中药单体及复方干预细胞因子表达治疗骨关节炎研究进展
Research progress of Chinese medicine monomer and compound intervention cytokine expression in the treatment of osteoarthritis
  
DOI:10.3969/j.issn.1006-7108.2024.01.027
中文关键词:  骨性关节炎  细胞因子  中医药  干预
英文关键词:osteoarthritis  cytokines  chinese medicine  intervention
基金项目:甘肃省自然科学基金项目(20JR10RA360);兰州市人才创新创业专项(2020-RC-55);甘肃省自然管理局项目(GZKP-2020-19)
作者单位
孔令俊1 韩升龙2* 赵军1 邓叶龙1 孟汉杰2 李想2 张金磊2 1.甘肃省中医院甘肃 兰州 730050 2.甘肃中医药大学甘肃 兰州 730000 
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中文摘要:
      骨关节炎(osteoarthritis,OA)是一种最常见的关节退化疾病,临床上主要以剧烈关节疼痛伴活动受限为特征,严重者可导致关节活动障碍。OA发病机制复杂,主要与关节软骨损伤、软骨基质降解、软骨下骨重塑、炎症和软骨细胞凋亡代谢有关。炎性细胞因子[如白细胞介素1β (IL-1β)、白细胞介素6 (IL-6)和肿瘤坏死因子-α (TNF-α)]、软骨外基质降解酶类因子[如基质金属蛋白酶(MMPs)]、软骨细胞修复和重塑因子[如骨形态发生蛋白(BMP)]和细胞增殖凋亡因子[如转化生长因子β (TGF-β)]密切参与关节软骨损伤、软骨下骨重塑、炎症反应和细胞凋亡代谢。研究发现,中药可针对OA发病机制对OA患者关节内细胞因子表达进行干预,进而缓解关节软骨破损、促进软骨修复,发挥延缓OA病理进程的作用,同时可减轻OA患者关节部位疼痛,并相对减轻患者部分经济负担。因此,本文通过查阅国内外相关OA文献,就中药提取物及中药复方干预相关细胞因子表达治疗OA的研究进展进行总结,以期为临床上应用中药防治OA提供一定的参考依据和思路。
英文摘要:
      Osteoarthritis ( OA ) is one of the most common degenerative joint diseases. It is clinically characterized by severe joint pain and limited mobility, which can lead to joint dysfunction. The pathogenesis of OA is complex, which is mainly related to articular cartilage injury, cartilage matrix degradation, subchondral bone remodeling, inflammation and chondrocyte apoptosis metabolism. Inflammatory cytokines ( such as interleukin-1β ( IL-1β ), interleukin-6 ( IL-6 ) and tumor necrosis factor-α ( TNF-α ) ), extracellular matrix degradation enzyme factors ( such as matrix metalloproteinases ( MMPs ) ), chondrocyte repair and remodeling factors ( such as bone morphogenetic protein ( BMP ) ) and cell proliferation and apoptosis factors ( such as transforming growth factor-β ( TGF-β ) ) are closely involved in articular cartilage injury, subchondral bone remodeling, inflammatory response and apoptosis metabolism. The study found that traditional Chinese medicine can intervene in the expression of cytokines in the joints of OA patients according to the pathogenesis of OA, thereby alleviating the damage of articular cartilage, promoting cartilage repair, and delaying the pathological process of OA. At the same time, it can reduce the joint pain of OA patients and relatively reduce the economic burden of patients. Therefore, this article summarizes the research progress of traditional Chinese medicine extracts and traditional Chinese medicine compound intervention-related cytokine expression in the treatment of OA by consulting domestic and foreign OA-related literature, in order to provide a certain reference basis and ideas for the later clinical application of traditional Chinese medicine to prevent and treat OA.
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