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1.南京中医药大学(江苏 南京 210023)
2.南京中医药大学附属医院(江苏 南京 210029)
3.河南中医药大学(河南 郑州 450000)
李一鸣,女,硕士研究生,主要从事中医药防治乳腺疾病的临床与研究工作
姚昶,主任医师,博士研究生导师; E-mail: yaochang67@126.com
纸质出版日期:2024-09-10,
收稿日期:2023-11-27,
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李一鸣,姚昶,张紫昊.中医药调节Th1/Th2平衡治疗非哺乳期乳腺炎研究进展[J].上海中医药杂志,2024,58(9):91-95.
LI Yiming,YAO Chang,ZHANG Zihao.Research progress of traditional Chinese medicine regulating Th1/Th2 balance for non⁃puerperal mastitis[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(9):91-95.
李一鸣,姚昶,张紫昊.中医药调节Th1/Th2平衡治疗非哺乳期乳腺炎研究进展[J].上海中医药杂志,2024,58(9):91-95. DOI: 10.16305/j.1007-1334.2024.2311143.
LI Yiming,YAO Chang,ZHANG Zihao.Research progress of traditional Chinese medicine regulating Th1/Th2 balance for non⁃puerperal mastitis[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(9):91-95. DOI: 10.16305/j.1007-1334.2024.2311143.
非哺乳期乳腺炎(NPM)病程长,易反复发作,其发生、发展与机体免疫功能紊乱、辅助性T细胞(Th)1/Th2失衡有关。从免疫炎症角度探讨中医药治疗NPM的作用机制,综述中医药对NPM患者Th1/Th2平衡的调节作用。中医药可以通过调节Th1、Th2型细胞因子的分泌,抑制白细胞介素-6(IL-6)/蛋白酪氨酸激酶2(JAK2)/信号转导及转录激活因子3(STAT3)、Toll样受体4(TLR4)/核因子-κB(NF-κB)等信号通路的激活,纠正CD4
+
T细胞亚群的分化失衡等途径,恢复NPM患者的免疫稳态,从而发挥治疗作用。
Non-puerperal mastitis (NPM) is characterized by a prolonged course and frequent recurrences, and its development and progression are associated with immune dysfunction and an imbalance of helper T cells (Th)1/Th2. This review discusses the mechanisms of traditional Chinese medicine (TCM) in treating NPM from the perspective of immune inflammation, summarizing the effects of TCM on regulating the Th1/Th2 balance in patients with NPM. TCM may restore the immune homeostasis of NPM patients by regulating the secretion of Th1 and Th2 cytokines, inhibiting the activation of interleukin-6 (IL-6)/Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3), Toll-like receptor 4 (TLR4)/nuclear factor-kappa B (NF‑κB) signaling pathways, and correcting the differentiation imbalance of CD4
+
T cell subgroups, thereby exerting therapeutic effects.
非哺乳期乳腺炎细胞因子免疫功能辅助性T细胞中医药疗法作用机制研究进展
non-puerperal mastitiscytokinesimmune functionhelper T cellstraditional Chinese medicine therapymechanism of actionresearch progress
RAMALINGAM K, SRIVASTAVA A, VUTHALURU S, et al. Duct ectasia and periductal mastitis in Indian women[J]. Indian J Surg, 2015, 77(Suppl 3): 957-962.
宫文晔,洪陈彦,钟钰婷,等.非哺乳期乳腺炎临床特征及诊疗研究进展[J].解放军医学杂志, 2023, 48(12): 1478-1485.
POSTOLOVA A, TROXELL M L, WAPNIR I L, et al. Methotrexate in the treatment of idiopathic granulomatous mastitis[J]. J Rheumatol, 2020, 47(6): 924-927.
SENER B Z, AKTAS H.Patients with idiopathic granulomatous mastitis accompanied by erythema nodosum[J]. Int J Clin Pract, 2021, 75(4): e13928.
中华预防医学会妇女保健分会乳腺保健与乳腺疾病防治学组.非哺乳期乳腺炎诊治专家共识[J].中国实用外科杂志, 2016, 36(7): 755-758.
OGURA K, MATSUMOTO T, AOKI Y, et al. IgG4-related tumour-forming mastitis with histological appearances of granulomatous lobular mastitis: comparison with other types of tumour-forming mastitis[J]. Histopathology, 2010, 57(1): 39-45.
许锐,郭倩倩,杨乐平,等.非哺乳期乳腺炎患者血液中自身抗体和免疫指标的变化及其临床意义[J].南方医科大学学报, 2016, 36(8): 1157-1159.
VIEIRA BORBA V, SHOENFELD Y. Prolactin, autoimmunity, and motherhood: when should women avoid breastfeeding?[J]. Clin Rheumatol, 2019, 38(5): 1263-1270.
SUN J, LIU T, YAN Y, et al. The role of Th1/Th2 cytokines played in regulation of specific CD4+ Th1 cell conversion and activation during inflammatory reaction of chronic obstructive pulmonary disease[J]. Scand J Immunol, 2018, 88(1): e12674.
孙厚启.IL-2、IL-4在浆细胞性乳腺炎组织中的表达及意义[D]. 石河子:石河子大学, 2015: 10-11.
ZHAO J, JI H Y, WANG X H, et al. Association of nonpuerperal mastitis with cytokines related to helper T cells TH1/TH2 and TH17/Treg[J]. Altern Ther Health Med, 2023, 29(8): 150-155.
郑丽,杨斌,张晓军,等.消痈散结汤对浆细胞性乳腺炎模型大鼠Th1/Th2细胞因子平衡及上皮连接蛋白表达的影响[J].世界中西医结合杂志, 2023, 18(2): 277-281.
ZHANG Y, ZHANG Y G, GU W P, et al. TH1/TH2 cell differentiation and molecular signals[J]. Adv Exp Med Biol, 2014, 841: 15-44.
SCHMITT N, UENO H.Regulation of human helper T cell subset differentiation by cytokines[J]. Curr Opin Immunol, 2015, 34: 130-136.
DJURETIC I M, LEVANON D, NEGREANU V, et al. Transcription factors T-bet and Runx3 cooperate to activate Ifng and silence IL4 in T helper type 1 cells[J]. Nat Immunol, 2007, 8(2): 145-153.
SILVA D A A D, SILVA M V D, BARROS C C O, et al. TNF-α blockade impairs in vitro tuberculous granuloma formation and down modulate Th1, Th17 and Treg cytokines[J]. PLoS One, 2018, 13(3): e194430.
LI X, HUANG Q, ONG C, et al.Chrysin sensitizes tumor necrosis factor-α-induced apoptosis in human tumor cells via suppression of nuclear factor-kappaB[J]. Cancer Lett, 2010, 293(1): 109-116.
刘晓菲,王楠,李斐斐,等.肉芽肿性乳腺炎不同中医证型中免疫相关因子表达变化及临床意义[J].中医药学报, 2020, 48(4): 23-28.
刁岩,单昌友,赵阳,等.IL-6/STAT3信号途径介导肉芽肿性乳腺炎的作用研究[J].现代生物医学进展, 2018, 18(23): 4486-4488.
LIU Y, ZHANG J, ZHOU Y, et al. IL-6/STAT3 signaling pathway is activated in plasma cell mastitis[J]. Int J Clin Exp Pathol, 2015, 8(10): 12541-12548.
HUANG Y M, LO C, CHENG C F, et al. Serum C-reactive protein and interleukin-6 levels as biomarkers for disease severity and clinical outcomes in patients with idiopathic granulomatous mastitis[J]. J Clin Med, 2021, 10(10): 2077.
LIU Y, ZHANG J, ZHOU Y, et al. Activation of the IL-6/JAK2/STAT3 pathway induces plasma cell mastitis in mice[J]. Cytokine,2018, 110: 150-158.
KOKSAL H, VATANSEV H, ARTAC H, et al. The clinical value of interleukins-8, -10, and -17 in idiopathic granulomatous mastitis[J]. Clin Rheumatol, 2020, 39(5): 1671-1677.
卢中原.化痰解毒活血法对浆细胞性乳腺炎患者血清IL-10、IL-17、MIF的影响[D].合肥:安徽中医药大学, 2016.
WANG X, HE X, LIU J, et al.Immune pathogenesis of idiopathic granulomatous mastitis:from etiology toward therapeutic approaches[J].Front Immunol, 2024, 15: 1295759.
楚爱景,樊英怡,王春晖,等.肉芽肿性乳腺炎的中西医治疗现状及分析[J].中华中医药杂志, 2020, 35(12): 5971-5974.
周诗雯,刘执,贾亮亮,等.厚朴酚抑制小鼠乳腺上皮细胞炎症反应及其机制[J].基因组学与应用生物学, 2020, 39(8): 3786-3791.
曹雅琦,魏丹丹,张森,等.苦参异戊烯基黄酮与甘草黄酮联用体外抑菌活性评价及抗小鼠乳腺炎作用研究[J].南京中医药大学学报, 2020, 36(3): 331-338.
匡海学,崔娜,张雅男,等.商陆皂苷对脂多糖诱导的小鼠乳腺炎的影响[J].中国实验方剂学杂志, 2020, 26(14): 65-71.
WANG Z, WANG N, LIU X, et al. Broadleaf Mahonia attenuates granulomatous lobular mastitis-associated inflammation by inhibiting CCL-5 expression in macrophages[J]. Int J Mol Med, 2018, 41(1): 340-352.
LIU Y, SUN Y, ZHOU Y, et al. Sinomenine hydrochloride inhibits the progression of plasma cell mastitis by regulating IL-6/JAK2/STAT3 pathway[J]. Int Immunopharmacol, 2020, 81: 106025.
陈豪,杨铭,陈红风.疏肝清热法治疗粉刺性乳痈的用药规律研究[J].上海中医药杂志, 2022, 56(8): 22-26.
杜楠楠,万华,冯佳梅,等.托里消毒散与柴胡清肝汤干预热盛肉腐证化脓性非哺乳期乳腺炎初期的随机对照研究[J].中国中西医结合杂志, 2024, 44(1): 37-43.
刘晓菲,王圆圆,宿琦琦,等.益气和营法调控肉芽肿性乳腺炎IL-6、IL-1β、IFN-γ免疫失衡机制[J].世界科学技术-中医药现代化,2022, 24(9): 3442-3448.
王灿,徐其锋,蔡文敏.阳和汤联合乳管镜中药灌注治疗早期浆细胞性乳腺炎临床研究[J].中药药理与临床, 2022, 38(3): 152-155.
QIAO N, WANG Q, MA C, et al. Mechanism underlying efficacy of Shugan Sanjie decoction on plasma cell mastitis,based on network pharmacology and experimental verification[J]. J Tradit Chin Med, 2022, 42(3): 400-407.
李宏燕,王如然,张玉杰,等.扶正益气汤联合抗生素治疗对浆细胞性乳腺炎患者的疗效及血清炎症因子的影响[J].辽宁中医杂志, 2021, 48(8): 144-148.
朴明姬,许斌,杜金柱,等.清热活血解毒方联合改良挂线术治疗瘘管期浆细胞性乳腺炎临床研究[J].陕西中医, 2022, 43(3): 305-308.
PANG Y, LI Y, KUI G, et al. Efficacy of a Chinese herbal medicine compound Zhangpi Ointment against hydroxyurea-induced leg ulcers: a prospective, randomized, open-label, controlled clinical trial[J]. Evid Based Complement Alternat Med, 2018, 2018: 9329465.
薛静娴,曹思涵,唐甜,等.疮灵液外治对浆细胞性乳腺炎肿块的影响[J].中国中西医结合杂志, 2020, 40(4): 418-421.
刘慧,李鑫,周亮,等.托里消毒散联合九华膏治疗非哺乳期乳腺炎溃后期病变的临床疗效与安全性评价[J].中华中医药杂志, 2021, 36(4): 2404-2407.
付豹,王进峰,刘晓飞,等.万应膏外敷联合手术治疗浆细胞性乳腺炎30例疗效观察[J].安徽医药, 2021, 25(1): 64-67.
章烨欣,杨银,陈鹏,等.金黄散外敷联合柴胡清肝汤口服治疗浆细胞乳腺炎20例[J].河南中医, 2020, 40(6): 890-893.
谢怡琳,万文蓉,赵银龙,等.温阳利气配穴针刺治疗哮喘持续期及对患者免疫功能的影响[J].中国针灸, 2015, 35(11): 1089-1093.
杨东梅,汪熙臻,董纪强,等.针刺联合黑逍遥散治疗脑瘫患儿及对血清免疫指标和神经生长相关蛋白水平的影响[J].中国针灸, 2021, 41(3): 288-292.
胡珊,刘昱磊,陈鹏典,等.疏肝健脾针刺法对肿块型肉芽肿性小叶性乳腺炎患者免疫功能的影响[J].中国医药导报, 2022, 19(13): 131-135.
胡永春,雷秋模,欧阳倩雯.调气和营法联合火针拔罐治疗肉芽肿性乳腺炎的效果观察[J].中国医学创新, 2023, 20(35): 115-118.
屠道远,甄林林,李振,等.非哺乳期乳腺炎病因学研究进展[J].中华乳腺病杂志(电子版), 2018, 12(1): 55-59.
ZHENG B, SONG J, LU M,et al.Current research describing the role of CD4+ T lymphocyte subsets in the pathogenesis of granulomatous lobular mastitis[J]. J Invest Surg, 2022, 35(10): 1790-1795.
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