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中医通过短链脂肪酸调节中枢神经系统治疗肥胖症。

Traditional Chinese Medicine Treats Obesity by Regulating the Central Nervous System via Short-chain Fatty Acids.

作者信息

Yi Chunmei, Xu Mengxin, Zhang Wenlan, Huang Shanshan, Guo Lin, Huang Fayin, Xia Tong, Dai Yongna, Yu Bin, Li Huhu

机构信息

Integrated Chinese and Western Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.

出版信息

Curr Pharm Des. 2025;31(21):1710-1719. doi: 10.2174/0113816128354909241213070313.

Abstract

The increasing global prevalence of obesity (OB) calls for the development of effective treatments. Traditional Chinese Medicine (TCM) offers a promising approach by modulating gut microbiota (GM) to enhance the production of short-chain fatty acids (SCFAs). Research has demonstrated that SCFAs can regulate appetite and energy expenditure via the Central Nervous System (CNS), underscoring the role of the gut-brain axis in maintaining energy balance. A comprehensive review of the literature was conducted using databases, such as ScienceDirect, Google Scholar, and PubMed. The focus was on the impact of TCM on SCFA production and its influence on appetite regulation and energy expenditure through the CNS. This review indicates that TCM enhances the production of SCFAs, which suppress appetite and increase energy expenditure through their interaction with the CNS, particularly the gut-brain axis. TCM demonstrates promise as a therapeutic strategy for obesity by enhancing the production of SCFAs and regulating energy balance. This approach presents a novel avenue for obesity treatment through the modulation of the microbiome.

摘要

全球肥胖症(OB)患病率不断上升,这就需要开发有效的治疗方法。传统中医(TCM)通过调节肠道微生物群(GM)来提高短链脂肪酸(SCFAs)的产量,提供了一种很有前景的方法。研究表明,短链脂肪酸可通过中枢神经系统(CNS)调节食欲和能量消耗,这突出了肠-脑轴在维持能量平衡中的作用。使用ScienceDirect、谷歌学术和PubMed等数据库对文献进行了全面综述。重点是中医对短链脂肪酸产生的影响及其通过中枢神经系统对食欲调节和能量消耗的影响。这篇综述表明,中医可提高短链脂肪酸的产量,短链脂肪酸通过与中枢神经系统尤其是肠-脑轴相互作用来抑制食欲并增加能量消耗。通过提高短链脂肪酸的产量和调节能量平衡,中医作为肥胖症的治疗策略显示出前景。这种方法通过调节微生物群为肥胖症治疗提供了一条新途径。

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