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南非醉茄(Withania somnifera)的药理学见解:对其免疫调节和神经保护特性的综述

Pharmacological Insights Into Ashwagandha (Withania somnifera): A Review of Its Immunomodulatory and Neuroprotective Properties.

作者信息

Dipankar Satish P, Dani Mayuri M, Anirudhan Roshni, Tripathi Dinesh, Mishra Chetna, Devi Salam Himika

机构信息

Physiology, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND.

Integrative/Complementary Medicine, Rasashastra and Bhaishajya Kalpana, Swami Vivekanand Ayurvedic Medical College and Research Center, Ahmednagar, IND.

出版信息

Cureus. 2025 Aug 12;17(8):e89856. doi: 10.7759/cureus.89856. eCollection 2025 Aug.

Abstract

, commonly known as ashwagandha, is a cornerstone of traditional Ayurvedic medicine, widely revered for its adaptogenic, immunomodulatory, and neuroprotective potential. Science has recently provided more evidence that it supports the immune system and protects nerve functioning, which makes it a good choice for integrative and preventive medicine. This review summarizes the main active substances found in Ashwagandha, such as withanolides, alkaloids, and sitoindosides, as well as the way the body processes them. , also known as ashwagandha, is used in traditional Ayurvedic medicine because of its potent immunomodulatory, neuroprotective, and adaptogenic properties. By altering natural and acquired immunity, boosting natural killer cell activity, controlling T- and B-cell responses, and altering cytokine levels, ashwagandha is being researched for its potential to alter the immune system. Simultaneously, the plant's neuroprotective potential is investigated by taking into account its antioxidant properties, capacity to improve brain function, support for stress reduction, and potential to treat mental and neurological diseases. In addition, the article analyzes the latest medications, ongoing clinical tests, and safety details, noting the most common side effects, drug-herb interactions, and the point at which herbs become toxic. The discussion includes important gaps such as requiring standardized extracts, having more human data over time, and increasing molecular studies. The focus is now on combining genomic research, inventing new drug delivery systems, and making sure that ashwagandha-based interventions are used ethically in the market. Overall, this review consolidates multidimensional evidence on , underscoring its pharmacological value as a natural immunoneurotherapeutic agent and advocating for its broader inclusion in evidence-based healthcare models.

摘要

(该植物)通常被称为印度人参,是传统阿育吠陀医学的基石,因其具有适应原性、免疫调节和神经保护潜力而广受尊崇。最近科学研究提供了更多证据,表明它能支持免疫系统并保护神经功能,这使其成为综合医学和预防医学的理想选择。本综述总结了印度人参中发现的主要活性物质,如醉茄内酯、生物碱和 sitoindosides,以及人体对它们的处理方式。印度人参,因其强大的免疫调节、神经保护和适应原性特性,被用于传统阿育吠陀医学。通过改变天然免疫和获得性免疫、增强自然杀伤细胞活性、控制 T 细胞和 B 细胞反应以及改变细胞因子水平,印度人参正因其改变免疫系统的潜力而受到研究。同时,考虑到其抗氧化特性、改善脑功能的能力、对减轻压力的支持以及治疗精神和神经疾病的潜力,对该植物的神经保护潜力进行了研究。此外,文章分析了最新药物、正在进行的临床试验和安全性细节,指出了最常见的副作用、药物与草药的相互作用以及草药产生毒性的临界点。讨论包括一些重要的空白,如需要标准化提取物、随着时间推移获取更多人体数据以及增加分子研究。目前的重点是结合基因组研究、发明新的药物递送系统,并确保基于印度人参的干预措施在市场上得到合理使用。总体而言,本综述整合了关于印度人参的多维度证据,强调了其作为天然免疫神经治疗剂的药理价值,并主张将其更广泛地纳入循证医疗模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a3/12423730/53828d120791/cureus-0017-00000089856-i01.jpg

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