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帕金森病是常见的神经系统退行性疾病,主要病理特征为脑黑质多巴胺能神经元死亡,导致纹状体多巴胺递质减少,从而引发运动障碍。近年来淫羊藿治疗帕金森病得到广泛的关注,文章对淫羊藿治疗帕金森病作用机制进行综述,详细介绍淫羊藿的主要活性成分淫羊藿素、淫羊藿苷通过抗氧化、改善线粒体功能障碍、抑制神经炎症、抑制神经元细胞凋亡、调节细胞自噬途径发挥保护神经作用的具体机制。以期为后期PD的临床治疗提供参考和思路。参考文献46篇。
Abstract:Parkinson's disease is a common neurodegenerative disorder of the nervous system,which is characterized primarily by the degeneration of dopaminergic neurons in the substantia nigra,leading to a reduction in dopamine neurotransmitters in the striatum and subsequent motor dysfunction. In recent years,Yinyanghuo(Epimedii Folium) has garnered widespread attention in the treatment of Parkinson's disease. This article reviews the mechanism of action of Yinyanghuo in the treatment of Parkinson's disease and elaborates on the specific mechanisms by which the main active components of icaritin and icariin,exert neuroprotective effects through antioxidation,improvement of mitochondrial dysfunction,inhibition of neuroinflammation,inhibition of neuronal cell apoptosis,and regulation of autophagy pathway,with a prospect of providing references and ideas for the clinical treatment of Parkinson's disease in the later stage. There are 46 references.inson's disease and summarizes its mechanisms of action,aiming to provide references for clinical treatment.
[1] JOZA S,HU M T,JUNG K Y,et al. Progression of clinical markers in prodromal Parkinson’s disease and dementia with Lewy bodies:a multicentre study[J].Brain,2023,146(8):3258-3272.
[2] SIMON D K,TANNER C M,BRUNDIN P. Parkinson disease epidemiology,pathology,genetics,and pathophysiology[J]. Clin Geriatr Med,2020,36(1):1-12.
[3]叶文慧,宋咏梅.帕金森病中医药研究的现状与趋势分析[J].山东中医杂志,2023,42(1):101-107.
[4]陆乐,徐洋,蔡辉.淫羊藿总黄酮研究进展[J].山东中医药大学学报,2013,37(2):167-170.
[5]曾令荣,尹彩霞,刘远贵,等.淫羊藿次苷Ⅱ下调APP/PS1转基因小鼠海马APP、Aβ1-42、RAGE蛋白水平并抑制炎症反应[J].遵义医学院学报,2017,40(1):22-26.
[6]陈颖,刘秋,吉春燕,等.基于抗氧化活性研究淫羊藿黄酮类化合物对脑缺血再灌注损伤的保护作用[J].中草药,2024,55(23):8046-8055.
[7]刘木波.淫羊藿次苷Ⅱ抗大鼠脑缺血再灌注诱导的血脑屏障损伤研究[D].遵义:遵义医科大学,2020.
[8]陈春雪.淫羊藿的质量分析与2-喹诺酮类衍生物化学合成及其抗肿瘤作用研究[D].武汉:湖北中医药大学,2017.
[9] FORMAN H J,ZHANG H Q. Targeting oxidative stress in disease:promise and limitations of antioxidant therapy[J]. Nat Rev Drug Discov,2021,20(9):689-709.
[10]王光辉.多巴胺能神经元线粒体的氧化损伤与帕金森病[J].生命的化学,2014,34(2):193-199.
[11] VERMA A,RAVINDRANATH V. Cav1.3 L-type calcium channels increase the vulnerability of substantia nigra dopaminergic neurons in MPTP mouse model of Parkinson’s disease[J]. Front Aging Neurosci,2020,11:382.
[12] MA X J,SONG M,YAN Y S,et al. Albiflorin alleviates cognitive dysfunction in STZ-induced rats[J]. Aging,2021,13(14):18287-18297.
[13]张利,李佳莉,高苑,等.淫羊藿素的药理作用及机制研究进展[J].中草药,2024,55(17):6069-6077.
[14]梁瑞.淫羊藿素通过抑制氧化应激对MPTP诱导的帕金森病模型小鼠神经元保护作用研究[D].遵义:遵义医科大学,2023.
[15]王义翠,彭慧霞,夏子岚,等.淫羊藿苷药理作用及应用研究进展[J].中华中医药学刊,2023,41(6):182-186.
[16]杜雨蒙,杨思敏,秦小桐,等.淫羊藿苷对神经元细胞氧化应激损伤的保护作用及机制研究[J].中国临床药理学杂志,2024,40(13):1869-1873.
[17]周艳明.可控制释放淫羊藿苷的ROS响应性温敏组装纳米凝胶用于帕金森病的研究[D].天津:天津中医药大学,2023.
[18]王雪莹,谢聪聪,姚冠峰,等.线粒体的功能及其在生殖中的作用[J].中国计划生育学杂志,2019,27(3):404-408.
[19]李晓月,张欢,于睿.中医药基于氧化应激途径防治高血压研究进展[J].亚太传统医药,2023,19(3):237-240.
[20]陈林波,马凯丽,陈佺,等.线粒体自噬的分子机制[J].中国科学:生命科学,2019,49(9):1045-1053.
[21] APICCO D J,SHLEVKOV E,NEZICH C L,et al. The Parkinson’s disease-associated gene ITPKB protects against α-synuclein aggregation by regulating ER-tomitochondria calcium release[J]. Proc Natl Acad Sci USA,2021,118(1):e2006476118.
[22]肖琪,樊慧杰,李艳荣,等.帕金森病发病机制研究进展[J].解放军医学杂志,2023,48(8):983-992.
[23]黄紫琪.淫羊藿素对6-OHDA诱导的MN9D细胞线粒体损伤的影响[D].遵义:遵义医科大学,2022.
[24]王雪婷.淫羊藿苷通过激活SIRT3上调线粒体复合体Ⅱ活性减轻鱼藤酮诱导的多巴胺能神经元损伤[D].遵义:遵义医科大学,2020.
[25] LAI X Q,YE Y X,SUN C H,et al. Icaritin exhibits anti-inflammatory effects in the mouse peritoneal macrophages and peritonitis model[J]. Int Immunopharmacol,2013,16(1):41-49.
[26] HWANG E,LIN P,NGO H T T,et al. Icariin and icaritin recover UVB-induced photoaging by stimulating Nrf2/ARE and reducing AP-1 and NF-κB signaling pathways:a comparative study on UVB-irradiated human keratinocytes[J]. Photochem Photobiol Sci,2018,17(10):1396-1408.
[27]张书滔,童宇,郭小岚,等.青蒿素抑制星形胶质细胞炎症通路的分子机制研究[J].中国抗生素杂志,2023,48(10):1168-1176.
[28] GELDERS G,BAEKELANDT V,VAN DER PERREN A. Linking neuroinflammation and neurodegeneration in Parkinson’s disease[J]. J Immunol Res,2018,2018:4784268.
[29]马一丹,沈鑫,杨珺,等. NLRP3炎症小体在神经退行性疾病及其治疗中的作用研究进展[J].中国药物警戒,2023,20(11):1316-1320.
[30]朱艳,梁子辉,任韫卓,等. NLRP3炎症小体介导的炎症反应参与糖尿病导致的肾损伤和脂代谢异常[J].中国病理生理杂志,2020,36(1):53-58.
[31]杨成念.淫羊藿素通过抑制NLRP3对MPTP诱导的帕金森病小鼠神经损伤的保护作用[D].遵义:遵义医科大学,2023.
[32] GUAN J,YANG B B,FAN Y,et al. GPER agonist G1attenuates neuroinflammation and dopaminergic neurodegeneration in parkinson disease[J]. Neuroimmunomodulation,2017,24(1):60-66.
[33]杨叶. GPER介导淫羊藿素和淫羊藿苷抗帕金森病炎症反应的机制研究[D].青岛:青岛大学,2021.
[34] SALAT D,TOLOSA E. Levodopa in the treatment of Parkinson’s disease:current status and new developments[J]. J Parkinsons Dis,2013,3(3):255-269.
[35]卢笛笙.淫羊藿苷联合左旋多巴对6-羟基多巴胺诱导的帕金森病大鼠模型的影响[D].遵义:遵义医学院,2018.
[36] DECRESSAC M,VOLAKAKIS N,BJ?RKLUND A,et al. NURR1 in Parkinson disease:from pathogenesis to therapeutic potential[J]. Nat Rev Neurol,2013,9(11):629-636.
[37]胡姗姗,陶娜,胡玫瑰,等.淫羊霍苷通过Nurr1抑制炎症缓解帕金森症小鼠多巴胺能神经元损伤[J].遵义医科大学学报,2020,43(2):146-150.
[38] RENAULT T T,DEJEAN L M,MANON S. A brewing understanding of the regulation of Bax function by Bcl-xL and Bcl-2[J]. Mech Ageing Dev,2017,161(Pt B):201-210.
[39]吴林.淫羊藿总黄酮及其主要活性成分淫羊藿苷抗帕金森病作用的分子机制研究[D].青岛:青岛大学,2013.
[40]程志清,黄建平,朱文宗,等.淫羊藿苷脂质体经嗅区入脑对帕金森病多巴胺能神经元影响[J].辽宁中医药大学学报,2017,19(10):29-32.
[41]明玲.淫羊藿素对6-OHDA诱导多巴胺能神经元细胞凋亡的影响[D].遵义:遵义医科大学,2022.
[42]韩焱福,陶然,孙天骏.自噬对晚期糖基化终末产物致成纤维细胞损伤的早期保护[J].中国组织工程研究,2020,24(35):5619-5624.
[43] ZHENG J,HU S S,WANG J X,et al. Icariin improves brain function decline in aging rats by enhancing neuronal autophagy through the AMPK/mTOR/ULK1 pathway[J]. Pharm Biol,2021,59(1):183-191.
[44] ZENG R,ZHOU Q,ZHANG W,et al. Icariin-mediated activation of autophagy confers protective effect on rotenone induced neurotoxicity in vivo and in vitro[J].Toxicol Rep,2019,6:637-644.
[45]王文武,何建成.基于肝肾同源理论的帕金森病病因病机及治法研究[J].辽宁中医杂志,2009,36(8):1252-1254.
[46]郭丽娜,海英.从“肝肾论治”帕金森病研究进展[J].辽宁中医药大学学报,2019,21(8):219-221.
基本信息:
DOI:10.16295/j.cnki.0257-358x.2025.07.019
中图分类号:R277.7
引用信息:
[1]秦雯璐,曾元宁,王秋红.淫羊藿治疗帕金森病机制研究进展[J].山东中医杂志,2025,44(07):824-828.DOI:10.16295/j.cnki.0257-358x.2025.07.019.
基金信息:
国家重点研发计划项目(编号:2018YFC1707100); 国家自然科学基金面上项目(编号:81773904); 国家“重大新药创制”科技重大专项(编号:2018ZX09731-001); 黑龙江省“头雁”团队支持项目(批文号:[2019]5号)
2025-07-05
2025-07-05