1.上海中医药大学岳阳临床医学院(上海 200437)
2.上海中医药大学附属岳阳中西医结合医院呼吸内科(上海 200437)
3.上海中医药大学基础医学院(上海 201203)
臧娜,女,硕士研究生,主要从事中西医结合治疗慢性呼吸系统疾病的临床研究工作
汤杰,主任医师,硕士研究生导师;E-mail:tangtanghaihai@163.com
王庆其,教授,主任医师,博士研究生导师,博士后合作导师;E-mail:wang_qin_qi@sina.com
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臧娜,钟秀君,王振伟,等.中药干预肺部疾病/低氧所致肺动脉高压药理作用机制的研究进展[J].上海中医药杂志,2022,56(9):104-109.
ZANG Na,ZHONG Xiujun,WANG Zhenwei,et al.Research progress on mechanism of traditional Chinese medicine on pulmonary disease / hypoxia induced pulmonary hypertension[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(9):104-109.
臧娜,钟秀君,王振伟,等.中药干预肺部疾病/低氧所致肺动脉高压药理作用机制的研究进展[J].上海中医药杂志,2022,56(9):104-109. DOI: 10.16305/j.1007-1334.2022.2203032.
ZANG Na,ZHONG Xiujun,WANG Zhenwei,et al.Research progress on mechanism of traditional Chinese medicine on pulmonary disease / hypoxia induced pulmonary hypertension[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(9):104-109. DOI: 10.16305/j.1007-1334.2022.2203032.
综述中药干预肺部疾病/低氧所致肺动脉高压药理作用机制的研究进展。研究发现,促进肺血管收缩及肺血管重构有多条分子信号通路,包括低氧诱导因子/瞬时受体电位阳离子通道(TRPC)、丝裂原活化蛋白激酶(MAPK)、Rho蛋白/Rho激酶(Rho/ ROCK)、磷脂酰肌醇3-激酶/蛋白激酶 B(PI3K/AKT)、骨形态生成蛋白/转化生长因子-β(BMP/TGF-β)和核因子κB(NF-κB)等信号通路,中药复方、中药提取物及中成药可抑制多条信号通路,抑制肺血管重构,延缓肺动脉高压的进程。
This paper reviewed the research progress on the mechanism of traditional Chinese medicine on pulmonary disease / hypoxia induced pulmonary hypertension. It was found that there were multiple molecular signaling pathways to promote pulmonary vasoconstriction and pulmonary vascular remodeling, including hypoxia inducible factor / transient receptor potential canonical (TRPC), mitogen activated protein kinases(MAPK), Rho / Rho kinase (ROCK), phosphatidylinositol 3-kinase / protein kinase B (PI3K/AKT), bone morphogenic protein/ transforming growth factor β(BMP / TGF-β), nuclear factor kappa-B (NF-κB). Traditional Chinese medicine compound, traditional Chinese medicine extract and Chinese patent medicine could inhibit multiple signal pathways, inhibit pulmonary vascular remodeling and delay the process of pulmonary hypertension.
肺动脉高压慢性阻塞性肺疾病中药信号通路药理作用研究进展
pulmonary hypertensionchronic obstructive pulmonary diseasetraditional Chinese herbal medicinesignal pathpharmacologic effectresearch progress
孔春初,戴爱国. 缺氧诱导因子表达调控与缺氧性肺动脉高压[J]. 国外医学:呼吸系统分册,2004, 24(3): 176-178,182.
DIETRICH A, FAHlBUSCH M, GUDERMANN T. Classical transient receptor potential 1 (TRPC1):Channel or channel regulator?[J].Cells, 2014, 3(4): 939-962.
WANG J, WEIGAND L, LU W, et al. Hypoxia inducible factor 1 mediates hypoxia-induced TRPC expression and elevated intracellular Ca2+ in pulmonary arterial smooth muscle cells[J]. Circ Res, 2006, 98(12): 1528-1537.
胡莹,焦海霞,王瑞幸,等. 三七皂苷R1对肺高压大鼠模型肺动脉的舒张作用[J]. 中国药理学通报,2013, 29(11): 1572-1576.
王瑞幸,戴耄,穆云萍,等. 三七皂苷R1对肺高压大鼠肺动脉平滑肌细胞SOCE的抑制作用[J]. 中国药理学通报,2015, 31(10): 1463-1468.
WANG J, JIANG Q, WAN L, et al. Sodium tanshinone ⅡA sulfonate inhibits canonical transient receptor potential expression in pulmonary arterial smooth muscle from pulmonary hypertensive rats[J]. Am J Respir Cell Mol Bio, 2013, 48(1): 125-134.
WANG J, DONG M Q, LIU M L, et al. Tanshinone ⅡA modulates pulmonary vascular response to agonist and hypoxia primarily via inhibiting Ca2+ influx and release in normal and hypoxic pulmonary hypertension rats[J]. Eur J Pharmacol, 2010, 640(1-3): 129-138.
万小平. 川芎嗪对慢性阻塞性肺疾病急性加重期肺动脉高压的影响[J]. 中国实验方剂学杂志,2013, 19(9): 326-330.
于文燕,施熠炜,杜永成. 细胞外信号调节激酶1/2在慢性低氧肺动脉高压肺动脉平滑肌细胞增殖中的作用研究进展[J]. 医学综述,2013, 19(21): 3847-3850.
BOUALLEGUE A, DAOU G B, SRIVASTAVA A K. Endothelin-1-induced signaling pathways in vascular smooth muscle cells[J]. Curr Vasc Pharmacol, 2007, 5(1): 45-52.
周向锋,王良兴,林全. 桂枝茯苓丸对低O2高CO2大鼠肺动脉血管重构的影响及机理[J]. 中国中医基础医学杂志,2006, 12(4): 268-269.
宋张娟,唐兰兰,黎关龙,等. 三七皂苷单体Rb1在低氧高二氧化碳肺动脉收缩中的保护作用及机制[J]. 中国中西医结合杂志,2012, 32(10): 1380-1384.
唐兰兰,王淑君,黎关龙,等. 三七皂苷单体R1对低氧高二氧化碳肺动脉平滑肌细胞ERK1/2表达的影响[J]. 中国临床药理学与治疗学,2011, 16(11): 1216-1221.
王淑君,刘立宾,黎关龙,等. 三七皂苷单体R1抑制低氧高二氧化碳诱导的肺动脉平滑肌细胞p38 MAPK信号通路的活化[J]. 中国病理生理杂志,2012, 28(1): 105-108.
朱阿楠,王园园,王淑君,等. ERK通路和三七总皂苷干预在低氧高二氧化碳性肺动脉高压中的作用[J]. 中国病理生理杂志,2011, 27(9): 1796-1801.
梁瑛琦,贾旭广,石璐,等. 三七总皂苷对低氧大鼠肺动脉压和肺组织p38 MAPK表达的影响[J]. 中国病理生理杂志,2010, 26(12): 2438-2441.
李文凤. 紫草素调节PKM2改善野百合碱肺动脉高压大鼠肺血管重构的机制研究[D].衡阳:南华大学,2020.
朱迪颖,王畅,付乃洁,等. 黄芩素对野百合碱诱导的肺动脉高压大鼠血管壁增厚的抑制作用[J]. 中国病理生理杂志,2018, 34(5): 899-903.
SMITHER C C, OVERDUIN M. Structural mechanisms and drug discovery prospects of Rho GTPases[J]. Cells, 2016, 5(2): 26.
韩佳寅,易艳,梁爱华,等. Rho/ROCK信号通路研究进展[J]. 药学学报,2016, 51(6): 853-859.
AMANO M, NAKAYAMA M, KAIBUCHI K. Rho-kinase/ROCK:A key regulator of the cytoskeleton and cell polarity[J]. Cytoskeleton (Hoboken), 2010, 67(9): 545-554.
FIRTH A L, CHOI I W, PARK W S. Animal models of pulmonary hypertension:Rho kinase inhibition[J]. Prog Biophys Mol Biol, 2012, 109(3): 67-75.
LUKE T, MAYLOR J, UNDEM C, et al. Kinase-dependent activation of voltage-gated Ca2+ channels by ET-1 in pulmonary arterial myocytes during chronic hypoxia[J]. Am J Physiol Lung Cell Mol Physiol, 2012, 302(10): L1128-L1139.
郭晓燕,徐向前,钱家骅,等. 川芎平喘合剂对慢性阻塞性肺疾病肺动脉高压大鼠肺动脉平滑肌细胞增殖及对Rho激酶的影响[J]. 辽宁中医杂志,2017, 44(12): 2662-2664.
范春香,陈宝瑾,陈斌宾,等. 加味川芎平喘合剂治疗痰瘀阻肺型慢性阻塞性肺疾病急性加重期合并肺动脉高压临床观察[J]. 河北中医,2020, 42(3): 351-354.
袁维蔚,陈洪,黄桂琼. 二冬二母二草汤对慢性阻塞性肺疾病相关肺动脉高压平滑肌细胞增殖的影响及作用机制研究[J]. 中医临床研究,2020, 12(6): 28-30.
苏琛. 以Rho/ROCK信号通路为靶点探讨麻杏芎葶合剂干预低氧性肺动脉高压大鼠模型的机制研究[D]. 成都:成都中医药大学,2013.
薛运昕,宁欣,郭天聪,等.红景天苷对野百合碱诱导肺动脉高压大鼠RhoA/Rho激酶信号通路的影响[J]. 陕西医学杂志,2017, 46(7): 829-832.
杨莉,郑碧霞,程德云,等. 灯盏花素对低氧大鼠肺动脉压和肺小动脉Rho激酶的影响[J]. 中华结核和呼吸杂志,2008,31(11):826-830.
格根图雅,徐磊. 中药单体苦参碱(Aloperine)对肺动脉高压疾病的治疗机制[J]. 中西医结合心血管病电子杂志,2020, 8(36): 35-45.
张敏. 基于RhoA/ROCK信号通路研究18β-甘草次酸对肺动脉高压大鼠的保护作用[D].银川:宁夏医科大学,2019.
林碧,张琼,戴一洳,等. 人参皂甙Rb1通过Rho/Rho激酶通路影响低氧诱导大鼠肺动脉平滑肌细胞增殖及SERT和5-HT1BR表达[J]. 中国病理生理杂志,2016, 32(10): 1848-1853.
WISE H M, HERMIDA M A, LESLIE N R. Prostate cancer,PI3K,PTEN and prognosis[J]. Clin Sci (Lond), 2017, 131(3): 197-210.
LI H, MARSHALL A J. Phosphatidylinositol (3, 4) bisphosphate-specific phosphatases and effector proteins:A distinct branch of PI3K signaling[J]. Cell Signal, 2015, 27(9): 1789-1798.
MANNING B D, TOKER A. AKT/PKB Signaling:navigating the network[J]. Cell, 2017, 169(3): 381-405.
SINGH S S, YAP W N, ARFUSO F, et al.Targeting the PI3K/Akt signaling pathway in gastric carcinoma:A reality for personalized medicine?[J]. World J Gastroenterol, 2015, 21(43): 12261-12273.
PAULIN R, MICHELAKIS E D. The metabolic theory of pulmonary arterial hypertension[J]. Circ Res, 2014, 115(1): 148-164.
ROBEY R B, HAY N. Is Akt the “Warburg kinase”?-Akt-energy metabolism interactions and oncogenesis[J]. Semin Cancer Biol, 2009, 19(1): 25-31.
李敏静,郭莉,严洁萍,等. 血府逐瘀汤通过PI3K/AKT/mTOR信号通路影响低氧性肺动脉高压大鼠肺血管重构的研究[J]. 中国现代应用药学,2020, 37(21): 2576-2581.
张晓丹,杨艳南,王淑静,等. 葛根素对PI3K/AKT通路介导PASMCS凋亡的影响[J].中国中药杂志,2015, 40(15): 3041-3046.
黄会萍. 盐酸川芎嗪通过调控PI3K/AKT信号通路对大鼠肺动脉高压的改善作用及机制[D]. 合肥:安徽医科大学,2021.
鲍雅如. 丹参酮ⅡA磺酸钠对低氧性肺动脉高压的作用及其机制的研究[D]. 苏州:苏州大学,2019.
RAPOSO G, STOORVOGEL W. Extracellular vesicles:exosomes, microvesicles, and friends[J]. J Cell Biol, 2013, 200(4): 373-383.
田京辉,郭姗姗,陈静静,等. 刺五加苷E通过调节PI3K/Akt通路对野百合碱诱导肺动脉高压模型大鼠的治疗作用[J]. 医药导报,2022, 41(2): 216-220
井丽巍. 牛磺酸通过PI3K/AKT途径对缺氧大鼠PASMCs增殖的影响[D]. 哈尔滨:哈尔滨商业大学,2016.
VAN DIJK R A, ENGELS C C, SCHAAPHERDER A F, et al. Visualizing TGF-beta and BMP signaling in human atherosclerosis: a histological evaluation based on Smad activation[J]. Histol Histopathol, 2012, 27(3): 387-396.
WU J, YU Z, SU D. BMP4 protects rat pulmonary arterial smooth muscle cells from apoptosis by PI3K/AKT/Smad1/5/8 signaling[J]. Int J Mol Sci, 2014, 15(8): 13738-13754.
SHI Y, MASSAGUE J. Mechanisms of TGF-beta signaling from cell membrane to the nucleus[J].Cell, 2003, 113(6): 685-700.
ZHANG S, FANTOZZI I, TIGNO D D, et al. Bone morphogenetic proteins induce apoptosis in human pulmonary vascular smooth muscle cells[J]. Am J Physiol Lung Cell Mol Physiol, 2003, 285(3): L740-L754.
YANG J, LI X, Al-LAMKI R S, et al. Smad-dependent and smad-independent induction of id1 by prostacyclin analogues inhibits proliferation of pulmonary artery smooth muscle cells in vitro and in vivo[J]. Circ Res, 2010, 107(2): 252-262.
LIU Y, CAO Y, SUN S, et al. Transforming growth factor-beta1 upregulation triggers pulmonary artery smooth muscle cell proliferation and apoptosis imbalance in rats with hypoxic pulmonary hypertension via the PTEN/AKT pathways[J]. Int J Biochem Cell Biol, 2016, 77(Pt A): 141-154.
任周新,李建生,沈俊岭,等. 补肺益肾方对TGF-β1/BMP-4诱导的肺血管平滑肌细胞TGF-β1/Smad信号通路的影响[J]. 中国实验方剂学杂志,2018, 24(11): 126-132.
曲妮妮,刘浩,马丽佳,等. 益气温阳活血中药干预慢性阻塞性肺疾病肺动脉高压机理探讨[J]. 中华中医药学刊,2015, 33(5): 1218-1220.
王伯章,陈恺,范伟赢. 复方茯苓甘草汤对肺动脉高压大鼠肺动脉转化生长因子β1表达的影响[J]. 广州中医药大学学报,2009, 26(1): 50-53.
任周新,余海滨,梅晓峰,等. TGF-β1/BMP-4诱导肺动脉血管平滑肌细胞增殖及橙皮素、芍药苷的干预[J]. 中华中医药学刊,2018, 36(6): 1339-1342.
WANG X, CAI X, WANG W, et al. Effect of asiaticoside on endothelial cells in hypoxiainduced pulmonary hypertension[J]. Mol Med Rep, 2018, 17(2): 2893-2900.
薛国忠,戴恩来,胡永鹏,等. 稳心草黄酮类化合物对肺动脉平滑肌细胞增殖及其TGF-β表达影响的实验研究[J]. 中国中医药科技,2011, 18(4): 309-310.
岳云. 基于细胞周期及TGF-β1/Smads/p38信号研究蛇床子素在肺动脉高压中抑制PASMCs增殖[D]. 遵义:遵义医学院,2018.
李叶丽,王颖婉,钱志强,等. 蛇床子素通过下调TGF-β1/Smad2信号通路抗野百合碱所致大鼠肺动脉高压[J]. 遵义医学院学报,2015, 38(6): 567-570.
敖启林,熊密,郝春荣,等 .低氧时NF-κB和P53在大鼠肺动脉平滑肌细胞增殖和凋亡中的变化[J]. 华中科技大学学报(医学版),2002, 31(1): 4-6.
李叶丽,吴红丹,付舒,等. 淫羊藿次苷Ⅱ通过下调ERK1/2-NF-κB信号通路抗野百合碱所致大鼠肺动脉重构[J]. 遵义医学院学报,2018, 41(4): 393-398.
刘毅. 低氧激活Na+/H+交换体-1通过NF-κB通路引起肺动脉平滑肌细胞增殖[D]. 西安:第四军医大学,2006.
王传博,王婕琼,李泽庚,等. 中药复方对慢性阻塞性肺疾病模型大鼠NF-κB的影响[J]. 中医药临床杂志,2014, 26(1): 49-50.
陈晔,李敏静,郭莉,等. 血府逐瘀汤对低氧性肺动脉高压大鼠肺血管重构及mTOR信号通路的影响[J]. 中华中医药杂志,2020, 35(12): 6006-6010.
薛运昕,宁欣,倪楠,等. 红景天苷对野百合碱诱导肺动脉高压大鼠Nrf-2及NF-κB信号通路的影响[J]. 陕西医学杂志,2017, 46(3): 286-289.
XIN W X, LI Q L, FANG L, et al. Preventive effect and mechanism of ethyl acetate extract of sceptridium ternatum in monocrotaline-induced pulmonary arterial hypertension[J].Chin J Integr Med, 2020, 26(3): 205-211.
ZHU R, BI L, KONG H, et al. Ruscogenin exerts beneficial effects on monocrotaline-induced pulmonary hypertension by inhibiting NF-kappaB expression[J]. Int J Clin Exp Pathol, 2015, 8(10): 12169-12176.
SHI W, ZHAI C, FENG W, et al. Resveratrol inhibits monocrotaline-induced pulmonary arterial remodeling by suppression of SphK1-mediated NF-kappaB activation[J]. Life Sci, 2018, 210: 140-149.
应茵.艾叶油对野百合碱诱导的肺动脉高压的防治作用及机制研究[D]. 杭州:浙江大学,2014.
岳蕾,陈玲,寇俊萍,等. 薯蓣皂苷元药理活性及其机制研究进展[J]. 中国临床药理学与治疗学,2010, 15(2): 233-237.
颜涛,徐勇刚,姚永新,等. 薯蓣皂苷元对肺动脉高压大鼠肺血管重构的影响[J]. 湖南师范大学学报(医学版),2016, 13(2): 25-28.
JIN M, XUE C J, WANG Y, et al. Protective effect of hydroxysafflor yellow A on inflammatory injury in chronic obstructive pulmonary disease rats[J]. Chin J Integr Med, 2019, 25(10): 750-756.
周琴怡,龚邵新,彭琴,等. 肺动脉平滑肌细胞:肺动脉高压的关键治疗靶点[J]. 中国动脉硬化杂志,2021,29(6):543-547.
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