基于"从脾论治"探讨肠道菌群与类风湿关节炎的相关性OA
Exploring the Correlation Between Gut Microbiota and Rheumatoid Arthritis Based on the"Treatment from the Spleen"Approach
以"从脾论治"为理论框架,系统梳理肠道菌群失调诱导类风湿关节炎(rheumatoid arthri-tis,RA)发生的作用机制,包括激活炎症反应、增加肠道通透性及诱导宿主蛋白翻译后修饰;同时,从生理功能与病理机制两个层面阐释肠道菌群与中医学"脾"的密切关联,认为二者在营养物质吸收、免疫防御及疾病发生发展方面具有相似性.基于RA"脾虚湿盛"的核心病机,从脾论治可能通过调节肠道菌群而发挥治疗作用.
Using the theoretical framework of"treatment from the spleen,"this paper systematically reviews the mechanisms by which gut microbiota dysbiosis induces the onset of rheumatoid arthritis(RA),including the activation of inflammatory responses,increased intestinal permeability,and the induction of post-translational modifications of host proteins.Furthermore,the close association between gut microbiota and the"spleen"in TCM is elucidated from both the physiological functions and pathological mechanisms,suggesting that they share similarities in terms of nutrient absorption,immune defense,and disease development.Based on the core pathogenesis of"spleen deficiency with dampness excess"in RA,treatment from the spleen may exert its therapeutic effects by modulating the gut microbiota.
黄秉慧;甘丽贤;杨灵梅;覃文瑜;莫美玲;陈延强
广西中医药大学第一附属医院,广西 南宁 530023广西中医药大学第一附属医院,广西 南宁 530023广西中医药大学第一附属医院,广西 南宁 530023广西中医药大学第一附属医院,广西 南宁 530023广西中医药大学第一附属医院,广西 南宁 530023广西中医药大学第一附属医院,广西 南宁 530023
医药卫生
类风湿关节炎肠道菌群脾虚炎症肠道通透性蛋白
rheumatoid arthritisgut microbiotaspleen deficiencyinflammationintestinal permeabilityprotein
《西部中医药》 2026 (10)
14-17,4
国家自然科学基金(81860825).
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