基于NLRP3炎症小体探讨中医药对糖尿病动脉粥样硬化的机制及作用：研究综述

远佳瑶; 符宇; 冯志海; 桑锋; 邵明义; 李蕾蕾

doi:10.1007/s11655-022-3513-4

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基于NLRP3炎症小体探讨中医药对糖尿病动脉粥样硬化的机制及作用：研究综述

Review | Updated：2022-07-20

- 基于NLRP3炎症小体探讨中医药对糖尿病动脉粥样硬化的机制及作用：研究综述
- Potential Mechanisms and Effects of Chinese Medicines in Treatment of Diabetic Atherosclerosis by Modulating NLRP3 Inflammasome: A Narrative Review
- Chinese Journal of Integrative Medicine 2022年28卷第8期页码：753-761
- Affiliations：
  
  1.School of First Clinical, Henan University of Chinese Medicine,Zhengzhou (450000), China
  2.Department of Endocrinology,The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou (450000), China
  3.Department of Key Laboratory of Viral Diseases Prevention and Treatment of Traditional Chinese Medicine of Henan Province, The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou (450000), China
  4.Department of Gastroenterology,The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou (450000), China
- Author bio：
  
  Dr. FU Yu, E-mail: kybfuyu@126.com
- Funds：
  
  National Natural Science Foundation of China(81704011);Special Scientific Research Project of National Traditional Chinese Medicine Clinical Research Base of Henan Provincial Health Commission(2019JDZX2026)
- DOI：10.1007/s11655-022-3513-4
  中图分类号：
- 纸质出版日期：2022-08，
  
  网络出版日期：2022-05-04，
  
  录用日期：2021-10-31
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远佳瑶, 符宇, 冯志海, 等. 基于NLRP3炎症小体探讨中医药对糖尿病动脉粥样硬化的机制及作用：研究综述[J]. Chinese Journal of Integrative Medicine, 2022,28(8):753-761.

Jia-yao YUAN, Yu FU, Zhi-hai FENG, et al. Potential Mechanisms and Effects of Chinese Medicines in Treatment of Diabetic Atherosclerosis by Modulating NLRP3 Inflammasome: A Narrative Review[J]. Chinese Journal of Integrative Medicine, 2022,28(8):753-761.
远佳瑶, 符宇, 冯志海, 等. 基于NLRP3炎症小体探讨中医药对糖尿病动脉粥样硬化的机制及作用：研究综述[J]. Chinese Journal of Integrative Medicine, 2022,28(8):753-761. DOI： 10.1007/s11655-022-3513-4.

Jia-yao YUAN, Yu FU, Zhi-hai FENG, et al. Potential Mechanisms and Effects of Chinese Medicines in Treatment of Diabetic Atherosclerosis by Modulating NLRP3 Inflammasome: A Narrative Review[J]. Chinese Journal of Integrative Medicine, 2022,28(8):753-761. DOI： 10.1007/s11655-022-3513-4.

摘要

核苷酸结合寡聚化结构域样受体3 (NLRP3) 是一种能识别内源性危险信号和外源性刺激物并诱导NLRP3炎症小体组装的胞内感受蛋白. NLRP3炎症小体的激活能够诱导促炎因子白介素 (IL) -1β、IL-18的表达和细胞焦亡. 研究显示

NLRP3炎症小体能够通过胰岛β细胞功能障碍

胰岛素抵抗

血管内皮细胞损伤、单核细胞黏附和浸润

平滑肌细胞增殖和迁移等病理机制

参与糖尿病动脉粥样硬化的发生和发展. 已经有研究显示

中医药能够调控NLRP3炎性小体介导的炎症反应从而改善糖尿病动脉粥样硬化. 本文就NLRP3炎症小体在糖尿病动脉粥样硬化发病机制和中医药治疗中的最新进展进行综述.

Abstract

Nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing 3 (NLRP3) is an intracellular sensor that detects endogenous danger signals and environmental irritants to assemble into the NLRP3 inflammasome. Activation of the NLRP3 inflammasome leads to the secretion of the proinflammatory cytokines interleutkin (IL)-1β and IL-18 and induces pyroptosis. Recent studies have shown that the NLRP3 inflammasome participates in the initiation and progression of diabetic atherosclerosis through pathological mechanisms such as β-cell dysfunction

insulin resistance

endothelial cell dysfunction

monocyte adhesion and infiltration

and smooth muscle cell proliferation and migration. In diabetic atherosclerosis

Chinese medicine has been proven effective for the inflammatory response mediated by the NLRP3 inflammasome. This review summarizes the latest progress on the NLRP3 inflammasome in the pathogenesis and potential Chinese medicine treatment of diabetic atherosclerosis.

关键词

中医药糖尿病动脉粥样硬化核苷酸结合寡聚化结构域样受体3 (NLRP3) 炎症小体白介素 (IL) -1β硫氧还蛋白结合蛋白 (TXNIP)细胞焦亡

Keywords

Chinese medicinediabetic atherosclerosisNLRP3 inflammasomeinterleukin-1βTXNIPpyroptosis

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