中医药调控T淋巴细胞治疗干燥综合征的研究进展OA
Research progress on T lymphocyte regulation using traditional Chinese medicine for the treatment of Sjögren's syndrome
干燥综合征(SS)是一种慢性免疫性疾病,多是由于免疫系统紊乱而发病,但具体机制尚不清楚,且无法被治愈.T淋巴细胞是人体内一类重要的免疫细胞,其在SS发生发展过程中被广泛描述,是抗SS治疗的重要标靶.现代医学治疗SS虽可以在一定程度上缓解症状、延缓进展,但存在明显的临床局限性,总体治疗效果不理想,因此,寻找一种有效、安全的治疗方法尤为重要.中医药论治疾病坚持辨证论治、整体观念的根本大法,具有多通路、多层次、多靶点的抗SS作用.研究发现,中药活性成分防己诺林碱、白芍总苷、红景天苷等,以及中药复方润燥灵方、养阴益气活血方、解毒化瘀生津方等可通过调控PI3K/AKT/mTOR、STAT3、NF-κB等信号通路,调节T淋巴细胞不同亚群变化,并协同减轻炎症反应、减轻免疫浸润、改善腺体功能等途径,实现治疗SS的作用.本文通过对近年来中医药抗SS的相关研究进行综述和分析,从中医药调控T淋巴细胞抗SS的作用机制方面进行论述,旨在为抗SS临床治疗提供新思路.
Sjögren's syndrome(SS)is a chronic autoimmune disease that usually occurs because of immune system disorders;however,the specific mechanism is still unclear,and there is no cure.T lymphocytes are an important type of immune cell;their role in SS occurrence and development has been widely described,and they are an important target for anti-SS treatment.Although modern medical treatment can alleviate symptoms and delay progression to some extent,there are obvious clinical limitations.Additionally,the overall treatment effect is not satisfactory,making it important to find an effective and safe treatment method.Traditional Chinese medicine treats diseases based on the fundamental principles of syndrome differentiation and holistic concepts;it has been found to have multi-pathway,multilevel,and multi-target anti-SS effects.Active ingredients of traditional Chinese medicine,such as Fangchinoline,total glucosides of paeony,and Salidroside,as well as traditional Chinese medicine compound prescriptions such as Moisturizing and Drying Formula,Yangyin Yiqi Huoxue Formula,and Jiefu Huaxue Shengjing Formula,can regulate the changes of different T lymphocyte subsets through signaling pathways such as PI3K/AKT/mTOR,STAT3,and NF-κB.These treatments synergistically alleviate inflammatory responses,reduce immune infiltration,and improve glandular function to achieve a therapeutic effect in SS.This article reviews and analyzes the relevant recent research on traditional Chinese medicine treatments for SS,and discusses their mechanisms in regulating T lymphocytes against SS to provide new ideas for the clinical treatment of this condition.
王成志;李松伟;杜萌萌;李桓
河南中医药大学第一附属医院风湿病科,郑州 450046||河南中医药大学第一临床医学院,郑州 450053河南中医药大学第一附属医院风湿病科,郑州 450046||河南中医药大学第一临床医学院,郑州 450053河南中医药大学第一附属医院风湿病科,郑州 450046河南中医药大学第一附属医院风湿病科,郑州 450046||河南中医药大学第一临床医学院,郑州 450053
医药卫生
中医药T淋巴细胞干燥综合征
traditional Chinese medicineT lymphocytesSjögren's syndrome
《中国比较医学杂志》 2026 (7)
102-113,12
国家自然科学基金青年项目(82405297)中国博士后科学基金第71/76批面上项目(2022M711083,2024M763850)国家中医临床研究基地科研专项课题(2022JDZX112,2021JDZX2013)国家中医药管理局科技专项课题(GZY-KJS-2025-080).
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