中医药调节肠道微生态缓解溃疡性结肠炎的研究进展

侯伟欣, 韩涛涛, 徐甜, 等. 中医药调节肠道微生态缓解溃疡性结肠炎的研究进展[J]. 中国中西医结合消化杂志, 2023, 31(12): 946-950. doi: 10.3969/j.issn.1671-038X.2023.12.07
引用本文: 侯伟欣, 韩涛涛, 徐甜, 等. 中医药调节肠道微生态缓解溃疡性结肠炎的研究进展[J]. 中国中西医结合消化杂志, 2023, 31(12): 946-950. doi: 10.3969/j.issn.1671-038X.2023.12.07
HOU Weixin, HAN Taotao, XU Tian, et al. Research progress of Traditional Chinese Medicine regulating intestinal microecology to relieve ulcerative colitis[J]. Chin J Integr Tradit West Med Dig, 2023, 31(12): 946-950. doi: 10.3969/j.issn.1671-038X.2023.12.07
Citation: HOU Weixin, HAN Taotao, XU Tian, et al. Research progress of Traditional Chinese Medicine regulating intestinal microecology to relieve ulcerative colitis[J]. Chin J Integr Tradit West Med Dig, 2023, 31(12): 946-950. doi: 10.3969/j.issn.1671-038X.2023.12.07

中医药调节肠道微生态缓解溃疡性结肠炎的研究进展

  • 基金项目:
    国家自然科学基金面上项目(No:82270567);中国医学科学院医学与健康科技创新工程(No:2021-I2M-1-003);北京协和医院中央高水平医院临床科研专项(No:2022-PUMCH-B-022、2022-PUMCH-D-022)
详细信息
    通讯作者: 李景南,E-mail:lijn2008@126.com

    Δ审校者

  • 中图分类号: R574.62

Research progress of Traditional Chinese Medicine regulating intestinal microecology to relieve ulcerative colitis

More Information
  • 溃疡性结肠炎(ulcerative colitis,UC)是肠道慢性迁延性疾病,其发病机制尚未明了,目前大量研究表明肠道微生态失衡是UC发病的重要调控因素。中药组方成分复杂,可从多个靶点、多条途径发挥对肠道微生态的调控作用,减轻炎症反应,保护肠黏膜屏障,在治疗UC方面疗效显著。本文综述了肠道菌群在UC发病机制中的作用,同时对中药通过调节肠道微生态缓解UC的研究进展进行总结,以期为UC治疗提供新策略,带来新机遇。
  • 加载中
  • [1]

    Imdad A, Pandit NG, Zaman M, et al. Fecal transplantation for treatment of inflammatory bowel disease[J]. Cochrane Database Syst Rev, 2023, 4(4): CD012774.

    [2]

    Burisch J, Zhao M, Odes S, et al. The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission[J]. Lancet Gastroenterol Hepatol, 2023, 8(5): 458-492. doi: 10.1016/S2468-1253(23)00003-1

    [3]

    Le Berre C, Honap S, Peyrin-Biroulet L. Ulcerative colitis[J]. Lancet, 2023, 402(10401): 571-584. doi: 10.1016/S0140-6736(23)00966-2

    [4]

    Federici S, Kviatcovsky D, Valdés-Mas R, et al. Microbiome-phage interactions in inflammatory bowel disease[J]. Clin Microbiol Infect, 2023, 29(6): 682-688. doi: 10.1016/j.cmi.2022.08.027

    [5]

    Wang M, Fu R, Xu D, et al. Traditional Chinese Medicine: A promising strategy to regulate the imbalance of bacterial flora, impaired intestinal barrier and immune function attributed to ulcerative colitis through intestinal microecology[J]. J Ethnopharmacol, 2024, 318(Pt A): 116879.

    [6]

    Saez A, Gomez-Bris R, Herrero-Fernandez B, et al. Innate Lymphoid Cells in Intestinal Homeostasis and Inflammatory Bowel Disease[J]. Int J Mol Sci, 2021, 22(14): 7618. doi: 10.3390/ijms22147618

    [7]

    Yang X, Wan J, Li N, et al. MiR155 Disrupts the Intestinal Barrier by Inducing Intestinal Inflammation and Altering the Intestinal Microecology in Severe Acute Pancreatitis[J]. Dig Dis Sci, 2022, 67(6): 2209-2219. doi: 10.1007/s10620-021-07022-1

    [8]

    Mendler A, Geier F, Haange SB, et al. Mucosal-associated invariant T-Cell(MAIT)activation is altered by chlorpyrifos-and glyphosate-treated commensal gut bacteria[J]. J Immunotoxicol, 2020, 17(1): 10-20. doi: 10.1080/1547691X.2019.1706672

    [9]

    Akagbosu B, Tayyebi Z, Shibu G, et al. Novel antigen-presenting cell imparts Treg-dependent tolerance to gut microbiota[J]. Nature, 2022, 610(7933): 752-760. doi: 10.1038/s41586-022-05309-5

    [10]

    Tang J, Xu L, Zeng Y, et al. Effect of gut microbiota on LPS-induced acute lung injury by regulating the TLR4/NF-kB signaling pathway[J]. Int Immunopharmacol, 2021, 91: 107272. doi: 10.1016/j.intimp.2020.107272

    [11]

    Nabavi-Rad A, Sadeghi A, Asadzadeh Aghdaei H, et al. The double-edged sword of probiotic supplementation on gut microbiota structure in Helicobacter pylori management[J]. Gut Microbes, 2022, 14(1): 2108655. doi: 10.1080/19490976.2022.2108655

    [12]

    Sinha SR, Haileselassie Y, Nguyen LP, et al. Dysbiosis-Induced Secondary Bile Acid Deficiency Promotes Intestinal Inflammation[J]. Cell Host Microbe, 2020, 27(4): 659-670.e5. doi: 10.1016/j.chom.2020.01.021

    [13]

    Lv L, Chen Z, Bai W, et al. Taurohyodeoxycholic acid alleviates trinitrobenzene sulfonic acid induced ulcerative colitis via regulating Th1/Th2 and Th17/Treg cells balance[J]. Life Sci, 2023, 318: 121501. doi: 10.1016/j.lfs.2023.121501

    [14]

    Parada Venegas D, De la Fuente MK, Landskron G, et al. Short chain fatty acids(SCFAS)-mediated gut epithelial and immune regulation and its relevance for inflammatory bowel diseases[J]. Front Immunol, 2019, 10: 277. doi: 10.3389/fimmu.2019.00277

    [15]

    Ghasemi-Dehnoo M, Amini-Khoei H, Lorigooini Z, et al. Ferulic acid ameliorates ulcerative colitis in a rat model via the inhibition of two LPS-TLR4-NF-κB and NF-κB-INOS-NO signaling pathways and thus alleviating the inflammatory, oxidative and apoptotic conditions in the colon tissue[J]. Inflammopharmacology, 2023, 31(5): 2587-2597. doi: 10.1007/s10787-023-01277-y

    [16]

    Fu Y, Yuan H, Xu Y, et al. Protective effects of Ligularia fischeri root extracts against ulcerative colitis in mice through activation of Bcl-2/Bax signalings[J]. Phytomedicine, 2022, 99: 154006. doi: 10.1016/j.phymed.2022.154006

    [17]

    Li C, Gong L, Jiang Y, et al. Sanguisorba officinalis ethyl acetate extract attenuates ulcerative colitis through inhibiting PI3K-AKT/NF-κB/ STAT3 pathway uncovered by single-cell RNA sequencing[J]. Phytomedicine, 2023, 120: 155052. doi: 10.1016/j.phymed.2023.155052

    [18]

    Parikh K, Antanaviciute A, Fawkner-Corbett D, et al. Colonic epithelial cell diversity in health and inflammatory bowel disease[J]. Nature, 2019, 567(7746): 49-55. doi: 10.1038/s41586-019-0992-y

    [19]

    Kuo W, Shen L, Zuo L, et al. Inflammation-induced Occludin Downregulation Limits Epithelial Apoptosis by Suppressing Caspase-3 Expression[J]. Gastroenterology, 2019, 157(5): 1323-1337. doi: 10.1053/j.gastro.2019.07.058

    [20]

    Shirakashi M, Maruya M, Hirota K, et al. Effect of Impaired T Cell Receptor Signaling on the Gut Microbiota in a Mouse Model of Systemic Autoimmunity[J]. Arthritis Rheumatol, 2022, 74(4): 641-653. doi: 10.1002/art.42016

    [21]

    Jassem J, Marek-Trzonkowska NM, Smiatacz T, et al. Successful Treatment of Persistent SARS-CoV-2 Infection in a B-Cell Depleted Patient with Activated Cytotoxic T and NK Cells: A Case Report[J]. Int J Mol Sci, 2021, 22(20): 10934. doi: 10.3390/ijms222010934

    [22]

    Mao K, Baptista AP, Tamoutounour S, et al. Innate and adaptive lymphocytes sequentially shape the gut microbiota and lipid metabolism[J]. Nature, 2018, 554(7691): 255-259. doi: 10.1038/nature25437

    [23]

    Dong Y, Fan H, Zhang Z, et al. Berberine ameliorates DSS-induced intestinal mucosal barrier dysfunction through microbiota-dependence and Wnt/β-catenin pathway[J]. Int J Biol Sci, 2022, 18(4): 1381-1397. doi: 10.7150/ijbs.65476

    [24]

    Yang Q, Ma L, Zhang C, et al. Exploring the Mechanism of Indigo Naturalis in the Treatment of Ulcerative Colitis Based on TLR4/MyD88/NF-κB Signaling Pathway and Gut Microbiota[J]. Front Pharmacol, 2021, 12: 674416. doi: 10.3389/fphar.2021.674416

    [25]

    Lu M, Zhang Q, Chen K, et al. The regulatory effect of oxymatrine on the TLR4/MyD88/NF-κB signaling pathway in lipopolysaccharide-induced MS1 cells[J]. Phytomedicine, 2017, 36: 153-159. doi: 10.1016/j.phymed.2017.10.001

    [26]

    Wang K, Yang Q, Ma Q, et al. Protective Effects of Salvianolic Acid A against Dextran Sodium Sulfate-Induced Acute Colitis in Rats[J]. Nutrients, 2018, 10(6): 791. doi: 10.3390/nu10060791

    [27]

    Zhao M, Xie X, Xu B, et al. Paeonol alleviates ulcerative colitis in mice by increasing short-chain fatty acids derived from Clostridium butyricum[J]. Phytomedicine, 2023, 120: 155056. doi: 10.1016/j.phymed.2023.155056

    [28]

    Long J, Liu X, Kang Z, et al. Ginsenoside Rg1 ameliorated experimental colitis by regulating the balance of M1/M2 macrophage polarization and the homeostasis of intestinal flora[J]. Eur J Pharmacol, 2022, 917: 174742. doi: 10.1016/j.ejphar.2022.174742

    [29]

    Peng L, Gao X, Nie L, et al. Astragalin Attenuates Dextran Sulfate Sodium(DSS)-Induced Acute Experimental Colitis by Alleviating Gut Microbiota Dysbiosis and Inhibiting NF-κB Activation in Mice[J]. Front Immunol, 2020, 11: 2058. doi: 10.3389/fimmu.2020.02058

    [30]

    Qu Y, Li X, Xu F, et al. Kaempferol Alleviates Murine Experimental Colitis by Restoring Gut Microbiota and Inhibiting the LPS-TLR4-NF-κB Axis[J]. Front Immunol, 2021, 12: 679897. doi: 10.3389/fimmu.2021.679897

    [31]

    Yuan Z, Yang L, Zhang X, et al. Therapeutic effect of n-butanol fraction of Huang-lian-Jie-du Decoction on ulcerative colitis and its regulation on intestinal flora in colitis mice[J]. Biomed Pharmacother, 2020, 121: 109638. doi: 10.1016/j.biopha.2019.109638

    [32]

    Li M, Li M, Lei J, et al. Huangqin decoction ameliorates DSS-induced ulcerative colitis: Role of gut microbiota and amino acid metabolism, mTOR pathway and intestinal epithelial barrier[J]. Phytomedicine, 2022, 100: 154052. doi: 10.1016/j.phymed.2022.154052

    [33]

    Wang X, Huang S, Zhang M, et al. Gegen Qinlian decoction activates AhR/IL-22 to repair intestinal barrier by modulating gut microbiota-related tryptophan metabolism in ulcerative colitis mice[J]. J Ethnopharmacol, 2023, 302(Pt B): 115919.

    [34]

    胡蓝烁, 杨先照, 王建云, 等. 解毒活血方灌肠对溃疡性结肠炎小鼠结肠炎症及肠道菌群的影响[J]. 环球中医药, 2023, 16(6): 1057-1066. https://www.cnki.com.cn/Article/CJFDTOTAL-HQZY202306001.htm

    [35]

    汪悦, 查安生. 益气解毒化瘀方对溃疡性结肠炎大鼠肠道菌群—肠上皮NLRs/NF-κB信号通路的影响[J]. 时珍国医国药, 2022, 33(10): 2359-2361. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY202210014.htm

    [36]

    Yang J, Miao L, Xue Y, et al. Yiyi Fuzi Baijiang Powder Alleviates Dextran Sulfate Sodium-Induced Ulcerative Colitis in Rats via Inhibiting the TLR4/NF-κB/NLRP3 Inflammasome Signaling Pathway to Repair the Intestinal Epithelial Barrier, and Modulating Intestinal Microbiota[J]. Oxid Med Cell Longev, 2023, 2023: 3071610.

    [37]

    Luo Y, Zhu F, Wu J, et al. Effect of Shenling Baizhu San on Intestinal Flora in a Rat Model of Ulcerative Colitis with Spleen Deficiency and Dampness[J]. Evid Based Complement Alternat Med, 2022, 2022: 9985147.

    [38]

    Zou J, Shen Y, Chen M, et al. Lizhong decoction ameliorates ulcerative colitis in mice via modulating gut microbiota and its metabolites[J]. Appl Microbiol Biotechnol, 2020, 104(13): 5999-6012. doi: 10.1007/s00253-020-10665-1

  • 加载中
计量
  • 文章访问数:  448
  • PDF下载数:  224
  • 施引文献:  0
出版历程
收稿日期:  2023-10-03
刊出日期:  2023-12-15

目录