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提出用于治疗糖尿病周围神经病变(DPN)的自然疗法。

Natural therapy proposed for the management of diabetic peripheral neuropathy (DPN).

作者信息

Merghany Rana M, Saleh Rofida A, Hamed Ahmed A, El-Dessouki Ahmed M, El-Shiekh Riham A, Zaki Eman S, Mahfoz Amal M

机构信息

Department of Pharmacognosy, Pharmaceutical and Drug Industries Research Institute, National Research Centre, 33 El-Buhouth Street, Giza, 12622, Egypt.

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo, Egypt.

出版信息

Inflammopharmacology. 2025 May 30. doi: 10.1007/s10787-025-01790-2.

DOI:10.1007/s10787-025-01790-2
PMID:40447983
Abstract

Approximately 50% of patients with diabetes mellitus (DM) are known to have significant side effects, including retinopathy, cardiomyopathy, peripheral neuropathy, and nephropathy. Most of these complications are caused by inadequate glycemic control or incorrect pathology management. In any event, diabetic peripheral neuropathy (DPN) appears to be the most common and painful consequence that many DM patients experience. As a result, this review aimed to gather the wide range of treatments used to manage DPN, beginning with the most traditional therapy and progressing to alternative approaches. Medicinal plants and their bioactive compounds have been widely used as natural medicines for various diseases, with little known adverse effects. This review emphasizes the role of medicinal plants and their naturally occurring bioactive components in combating this condition.

摘要

已知约50%的糖尿病(DM)患者有严重的副作用,包括视网膜病变、心肌病、周围神经病变和肾病。这些并发症大多是由血糖控制不佳或病理管理不当引起的。无论如何,糖尿病周围神经病变(DPN)似乎是许多糖尿病患者经历的最常见且痛苦的后果。因此,本综述旨在收集用于治疗DPN的广泛治疗方法,从最传统的疗法开始,逐步介绍替代方法。药用植物及其生物活性化合物已被广泛用作治疗各种疾病的天然药物,且几乎没有已知的不良反应。本综述强调了药用植物及其天然存在的生物活性成分在对抗这种疾病中的作用。

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本文引用的文献

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Oxidative Stress, Glutathione Insufficiency, and Inflammatory Pathways in Type 2 Diabetes Mellitus: Implications for Therapeutic Interventions.2型糖尿病中的氧化应激、谷胱甘肽不足与炎症途径:对治疗干预的启示
Biomedicines. 2024 Dec 26;13(1):18. doi: 10.3390/biomedicines13010018.
2
Efficacy and Safety of Transdermal Medical Cannabis (THC:CBD:CBN formula) to Treat Painful Diabetic Peripheral Neuropathy of Lower Extremities.经皮医用大麻(THC:CBD:CBN配方)治疗下肢疼痛性糖尿病周围神经病变的疗效与安全性
Med Cannabis Cannabinoids. 2024 Nov 14;8(1):1-14. doi: 10.1159/000542511. eCollection 2025 Jan-Dec.
3
Human studies of the efficacy and safety of stem cells in the treatment of diabetic peripheral neuropathy: a systematic review and meta-analysis.
人类研究干细胞治疗糖尿病周围神经病变的疗效和安全性:系统评价和荟萃分析。
Stem Cell Res Ther. 2024 Nov 19;15(1):442. doi: 10.1186/s13287-024-04033-3.
4
Gastrodin alleviates diabetic peripheral neuropathy by regulating energy homeostasis via activating AMPK and inhibiting MMP9.天麻素通过激活 AMPK 和抑制 MMP9 来调节能量稳态,从而缓解糖尿病周围神经病变。
Phytomedicine. 2024 Dec;135:156033. doi: 10.1016/j.phymed.2024.156033. Epub 2024 Sep 7.
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DNA Damage and Chromatin Rearrangement Work Together to Promote Neurodegeneration.DNA损伤与染色质重排共同作用促进神经退行性变。
Mol Neurobiol. 2025 Jan;62(1):1282-1290. doi: 10.1007/s12035-024-04331-0. Epub 2024 Jul 8.
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Pharm Biol. 2024 Dec;62(1):544-561. doi: 10.1080/13880209.2024.2369301. Epub 2024 Jun 30.
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A systematic review and meta-analysis of randomized controlled head-to-head trials of recommended drugs for neuropathic pain.一项针对推荐用于神经性疼痛的药物的随机对照头对头试验的系统评价和荟萃分析。
Pain Rep. 2024 Feb 21;9(2):e1138. doi: 10.1097/PR9.0000000000001138. eCollection 2024 Apr.
8
Comparison of the efficacy of spinal cord stimulation and dorsal root ganglion stimulation in the treatment of painful diabetic peripheral neuropathy: a prospective, cohort-controlled study.脊髓刺激与背根神经节刺激治疗疼痛性糖尿病周围神经病变的疗效比较:一项前瞻性队列对照研究。
Front Neurol. 2024 Apr 10;15:1366796. doi: 10.3389/fneur.2024.1366796. eCollection 2024.
9
Treating neuropathic pain and comorbid affective disorders: Preclinical and clinical evidence.治疗神经病理性疼痛和共病情感障碍:临床前和临床证据。
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10
Recent Advances in Management of Neuropathic, Nociceptive, and Chronic Pain: A Narrative Review with Focus on Nanomedicine, Gene Therapy, Stem Cell Therapy, and Newer Therapeutic Options.神经病理性、伤害性和慢性疼痛管理的最新进展:以纳米医学、基因治疗、干细胞治疗和新的治疗选择为重点的叙述性综述。
Curr Pain Headache Rep. 2024 May;28(5):321-333. doi: 10.1007/s11916-024-01227-5. Epub 2024 Feb 22.