中药活性成分改善骨骼肌萎缩的作用机制研究进展 点击下载
| 论文标题: | 中药活性成分改善骨骼肌萎缩的作用机制研究进展 |
| 英文标题: | |
| 中文摘要: | 骨骼肌萎缩是指各类诱因引发肌纤维萎缩、肌量与肌力减退的病理状态,属于中医“痿证”范畴,主要与蛋白质稳态失衡、线粒体功能障碍、氧化应激损伤有关。中药活性成分具有多通路协同调控特征,在骨骼肌萎缩的临床防治中具备独特优势。本文综述了中药活性成分改善骨骼肌萎缩的作用机制,发现中药活性成分可通过调节蛋白质代谢平衡(如京尼平苷、苦参碱、五味子甲素等)和氧化应激(如黄芪皂苷Ⅳ、天麻多糖、当归多糖等)、改善线粒体功能(如野菊花内酯、小檗碱、姜黄素等)、促进肌生成与分化(如黄豆碱Ⅱb、柴胡皂苷A、柴胡皂苷D等)、抑制炎症反应(如熊果酸、雷公藤内酯、大黄素等)、改善胰岛素抵抗(如木通皂苷D等),从而发挥改善骨骼肌萎缩的作用。未来,中药活性成分有望在骨骼肌萎缩的临床治疗中实现突破,为退行性疾病的防治提供新的思路与策略。 |
| 英文摘要: | Skeletal muscle atrophy refers to a pathological condition characterized by muscle fiber atrophy as well as decreased muscle mass and muscle strength induced by various predisposing factors. It falls under the category of “flaccidity syndrome” in traditional Chinese medicine, and its pathogenesis is mainly associated with disturbed protein homeostasis, mitochondrial dysfunction and oxidative stress injury. Active ingredients of traditional Chinese medicine exerts synergistic regulatory effects via multiple pathways, thus possessing unique advantages in the clinical prevention and treatment of skeletal muscle atrophy. This paper reviews the mechanisms by which active ingredients of traditional Chinese medicine alleviate skeletal muscle atrophy. Existing studies have demonstrated that such active ingredients can ameliorate skeletal muscle atrophy through multiple approaches: regulating protein metabolic balance (geniposide, matrine, schisandrin A, etc.) and oxidative stress (astragaloside Ⅳ, Gastrodia elata polysaccharide, Angelica sinensis polysaccharide, etc.), improving mitochondrial function (parthenolide, berberine, curcumin, etc.), facilitating myogenesis and myogenic differentiation (cucurbitacin Ⅱb, saikosaponin A, saikosaponin D, etc.), suppressing inflammatory response (ursolic acid, triptolide, emodin, etc.), ameliorating insulin resistance (akebiasaponin D, etc.). In the future, active ingredients of traditional Chinese medicine are expected to achieve breakthroughs in clinical treatment for skeletal muscle atrophy, providing novel ideas and strategies for the prevention and treatment of degenerative disorders. |
| 期刊: | 2026年第37卷第15期 |
| 作者: | 江沁;郭文雅;周颖;周健;张震宇;龚妍春;姚丽华;黎玉华 |
| 英文作者: | JIANG Qin,GUO Wenya,ZHOU Ying,ZHOU Jian,ZHANG Zhenyu,GONG Yanchun,YAO Lihua,LI Yuhua |
| 关键字: | 中药;活性成分;骨骼肌萎缩;蛋白质代谢;氧化应激;线粒体功能 |
| KEYWORDS: | traditional Chinese medicine; active ingredients; skeletal muscle atrophy; protein metabolism; oxidative stress; |
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