基于SIRT1 相关信号通路总结中药单体及复方促进糖尿病足溃疡创面愈合的研究进展
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R259

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卫健委2025年慢病管理研究课题(GWJJMB202510025143);山东省中医药科技项目面上项目(M20241812);山东中医药大学研究生提质创新课题(YJSTZCX2025128)


Research Progress on Chinese Medicine Monomers and Compounds in Promoting Diabetic Foot Ulcer Wound Healing Based on SIRT1-Related Signaling Pathways
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    摘要:

    通过归纳中药单体及复方调控沉默信息调节因子1(SIRT1) 相关通路的研究,总结SIRT1相关信号通路在中药单体及复方促进糖尿病足溃疡创面愈合中的作用机制。SIRT1活性降低可导致炎症持续、氧化还原失衡、自噬受阻及血管生成障碍。皂苷、生物碱、黄酮、多糖等中药单体及多种中药复方,可通过SIRT1/核因子(NF) -κB、SIRT1/核因子E2相关因子2(Nrf2) /血红素加氧酶-1(HO-1)、腺苷一磷酸(AMP) 激活蛋白激酶/SIRT1/叉头框转录因子O1(FoxO1)、miRNA/SIRT1和SIRT1/自噬等通路,发挥抗炎、抗氧化、促血管生成及组织重建作用。SIRT1是中药促进糖尿病足溃疡创面修复的重要靶点,但现有证据以细胞和动物实验为主,仍需高质量临床研究验证。

    Abstract:

    Abstract: By summarizing the studies on the regulation of sirtuin 1 (SIRT1)-related signaling pathways by Chinese medicine monomers and compounds, this article reviews the mechanisms through which SIRT1-related signaling pathways mediate the effects of Chinese medicine monomers and compounds in promoting wound healing in diabetic foot ulcers. Reduced SIRT1 activity may lead to persistent inflammatory reactions,redox imbalance,impaired autophagy,and angiogenesis disorders. Chinese medicine monomers including saponins,alkaloids,flavonoids,and polysaccharides, as well as various Chinese medicine compounds, may exert anti-inflammatory, antioxidant, proangiogenic, and tissue remodeling effects through signaling pathways such as SIRT1/nuclear factor-κB (NF-κB), SIRT1/nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1), AMP-activated protein kinase( AMPK)/SIRT1/forkhead box protein O1( FoxO1),microRNA( miRNA)/SIRT1,and SIRT1/autophagy. SIRT1 is an important target for Chinese medicine in promoting diabetic foot ulcer wound repair. However,current evidence is predominantly derived from cellular and animal experiments, and high-quality clinical studies are still needed for further validation.

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妙俊朋,潘婷,刘晓,李英杰,关中正,苏永涛.基于SIRT1 相关信号通路总结中药单体及复方促进糖尿病足溃疡创面愈合的研究进展[J].新中医,2026,58(19):111-117

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  • 在线发布日期: 2026-10-16
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