[1]廖乃彬,陈 炜,何瑷芯,等.中医药调控NLRP3炎症小体治疗阿尔茨海默病研究进展[J].陕西中医,2023,(4):530-533.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.028]
 LIAO Naibin,CHEN Wei,HE Aixin,et al.Research progress of traditional Chinese medicine in regulating NLRP3 inflammasome in the treatment of Alzheimer's disease[J].,2023,(4):530-533.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.028]
点击复制

中医药调控NLRP3炎症小体治疗阿尔茨海默病研究进展
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年4期
页码:
530-533
栏目:
综 述
出版日期:
2023-04-05

文章信息/Info

Title:
Research progress of traditional Chinese medicine in regulating NLRP3 inflammasome in the treatment of Alzheimer's disease
作者:
廖乃彬1陈 炜2何瑷芯1麦芳瑜1
(1.广西中医药大学,广西 南宁 530001; 2.广西中医药大学第一附属医院脑病科,广西 南宁 530023)
Author(s):
LIAO NaibinCHEN WeiHE AixinMAI Fangyu
(Guangxi University of Traditional Chinese Medicine,Nanning 530001,China)
关键词:
阿尔茨海默病 NLRP3炎症小体 中医药 神经炎症 细胞焦亡
Keywords:
Alzheimer's disease NLRP3 inflammasome Traditional Chinese medicine Neuroinflammation Pyroptosis
分类号:
R 742
DOI:
DOI:10.3969/j.issn.1000-7369.2023.04.028
文献标志码:
A
摘要:
阿尔茨海默病(AD)是慢性神经退行性疾病,其发病机制复杂且未完全阐明,亟待进一步探索新的治疗靶点。核苷酸结合寡聚化结构域样受体热蛋白3(NLRP3)炎症小体作为人体非特异性免疫的重要部分,在环境刺激物、氧化应激、肠道菌群失衡等作用下,NLRP3炎症小体活化并加剧神经炎症,抑制自噬,增加Aβ积聚及Tau蛋白磷酸化水平,与AD的发生发展及病变趋势关系密切。研究发现,中医药可通过多途径作用于NLRP3炎症小体,进而影响神经炎症、细胞焦亡以及AD病理产物等,在AD治疗中发挥重要作用。现对中医药调控NLRP3炎症小体治疗AD的相关研究进行综述,以期为防治AD提供临床思路。
Abstract:
Alzheimer's disease(AD)is a chronic neurodegenerative disease.Its pathogenesis is complex and not fully elucidated,so it is urgent to further explore new therapeutic targets.NOD-like receptor thermal protein domain associated protein 3(NLRP3)inflammasome are an important part of human non-specific immunity.Under the action of environmental stimuli,oxidative stress and intestinal flora imbalance,NLRP3 inflammasome activate and aggravate nerve inflammation,inhibit autophagy,increase Aβ accumulation and Tau protein phosphorylation,which are closely related to the occurrence,development and pathological trend of AD.Studies have found that traditional Chinese medicine can act on NLRP3 inflammasome in many ways,and then affect nerve inflammation,pyroptosis and AD pathological products,and play an important role in the treatment of AD.The purpose of this paper is to describe the related research on the regulation of NLRP3 inflammasome in the treatment of AD with traditional Chinese medicine,in order to provide clinical ideas for the prevention and treatment of AD.

参考文献/References:

[1] 赵若杞.阿尔茨海默症病理标志物分子影像学研究进展[J].陕西医学杂志,2021,50(3):381-385.
[2] 任汝静,殷 鹏,王志会,等.中国阿尔茨海默病报告2021[J].诊断学理论与实践,2021,20(4):317-337.
[3] 宋 丹,孙欣荣.模式识别受体的免疫调节作为限制流感策略研究进展[J].陕西医学杂志,2019,48(3):401-403.
[4] Mangan MSJ,Olhava EJ,Roush WR,et al.Targeting the NLRP3 inflammasome in inflammatory diseases[J].Nat Rev Drug Discov,2018,17(8):588-606.
[5] Kelley N,Jeltema D,Duan Y,et al.The NLRP3 inflammasome:An overview of mechanisms of activation and regulation[J].Int J Mol Sci,2019,20(13):3328.
[6] Zhang Y,Dong Z,Song W.NLRP3 inflammasome as a novel therapeutic target for Alzheimer's disease[J].Signal Transduct Target Ther,2020,5(1):37.
[7] Ahmed ME,Iyer S,Thangavel R,et al.Co-localization of glia maturation factor with NLRP3 inflammasome and autophagosome markers in human Alzheimer's disease brain[J].J Alzheimers Dis,2017,60(3):1143-1160.
[8] Zhang M,Hu G,Shao N,et al.Thioredoxin-interacting protein(TXNIP)as a target for Alzheimer's disease:Flavonoids and phenols[J].Inflammopharmacology,2021,29(5):1317-1329.
[9] Shen H,Guan Q,Zhang X,et al.New mechanism of neuroinflammation in Alzheimer's disease:The activation of NLRP3 inflammasome mediated by gut microbiota[J].Prog Neuropsychopharmacol Biol Psychiatry,2020,100:109884.
[10] Ferguson SA,Varma V,Sloper D,et al.Increased inflammation in BA21 brain tissue from African Americans with Alzheimer's disease[J].Metab Brain Dis,2020,35(1):121-133.
[11] Ojala JO,Sutinen EM,Salminen A,et al.Interleukin-18 increases expression of kinases involved in tau phosphorylation in SH-SY5Y neuroblastoma cells[J].J Neuroimmunol,2008,205(1-2):86-93.
[12] 章晓富,马蕾亚,逯 瑞,等.阿尔茨海默病患者血清NLRP3、HMGB1的表达水平变化及其对患者不良预后的评估价值[J].卒中与神经疾病,2022,29(3):220-223,229.
[13] Chiu YJ,Lin CH,Lee MC,et al.Formulated Chinese medicine Shaoyao Gancao tang reduces NLRP1 and NLRP3 in Alzheimer's disease cell and mouse models for neuroprotection and cognitive improvement[J].Aging,2021,13(11):15620-15637.
[14] 王虎平,米彩云,周 君.从“肝肾同调”探析黑逍遥散干预AD免疫炎症的研究思路[J].中国实验方剂学杂志,2022,28(17):180-187.
[15] 吕 回,刘旭东.四君子汤对阿尔茨海默病大鼠中枢海马炎症因子及NLRP3小体的影响[J].免疫学杂志,2022,38(3):257-262.
[16] 王小燕.基于小胶质细胞极化、树突棘稳定探讨加减薯蓣丸改善APP/PS1小鼠学习记忆能力的作用机制[D].武汉:湖北中医药大学,2021.
[17] 宋祯彦,夏小芳,王玉珂,等.当归芍药散通过调控NLRP3/Caspase-1信号通路抑制AD大鼠神经炎症的作用[J].中国实验方剂学杂志,2021,27(19):1-8.
[18] 董秤均,曹蠡馨,屈艳秦,等.黄连解毒汤对阿尔茨海默病大鼠海马NLRP3炎症通路的影响[J].中药药理与临床,2021,37(6):7-13.
[19] 何玲玲,李晓琼,刘晓蕾,等.加味不忘散对AD模型大鼠海马区NLRP3炎症通路中相关因子表达的影响[J].中国实验方剂学杂志,2020,26(4):35-41.
[20] 王嘉乐.基于髓虚毒损病机的认知障碍患者证候要素分析及解毒益智方对Aβ(25-35)诱导的AD大鼠保护机制的研究[D].长春:长春中医药大学,2022.
[21] 李 洋,费洪新,张晓杰.芪苓益脑汤对阿尔茨海默病小鼠炎症小体NOD样受体蛋白3表达的影响[J].中国医药导报,2019,16(32):14-17,26,181.
[22] 房小楠,李 昭,贾 冬,等.癫痫清颗粒对阿尔茨海默病小鼠模型细胞焦亡的影响[J].辽宁中医药大学学报,2023,25(1):20-25.
[23] 朱 宁,马晓珊,陈春丽,等.益智醒脑方对阿尔茨海默病大鼠学习记忆能力及炎症因子的影响[J].陕西中医,2021,42(7):831-835.
[24] Shao L,Dong C,Geng D,et al.Ginkgolide B inactivates the NLRP3 inflammasome by promoting autophagic degradation to improve learning and memory impairment in Alzheimer's disease[J].Metab Brain Dis,2022,37(2):329-341.
[25] Du Y,Luo M,Du Y,et al.Liquiritigenin decreases Aβ levels and ameliorates cognitive decline by regulating microglia M1/M2 transformation in AD mice[J].Neurotox Res,2021,39(2):349-358.
[26] Ruan Y,Xiong Y,Fang W,et al.Highly sensitive Curcumin-conjugated nanotheranostic platform for detecting amyloid-beta plaques by magnetic resonance imaging and reversing cognitive deficits of Alzheimer's disease via NLRP3-inhibition[J].J Nanobiotechnology,2022,20(1):322.
[27] 刘姣姣.金钗石斛生物碱对脂多糖诱导的BV2细胞NF-κB/NLRP3通路的作用及作用机制[D].遵义:遵义医科大学,2020.
[28] Cui Z,Zhao X,Amevor FK,et al.Therapeutic application of quercetin in aging-related diseases:SIRT1 as a potential mechanism[J].Front Immunol,2022,13:943321.
[29] Bu J,Zhang Y,Mahan Y,et al.Acacetin improves cognitive function of APP/PS1 Alzheimer's disease model mice via the NLRP3 inflammasome signaling pathway[J].Transl Neurosci,2022,13(1):390-397.
[30] Yang X,Zhi J,Leng H,et al.The piperine derivative HJ105 inhibits Aβ(1-42)-induced neuroinflammation and oxidative damage via the Keap1-Nrf2-TXNIP axis[J].Phytomedicine,2021,87:153571.
[31] Xiong R,Zhou XG,Tang Y,et al.Lychee seed polyphenol protects the blood-brain barrier through inhibiting Aβ(25-35)-induced NLRP3 inflammasome activation via the AMPK/mTOR/ULK1-mediated autophagy in bEnd.3 cells and APP/PS1 mice[J].Phytother Res,2021,35(2):954-973.
[32] Gao Y,Li JT,Li JP,et al.Tetrahydroxy stilbene glycoside alleviated inflammatory damage by mitophagy via AMPK related PINK1/Parkin signaling pathway[J].Biochem Pharmacol,2020,177:113997.
[33] Feng LF,Zhang LL.Resveratrol suppresses Aβ-induced microglial activation through the TXNIP/TRX/NLRP3 signaling pathway[J].DNA Cell Biol,2019,38(8):874-879.
[34] Ju IG,Huh E,Kim N,et al.Artemisiae iwayomogii herba inhibits lipopolysaccharide-induced neuroinflammation by regulating NF-κB and MAPK signaling pathways[J].Phytomedicine,2021,84:153501.
[35] Lei LY,Wang RC,Pan YL,et al.Mangiferin inhibited neuroinflammation through regulating microglial polarization and suppressing NF-κB,NLRP3 pathway[J].Chin J Nat Med,2021,19(2):112-119.
[36] Cai Y,Chai Y,Fu Y,et al.Salidroside ameliorates Alzheimer's disease by targeting NLRP3 inflammasome-mediated pyroptosis[J].Front Aging Neurosci,2021,13:809433.
[37] Jin X,Liu MY,Zhang DF,et al.Baicalin mitigates cognitive impairment and protects neurons from microglia-mediated neuroinflammation via suppressing NLRP3 inflammasomes and TLR4/NF-κB signaling pathway[J].CNS Neurosci Ther,2019,25(5):575-590.
[38] 屈红艳,邢文文,李 璐,等.针灸调节阿尔茨海默病患者线粒体SIRT3机制初探[J].陕西中医,2019,40(2):244-246.
[39] 廖冬梅,庞 芳,周 敏,等.基于TLR4/NF-κB/NLRP3通路探讨电针对阿尔茨海默病小鼠认知障碍的影响[J].针刺研究,2022,47(7):565-572.

相似文献/References:

[1]屈红艳,邢文文,李 璐,等.针灸调节阿尔茨海默病患者线粒体SIRT3机制初探*[J].陕西中医,2019,(2):244.
 QU Hongyan,XING Wenwen,LI Lu,et al.Relevant research on Alzheimer’s disease and regulating silent information regulator 3 by acupunture[J].,2019,(4):244.
[2]武峻艳,王 杰△.从中医证候谈载脂蛋白E与阿尔茨海默病的相关性*[J].陕西中医,2019,(8):1109.
[3]朱 宁,马晓珊,陈春丽,等.益智醒脑方对阿尔茨海默病大鼠学习记忆能力及炎症因子的影响[J].陕西中医,2021,(7):831.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.004]
 ZHU Ning,MA Xiaoshan,CHEN Chunli,et al.Effect of Yizhi Xingnao recipe on the learning and memory ability of Alzheimer's disease rats and on the levels of inflammatory factors[J].,2021,(4):831.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.004]
[4]梁瑞景,梁瑞凯,邱会卿,等.复方苁蓉益智胶囊联合奥氮平治疗阿尔茨海默病临床研究[J].陕西中医,2021,(7):870.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.014]
[5]毕淑月,张立娟,管秀菊,等.中医药调控JAK2-STAT3信号通路治疗阿尔茨海默病研究进展[J].陕西中医,2022,(11):1643.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.036]
 BI Shuyue,ZHANG Lijuan,GUAN Xiuju,et al.Research progress in the regulation of the JAK2-STAT3 signaling pathway by traditional Chinese medicine in the treatment of Alzheimer's disease[J].,2022,(4):1643.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.036]
[6]许天骄,陆梦馨,李媛媛,等.针刺治疗阿尔茨海默病认知功能障碍疗效及安全性Meta分析[J].陕西中医,2023,(7):965.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.033]
[7]苏明阳,李倩倩,梁 怡,等.基于肠道菌群探讨中医药调控阿尔茨海默病相关信号通路研究进展[J].陕西中医,2023,(8):1153.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.037]
 SU Mingyang,LI Qianqian,LIANG Yi,et al.Research progress in the regulation of alzheimer's related signaling pathways by traditional Chinese medicine based on intestinal flora[J].,2023,(4):1153.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.037]
[8]赵小云,李心仪,周春祥.苓桂术甘汤抑制脂多糖诱导小胶质细胞由M2向M1型极化作用机制[J].陕西中医,2023,(11):1503.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.002]
 ZHAO Xiaoyun,LI Xinyi,ZHOU Chunxiang.Mechanism of Linggui Zhugan decoction on polarization of microglia from M2 to M1 induced by lipopolysaccharide[J].,2023,(4):1503.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.002]
[9]梁 怡,陈 炜,李倩倩,等.基于小胶质细胞活化探讨中医药治疗阿尔茨海默病研究进展[J].陕西中医,2024,(8):1143.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.030]
 LIANG Yi,CHEN Wei,LI Qianqian,et al.Research progress of traditional Chinese medicine on Alzheimer's disease based on microglia activation[J].,2024,(4):1143.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.030]
[10]魏晓菲,王晨丹.雷公藤甲素调控NLRP3/GSDMD/IL-1β途径改善六价铬对足细胞损伤的机制研究[J].陕西中医,2024,(9):1172.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.004]
 WEI Xiaofei,WANG Chendan.Study on the mechanism of triptolide regulating NLRP3/GSDMD/IL-1β pathway to improve podocyte injury induced by Cr(Ⅵ)[J].,2024,(4):1172.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.004]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(82060844); 广西壮族自治区自然科学基金资助项目(2021JJA141277); 广西中医脑病临床医学研究中心项目(桂科AD20238028); 广西中医药重点学科建设项目(GZXK-Z-20-13); 广西中医药大学第一附属医院学术团队建设项目[院字(2018)146号]; 2020年广西高等学校高水平创新团队及卓越学者计划项目[桂教人才(2020)6号]; 广西中医药大学“岐黄工程”高层次人才团队培育项目(2018003)
更新日期/Last Update: 2023-04-10