细胞自噬在雷公藤肝毒性中的研究进展
Research Progress of Hepatotoxicity Induced by Tripterygium wilfordii through Autophagy
DOI: 10.12677/PI.2021.106041, PDF,    国家自然科学基金支持
作者: 周 捷, 周学平*:南京中医药大学,江苏 南京
关键词: 自噬雷公藤肝毒性Autophagy Tripterygium wilfordii Hepatotoxicity
摘要: 雷公藤是治疗风湿免疫病的常用药,疗效显著,但其毒副作用明显,尤以肝毒性多见。因此雷公藤肝毒性的相关研究对临床安全用药意义重大,已成为目前研究的热点与难点。细胞自噬是研究雷公藤肝毒性的新方向,备受相关领域学者的关注。本文通过文献查阅,从自噬的发生与调控机制、雷公藤肝毒性特点及物质基础、自噬与雷公藤肝毒性的关系等方面进行总结与归纳,旨在明确目前细胞自噬在雷公藤肝毒性研究中的现状和不足,为雷公藤肝毒性研究提供新的思路,并为临床合理用药提供参考。
Abstract: Tripterygium wilfordii (TW) has been widely used in the treatment of rheumatic immune diseases with curative effect. However, it has severe toxicity and adverse reactions, especially the hepatotoxicity. Therefore, the related research on the hepatotoxicity of TW is of great significance to clinical safe drug use, and has become the focal and difficult point in the current research. Autophagy is a new direction in the research of the hepatotoxicity of TW and has attracted the attention of scholars in related fields. Through literature review, this paper summarized the occurrence and regulation mechanism of autophagy, the characteristics and material basis of hepatotoxicity of TW, and the relationship between autophagy and the hepatotoxicity of TW. This paper clarified the current situation and deficiencies of autophagy in the research of hepatotoxicity of TW, so as to propose new research strategies and provide ideas for clinical rational drug use of TW.
文章引用:周捷, 周学平. 细胞自噬在雷公藤肝毒性中的研究进展[J]. 药物资讯, 2021, 10(6): 333-338. https://doi.org/10.12677/PI.2021.106041

参考文献

[1] 苏桂花, 苑述刚, 马少丹, 等. 雷公藤的本草学及临床应用研究[J]. 河南中医, 2011, 31(4): 412-414.
[2] 马伟光, 张滔, 张超, 等. 有毒药物雷公藤的研究及展望[J]. 中华中医药杂志, 2006(2): 117-120.
[3] 田雅格, 苏晓慧, 刘立玲, 等. 近20年来雷公藤肝毒性研究概述[J]. 中国中药杂志, 2019, 44(16): 3399-3405.
[4] 王懿峥, 陈扬, 俞立. 自噬的前世今生[J]. 中国生物化学与分子生物学报, 2018, 34(3): 229-239.
[5] Doherty, J. and Baehrecke, E.H. (2018) Life, Death and Autophagy. Nature Cell Biology, 20, 1110-1117. [Google Scholar] [CrossRef] [PubMed]
[6] Wei, Y.-M., Wang, Y.-H., Xue, H.-Q., et al. (2019) Triptolide, A Potential Autophagy Modulator. Chinese Journal of Integrative Medicine, 25, 233-240. [Google Scholar] [CrossRef] [PubMed]
[7] Zhang, H. and Baehrecke, E.H. (2015) Eaten Alive: Novel In-sights into Autophagy from Multicellular Model Systems. Trends in Cell Biology, 25, 376-387. [Google Scholar] [CrossRef] [PubMed]
[8] Glick, D., Barth, S. and Macleod, K.F. (2010) Autophagy: Cellular and Molecular Mechanisms. The Journal of Pathology, 221, 3-12. [Google Scholar] [CrossRef] [PubMed]
[9] 张宏, 张慧. 多细胞生物自噬的分子机制和生理功能[J]. 安徽大学学报(自然科学版), 2018, 42(5): 105-114.
[10] 冯文之, 陈扬, 俞立. 细胞自噬分子机制的进展[J]. 生命科学, 2015, 27(7): 859-866.
[11] 国家食品药品监督管理局提醒关注雷公藤制剂的用药安全[J]. 中国药房, 2012, 23(21): 2005.
[12] 杨涛, 张亚蕾, 朱亭亭, 等. 雷公藤致肝损伤的临床特点与主要机制[J]. 世界科学技术-中医药现代化, 2018, 20(11): 2027-2032.
[13] 柴智, 周文静, 高丽, 等. 雷公藤肝毒性及其作用机制的研究进展[J]. 中国实验方剂学杂志, 2011, 17(7): 243-246.
[14] 刘为萍, 刘素香, 唐慧珠, 等. 雷公藤研究新进展[J]. 中草药, 2010, 41(7): 1215-1218.
[15] 贾歌刘畅, 庞晶瑶, 马致洁, 等. 雷公藤肝毒性化学成分、毒性机制及减毒方法研究进展[J]. 中国药房, 2016, 27(13): 1857-1861.
[16] 周静, 张磊, 吴瑕, 等. 雷公藤甲素对L-O2细胞凋亡及Caspase-3、ATPase、MMP、Ca~(2+)的影响[J]. 中药药理与临床, 2016, 32(6): 72-75.
[17] 于淑静, 魏彩冰, 陶崑, 等. 雷公藤甲素致小鼠肝损伤的机制研究[J]. 天然产物研究与开发, 2017, 29(3): 472-476.
[18] Wang, X.-Z., Xue, R.-F., Zhang, S.-Y., et al. (2018) Activation of Natural Killer T Cells Contributes to Triptolide-Induced Liver Injury in Mice. Acta Pharmacologica Sinica, 39, 1847-1854. [Google Scholar] [CrossRef] [PubMed]
[19] 王贝, 江振洲, 张陆勇. 雷公藤甲素毒性及减毒的研究进展[J]. 药物评价研究, 2012, 35(3): 211-215.
[20] Pan, Y., Cao, M., You, D., et al. (2019) Research Progress on the Animal Models of Drug-Induced Liver Injury: Current Status and Further Perspectives. BioMed Research International, 2019, Article ID: 1283824. [Google Scholar] [CrossRef] [PubMed]
[21] 虞海燕, 秦万章. 雷公藤活性单体的筛选及毒性研究[J]. 浙江中医学院学报, 2000(2): 70-71+82.
[22] 赵小梅, 浦仕彪, 赵庆国, 等. 基于谱-效相关分析的雷公藤致肝毒性物质基础的初步研究[J]. 中国中药杂志, 2016, 41(15): 2915-2921.
[23] Wei, Y.M., Luan, Z.H., Liu, B.W., et al. (2019) Autophagy in Triptolide-Mediated Cytotoxicity in Hepatic Cells. International Journal of Toxicology, 38, 436-444. [Google Scholar] [CrossRef] [PubMed]
[24] Filomeni, G., De Zio, D. and Cecconi, F. (2015) Oxidative Stress and Autophagy: The Clash between Damage and Metabolic Needs. Cell Death and Differentiation, 22, 377-388. [Google Scholar] [CrossRef] [PubMed]
[25] Fu, Q., Jiang, Z. and Zhang, L. (2013) Impairment of Triptolide on Liver Mitochondria in Isolated Liver Mitochondria and HL7702 Cell Line. Chinese Journal of Integrative Medicine, 19, 683-688. [Google Scholar] [CrossRef] [PubMed]
[26] Fu, Q., Huang, X., Shu, B., et al. (2011) Inhibition of Mitochon-drial Respiratory Chain Is Involved in Triptolide-Induced Liver Injury. Fitoterapia, 82, 1241-1248. [Google Scholar] [CrossRef] [PubMed]
[27] Hasnat, M., Yuan, Z., Naveed, M., et al. (2019) Drp1-Associated Mitochondrial Dysfunction and Mitochondrial Autophagy: A Novel Mechanism in Triptolide-Induced Hepatotoxicity. Cell Biology and Toxicology, 35, 267-280. [Google Scholar] [CrossRef] [PubMed]
[28] 吴艳萍, 王阳, 李雅丽, 等. 氧化应激与自噬[J]. 动物营养学报, 2016, 28(9): 2673-2680.
[29] Deter, R.L., Baudhuin, P. and De Duve, C. (1967) Participation of Lysosomes in Cel-lular Autophagy Induced in Rat Liver by Glucagon. The Journal of Cell Biology, 35, C11-C16. [Google Scholar] [CrossRef
[30] 黄慧, 李洪艳, 邹伟. 自噬在肝稳态调节作用中的研究进展[J]. 生物工程学报, 2016, 32(9): 1185-1193.
[31] Cecconi, F. and Levine, B. (2008) The Role of Autophagy in Mammalian De-velopment: Cell Makeover Rather than Cell Death. Developmental Cell, 15, 344-357. [Google Scholar] [CrossRef] [PubMed]
[32] 郎秀娟, 王燕. PINK1/parkin通路调控线粒体自噬机制的研究进展[J]. 微生物与感染, 2018, 13(2): 102-106.
[33] 李德林, 高建. 自噬对Nrf2/ARE通路的调控及在肝脏疾病中的作用[J]. 中国新药杂志, 2016, 25(10): 1135-1138.
[34] 刘春晖, 周玲玲, 马可迅, 等. 从自噬角度研究雷公藤甲素引起HepG2细胞肝毒性的机制[J]. 中国实验方剂学杂志, 2017, 23(10): 99-103.
[35] 于洋, 徐冶, 刘师兵, 等. 过氧化氢通过内质网应激信号通路对Hela细胞自噬和凋亡的诱导作用[J]. 吉林大学学报(医学版), 2015, 41(3): 437-441.
[36] Rubinsztein, D.C., Cuervo, A.M., Ravikumar, B., et al. (2009) In Search of an “Autophagomome-ter”. Autophagy, 5, 585-589. [Google Scholar] [CrossRef] [PubMed]
[37] Chen, Z.-H., Lam, H.C., Jin, Y., et al. (2010) Autophagy Protein Microtubule-Associated Protein 1 Light Chain-3B (LC3B) Activates Extrinsic Apoptosis during Cigarette Smoke-Induced Emphysema. Proceedings of the National Academy of Sciences of the United States of America, 107, 18880-18885. [Google Scholar] [CrossRef] [PubMed]
[38] Mariño, G., Niso-Santano, M., Baeh-recke, E.H., et al. (2014) Self-Consumption: The Interplay of Autophagy and Apoptosis. Nature Reviews. Molecular Cell Biology, 15, 81-94. [Google Scholar] [CrossRef] [PubMed]
[39] Yao, J., Jiang, Z., Duan, W., et al. (2008) Involvement of Mitochondrial Pathway in Triptolide-Induced Cytotoxicity in Human Normal Liver L-02 Cells. Biological & Pharmaceu-tical Bulletin, 31, 592-597. [Google Scholar] [CrossRef] [PubMed]
[40] 刘泽洲, 许可嘉, 张天娇, 等. 雷公藤甲素诱导小鼠急性肝损伤的形态学研究[J]. 现代生物医学进展, 2015, 15(17): 3207-3211.
[41] Mizushima, N., Levine, B., Cuervo, A.M., et al. (2008) Autophagy Fights Disease through Cellular Self-Digestion. Nature, 451, 1069-1075. [Google Scholar] [CrossRef] [PubMed]
[42] 刘泽洲, 李健. 菟丝子醇提物、雷公藤多苷配伍降低大鼠肝毒性的实验研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2015.