1.山东中医药大学(山东 济南 250014)
2.山东中医药大学附属医院(山东 济南 250014)
韩欢,女,硕士研究生,主要从事中西医结合防治脑系疾病临床研究工作
张立娟,博士,副主任医师,硕士研究生导师; E-mail:Zhlj-8103@163.com
扫 描 看 全 文
韩欢,王康锋,侯翰如,等.基于“微生物-脑-肠轴”探析中医治疗阿尔茨海默病的思路[J].上海中医药杂志,2023,57(3):1-5.
HAN Huan,WANG Kangfeng,HOU Hanru,et al.Traditional Chinese medicine treatment for Alzheimer’s disease based on the microbiota⁃brain⁃gut axis[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):1-5.
韩欢,王康锋,侯翰如,等.基于“微生物-脑-肠轴”探析中医治疗阿尔茨海默病的思路[J].上海中医药杂志,2023,57(3):1-5. DOI: 10.16305/j.1007-1334.2023.2208067.
HAN Huan,WANG Kangfeng,HOU Hanru,et al.Traditional Chinese medicine treatment for Alzheimer’s disease based on the microbiota⁃brain⁃gut axis[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):1-5. DOI: 10.16305/j.1007-1334.2023.2208067.
神经系统和胃肠系统在生理、病理上都有着紧密的联系,脑-肠轴学说的提出进一步证实了大脑与胃肠系统之间紧密相关。越来越多的研究表明肠道微生物可通过作用于脑-肠轴影响阿尔茨海默病的发生和发展进程。以中医理论为基础,以“微生物-脑-肠轴”作为切入点,提出从肠治脑的方法,探讨中医(中药、针灸)治疗阿尔茨海默病的思路,以期为中医药治疗本病提供参考依据。
The nervous system and the gastrointestinal system are closely connected physiologically and pathologically. The proposed theory of brain-gut axis further confirms the strong correlation between the brain and the gastrointestinal system. An increasing number of studies has indicated that gut microbiota can influence the development and progression of Alzheimer’s disease by acting on the brain-gut axis. Based on the theory of traditional Chinese medicine (TCM) and the microbiota-brain-gut axis, we propose the approach of treating the brain from the intestine, and discuss the strategy of applying TCM (including traditional Chinese herbal medicine, acupuncture and moxibustion) to the treatment of Alzheimer’s disease in order to provide reference for clinical TCM treatment.
阿尔茨海默病痴呆微生物-脑-肠轴肠道菌群中药针灸
Alzheimer’s diseasedementiamicrobiota-brain-gut axisgut microbiotatraditional Chinese herbal medicineacupuncture and moxibustion
贾建平. 神经病学[M]. 北京:人民卫生出版社,2009: 214-219.
国家卫生健康委办公厅. 阿尔茨海默病的诊疗规范(2020年版)[J]. 全科医学临床与教育,2021, 19(1): 4-6.
黄艳,高凌. 肠道微生物在脑肠轴及相关疾病中的作用[J]. 世界华人消化杂志,2017, 25(34): 3032-3037.
MAYER E A. Gut feelings: the emerging biology of gut-brain communication[J]. Nat Rev Neurosci, 2011, 12(8): 453-466.
TRACK N S. The gastrointestinal endocrine system[J]. Can Med Assoc J, 1980, 122(3): 287-292.
GOYAL D, ALI S A, SINGH R K. Emerging role of gut microbiota in modulation of neuroinflammation and neurodegeneration with emphasis on Alzheimer’s disease[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2021, 106: 110112.
MAYER E A, TILLISCH K, GUPTA A. Gut/brain axis and the microbiota[J]. J Clin Invest, 2015, 125(3): 926-938.
COX L M, WEINER H L. Microbiota signaling pathways that influence neurologic disease[J]. Neurotherapeutics, 2018, 15(1): 135-145.
STRANDWITZ P. Neurotransmitter modulation by the gut microbiota[J]. Brain Res, 2018, 1693(Pt B): 128-133.
刘畅,黎波. 基于脑肠轴理论探讨针刺调理肠胃治疗卒中后抑郁的应用[J]. 医学理论与实践,2021, 34(3): 383-385,376.
GHAISAS S, MAHER J, KANTHASAMY A. Gut microbiome in health and disease: Linking the microbiome-gut-brain axis and environmental factors in the pathogenesis of systemic and neurodegenerative diseases[J]. Pharmacol Ther, 2016, 158: 52-62.
ROY SARKAR S, BANERJEE S. Gut microbiota in neurode-generative disorders[J]. J Neuroimmunol, 2019, 328: 98-104.
HARACH T, MARUNGRUANG N, DUTHILLEUL N, et al. Reduction of Abeta amyloid pathology in APPPS1 transgenic mice in the absence of gut microbiota[J]. Sci Rep, 2017, 7: 41802.
JANEIRO M H, RAMIREZ M J, MILAGRO F I, et al.Implication of trimethylamine N-oxide(TMAO) in disease: potential biomarker or new therapeutic target[J]. Nutrients, 2018, 10(10): 1398.
WANG X L, ZENG J, YANG Y, et al. Helicobacter pylori filtrate induces Alzheimer-like tau hyperphosphorylation by activating glycogen synthase kinase-3β[J]. J Alzheimers Dis, 2015, 43(1): 153-165.
SAVIGNAC H M, COUCH Y, STRATFORD M, et al. Prebiotic administration normalizes lipopolysaccharide (LPS)-induced anxiety and cortical 5-HT2A receptor and IL1-β levels in male mice[J]. Brain Behav Immun, 2016, 52: 120-131.
FUNG T C, OLSON C A, HSIAO E Y. Interactions between the microbiota, immune and nervous systems in health and disease[J]. Nat Neurosci, 2017, 20(2): 145-155.
MINTER M R, ZHANG C, LEONE V, et al. Antibiotic-induced perturbations in gut microbial diversity influences neuro-inflammation and amyloidosis in a murine model of Alzheimer’s disease[J]. Sci Rep, 2016, 6: 30028.
ZHAO Y, JABER V, LUKIW W J. Secretory products of the human GI tract microbiome and their potential impact on Alzheimer's disease (AD): detection of lipopolysaccharide (LPS) in AD hippocampus[J]. Front Cell Infect Microbiol, 2017, 7: 318.
SIMIC G, SPANIC E, LANGER HORVAT L, et al. Blood-brain barrier and innate immunity in the pathogenesis of Alzheimer's disease[J]. Prog Mol Biol Transl Sci, 2019, 168: 99-145.
PANG S Q, LUO Z T, WANG C C, et al. Effects of Dioscorea polystachya 'yam gruel' on the cognitive function of diabetic rats with focal cerebral ischemia-reperfusion injury via the gut-brain axis[J]. J Integr Neurosci, 2020, 19(2): 273-283.
LI Y, PENG Y, MA P, et al. Antidepressant-like effects of cistanche tubulosa extract on chronic unpredictable stress rats through restoration of gut microbiota homeostasis[J]. Front Pharmacol, 2018, 9: 967.
肖秋月,王晓龙,齐冬梅,等. 七福饮及其加减方治疗痴呆的研究进展[J]. 军事医学,2019, 43(5): 391-396.
徐珊,康安,彭琳秀,等. 基于GC-MS的温运合剂及其君药麸炒苍术水提物对小鼠脾虚泄泻的作用研究[J]. 南京中医药大学学报,2018, 34(2): 181-184.
林路宁,姬丽婷,傅云波,等. 石菖蒲水提物对3xTg-AD小鼠肠道菌群的影响[J]. 浙江中医杂志,2020, 55(7): 471-474.
董欢欢,丁瑞丛,刘玲,等.涤痰汤加味方对血管性痴呆大鼠海马炎性因子及微血管的影响[J]. 中华中医药杂志,2019, 34(2): 585-588.
董开忠,高永盛,秦宁恩加,等.参苓白术散对抗生素引起肠道菌群失调小鼠的影响[J]. 中国实验方剂学杂志,2015, 21(1): 154-157.
张文华,沈红梁. 通窍活血汤加减治疗老年性痴呆精神行为症状临床研究[J]. 亚太传统医药,2017, 13(18): 155-156.
王杰. 针刺上巨虚、天枢对缺血性卒中患者肠道菌群的影响及疗效研究[D]. 合肥:安徽中医药大学,2019.
贲定严,刘琼,陈玉香,等. 电针足三里和丰隆穴治疗老年性痴呆的疗效观察(英文)[J]. 针灸推拿医学,2016, 14(6): 386-390.
陈丹凤,张泓,谢菊英,等. 从“脑病治肠”探讨电针对血管性痴呆大鼠肠道菌群及血清IL-1β及IL-18的影响[J]. 针刺研究,2022, 47(3): 216-223.
李湘力,蔡敬宙,林泳,等. 针刺疗法调节IBS-D大鼠肠道菌群结构和促进肠紧密连接的作用研究[J]. 广州中医药大学学报,2019, 36(7): 1022-1028.
0
浏览量
0
下载量
1
CSCD
0
CNKI被引量
关联资源
相关文章
相关作者
相关机构