Page 137 - 《中国药房》2024年24期
P. 137
病理机制和临床表现可能存在差异,因此需进一步研究 by high glucose through PI3K/AKT/FOXO3 pathway[J].
以确定哪些患者最能从人参皂苷的治疗中获益。最后, Immunol J,2020,36(4):285-291.
尽管人参皂苷在调节细胞焦亡和炎症反应方面显示出 [ 8 ] 沈炳香,王法财,周艺,等 . 人参皂苷 Rh2 调控盘状结构
显著作用,但不同亚型人参皂苷的具体作用机制和靶点 域受体 1 对糖尿病大鼠肾纤维化和细胞凋亡的影响[J].
尚未明确。需进一步研究人参皂苷的药代动力学特征, 南方医科大学学报,2021,41(7):1107-1113.
SHEN B X,WANG F C,ZHOU Y,et al. Ginsenoside Rh2
包括吸收、分布、代谢和排泄过程,以优化其药物设计和
inhibits renal fibrosis and renal cell apoptosis in rats with
给药方案。
diabetic nephropathy by downregulating discoid domain
为了解决这些局限性,未来的研究可以侧重于以下
receptor 1[J]. J South Med Univ,2021,41(7):1107-1113.
几个方面:首先是加强临床试验,评估人参皂苷在真实
[ 9 ] 赵为陈,何春远,王法财 . 以 caspase-1 介导细胞焦亡筛
糖尿病患者中的疗效和安全性;其次是深入研究不同个
选治疗糖尿病肾病潜在的中药及单体成分[J]. 南方医科
体对人参皂苷的反应差异,从而实现个体化治疗;最后 大学学报,2020,40(9):1280-1287.
是深入探索人参皂苷针对细胞焦亡途径的精细调节机 ZHAO W C,HE C Y,WANG F C. Screening potential
制,以优化其治疗效果并减少潜在的副作用;此外,还应 Chinese materia medica and their monomers for treatment
探索人参皂苷与其他药物联合使用的可能性,以期实现 of diabetic nephropathy based on caspase-1-mediated py‐
更好的治疗效果。通过上述努力,可以更好地利用人参 roptosis[J]. J South Med Univ,2020,40(9):1280-1287.
皂苷为DN患者提供更有效和个体化的治疗方案。 [10] SONG W,WEI L,DU Y W,et al. Protective effect of gin‐
参考文献 senoside metabolite compound K against diabetic ne‐
[ 1 ] 北京大学医学系糖尿病肾脏病专家共识协作组. 糖尿病 phropathy by inhibiting NLRP3 inflammasome activation
肾脏病诊治专家共识[J]. 中华医学杂志,2020,100(4): and NF-κB/p38 signaling pathway in high-fat diet/strepto-
247-260. zotocin-induced diabetic mice[J]. Int Immunopharmacol,
Diabetes Kidney Expert Consensus Cooperation Group of 2018,63:227-238.
Peking University Medical Department.Expert consensus [11] BAI L T,GAO J L,WEI F,et al. Therapeutic potential of
on diagnosis and treatment of diabetic nephropathy[J]. ginsenosides as an adjuvant treatment for diabetes[J].
Natl Med J China,2020,100(4):247-260. Front Pharmacol,2018,9:423.
[ 2 ] CHENG H T,XU X Q,LIM P S,et al. Worldwide epide‐ [12] TAWAB M A,BAHR U,KARAS M,et al. Degradation of
miology of diabetes-related end-stage renal disease,2000- ginsenosides in humans after oral administration[J]. Drug
2015[J]. Diabetes Care,2021,44(1):89-97. Metab Dispos,2003,31(8):1065-1071.
[ 3 ] 曹东维,朱大龙. 我国糖尿病患者合并肾病的现状[J]. 中 [13] KIM H K. Pharmacokinetics of ginsenoside Rb1 and its
国科学:生命科学,2018,48(8):866-871. metabolite compound K after oral administration of
CAO D W,ZHU D L. Kidney disease incidence in pa‐ Korean Red Ginseng extract[J]. J Ginseng Res,2013,37
tients with diabetes mellitus in China[J]. Sci Sin Vitae, (4):451-456.
2018,48(8):866-871. [14] CHOI M K,JIN S,JEON J H,et al. Tolerability and phar‐
[ 4 ] CUEVAS S,PELEGRÍN P. Pyroptosis and redox balance macokinetics of ginsenosides Rb1,Rb2,Rc,Rd,and com‐
in kidney diseases[J]. Antioxid Redox Signal,2021,35 pound K after single or multiple administration of red gin‐
(1):40-60. seng extract in human beings[J]. J Ginseng Res,2020,44
[ 5 ] ZHUANG Y B,DING G X,ZHAO M,et al. NLRP3 in‐ (2):229-237.
flammasome mediates albumin-induced renal tubular in‐ [15] KIM H J,OH T K,KIM Y H,et al. Pharmacokinetics of
jury through impaired mitochondrial function[J]. J Biol ginsenoside Rb1,Rg3,Rk1,Rg5,F2,and compound K
Chem,2014,289(36):25101-25111. from Red Ginseng extract in healthy Korean volunteers[J].
[ 6 ] 杨玉,陈春林. 人参皂苷Rg3的药理作用研究现状[J]. 中 Evid Based Complement Alternat Med,2022,2022:
国临床药理学杂志,2019,35(5):497-500. 8427519.
YANG Y,CHEN C L. Current situation of ginsenoside [16] SHI J J,GAO W Q,SHAO F. Pyroptosis:gasdermin-
Rg3 on the pharmacological effects[J]. Chin J Clin Phar‐ mediated programmed necrotic cell death[J]. Trends Bio‐
macol,2019,35(5):497-500. chem Sci,2017,42(4):245-254.
[ 7 ] 刘文华,望永鼎,翟一飞,等 . 人参皂苷 Rg1 介导 PI3K/ [17] WANG Y P,GAO W Q,SHI X Y,et al. Chemotherapy
AKT/FOXO3通路缓解高糖诱导的肾小球系膜细胞氧化 drugs induce pyroptosis through caspase-3 cleavage of a
应激反应[J]. 免疫学杂志,2020,36(4):285-291. gasdermin[J]. Nature,2017,547(7661):99-103.
LIU W H,WANG Y D,ZHAI Y F,et al. Ginsenoside Rg1 [18] ZHOU Z W,HE H B,WANG K,et al. Granzyme A from
alleviates the oxidative stress in mesangial cells induced cytotoxic lymphocytes cleaves GSDMB to trigger pyropto-
中国药房 2024年第35卷第24期 China Pharmacy 2024 Vol. 35 No. 24 · 3091 ·