基于"肠道菌群-免疫轴"探讨从脾论治自身免疫性甲状腺炎OA
Treatment of autoimmune thyroiditis from the perspective of"gut microbiota-immunity axis"based on the spleen theory
自身免疫性甲状腺炎是内分泌系统的常见疾病,发病率逐年升高,且伴随症状严重影响了患者及其家属的生活质量.研究发现,肠道菌群与"脾"关系密切,肠道菌群的平衡与脾主运化功能正常与否存在一定的联系.紊乱的肠道菌群作为一种危险因素,可以通过其代谢产物和免疫机制直接或间接地导致自身免疫性甲状腺炎."脾"对自身免疫性甲状腺炎、肠道菌群以及免疫反应存在一定调节作用.故本文基于"肠道菌群-免疫轴"探讨从脾论治自身免疫性甲状腺炎.补气健脾法可以通过改善肠道菌群紊乱,降低免疫炎性反应,治疗自身免疫性甲状腺炎.
Autoimmune thyroiditis is a common disease of the endocrine system,with its incidence rate increasing year by year,and its accompanying symptoms seriously affecting the quality of life of patients and their families.It has been found that the gut microbiota has a close relationship with the spleen,and the balance of the gut microbiota is related to the normalization of the spleen's function.Disordered gut microbiota as a risk factor can directly or indirectly cause autoimmune thyroiditis through its metabolites and immune mechanism.The spleen plays a regulatory role in autoimmune thyroiditis,gut microbiota and immune response.Therefore,this article discusses the treatment of autoimmune thyroiditis from the perspective of"gut microbiota-immunity axis"based on the spleen theory.It is argued that the method of tonifying qi and strengthening the spleen can improve the disorder of gut microbiota,reduce the immune-inflammatory reaction,and treat autoimmune thyroiditis.
王兰亭;翟钊晗;陈怡然;鞠首信;陈雪莹;高天舒;王智民
辽宁中医药大学第一临床学院,沈阳 110847辽宁中医药大学第一临床学院,沈阳 110847辽宁中医药大学针灸推拿学院,沈阳 110847辽宁中医药大学第一临床学院,沈阳 110847辽宁中医药大学附属医院内分泌科,沈阳 110032辽宁中医药大学附属医院内分泌科,沈阳 110032辽宁中医药大学第一临床学院,沈阳 110847||辽宁中医药大学附属医院内分泌科,沈阳 110032
医药卫生
自身免疫性甲状腺炎肠道菌群免疫从脾论治
autoimmune thyroiditisgut microbiotaimmunityspleen-based treatment
《吉林中医药》 2026 (6)
682-686,5
国家自然科学基金青年项目(82104805)辽宁省科技计划联合计划项目(2023-MSLH-177,2023-MSLH-197)辽宁省教育厅面上项目(LJKZ0881)辽宁省教育厅高校基本科研项目储备项目(2024-JYTCB-067)
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