中医药干预JAK/STAT信号通路治疗动脉粥样硬化研究现状OA
Research status of traditional Chinese medicine intervention in JAK/STAT signaling pathway for treatment of atherosclerosis
动脉粥样硬化(atherosclerosis,AS)是以脂代谢失衡、大动脉钙化为主的慢性炎性疾病,其患病率和死亡率一直居高不下.Janus激酶(Janus kinase,JAK)/信号转导和转录激活因子(signal transducer and activator of transcription,STAT)信号通路与AS的发生发展密切相关.研究显示,该信号通路磷酸化后可引发炎症反应、氧化应激以及减少细胞自噬,造成血管内皮的损伤,揭示了加快AS进展的病理机制.该文基于现有文献总结了中药天然活性成分(黄酮类、生物碱类以及多酚类等)通过抑制JAK/STAT信号通路,调控炎症、氧化应激与斑块稳定性,从而延缓AS进程的相关机制;同时论述了中药复方可通过调控JAK/STAT的磷酸化,下调肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白介素-6(interleu-kin-6,IL-6)等促炎因子,减少泡沫细胞与脂质沉积,改善血管内皮损伤等,发挥抗AS的作用.此外,也总结了中药活性成分及中药复方在临床应用的潜力与不足,这些研究结果为研发以中药活性成分为核心的临床药物提供了新思路和新方向,也为防治AS奠定了坚实的理论基础.
Atherosclerosis(AS)is a chronic inflammatory dis-ease characterized by imbalanced lipid metabolism and large ar-tery calcification,and its prevalence and mortality are still on the rise.The Janus kinase(JAK)/signal transducer and activa-tor of transcription(STAT)signaling pathway is closely associ-ated with the occurrence and development of AS.This paper re-views the pathological mechanism by which phosphorylation of this signaling pathway triggers inflammatory responses,oxida-tive stress,and reduces autophagy,resulting in vascular endo-thelial injury and accelerated progression of AS.Based on exist-ing literature,it is summarized that natural active components of traditional Chinese medicine(such as flavonoids,alkaloids,and polyphenols)can delay the progression of AS by inhibiting the JAK/STAT signaling pathway,regulating inflammation,oxi-dative stress,and plaque stability.Meanwhile,it is discussed that traditional Chinese medicine compound prescriptions exert anti-atherosclerotic effects by regulating the phosphorylation of JAK/STAT,downregulating pro-inflammatory factors such as tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6),re-ducing foam cell formation and lipid deposition,and ameliorat-ing vascular endothelial damage.In addition,the potential and limitations of traditional Chinese medicine active components and compound prescriptions in clinical application are re-viewed.These studies provide a research direction for the devel-opment of clinical drugs with traditional Chinese medicine ac-tive components as key ingredients,and also lay a solid theoreti-cal foundation for the prevention and treatment of AS.
耿新冉;张欢;夏子文;张学亮;段盈竹;矫沐其;于睿
辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847辽宁中医药大学第一临床学院,辽宁 沈阳 110847
医药卫生
JAK/STAT信号通路动脉粥样硬化中药活性成分中药复方中成药研究现状
JAK/STAT signaling pathwayatherosclerosisac-tive components of traditional Chinese medicinetraditional Chinese medicine compound formulapatent medicines of tradi-tional Chinese medicinecurrent research status
《中国药理学通报》 2026 (9)
1626-1631,6
国家自然科学基金资助项目(No 82274494)辽宁省科学技术计划项目(No 2023JH2/101600030)
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