yet been fully elucidated. The development of chronic hepatitis B is closely related to the involvement of various signaling pathways, such as JAK/STAT, PI3K/Akt, Toll-like receptor, NF-κB and MAPK signaling pathways. A large number of studies have shown that Chinese medicine has obvious advantages in anti-hepatitis B virus, and it can effectively treat the disease by modulating relevant signaling pathways, strengthening immune resistance and defense, and inhibiting inflammatory responses, and certain research progress has been made, but there is still a lack of a comprehensive review on the modulation of relevant signaling pathways in Chinese medicine for the treatment of CHB. Therefore, this article systematically combed and elaborated the relevant literature on the modulation of relevant signaling pathways by traditional Chinese medicine in recent years, with a view to providing new ideas for the treatment of CHB and further drug development.

摘要

慢性乙型肝炎(CHB)是一种由乙型肝炎病毒(HBV)感染引起的肝脏慢性炎症性疾病,在疾病后期严重时可导致肝硬化和肝细胞癌等终末期肝病的发生,危及患者的长期生活质量,预后较差,并给全球许多家庭带来沉重的经济负担。该疾病的发病机制复杂,与机体免疫功能密切相关,目前尚未完全阐明。慢性乙型肝炎的发展与多种信号通路的参与密切相关,如JAK/STAT、PI3K/Akt、Toll样受体、NF-κB和MAPK信号通路。大量研究表明,中药在抗乙型肝炎病毒方面具有明显优势,可通过调节相关信号通路、增强免疫抵抗力和防御能力以及抑制炎症反应来有效治疗该疾病,并且已经取得了一定的研究进展,但目前仍缺乏关于中药调节相关信号通路治疗慢性乙型肝炎的综合综述。因此,本文系统梳理并阐述了近年来中药调节相关信号通路的相关文献,以期为慢性乙型肝炎的治疗及进一步的药物研发提供新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975a/11620126/16b1fe37aeac/ga1.jpg

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