中药调节中性粒细胞治疗类风湿关节炎研究进展
Advances in Research on Rheumatoid Arthritis in Chinese Medicine Regulation
DOI: 10.12677/TCM.2023.127271, PDF,    科研立项经费支持
作者: 罗书曼, 朱 星, 陈云志, 陈 帅:贵州中医药大学基础医学院,贵州 贵阳;曾凡勇, 周 艳, 何昌禄*:德江县民族中医院推拿科,贵州 铜仁
关键词: 类风湿关节炎中药中性粒细胞中性粒细胞胞外诱捕网细胞因子Rheumatoid Arthritis Chinese Herbal Neutrophil Neutrophil Extracellular Traps NETs Cytokine
摘要: 类风湿关节炎(Rheumatoid Arthritis, RA)是以持续性反复发作的关节滑膜炎症为病理特征的慢性系统性自身免疫疾病,该病治愈率低且易反复,由于发病机制不明,临床上并无特效药。系统性自身免疫疾病是由于免疫损伤导致全身多器官损害。因此,调节机体异常的免疫反应是针对RA治疗的关键点。中性粒细胞作为人体主要的免疫细胞之一,通过分泌多种细胞因子在RA的病理过程中发挥了重要作用。近年来中药通过调节中性粒细胞活性治疗RA成为新的研究方向。
Abstract: Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by persistent recurrent synovial inflammation. The cure rate of rheumatoid arthritis (RA) is low and easy to repeat. Because the pathogenesis is unknown, there is no specific drug in clinic. Systemic autoimmune diseases are caused by immune damage that causes multiple organ damage throughout the body. Therefore, regulating the abnormal immune response of the body is the key point for RA treatment. Neutrophils, as one of the main immune cells in human body, play an important role in the pathological process of RA by secreting many cytokines. In recent years, traditional Chinese medicine has become a new research direction in the treatment of RA by regulating neutrophil activity.
文章引用:罗书曼, 朱星, 陈云志, 陈帅, 曾凡勇, 周艳, 何昌禄. 中药调节中性粒细胞治疗类风湿关节炎研究进展[J]. 中医学, 2023, 12(7): 1816-1821. https://doi.org/10.12677/TCM.2023.127271

参考文献

[1] 李国勇. 相关因素与膝关节骨关节炎结构中微量元素含量的关系及微量元素之间相关性研究[D]: [博士学位论文]. 南昌: 南昌大学, 2022.
[2] 阿古达木, 陈薇薇, 耿利娜, 等. 从瘀论治类风湿关节炎进展[J]. 中医学报, 2021, 36(3): 533-540.
[3] 袁凯. 雷公藤甲素、雷公藤红素通过调节中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [博士学位论文]. 北京: 北京中医药大学, 2017.
[4] Keshari, R.S., Jyoti, A., Dubey, M., et al. (2012) Cytokines Induced Neutrophil Extracellular Traps Formation: Implication for the Inflammatory Disease Condition. PLoS ONE, 7, e48111. [Google Scholar] [CrossRef] [PubMed]
[5] Chrysanthopoulou, A., Mitroulis, I., Apostolidou, E., et al. (2021) Neutrophil Extracellular Traps Promote Differentiation and Function of Fibroblasts. The Journal of Pathology, 233, 294-307. [Google Scholar] [CrossRef] [PubMed]
[6] 袁语泽. 基于微生物组学及代谢组学的过敏性气道炎症的发生机制研究[D]: [博士学位论文]. 长春: 吉林大学, 2022.
[7] 李晓红. 穿心莲内酯通过调节中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [博士学位论文]. 北京: 北京中医药大学, 2020.
[8] 周琦, 孙慧娟, 刘树民. 中性粒细胞胞外诱捕网的形成及其在自身免疫性疾病中的作用[J]. 中国中药杂志, 2021, 46(21): 5568-5575.
[9] 何烜, 马悦宁, 吕柳, 等. 基于“双毒学说”论类风湿关节炎病因病机[J]. 环球中医药, 2020, 13(9): 1503-1506.
[10] 吕柳, 陈彦竹, 王奕斌, 等. 基于“双毒学说”治疗类风湿关节炎的长时医案分析[J]. 风湿病与关节炎, 2020, 9(8): 55-58.
[11] 王文炎, 王进军, 黄裳, 等. 基于“双毒学说”探讨藤龙四土汤治疗活动期类风湿关节炎[J]. 中医学报, 2022, 37(1): 104-108.
[12] 肖战说. 国医大师薛伯寿辨治膝骨关节炎经验及补肾壮骨方自噬相关机制研究[D]: [博士学位论文]. 北京: 中国中医科学院, 2022.
[13] De Oliveira Ferreira, R., De Brito Silva, R., Magno, M.B., et al. (2019) Does Periodontitis Represent a Risk Factor for Rheumatoid Arthritis? A Systematic Review and Meta-Analysis. Therapeutic Advances in Musculoskeletal Disease, 11, Article 19858514. [Google Scholar] [CrossRef
[14] O'Neil, L.J. and Kaplan, M.J. (2019) Neutrophils in Rheumatoid Arthritis: Breaking Immune Tolerance and Fueling Disease. Trends in Molecular Medicine, 25, 215-227. [Google Scholar] [CrossRef] [PubMed]
[15] 曹文洁, 许毛, 余惠凡, 等. 中性粒细胞胞外诱捕网在肾脏疾病中的作用[J]. 华中科技大学学报(医学版), 2023, 52(2): 276-282.
[16] Ribon, M., Seninet, S., Mussard, J., Sebbag, M., Clavel, C., Serre, G., Boissier, M.C., Semerano, L. and Decker, P. (2019) Neutrophil Extracellular Traps Exert both pro- and Anti-Inflammatory Actions in Rheumatoid Arthritis that are Modulated by C1q and LL-37. Journal of Autoimmunity, 98, 122-131. [Google Scholar] [CrossRef] [PubMed]
[17] Li, B., Li, P. and Bi, L. (2020) Iguratimod Dose Dependently Inhibits the Expression of Citrullinated Proteins and Pep-tidylarginine Deiminases 2 and 4 in Neutrophils from Rheumatoid Arthritis Patients. Clinical Rheumatology, 39, 899-907. [Google Scholar] [CrossRef] [PubMed]
[18] Albiero, L.R., de Andrade, M.F., Marchi, L.F., et al. (2020) Immunomodulating Action of the 3-Phenylcoumarin Derivative 6,7-Dihydroxy-3-[3',4'-methylenedioxyphenyl]-Coumarin in Neutrophils from Patients with Rheumatoid Arthritis and in Rats with Acute Joint Inflammation. Inflammation Research, 69, 115-130. [Google Scholar] [CrossRef] [PubMed]
[19] Malmström, V., Catrina, A.I. and Klareskog, L. (2017) The Immunopathogenesis of Seropositive Rheumatoid Arthritis: From Triggering to Targeting. Nature Reviews Immunology, 17, 60-75. [Google Scholar] [CrossRef] [PubMed]
[20] Kril, I., Havrylyuk, A., Potomkina, H., et al. (2020) Apoptosis and Secondary Necrosis of Neutrophils and Monocytes in the Immunopathogenesis of Rheumatoid Arthritis: A Cohort Study. Rheumatology International, 40, 1449-1454. [Google Scholar] [CrossRef] [PubMed]
[21] Trofimenko, A.S., Mozgovaya, E.E., Bedina, S.A., et al. (2021) Ambiguities in Neutrophil Extracellular Traps. Ongoing Concepts and Potential Biomarkers for Rheumatoid Arthritis: A Narrative Review. Current Rheumatology Reviews, 17, 283-293. [Google Scholar] [CrossRef] [PubMed]
[22] Wright, H.L., Lyon, M., Chapman, E.A., et al. (2021) Rheumatoid Arthritis Synovial Fluid Neutrophils Drive Inflammation Through Production of Chemokines, Reactive Oxygen Species, and Neutrophil Extracellular Traps. Frontiers in Immunology, 11, Article 584116. [Google Scholar] [CrossRef] [PubMed]
[23] Song, W., Ye, J., Pan, N., et al. (2021) Neutrophil Extracellular Traps Tied to Rheumatoid Arthritis: Points to Ponder. Frontiers in Immunology, 11, Article 578129. [Google Scholar] [CrossRef] [PubMed]
[24] Fresneda Alarcon, M., McLaren, Z. and Wright, H.L. (2021) Neutrophils in the Pathogenesis of Rheumatoid Arthritis and Systemic Lupus Erythematosus: Same Foe Different M.O. Frontiers in Immunology, 12, Article 649693. [Google Scholar] [CrossRef] [PubMed]
[25] 张珊. 丹参酮ⅡA通过调节中性粒细胞活性治疗类风湿关节炎的研究[D]: [博士学位论文]. 北京: 北京中医药大学, 2017.
[26] 陆清怡. 汉防己甲素通过调节中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [博士学位论文]. 北京: 北京中医药大学, 2020.
[27] 孙慧娟. 升麻调控中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [硕士学位论文]. 北京: 中国中医科学院, 2020.
[28] 李海松, 崔瑛. 雷公藤用于大鼠类风湿性关节炎治疗中的效果分析[J]. 临床医药文献电子杂志, 2016, 3(46): 9102-9103.
[29] 林君容, 林兵, 宋洪涛. 雷公藤甲素与雷公藤红素的体内药动学研究进展[J]. 中草药, 2016, 47(3): 528-532.
[30] 袁凯. 雷公藤甲素、雷公藤红素通过调节中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [博士学位论文]. 北京: 北京中医药大学, 2017.
[31] 朱萌萌. 大黄素通过调节中性粒细胞活性治疗类风湿关节炎的机制研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2019.
[32] Ruiz Garcia, V., Burls, A., Cabello, J.B., et al. (2017) Certolizumab Pegol (CDP870) for Rheumatoid Arthritis in Adults. The Cochrane Database of Systematic Reviews, No. 9, CD007649. [Google Scholar] [CrossRef
[33] 林婉娜, 苏慧琳, 李慧敏, 等. 黄芪桂枝五物汤抗类风湿性关节炎的作用机制[J]. 中国实验方剂学杂志, 2022, 28(9): 9-15.