中药通过NF-κB 信号通路干预幽门螺杆菌相关胃炎研究进展
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R259

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黑龙江省自然科学基金项目(LH2023H059);广东省医学会临床科研专项基金项目(A202302016);深圳市福田区卫生健康系统科研项目(FTWS2022033,FTWS2023006)


Research Progress of Chinese Medicine Intervention in Helicobacter Pylori Associated Gastritis by NF-κB Signaling Pathway
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    摘要:

    幽门螺杆菌(Hp) 感染是导致慢性胃炎的主要因素,而核转录因子(NF) -κB信号通路在Hp胃 炎(HAG) 的发病机制中扮演关键角色。本文综述了中药通过调控NF-κB信号通路干预HAG的研究进展。中 药单体成分和复方制剂能够通过多种机制调控NF-κB信号通路,发挥抗炎、免疫调节和抑制细胞凋亡等作用。 本文共收录了18个中药单体,包括黄酮类、酚类、生物碱类、多糖类和萜类化合物,以及11个中药方剂。这 些中药主要通过白细胞介素-1受体相关激酶4 (IRAK4) /NF-κB 抑制蛋白α (IκBα) /NF-κB、Toll样受体 4 (TLR4) /NF-κB、蛋白激酶B (Akt) /NF-κB、髓样分化初级反应蛋白88 (MyD88) /NF-κB、Toll样受体 2 (TLR2) /MyD88/NF-κB、高迁移率族蛋白B1(HMGB1) /NF-κB、丝裂原活化蛋白激酶(MAPK) /NF-κB、 TLR4/NF-κB/核苷酸结合寡聚化结构域样受体蛋白3(NLRP3) 等信号通路发挥作用。尽管中药在治疗HAG方 面显示出潜力,但目前对中药成分的系统筛选和鉴定仍有待加强,且临床研究中对中药干预HAG疗效和安全 性的证据尚不充分。未来研究需结合现代生物技术,进一步揭示中药成分对NF-κB信号通路的调控机制,为 HAG的治疗提供更有效的策略。

    Abstract:

    Abstract:Helicobacter pylori(Hp)infection is a major factor leading to chronic gastritis,and the nuclear factor (NF)-κB signaling pathway plays a key role in the pathogenesis of Hp associated gastritis(HAG). This article reviews the research progress of Chinese medicine intervention in HAG by regulating the NF-κB signaling pathway. Studies have found that Chinese medicine monomers and compound preparations can regulate the NF-κB signaling pathway through multiple mechanisms,exerting their roles in anti-inflammation,immunoregulation and inhibition of apoptosis. A total of 18 Chinese medicine monomers were included, including flavonoids, phenols, alkaloids, polysaccharides and terpenoids,as well as 11 Chinese medicine preparations. These Chinese medicine primarily act through signaling pathways of interleukin-1 receptor-associated kinase 4(IRAK4)/inhibitor of NF-κB α(IκBα)/NF-κB, Toll-like receptor 4 (TLR4)/NF-κB,protein kinase B(Akt)/NF-κB,myeloid differentiation primary response protein 88(MyD88)/NF-κB, Toll-like receptor 2(TLR2)/MyD88/NF-κB,high mobility group box 1 protein(HMGB1)/NF-κB,mitogen-activated protein kinase(MAPK)/NF-κB,and TLR4/NF-κB/Nucleotide-binding digomerization domain-like receptor protein 3 (NLRP3). Although Chinese medicine shows potential in treating HAG,the systematic screening and identification of components in Chinese medicine still has a long way to go,and the clinical evidence on the curative effect and safety of Chinese medicine intervention in HAG remains insufficient. Future research should integrate modern biotechnology to further elucidate the mechanisms of components from Chinese medicine in regulating the NF-κB signaling pathway, providing more effective strategies for HAG treatment.

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陈晓婷,彭程锦,张君成,张冉,黄国欣,吴丽丽,张洁,张杨,王静滨.中药通过NF-κB 信号通路干预幽门螺杆菌相关胃炎研究进展[J].新中医,2025,57(21):151-158

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  • 在线发布日期: 2025-11-11
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