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肠道微生物群在糖尿病周围神经病变预防及中医治疗中的前景

Promise of the gut microbiota in prevention and traditional Chinese medicine treatment of diabetic peripheral neuropathy.

作者信息

Cao Yuan-Hao, Zhou Yi-Mai, Wang Si-Yu, Guo Jing, Cen Lu-Sha

机构信息

The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.

Department of Dermatology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou 310006, Zhejiang Province, China.

出版信息

World J Diabetes. 2024 Dec 15;15(12):2387-2393. doi: 10.4239/wjd.v15.i12.2387.

DOI:10.4239/wjd.v15.i12.2387
PMID:39676801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11580588/
Abstract

The pathogenesis of diabetic peripheral neuropathy (DPN) has not been fully elucidated, and treatment options are limited. Currently, the main strategies for treating DPN are strict glycemic control and symptomatic pain relief. In this editorial, we comment on an article by Li which suggested that modulating the gut microbiota using traditional Chinese medicine (TCM) may be a promising strategy for alleviating DPN symptoms. The regulation of the gut microbiota has received widespread attention in the study of various diseases. TCM can participate in the regulation of gut microbiota through multiple mechanisms, and this regulatory effect can alleviate the clinical symptoms of DPN. We briefly analyzed the promise of the gut microbiota in the early diagnosis, treatment, and clinical efficacy of TCM for DPN. The gut microbiota has potential value at multiple nodes in the occurrence and progression of DPN.

摘要

糖尿病周围神经病变(DPN)的发病机制尚未完全阐明,治疗选择有限。目前,治疗DPN的主要策略是严格控制血糖和缓解症状性疼痛。在这篇社论中,我们对李的一篇文章进行评论,该文章表明使用中药(TCM)调节肠道微生物群可能是缓解DPN症状的一种有前景的策略。肠道微生物群的调节在各种疾病的研究中受到广泛关注。中药可以通过多种机制参与肠道微生物群的调节,这种调节作用可以缓解DPN的临床症状。我们简要分析了肠道微生物群在DPN的早期诊断、治疗以及中药临床疗效方面的前景。肠道微生物群在DPN的发生和发展的多个节点具有潜在价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e43/11580588/fd5c53c9091e/WJD-15-2387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e43/11580588/fd5c53c9091e/WJD-15-2387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e43/11580588/fd5c53c9091e/WJD-15-2387-g001.jpg

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本文引用的文献

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Advances in the treatment of diabetic peripheral neuropathy by modulating gut microbiota with traditional Chinese medicine.通过中药调节肠道微生物群治疗糖尿病周围神经病变的研究进展
World J Diabetes. 2024 Aug 15;15(8):1712-1716. doi: 10.4239/wjd.v15.i8.1712.
2
The Gut Microbiota and Diabetes: Research, Translation, and Clinical Applications-2023 Diabetes, Diabetes Care, and Diabetologia Expert Forum.肠道微生物群与糖尿病:研究、转化与临床应用——2023 年糖尿病、糖尿病护理与糖尿病学专家论坛。
Diabetes Care. 2024 Sep 1;47(9):1491-1508. doi: 10.2337/dci24-0052.
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Front Microbiol. 2023 Apr 18;14:1156591. doi: 10.3389/fmicb.2023.1156591. eCollection 2023.
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The berberine-enriched gut commensal Blautia producta ameliorates high-fat diet (HFD)-induced hyperlipidemia and stimulates liver LDLR expression.富含小檗碱的肠道共生菌普拉梭菌可改善高脂饮食(HFD)诱导的高脂血症并刺激肝脏低密度脂蛋白受体(LDLR)表达。
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Curcumin protect Schwann cells from inflammation response and apoptosis induced by high glucose through the NF-κB pathway.姜黄素通过 NF-κB 通路保护施万细胞免受高糖诱导的炎症反应和细胞凋亡。
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Periodontitis may induce gut microbiota dysbiosis via salivary microbiota.牙周炎可能通过唾液微生物群引起肠道微生物群失调。
Int J Oral Sci. 2022 Jun 23;14(1):32. doi: 10.1038/s41368-022-00183-3.
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Evidence-Based Treatment of Painful Diabetic Neuropathy: a Systematic Review.循证治疗糖尿病性周围神经痛:系统评价。
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