大黄素防治骨关节炎的药理作用及机制研究
Research progress in the pharmacological effects and mechanisms of emodin in the prevention and treatment of osteoarthritis
  
DOI:10.3969/j.issn.1006-7108.2025.08.022
中文关键词:  大黄素  骨关节炎  药理作用
英文关键词:emodin  osteoarthritis  pharmacological effects
基金项目:陕西省中医药管理局项目(SZY-NLTL-2024-030);陕西省中医药“双链融合”中青年科研创新团队项目(2022-SLRH-LJ-088);延安市科技计划项目(2022SLSF-GG-017)
作者单位
杨云云 刘瑞 王建伟 吕凯 李延明 蔡文龙 杨志军 陈静 李涛 张博星 延安市中医医院骨科陕西 延安 716000 
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中文摘要:
      骨关节炎是常见的退行性关节疾病,涉及软骨或软骨细胞的炎症反应、细胞外基质降解、氧化应激等关键分子学效应。大黄素是一种天然的蒽醌类化合物,在防治骨关炎方面的药理作用及机制研究备受关注。研究表明,大黄素可通过调控促炎细胞因子的释放,减轻炎症对关节软骨的破坏;通过抗氧化机制抑制氧化应激反应,减少活性氧的生成,保护软骨细胞免受氧化损伤;通过调控软骨细胞外基质的代谢,抑制基质降解酶的形成,维持关节软骨的结构和功能;同时,大黄素可通过相关信号通路调节复杂的病理网络,发挥对关节软骨或软骨细胞的保护作用,从而防治骨关节炎。这些研究为大黄素作为骨关节炎治疗的候选药物提供了理论依据。然而,目前针对大黄素干预骨关节炎尚缺乏系统的阐述,该文通过归纳总结大黄素在骨关节炎疾病方面的药理作用及作用机制,为其进一步临床应用提供理论依据,以期为相关基础研究提供参考。
英文摘要:
      Osteoarthritis is a common degenerative joint disease, involving inflammatory responses in cartilage or chondrocytes, extracellular matrix degradation, oxidative stress, and other key molecular effects. Emodin, a natural anthraquinone compound, has attracted considerable attention for its pharmacological effects and mechanisms in the prevention and treatment of osteoarthritis. Research has shown that emodin alleviates inflammation-induced damage to articular cartilage by regulating the release of pro-inflammatory cytokines. It also protects chondrocytes from oxidative damage by inhibiting oxidative stress and reducing the generation of reactive oxygen species. Additionally, emodin regulates the metabolism of the extracellular matrix, inhibits the formation of matrix-degrading enzymes, and maintains the structure and function of articular cartilage. Moreover, it exerts protective effects on cartilage or chondrocytes by modulating complex pathological networks through relevant signaling pathways. These studies provide a theoretical basis for emodin as a candidate drug for osteoarthritis treatment. However, a systematic review of the intervention of emodin in osteoarthritis remains lacking. This article summarizes the pharmacological effects and mechanisms of emodin in osteoarthritis, providing a theoretical foundation for its further clinical application and offering references for related basic research.
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