基于VEGF信号通路的中医药治疗肛周脓肿研究进展OA
Research Progress of Traditional Chinese Medicine in the Treatment of Perianal Abscess on the Basis of VEGF Signalling Pathway
肛周脓肿是一种常见的肛肠疾病,是直肠肛管周围间隙发生急性感染而形成的脓肿,中医称为"肛痈".目前国内外对其总体治疗效果仍不理想,疾病引起的疼痛等症状严重影响患者生活质量.其发病过程复杂,涉及炎症反应、血管生成及组织修复等多个过程.其中,血管内皮生长因子(VEGF)相关信号通路在炎症调控、血管生成及组织修复中发挥重要作用,VEGF水平的高低关系着肛周脓肿创面的愈合程度.中医药多靶点、多途径、安全性高的作用特点为肛周脓肿的诊疗提供了新思路,近年来,成为临床治疗肛周脓肿的研究热点.中药及单体活性成分特异性调节VEGF信号传递,使相关分子表达趋于疾病好转状态,从而治愈肛周脓肿,优势显著.笔者通过阐述VEGF信号通路在肛周脓肿发生发展中的作用,并探讨中医药通过调控VEGF信号通路治疗肛周脓肿的潜在机制,来验证中医药通过VEGF信号通路治疗肛周脓肿的机制,以期为未来深入研究及临床应用提供理论依据.因此,多种中药及其活性成分可通过调控VEGF表达,进一步调节炎症因子释放、组织修复等途径发挥治疗作用.
Perianal abscess is a common anorectal disease,which is an abscess formed by acute infection of the perianal space of the rectum and anal canal,known as"anal carbuncle"in Chinese medicine.At present,the overall therapeutic effect of the disease at home and abroad is still unsatisfactory,and the pain and other symptoms brought by the disease to the patients seriously affect the quality of life of the patients.Its pathogenesis is complex,involving multiple processes such as inflammatory response,angiogenesis and tissue repair.Among them,the vascular endothelial growth factor(VEGF)-related signalling pathway plays an important role in the regulation of inflammation,angiogenesis and tissue repair,and the high or low level of VEGF has a bearing on the degree of healing of the wound of perianal abscess disease.The multi-target,multi-pathway and high safety features of Chinese medicine provide new ideas for the diagnosis and treatment of perianal abscess,and in recent years,it has become a research hotspot for the clinical treatment of perianal abscess.Traditional Chinese medicines and single active ingredients specifically regulate the VEGF signalling,so that the expression of related molecules tends to the disease improvement state,thus curing perianal abscess,with significant advantages.The authors validate the basis of TCM treatment of perianal abscess through VEGF signalling pathway by elaborating the role of VEGF signalling pathway in the development of perianal abscess and exploring the potential mechanism of TCM treatment of perianal abscess through modulation of VEGF signalling pathway,with a view to providing theoretical basis for future in-depth research and clinical application.Therefore,a variety of Chinese medicines and their active ingredients can play a therapeutic role by regulating VEGF expression,further regulating the release of inflammatory factors and tissue repair.
张福顺;屈原明;高原
内蒙古自治区中医医院,内蒙古 呼和浩特 010020内蒙古自治区中医医院,内蒙古 呼和浩特 010020内蒙古自治区中医医院,内蒙古 呼和浩特 010020
医药卫生
肛周脓肿血管内皮生长因子VEGF信号通路炎症调控中医药研究进展
perianal abscessvascular endothelial growth factorVEGF signalling pathwayinflammation regulationtraditional Chinese medicineresearch progress
《辽宁中医药大学学报》 2026 (5)
12-16,5
内蒙古自治区卫生健康委员会课题(2024SGGZ032)
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