Page 33 - 《中国药房》2025年5期
P. 33
体途径,使 MuRF-1 和 Atrogin-1 蛋白表达上调,加速肌 dit Chin Med,2018,20(3):14-16.
[5]
肉蛋白降解,从而导致骨骼肌萎缩 。本研究结果显示, [ 8 ] 李琬,刘炳周,鞠建明,等. 中风瘀热方对缺血性脑卒中
经 菊 花 水 提 物 干 预 后 ,大 鼠 比 目 鱼 肌 中 p-JNK、p- 模型大鼠的干预作用及机制[J]. 中国药房,2023,34
MAPK、MuRF-1、Atrogin-1 蛋白表达水平均降低,这提 (13):1601-1605.
示菊花水提物可能通过抑制 TNF-α/JNK/MAPK 信号通 LI W,LIU B Z,JU J M,et al. Intervention effect and
mechanism of Zhongfeng yure decoction on ischemic stroke
路活性,发挥改善缺血性脑卒中后骨骼肌萎缩的作用。
model rats[J]. China Pharm,2023,34(13):1601-1605.
本研究参考侯氏黑散方及临床报道中菊花生药的
[ 9 ] 王德群. 《神农本草经》导读[M]. 北京:中国中医药出版
常规用量,分别设置了高、低两个剂量,其中高剂量约为
社,2017:153-154.
临床用量的 4 倍,低剂量约为临床用量的 2 倍。在该剂
WANG D Q. Introduction to Shennong Bencao Jing[M].
量范围内,菊花水提物对缺血性脑卒中后骨骼肌萎缩虽 Beijing:China Traditional Chinese Medicine Press,2017:
呈现一定的改善作用,但并未观察到明确的剂量-效应 153-154.
关系,推测其原因可能与既定的剂量跨度有限有关,有 [10] 蒋友宁,王志轩,曹倩倩,等. 药用菊花多糖研究进展[J].
待后续实验进一步研究。 中药材,2024,47(2):513-518.
综上所述,菊花水提物可改善大鼠缺血性脑卒中后 JIANG Y N,WANG Z X,CAO Q Q,et al. Research pro-
的骨骼肌萎缩,其作用机制可能与抑制 TNF-α/JNK/ gress on medicinal Chrysanthemum polysaccharides[J]. J
MAPK信号通路的激活有关。 Chin Med Mater,2024,47(2):513-518.
参考文献 [11] 周衡朴,任敏霞,管家齐,等. 菊花化学成分、药理作用的
[ 1 ] QI H,TIAN D,LUAN F,et al. Pathophysiological 研究进展及质量标志物预测分析[J]. 中草药,2019,50
changes of muscle after ischemic stroke:a secondary con‐ (19):4785-4795.
sequence of stroke injury[J]. Neural Regen Res,2024,19 ZHOU H P,REN M X,GUAN J Q,et al. Research pro-
(4):737-746. gress on chemical constituents and pharmacological
[ 2 ] 丁元庆,陈哲,唐赛雪. 《金匮要略》对中风研究的贡献与 effects of Chrysanthemum morifolium and predictive
analysis on quality markers[J]. Chin Tradit Herb Drugs,
影响[J]. 山东中医药大学学报,2020,44(5):468-472.
DING Y Q,CHEN Z,TANG S X. Contribution and in- 2019,50(19):4785-4795.
fluence of Synopsis of Golden Chamber to the study of [12] CASTELLANOS-MOLINA A,BRETHEAU F,BOISVERT
A,et al. Constitutive DAMPs in CNS injury:from pre‐
apoplexy[J]. J Shandong Univ Tradit Chin Med,2020,44
(5):468-472. clinical insights to clinical perspectives[J]. Brain Behav
[ 3 ] 祁琥,田丹,张雄伟,等. 菊花提取物对大鼠缺血性脑卒 Immun,2024,122:583-595.
[13] PAWLUK H,KOŁODZIEJSKA R,GRZEŚK G,et al. Se‐
中后肌肉萎缩的改善作用[J]. 中草药,2024,55(20):
6973-6982. lected mediators of inflammation in patients with acute
QI H,TIAN D,ZHANG X W,et al. Improvement effect ischemic stroke[J]. Int J Mol Sci,2022,23(18):10614.
of Chrysanthemum morifolium extract on muscle atrophy [14] QI H,GAO Y L,ZHANG Z Y,et al. Houshiheisan
attenuates sarcopenia in middle cerebral artery occlusion
after ischemic stroke in rats[J]. Chin Tradit Herb Drugs,
(MCAO) rats[J]. J Ethnopharmacol,2025,337(Pt 3):
2024,55(20):6973-6982.
[ 4 ] GIRVEN M,DUGDALE H F,OWENS D J,et al. L- 118917.
glutamine improves skeletal muscle cell differentiation [15] WANG R,CAO L,HE Y Y,et al. Nutrition-associated
and prevents myotube atrophy after cytokine (TNF- α) markers and outcomes among patients receiving enteral
stress via reduced p38 MAPK signal transduction[J]. J nutrition after ischemic stroke:a retrospective cohort study
Cell Physiol,2016,231(12):2720-2732. [J]. BMC Neurol,2024,24(1):303.
[ 5 ] LI Y P,CHEN Y L,JOHN J,et al. TNF-alpha acts via p38 [16] WANG C J,GU H Q,DONG Q,et al. Rationale and de‐
MAPK to stimulate expression of the ubiquitin ligase sign of treatment of acute ischaemic stroke with edara‐
vone dexborneol Ⅱ (TASTE-2):a multicentre ran‐
atrogin1/MAFbx in skeletal muscle[J]. FASEB J,2005,19
domised controlled trial[J]. Stroke Vasc Neurol,2024,9
(3):362-370.
[ 6 ] 杨若聪,曾南,祁琥,等. 菊花提取物用于制备治疗抗缺 (6):730-737.
[17] 李龙,王彬,曲政,等. 依达拉奉右莰醇与复方脑肽节苷
血性脑卒中后肢体萎缩药物的应用:CN202310991235.0
[P]. 2023-09-29. 脂治疗急性缺血性脑卒中的疗效、安全性和经济性[J].
YANG R C,ZENG N,QI H,et al. Application of Chrysan‐ 中国药房,2023,34(8):978-982.
themum extract for treating muscle atrophy after ischemic LI L,WANG B,QU Z,et al. Efficacy,safety and cost-
stroke:CN202310991235.0[P]. 2023-09-29. effectiveness of edaravone dexborneol and compound por‐
[ 7 ] 韩艳秋. 侯氏黑散加减对缺血性脑卒中二级预防临床观 cine cerebroside ganglioside in the treatment of acute ische-
察[J]. 辽宁中医药大学学报,2018,20(3):14-16. mic stroke[J]. China Pharm,2023,34(8):978-982.
(收稿日期:2024-10-30 修回日期:2025-02-19)
HAN Y Q. Clinical observation of modified Houshiheisan
(编辑:唐晓莲)
on prevention of ischemic stroke[J]. J Liaoning Univ Tra‐
中国药房 2025年第36卷第5期 China Pharmacy 2025 Vol. 36 No. 5 · 539 ·