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1.湖南中医药大学(湖南 长沙 410208)
2.湖南省中医药研究院(湖南 长沙 410013)
3.湖南省中西结合医院(湖南省中医药研究院附属医院)(湖南 长沙 410006)
曾雯,女,博士研究生,医师,主要从事中医药防治脑病研究工作
刘芳,主任医师,博士研究生导师; E-mail: msliufang@126.com
纸质出版日期:2025-01-10,
收稿日期:2024-09-26,
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曾雯,周胜强,黄佳,等.黄芪免疫调节活性成分及其药理作用进展[J].上海中医药杂志,2025,59(1):80-88.
ZENG Wen,ZHOU Shengqiang,HUANG Jia,et al.Research progress on active components and pharmacological mechanisms of Astragali Radix in immunoregulation[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):80-88.
曾雯,周胜强,黄佳,等.黄芪免疫调节活性成分及其药理作用进展[J].上海中医药杂志,2025,59(1):80-88. DOI: 10.16305/j.1007-1334.2025.z20240926003.
ZENG Wen,ZHOU Shengqiang,HUANG Jia,et al.Research progress on active components and pharmacological mechanisms of Astragali Radix in immunoregulation[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):80-88. DOI: 10.16305/j.1007-1334.2025.z20240926003.
免疫性疾病发生率逐年增长,目前免疫抑制剂、糖皮质激素、生物制剂等为其主要治疗手段,但存在治疗过度、治疗不足、毒副作用大等问题。黄芪及其有效成分免疫调节活性显著,具有双向调节免疫、抗炎、抗氧化应激、抗肿瘤等药理作用,在治疗肿瘤、重症肌无力、炎症性肠病、特应性皮炎、银屑病等免疫性疾病方面疗效突出。黄芪可多途径、多靶点防治免疫性疾病,现综述黄芪及其活性成分(黄芪皂苷Ⅲ、黄芪皂苷Ⅳ、环黄芪醇及黄酮类化合物)调节免疫的作用及机制,为后续临床研究提供依据。
The incidence of immune-related diseases is rising annually. Current primary therapeutic approaches, including immunosuppressants, glucocorticoids, and biologics, present challenges such as overtreatment, undertreatment, and significant adverse toxic effects. Huangqi (Astragali Radix) and its active components show significant immunomodulatory properties and possess pharmacological effects including bidirectional immune regulation, anti-inflammatory action, antioxidative stress response, and antitumor activity, which make it effective in treating immune-related diseases such as cancer, myasthenia gravis, inflammatory bowel disease, atopic dermatitis, and psoriasis. Huangqi can prevent and treat immune diseases through multiple pathways and targets. This article reviews the mechanisms by which Huangqi and its key active compounds (Astragaloside Ⅲ, Astragaloside Ⅳ, Cycloastragenol, and various flavonoids) regulate immune responses, thereby providing a foundation for further clinical research.
黄芪免疫调节药理作用活性成分中药研究
Huangqi (Astragali Radix)immunoregulationpharmacological effectactive componenttraditional Chinese herbal medicine research
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