

浏览全部资源
扫码关注微信
1.甘肃中医药大学中医临床学院(甘肃 兰州 730000)
2.甘肃中医药大学附属庆阳市中医医院神志病科(甘肃 庆阳 745000)
Received:27 August 2025,
Published:10 February 2026
移动端阅览
何欣,鲁彩菊,麻甜甜,等.基于PINK1/Parkin通路探讨中药调控线粒体自噬治疗血管性认知障碍的研究进展[J].上海中医药杂志,2026,60(2):94-100.
HE Xin,LU Caiju,MA Tiantian,et al.Research progress on regulation of mitophagy via PINK1/Parkin pathway by Chinese materia medica in treatment of vascular cognitive impairment[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):94-100.
何欣,鲁彩菊,麻甜甜,等.基于PINK1/Parkin通路探讨中药调控线粒体自噬治疗血管性认知障碍的研究进展[J].上海中医药杂志,2026,60(2):94-100. DOI: 10.16305/j.1007-1334.2026.z20250827004.
HE Xin,LU Caiju,MA Tiantian,et al.Research progress on regulation of mitophagy via PINK1/Parkin pathway by Chinese materia medica in treatment of vascular cognitive impairment[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):94-100. DOI: 10.16305/j.1007-1334.2026.z20250827004.
血管性认知障碍(VCI)是由脑血管病变引起的认知损害综合征,其波动性的病程特点导致患者独立生活能力逐渐下降。线粒体广泛参与机体的各项生命活动,其功能异常与VCI密切相关,而线粒体自噬在VCI的防治中发挥重要作用。现有研究发现中药可通过调节PTEN诱导假定激酶1(PINK1)/帕金蛋白(Parkin)信号通路,改善线粒体自噬,保护海马神经元从而保护大脑功能。总结了PINK1/Parkin信号通路在VCI治疗中的作用,以及中药在调控该通路改善线粒体自噬功能方面的潜在治疗效果,为中药在VCI防治中的应用提供参考。
Vascular cognitive impairment (VCI) is a syndrome of cognitive impairment caused by cerebrovascular diseases. Its fluctuating course characteristic leads to the gradual decline of patients' ability to live independently. Mitochondria are widely involved in various life activities of the body, and their dysfunction is closely related to VCI. Mitophagy plays an important role in the prevention and treatment of VCI. Current studies have found that Chinese materia medica can regulate the PTEN-induced putative kinase 1 (PINK1)/Parkin signaling pathway to improve mitophagy and protect hippocampal neurons, thereby protecting brain function. This review summarizes the role of the PINK1/Parkin signaling pathway in treating VCI and the potential therapeutic effects of Chinese materia medica in regulating this pathway to improve mitophagy function, providing a reference for the application of Chinese materia medica in the prevention and treatment of VCI.
杨新宇 , 李彦杰 , 秦合伟 , 等 . SIRT1在血管性认知障碍中的作用 [J]. 协和医学杂志 , 2024 , 15 ( 5 ): 1124 - 1130 .
LU H , ZHANG J , LIANG Y , et al . Network topology and machine learning analyses reveal microstructural white matter changes underlying Chinese medicine Dengzhan Shengmai treatment on patients with vascular cognitive impairment [J]. Pharmacol Res , 2020 , 156 : 104773 .
中国卒中学会血管性认知障碍分会 . 中国血管性认知障碍诊治指南(2024版) [J]. 中华医学杂志 , 2024 , 104 ( 31 ): 2881 - 2894 .
JIMENEZ-RUIZ A , AGUILAR-FUENTES V , BECERRA-AGUIAR N N , et al . Vascular cognitive impairment and dementia: a narrative review [J]. Dement Neuropsychol , 2024 , 18 : e20230116 .
黎观华 , 马月辉 , 周哲屹 . 中药调控线粒体自噬治疗脑缺血再灌注损伤的研究现状 [J]. 中国临床药理学杂志 , 2024 , 40 ( 15 ): 2273 - 2277 .
LIVINGSTON M J , WANG J , ZHOU J , et al . Clearance of damaged mitochondria via mitophagy is important to the protective effect of ischemic preconditioning in kidneys [J]. Autophagy , 2019 , 15 ( 12 ): 2142 - 2162 .
刘艳 , 董新刚 , 王晓元 , 等 . 线粒体自噬与血管性认知障碍的相关性研究进展 [J]. 协和医学杂志 , 2025 , 16 ( 2 ): 338 - 349 .
THAYER J A , PETERSEN J D , HUANG X , et al . Novel reporter of the PINK1-Parkin mitophagy pathway identifies its damage sensor in the import gate [J/OL]. bioRxiv , 2025 [ 2025-10-20 ]. https://www.biorxiv.org/content/10.1101/2025.02.19.639160v1 https://www.biorxiv.org/content/10.1101/2025.02.19.639160v1 .
南淞华 , 彭超杰 , 李振家 , 等 . 中医药靶向调控线粒体质量控制防治阿尔茨海默病的研究进展 [J]. 中药新药与临床药理 , 2024 , 35 ( 12 ): 1944 - 1951 .
李姣姣 . 线粒体靶向荧光小分子IR-61通过激活PINK1/Parkin通路减轻力竭性心脏损伤的实验研究 [D]. 保定 : 河北大学 , 2022 .
IMBERECHTS D , KINNART I , WAUTERS F , et al . DJ-1 is an essential downstream mediator in PINK1/parkin-dependent mitophagy [J]. Brain , 2022 , 145 ( 12 ): 4368 - 4384 .
NARENDRA D P , JIN S M , TANAKA A , et al . PINK1 is selectively stabilized on impaired mitochondria to activate Parkin [J]. PLoS Biol , 2010 , 8 ( 1 ): e1000298 .
CONNELLY E M , FRANKEL K S , SHAW G S . Parkin and mitochondrial signalling [J]. Cell Signal , 2023 , 106 : 110631 .
杨骐瑞 , 仇兴华 , 戴兴业 , 等 . 电针“内关”对心肌缺血再灌注损伤大鼠缺血期和再灌注期线粒体自噬的调控作用 [J]. 中国针灸 , 2025 , 45 ( 5 ): 646 - 656 .
张浩 , 张悦 , 赵文武 , 等 . PINK1/Parkin介导的线粒体自噬及其在肝脏疾病发生发展中的作用机制 [J]. 临床肝胆病杂志 , 2020 , 36 ( 7 ): 1663 - 1665 .
谢建 , 高波 , 梁珊珊 , 等 . 茯苓酸通过调控PINK1/Parkin信号通路介导的线粒体自噬改善冠心病大鼠心肌损伤 [J]. 中国药房 , 2025 , 36 ( 18 ): 2267 - 2272 .
LIANG R , ZHU L , HUANG Y , et al . Mitochondria: fundamental characteristics, challenges, and impact on aging [J]. Biogerontology , 2024 , 25 ( 6 ): 923 - 941 .
PAHAL S , MAINALI N , BALASUBRAMANIAM M , et al . Mitochondria in aging and age-associated diseases [J]. Mitochondrion , 2025 , 82 : 102022 .
PARK S , CHOI S G , YOO S M , et al . Pyruvate stimulates mitophagy via PINK1 stabilization [J]. Cell Signal , 2015 , 27 ( 9 ): 1824 - 1830 .
NGUYEN T N , PADMAN B S , LAZAROU M . Deciphering the molecular signals of PINK1/Parkin mitophagy [J]. Trends Cell Biol , 2016 , 26 ( 10 ): 733 - 744 .
WHITEN D R , COX D , SUE C M . PINK1 signalling in neurodegenerative disease [J]. Essays Biochem , 2021 , 65 ( 7 ): 913 - 923 .
蒋蓉 , 徐琳杰 , 隋世燕 . 线粒体自噬介导的细胞凋亡在动物病理生理中的作用机制研究进展 [J]. 动物医学进展 , 2025 , 46 ( 3 ): 108 - 113 .
杨梦 , 胡思远 , 李琳 , 等 . 基于“虚气留滞”理论探讨线粒体自噬在心肌缺血再灌注损伤中的调控机制 [J]. 中国中医药信息杂志 , 2024 , 31 ( 10 ): 8 - 13 .
RICHTER B , SLITER D A , HERHAUS L , et al . Phosphorylation of OPTN by TBK1 enhances its binding to Ub chains and promotes selective autophagy of damaged mitochondria [J]. Proc Natl Acad Sci U S A , 2016 , 113 ( 15 ): 4039 - 4044 .
HU Z , WEN T , HU K , et al . Transcutaneous electrical acupoint stimulation ameliorates cognitive function through PINK1/Parkin mediated mitophagy in VD rats [J]. Evid Based Complement Alternat Med , 2022 , 2022 : 2810794 .
ZHAO X , WANG Z , WANG L , et al . The PINK1/Parkin signaling pathway-mediated mitophagy: a forgotten protagonist in myocardial ischemia/reperfusion injury [J]. Pharmacol Res , 2024 , 209 : 107466 .
HUNG C M , LOMBARDO P S , MALIK N , et al . AMPK/ULK1-mediated phosphorylation of Parkin ACT domain mediates an early step in mitophagy [J]. Sci Adv , 2021 , 7 ( 15 ): eabg4544 .
ZHAO Y , ZHANG J , ZHENG Y , et al . NAD + improves cognitive function and reduces neuroinflammation by ameliorating mitochondrial damage and decreasing ROS pr oduction in chronic cerebral hypoperfusion models through Sirt1/PGC-1α pathway [J]. J Neuroinflammation , 2021 , 18 ( 1 ): 207 .
HOU D , HU Y , YUN T , et al . USP7 promotes PINK1/Parkin-dependent mitophagy to ameliorate cerebral ischemia-reperfusion injury by deubiquitinating and stabilizing SIRT1 [J]. Brain Res , 2025 , 1858 : 149638 .
邬春秀 , 张晶晶 , 吴进一 , 等 . 脐带间充质干细胞衰老研究进展 [J]. 中国细胞生物学学报 , 2024 , 46 ( 2 ): 308 - 318 .
ZHANG L , LIN Y , BAI W , et al . Human umbilical cord mesenchymal stem cell-derived exosome suppresses programmed cell death in traumatic brain injury via PINK1/Parkin-mediated mitophagy [J]. CNS Neurosci Ther , 2023 , 29 ( 8 ): 2236 - 2258 .
SUN E , ZHANG J , DENG Y , et al . Docosahexaenoic acid alleviates brain damage by promoting mitophagy in mice with ischaemic stroke [J]. Oxid Med Cell Longev , 2022 , 2022 : 3119649 .
WU X , LI X , LIU Y , et al . Hydrogen exerts neuroprotective effects on OGD/R damaged neurons in rat hippocampal by protecting mitochondrial function via regulating mitophagy mediated by PINK1/Parkin signaling pathway [J]. Brain Res , 2018 , 1698 : 89 - 98 .
TANG Y C , TIAN H X , YI T , et al . The critical roles of mitophagy in cerebral ischemia [J]. Protein Cell , 2016 , 7 ( 10 ): 699 - 713 .
王蓓蕾 , 阮越勇 , 于洋 , 等 . 从中医“气化”角度探讨自噬现象 [J]. 中华中医药杂志 , 2020 , 35 ( 11 ): 5452 - 5454 .
石丹丹 , 宁梓淇 , 郭晓晨 , 等 . 基于“虚损-瘀毒”与线粒体自噬的关系探讨阿尔茨海默病的中医病因病机 [J/OL]. 中国全科医学 , 2025 [ 2025-10-05 ]. https://doi.org/10.12114/j.issn.1007-9572.2025.0013 https://doi.org/10.12114/j.issn.1007-9572.2025.0013 .
李静 , 黄娅芬 , 夏晓枫 , 等 . 银杏总黄酮对IL-1β诱导的髓核细胞凋亡及Nrf2/ARE信号通路的影响 [J]. 河北医学 , 2021 , 27 ( 10 ): 1585 - 1591 .
张棽 , 饶佳涛 , 王超越 , 等 . 银杏总黄酮对血管性痴呆大鼠神经元损伤的影响及作用机制 [J]. 中国老年学杂志 , 2024 , 44 ( 6 ): 1466 - 1469 .
王翌 , 邓颖 . 槲皮素在不同类型脑卒中细胞死亡中的调控作用 [J]. 感染、炎症、修复 , 2025 , 26 ( 2 ): 139 - 145 .
唐森 , 方建 , 高立功 , 等 . 基于PINK1/Parkin通路研究槲皮素减轻血管性痴呆大鼠海马神经元损伤的作用机制 [J]. 中草药 , 2022 , 53 ( 20 ): 6529 - 6535 .
XIA K , JIN Z , QIU Q , et al . Ligustilide alleviates oxidative stress during renal ischemia-reperfusion injury through maintaining Sirt3-dependent mitochondrial homeostasis [J]. Phytomedicine , 2024 , 134 : 155975 .
MAO Z , TIAN L , LIU J , et al . Ligustilide ameliorates hippocampal neuronal injury after cerebral ischemia reperfusion through activating PINK1/Parkin-dependent mitophagy [J]. Phytomedicine , 2022 , 101 : 154111 .
YANG S , WANG L , ZENG Y , et al . Salidroside alleviates cognitive impairment by inhibiting ferroptosis via activation of the Nrf2/GPX4 axis in SAMP8 mice [J]. Phytomedicine , 2023 , 114 : 154762 .
GU C , LI L , HUANG Y , et al . Salidroside ameliorates mitochondria-dependent neuronal apoptosis after spinal cord ischemia-reperfusion injury partially through inhibiting oxidative stress and promoting mitophagy [J]. Oxid Med Cell Longev , 2020 , 2020 : 3549704 .
SUI C , LIU Y , JIANG J , et al . Ginsenoside Rg1 ameliorates cerebral ischemia-reperfusion injury by regulating Pink1/Parkin-mediated mitochondrial autophagy and inhibiting microglia NLRP3 activation [J]. Brain Res Bull , 2024 , 216 : 111043 .
NING Z , ZHONG X , WU Y , et al . β-Asarone improves cognitive impairment and alleviates autophagy in mice with vascular dementia via the cAMP/PKA/CREB pathway [J]. Phytomedicine , 2024 , 123 : 155215 .
HAN Y , WANG N , KANG J , et al . β-Asarone improves learning and memory in Aβ 1-42 -induced Alzheimer's disease rats by regulating PINK1-Parkin-mediated mitophagy [J]. Metab Brain Dis , 2020 , 35 ( 7 ): 1109 - 1117 .
姚婷 , 刘璐 , 王馨苑 , 等 . 滋肾活血方对血管性痴呆大鼠认知功能障碍的治疗作用 [J]. 山西医科大学学报 , 2024 , 55 ( 6 ): 722 - 730 .
ZHAO Z , XIE L , SHI J , et al . Neuroprotective effect of Zishen Huoxue Decoction treatment on vascular dementia by activating PINK1/Parkin mediated mitophagy in the hippocampal CA1 region [J]. J Ethnopharmacol , 2024 , 319 ( Pt 1 ): 117172 .
宋晨曦 , 张鼎 , 陈炜 , 等 . 基于PINK1/Parkin信号通路调控线粒体自噬探讨温肺降浊方对血管性痴呆模型大鼠的作用机制 [J/OL]. 辽宁中医杂志 , 2025 [ 2025-10-05 ]. https://link.cnki.net/urlid/21.1128.R.20250123.1934.014 https://link.cnki.net/urlid/21.1128.R.20250123.1934.014 .
李子航 , 朱景天 , 尹凯 , 等 . 当归补血汤通过调控Sirt1/ER Stress通路改善糖尿病脑病的机制研究 [J]. 时珍国医国药 , 2024 , 35 ( 1 ): 68 - 71 .
祁桂芳 , 姜玥 , 谭韵湘 , 等 . 当归补血汤对血管性痴呆模型大鼠PINK1/Parkin通路的影响 [J/OL]. 中国实验方剂学杂志 , 2025 [ 2025-10-05 ]. https://doi.org/10.13422/j.cnki.syfjx.20251398 https://doi.org/10.13422/j.cnki.syfjx.20251398 .
钟晓琴 , 宁振求 , 王凯 , 等 . 定志小丸有效成分对阿尔茨海默病转基因模型小鼠的氧化应激、炎症和自噬因子的作用研究 [J]. 吉林中医药 , 2022 , 42 ( 8 ): 940 - 944 .
邓敏贞 , 王宇 , 宁振求 , 等 . 定志小丸对血管性痴呆小鼠PINK1/PARKIN/MEF2D线粒体自噬通路的影响 [J]. 中药新药与临床药理 , 2025 , 36 ( 3 ): 328 - 337 .
0
Views
0
下载量
0
CSCD
0
CNKI被引量
Publicity Resources
Related Articles
Related Author
Related Institution
沪公网安备 31011502015228号