中药单体改善卵巢早衰的作用机制研究进展
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篇名: | 中药单体改善卵巢早衰的作用机制研究进展 |
TITLE: | Advances of the mechanism study on Chinese herb monomers in improving premature ovarian failure |
摘要: | 卵巢早衰是妇科内分泌常见病,可引发卵巢内卵泡发育停滞或提前衰竭,从而导致卵巢功能丧失,严重影响女性的身心健康。我国传统中药治疗卵巢早衰的毒副作用较少、效果显著。中药单体是中药发挥药效的活性成分,且化学结构确定。笔者从中药单体角度出发,综述其改善卵巢早衰的作用机制,结果发现,淫羊藿苷、槲皮素、白藜芦醇、人参皂苷Rg1可通过激活卵巢组织磷脂酰肌醇3-激酶/蛋白激酶B信号通路、抑制氧化应激和颗粒细胞凋亡、促进卵巢细胞自噬、调节性激素水平来改善卵巢早衰模型动物的卵巢功能;葛根素、白藜芦醇可通过干预卵巢组织Wnt/β-连环蛋白信号通路、减轻氧化应激反应、抑制卵泡闭锁来改善卵巢早衰模型动物的卵巢功能等。虽然目前中药单体在改善卵巢早衰方面具有一定效果,但大多数停留在实验阶段,尚不能客观评价其改善卵巢早衰的临床疗效。后续应加强中药单体新剂型的开发,以期为治疗卵巢早衰的新药开发奠定基础。 |
ABSTRACT: | Premature ovarian failure (POF) is a common gynecological endocrine disease ,which can cause follicular development stagnation or premature failure in the ovary ,leading to ovarian function loss ,and seriously affecting women ’s physical and mental health . Traditional Chinese medicine shows less toxicity and side effects but significant effect in the treatment of POF . Chinese herb monomers are the active ingredients of traditional Chinese medicine that exert their effects ,and their chemical structure are determined . From the perspective of Chinese herb monomers ,the author reviewed the mechanism of their effect on improving POF . The results showed that icariin ,quercetin,resveratrol and ginsenoside Rg 1 could improve the ovarian function of POF model animals by activating the phosphatidylinositol 3-kinase/protein kinase B signaling pathway ,inhibiting oxidative stress and apoptosis of granulosa cells ,promoting ovarian autophagy ,and regulating the level of sex hormones ;puerarin and resveratrol can improve the ovarian function of POF model by interfering with Wnt/ β-catenin signaling pathway ,reducing oxidative stress response ,and inhibiting follicular atresia . Although the Chinese herb monomers have certain effect in improving POF,most of them remain in the experimental stage ,and the clinical efficacy in improving POF cannot be objectively evaluated . In the future ,the development of new dosage forms of Chinese herb monomers should be strengthened to lay a foundation for the development of new drugs for treating POF . |
期刊: | 2022年第33卷第21期 |
作者: | 严如根,王雨琦,何静,陈银,蔡平平,李长忠 |
AUTHORS: | YAN Rugen,WANG Yuqi,HE Jing,CHEN Yin,CAI Pingping,LI Changzhong |
关键字: | 卵巢早衰;中药单体;作用机制 |
KEYWORDS: | premature ovarian failure ;Chinese herb monomers ;mechanism of action |
阅读数: | 271 次 |
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