基于泛素化修饰的中药干预疾病靶标机制研究进展综述
Advances in Mechanism Research of Traditional Chinese Medicine Targeting Diseases via Ubiquitination Modification
DOI: 10.12677/acm.2026.1672523, PDF,   
作者: 蒋桢怡*, 曾令翰*, 欧展瑜#:广西医科大学肿瘤医学院,广西 南宁;杨通艳:桂林医科大学第二临床医学院,广西 桂林
关键词: 泛素化修饰中药疾病靶标E3泛素连接酶去泛素化酶分子机制Ubiquitination Modification Traditional Chinese Medicine Disease Target E3 Ubiquitin Ligase Deubiquitinase Molecular Mechanism
摘要: 泛素化修饰作为蛋白质翻译后修饰的核心机制,在细胞周期调控、信号转导、免疫应答及疾病发生发展中发挥着关键作用。近年来,中药活性成分通过调控泛素–蛋白酶体系统(UPS)干预疾病靶标的研究日益深入,为揭示中药多靶点、多途径的作用机制提供了全新视角。本文系统综述了泛素化修饰的基本过程及其在肿瘤、神经退行性疾病、炎症性疾病中的病理意义,重点分析了中药单体及复方通过调节E3泛素连接酶、去泛素化酶及底物蛋白泛素化水平干预疾病靶标的分子机制,并探讨了基于泛素化修饰的中药研究策略与未来方向,旨在为中药现代化研究及新药开发提供理论依据。
Abstract: As a core post-translational modification mechanism of proteins, ubiquitination plays a vital role in cell cycle regulation, signal transduction, immune response and disease pathogenesis. In recent years, studies on the intervention of disease targets by active ingredients of traditional Chinese medicine via regulating the ubiquitin-proteasome system (UPS) have advanced steadily, offering a novel perspective to elucidate the multi-target and multi-pathway pharmacological mechanisms of traditional Chinese medicine. This paper systematically reviews the fundamental process of ubiquitination and its pathological implications in tumors, neurodegenerative diseases and inflammatory diseases. It mainly analyzes the molecular mechanisms by which Chinese medicinal monomers and formulas interfere with disease targets through modulating E3 ubiquitin ligases, deubiquitinases and the ubiquitination level of substrate proteins. Furthermore, research strategies and future prospects of traditional Chinese medicine based on ubiquitination modification are discussed, aiming to provide theoretical references for the modernization research and new drug development of traditional Chinese medicine.
文章引用:蒋桢怡, 曾令翰, 杨通艳, 欧展瑜. 基于泛素化修饰的中药干预疾病靶标机制研究进展综述[J]. 临床医学进展, 2026, 16(7): 262-274. https://doi.org/10.12677/acm.2026.1672523

参考文献

[1] Yang, Q., Zhao, J., Chen, D. and Wang, Y. (2021) E3 Ubiquitin Ligases: Styles, Structures and Functions. Molecular Biomedicine, 2, Article No. 23. [Google Scholar] [CrossRef] [PubMed]
[2] Gadhave, K., Kumar, P., Kapuganti, S., Uversky, V. and Giri, R. (2020) Unstructured Biology of Proteins from Ubiquitin-Proteasome System: Roles in Cancer and Neurodegenerative Diseases. Biomolecules, 10, Article 796. [Google Scholar] [CrossRef] [PubMed]
[3] 俞雯雯. 泛素化调控与中药抗炎[J]. 医学综述, 2014, 20(21): 3843-3846.
[4] Joshi, P., Joshi, S., Semwal, D., Bisht, A., Paliwal, S., Dwivedi, J., et al. (2021) Curcumin: An Insight into Molecular Pathways Involved in Anticancer Activity. Mini-Reviews in Medicinal Chemistry, 21, 2420-2457. [Google Scholar] [CrossRef] [PubMed]
[5] Chen, X., Dorris, Z., Shi, D., Huang, R.K., Khant, H., Fox, T., et al. (2020) Cryo-EM Reveals Unanchored M1-Ubiquitin Chain Binding at hRpn11 of the 26S Proteasome. Structure, 28, 1206-1217.E4. [Google Scholar] [CrossRef] [PubMed]
[6] Bhat, S.A., Vasi, Z., Adhikari, R., Gudur, A., Ali, A., Jiang, L., et al. (2022) Ubiquitin Proteasome System in Immune Regulation and Therapeutics. Current Opinion in Pharmacology, 67, Article 102310. [Google Scholar] [CrossRef] [PubMed]
[7] Lim, K.H., Joo, J.Y. and Baek, K.H. (2020) The Potential Roles of Deubiquitinating Enzymes in Brain Diseases. Ageing Research Reviews, 61, Article 101088. [Google Scholar] [CrossRef] [PubMed]
[8] Xu, Y. and Meng, X. (2020) Molecular Simulation Elaborating the Mechanism of 1β-Hydroxy Alantolactone Inhibiting Ubiquitin-Conjugating Enzyme UbcH5s. Scientific Reports, 10, Article No. 141. [Google Scholar] [CrossRef] [PubMed]
[9] 李欣茹, 王嘉琦, 柯细松, 等. 薯蓣皂苷靶向泛素-蛋白酶体的抗肿瘤活性研究[J]. 肿瘤防治研究, 2023, 50(6): 567-572.
[10] 楼姣英, 于妍妍, 金哲. 中药清毒栓对宫颈癌SiHa细胞P53泛素化降解途径的实验研究[J]. 北京中医药, 2009, 28(1): 55-57.
[11] 费雲昊, 阴钊, 丰茂晓, 等. 中药单体小檗碱靶向降解CML特征性蛋白BCR-ABL及其机制的研究[J]. 中国病理生理杂志, 2019, 35(10): 1804-1809.
[12] Yao, C., Su, L., Zhang, F., Zhu, X., Zhu, Y., Wei, L., et al. (2020) Thevebioside, the Active Ingredient of Traditional Chinese Medicine, Promotes Ubiquitin-Mediated SRC-3 Degradation to Induce NSCLC Cells Apoptosis. Cancer Letters, 493, 167-177. [Google Scholar] [CrossRef] [PubMed]
[13] 徐烨, 郁峰, 崔焌辉, 等. 雷公藤红素促进RIP1蛋白的去泛素化增强TNF-α对结肠癌细胞的凋亡诱导活性的研究[J]. 中国现代应用药学, 2017, 34(1): 43-48.
[14] 谭倩影, 谢贵萍, 李响, 等. 黄芪四君子汤调节T细胞PD1泛素化水平重塑肿瘤免疫微环境抑制胃癌增殖的研究[J]. 南京中医药大学学报, 2023, 39(7): 629-636.
[15] Caruso Bavisotto, C., Marino Gammazza, A., Lo Cascio, F., et al. (2020) Curcumin Affects HSP60 Folding Activity and Levels in Neuroblastoma Cells. International Journal of Molecular Sciences, 21, Article No. 661. [Google Scholar] [CrossRef] [PubMed]
[16] Hu, F., Guo, Q., Wei, M., Huang, Z., Shi, L., Sheng, Y., et al. (2020) Chlorogenic Acid Alleviates Acetaminophen-Induced Liver Injury in Mice via Regulating Nrf2-Mediated HSP60-Initiated Liver Inflammation. European Journal of Pharmacology, 883, Article 173286. [Google Scholar] [CrossRef] [PubMed]
[17] Qin, W., Tong, X., Liang, R., et al. (2021) Preservation of Mitochondrial Homeostasis Is Responsible for the Ameliorative Effects of Suhuang Antitussive Capsule on Non-Resolving Inflammation via Inhibition of NF-κB Signaling and NLRP3 Inflammasome Activation. Journal of Ethnopharmacology, 271, Article 113827. [Google Scholar] [CrossRef] [PubMed]
[18] Li, C.L., Liu, X.H., Qiao, Y., Ning, L., Li, W., Sun, Y., et al. (2020) Allicin Alleviates Inflammation of Diabetic Macroangiopathy via the Nrf2 and NF-κB Pathway. European Journal of Pharmacology, 876, Article 173052. [Google Scholar] [CrossRef] [PubMed]
[19] Zhao, X., Gong, L., Wang, C., Liu, M., Hu, N., Dai, X., et al. (2021) Quercetin Mitigates Ethanol-Induced Hepatic Steatosis in Zebrafish via P2X7R-Mediated PI3K/ Keap1/Nrf2 Signaling Pathway. Journal of Ethnopharmacology, 268, Article 113569. [Google Scholar] [CrossRef] [PubMed]
[20] Chen, H., Cao, J., Zha, L., Wang, P., Liu, Z., Guo, B., et al. (2020) Neuroprotective and Neurogenic Effects of Novel Tetramethylpyrazine Derivative T-006 in Parkinson’s Disease Models through Activating the MEF2-PGC1α and BDNF/CREB Pathways. Aging, 12, 14897-14917. [Google Scholar] [CrossRef] [PubMed]
[21] 吴林, 陈静, 唐秀松, 等. 基于网络药理学探讨白芍治疗帕金森病的作用机制[J]. 中华中医药学刊, 2021, 39(4): 1-5.
[22] 朱文俊, 袁艿君, 唐雅茵, 等. 基于泛素化探讨逍遥散防治抑郁症的潜在机制[J]. 中华中医药杂志, 2025, 40(3): 1316-1319.
[23] 刘姝妤, 陈佳欣, 张学武, 等. 中药有效成分靶向蛋白泛素化调控肝癌的研究进展[J]. 时珍国医国药, 2023, 34(1): 257-258.
[24] Bolhuis, D.L., Emanuele, M.J. and Brown, N.G. (2024) Friend or Foe? Reciprocal Regulation between E3 Ubiquitin Ligases and Deubiquitinases. Biochemical Society Transactions, 52, 241-267. [Google Scholar] [CrossRef] [PubMed]
[25] Chen, S., Leng, P., Guo, J. and Zhou, H. (2023) FBXW7 in Breast Cancer: Mechanism of Action and Therapeutic Potential. Journal of Experimental & Clinical Cancer Research, 42, Article No. 226. [Google Scholar] [CrossRef] [PubMed]
[26] Dewson, G., Eichhorn, P.J.A. and Komander, D. (2023) Deubiquitinases in Cancer. Nature Reviews Cancer, 23, 842-862. [Google Scholar] [CrossRef] [PubMed]
[27] Bello, A.I., Goswami, R., Brown, S.L., Costanzo, K., Shores, T., Allan, S., et al. (2022) Deubiquitinases in Neurodegeneration. Cells, 11, Article 556. [Google Scholar] [CrossRef] [PubMed]
[28] Qi, S.M., Cheng, G., Cheng, X.D., Xu, Z., Xu, B., Zhang, W., et al. (2020) Targeting USP7-Mediated Deubiquitination of MDM2/MDMX-P53 Pathway for Cancer Therapy: Are We There Yet? Frontiers in Cell and Developmental Biology, 8, Article ID: 233. [Google Scholar] [CrossRef] [PubMed]
[29] Tang, X., Li, Y. and Liu, Y. (2025) Dissecting the Dual Role of OTU Family Proteins in Tumor Progression and Immune Escape. Frontiers in Immunology, 16, Article ID: 1544341. [Google Scholar] [CrossRef] [PubMed]
[30] Yang, W., Wang, S., Tong, S., Zhang, W.D. and Qin, J.J. (2024) Expanding the Ubiquitin Code in Pancreatic Cancer. Biochimica et Biophysica Acta-Molecular Basis of Disease, 1870, Article 166884.
[31] Kumar, S., Basu, M. and Ghosh, M.K. (2024) E3 Ubiquitin Ligases and Deubiquitinases in Colorectal Cancer: Emerging Molecular Insights and Therapeutic Opportunities. Biochimica et Biophysica Acta (BBA)-Molecular Cell Research, 1871, Article 119827. [Google Scholar] [CrossRef] [PubMed]
[32] Zhang, H., Yan, H., Liu, Y., Zeng, A. and Song, L. (2025) The Ubiquitination-Autophagy Axis in Cancer Therapy Resistance: Mechanistic Insights and Therapeutic Opportunities. Frontiers in Pharmacology, 16, Article ID: 1722559. [Google Scholar] [CrossRef
[33] Shen, J., Lai, Y., Wu, Y., Lin, X., Zhang, C. and Liu, H. (2024) Ubiquitination in Osteosarcoma: Unveiling the Impact on Cell Biology and Therapeutic Strategies. Cancer Biology & Medicine, 21, 880-897. [Google Scholar] [CrossRef] [PubMed]
[34] Liu, N., Lin, M.M. and Wang, Y. (2023) The Emerging Roles of E3 Ligases and Dubs in Neurodegenerative Diseases. Molecular Neurobiology, 60, 247-263. [Google Scholar] [CrossRef] [PubMed]
[35] Fu, X., Liu, Q., Sun, X., Chang, H., Liu, Y. and Han, J. (2022) Research Advances in the Treatment of Alzheimer’s Disease with Polysaccharides of Danggui-Shaoyao-San. Journal of Alzheimers Disease, 85, 7-19. [Google Scholar] [CrossRef] [PubMed]
[36] Wu, Y., Deng, Y., Ai, Q., Li, Y., Qin, F., Hammad, M., et al. (2025) Deubiquitinating Enzymes in Parkinson’s Disease: Molecular Mechanisms and Therapeutic Potential. Molecular Medicine, 31, Article No. 329. [Google Scholar] [CrossRef
[37] Yu, X., Ni, Q., Han, L., Zhang, S., Xu, H., Xie, J., et al. (2026) Decode the Ubiquitinome in Parkinson’s Disease: From Pathological Aggregates to Targeted DUB Therapeutics. Neuroscience Bulletin. [Google Scholar] [CrossRef
[38] Chen, T.C., Chuang, J.Y., Ko, C.Y., Kao, T., Yang, P., Yu, C., et al. (2020) AR Ubiquitination Induced by the Curcumin Analog Suppresses Growth of Temozolomide-Resistant Glioblastoma through Disrupting GPX4-Mediated Redox Homeostasis. Redox Biology, 30, Article 101413. [Google Scholar] [CrossRef] [PubMed]
[39] Hang, Y., Tan, L., Chen, Q., Liu, Q. and Jin, Y. (2021) E3 Ubiquitin Ligase TRIM24 Deficiency Promotes NLRP3/Caspase‐1/IL‐1β‐Mediated Pyroptosis in Endometriosis. Cell Biology International, 45, 1561-1570. [Google Scholar] [CrossRef] [PubMed]
[40] Wang, S., Wang, N., Zheng, Y., Yang, B., Liu, P., Zhang, F., et al. (2020) Caveolin-1 Inhibits Breast Cancer Stem Cells via C-Myc-Mediated Metabolic Reprogramming. Cell Death & Disease, 11, Article No. 450. [Google Scholar] [CrossRef] [PubMed]
[41] Yang, X., Wang, Z., Kai, J., Wang, F., Jia, Y., Wang, S., et al. (2020) Curcumol Attenuates Liver Sinusoidal Endothelial Cell Angiogenesis via Regulating Glis‐PROX1‐Hif‐1α in Liver Fibrosis. Cell Proliferation, 53, e12762. [Google Scholar] [CrossRef] [PubMed]
[42] Ding, H., Wang, J., Zhang, X., Yin, L. and Feng, T. (2021) Lycium barbarum Polysaccharide Antagonizes LPS-Induced Inflammation by Altering the Glycolysis and Differentiation of Macrophages by Triggering the Degradation of PKM2. Biological and Pharmaceutical Bulletin, 44, 379-388. [Google Scholar] [CrossRef] [PubMed]
[43] Si, H., Genna, B., Zhuang, X., Wang, J., Burenbatu, B., Feng, Q., et al. (2020) Dahuangwan Targets EGF Signaling to Inhibit the Proliferation of Hepatoma Cells. PLOS ONE, 15, e0231466. [Google Scholar] [CrossRef] [PubMed]
[44] Li, L., Zhang, S., Wei, L., Wang, Z., Ma, W., Liu, F., et al. (2020) Anti-Fibrotic Effect of Melittin on TRIM47 Expression in Human Embryonic Lung Fibroblast through Regulating TRIM47 Pathway. Life Sciences, 256, Article 117893. [Google Scholar] [CrossRef] [PubMed]
[45] Carvalho, M.V., Gonçalves-de-Albuquerque, C.F. and Silva, A.R. (2021) PPAR Gamma: From Definition to Molecular Targets and Therapy of Lung Diseases. International Journal of Molecular Sciences, 22, Article No. 805.
[46] Xu, Y., Xu, G., Dang, H., Qu, W., Chang, D., He, X., et al. (2021) Carboxy Terminus of hsp70‐Interacting Protein (CHIP) Attenuates the Stemness of Thyroid Cancer Cells through Decreasing OCT4 Protein Stability. Environmental Toxicology, 36, 686-693. [Google Scholar] [CrossRef] [PubMed]
[47] 刘建仁, 樊粤光, 王海彬, 等. 中药治疗激素性骨坏死的蛋白质组学分析[J]. 中国中医骨伤科杂志, 2005, 13(5): 4-10.
[48] Song, X., Gong, Z., Liu, K., Kou, J., Liu, B. and Liu, K. (2020) Baicalin Combats Glutamate Excitotoxicity via Protecting Glutamine Synthetase from Ros-Induced 20S Proteasomal Degradation. Redox Biology, 34, Article 101559. [Google Scholar] [CrossRef] [PubMed]
[49] Limanaqi, F., Busceti, C.L., Biagioni, F., Lazzeri, G., Forte, M., Schiavon, S., et al. (2020) Cell Clearing Systems as Targets of Polyphenols in Viral Infections. Antioxidants, 9, Article 1105. [Google Scholar] [CrossRef] [PubMed]
[50] 张彦周, 王勇, 李会娟. 网络药理学在中药复方多靶点机制研究中的应用与展望[J]. 中国中药杂志, 2019, 44(18): 3965-3970.
[51] 吕子微, 梁建庆, 王行玲, 等. 复方地黄颗粒通过泛素-蛋白酶体系统治疗PD阴虚动风证大鼠的分子机制研究[J]. 南京中医药大学学报, 2024, 40(6): 608-617.
[52] Wu, F., Liu, Y., Luo, G.Q., et al. (2025) Chaihu Shugan San Formula Alleviates Psychological Stress-Induced Ovarian Cancer Susceptibility by Inhibiting Ubiquitin Degradation of TLR2 in Macrophages. Phytomedicine, 145, Article 156967.
[53] Wu, Y., Wang, P., Wu, S., Xu, H., Yang, W., Tu, Y., et al. (2026) Bridging Pharmacology and Nanotechnology: Mechanistic Insights into Traditional Chinese Medicine-Based Nanodelivery Systems for Rheumatoid Arthritis. International Journal of Nanomedicine, 21, Article 574688. [Google Scholar] [CrossRef
[54] Bai, D.H., Gao, D., Xiong, Y., Chang, Y., Gan, X., Yang, L., et al. (2026) Baicalin Suppresses Colorectal Cancer Proliferation and Induces M1 Polarization of Tumor-Associated Macrophages by Promoting Proteasomal Degradation of HK2. Frontiers in Immunology, 17, Article ID: 1812964. [Google Scholar] [CrossRef