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醇激素与PRL的分泌调节密切相关:雌激素可作用于垂                                biota  dysbiosis  underlies  olanzapine-induced  weight  gain
                                         [19]
          体前叶雌激素受体刺激PRL的分泌 ;孕激素通过下丘                                [J]. Microbiol Spectr,2023,11(4):e0005823.
                                                 [20]
          脑和垂体膜上的孕激素受体抑制PRL的分泌 ;在应激                           [ 9 ]  LUO S,WEN R Y,WANG Q,et al. Rhubarb peony de‐
          条件下,皮质醇的增加能够通过调节垂体的分泌功能,                                 coction ameliorates ulcerative colitis in mice by regulating
                             [21]
          从而抑制 PRL 的分泌 。Spearman 相关性分析结果显                          gut microbiota to restoring Th17/Treg balance[J]. J Ethno‐
                                                                   pharmacol,2019,231:39-49.
          示,脱硫弧菌属、气球菌属等菌群的相对丰度与类固醇
                                                              [10]  HUANG  X  Q,REN  L Y,HOU  L  B,et  al.  Paeoniflorin
          激素代谢物(如四氢皮质醇、肾上腺甾酮)含量呈显著正
                                                                   ameliorates  antipsychotic-induced  hyperprolactinemia  in
          相关,而瘤胃球菌科UBA1819组、鼠肠杆菌属等菌群的
                                                                   rats by attenuating impairment of the dopamine D2 recep‐
          相对丰度与四氢皮质醇含量呈显著负相关。这一结果                                  tor  and TGF- β1  signaling  pathways  in  the  hypothalamus
          提示,芍药苷可能通过调控肠道菌群、改变肠道菌群相                                 and pituitary[J]. J Ethnopharmacol,2020,257:112862.
          关的代谢物含量来发挥降低 PRL 水平的作用。后续本                          [11]  SEGATA N,IZARD J,WALDRON L,et al. Metagenomic
          研究团队将使用抗菌药物干预及粪菌移植实验进一步                                  biomarker  discovery  and  explanation[J].  Genome  Biol,
          明确肠道菌群与 PRL 之间的关系,以期为芍药苷治疗                               2011,12(6):R60.
          HPRL的具体机制提供理论依据。                                    [12]  WIKLUND S,JOHANSSON E,SJöSTRöM L,et al. Visua-
              综上所述,芍药苷可能通过调节 HPRL 大鼠肠道菌                            lization  of  GC/TOF-MS-based  metabolomics  data  for
          群结构(包括显著降低脱硫弧菌属、异杆菌属、气球菌属                                identification  of  biochemically  interesting  compounds
          的相对丰度,显著上调瘤胃球菌科UBA1819组、鼠肠杆                              using  OPLS  class  models[J]. Anal  Chem,2008,80(1):
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          菌属的相对丰度)、调控类固醇激素生物合成代谢通路
                                                              [13]  TRYGG  J,WOLD  S. Orthogonal  projections  to  latent
          来降低PRL水平,从而发挥抗HPRL的作用。
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          · 1616 ·    China Pharmacy  2025 Vol. 36  No. 13                            中国药房  2025年第36卷第13期
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