天然产物研究与开发 ›› 2020, Vol. 32 ›› Issue (2): 350-357.doi: 10.16333/j.1001-6880.2020.2.020

• 综述 • 上一篇    

植物类中药成分的肾脏毒性及其机制研究进展

李思聪1,毕磊2,刘欣2*   

  1. 1北京大学药学院,北京100191;2北京中医药大学中药学院,北京100029
  • 出版日期:2020-02-29 发布日期:2020-04-23
  • 基金资助:

    国家自然科学基金面上项目(81874349)

Research progress on nephrotoxicity and mechanism of ingredients from Chinese herbal medicine

LI Si-cong1,BI Lei2,LIU Xin2   

  1. 1School of Medicine,Peking University Health Science Center,Beijing 100191,China;2School of Traditional Chinese Medicine,Beijing University of Traditional Chinese Medicine,Beijing 100029,China
  • Online:2020-02-29 Published:2020-04-23

摘要: 植物类中药长期以来被认为安全有效、无严重毒副作用,但是近年来随着马兜铃、关木通等植物类中药导致肾脏严重不良事件的报道,植物类中药的肾脏毒性引发了国内外学者的关注。本文将按植物类中药化学成分进行分类,对有机酸、苷类、毒性蛋白、生物碱、萜类、木脂素、黄酮、蒽醌等8类植物类中药成分肾脏毒性的临床表现、病理变化、发病机制以及对中毒的预防和治疗措施进行逐一阐述。

关键词: 肾脏毒性, 植物, 中药, 马兜铃, 毒理学

Abstract: Chinese herbal medicines have been considered as safe and effective without serious toxic and side effects for a long time.However,in recent years,with reports of serious kidney adverse events caused by Aristolochia debilis, A. manshuriensis and other Chinese herbal medicines,nephrotoxicities have attracted more and more scholars’ attention at home and abroad.In this paper,according to the chemical components of Chinese herbal medicine,the clinical manifestations,pathological changes,pathogenesis,prevention and treatment measures of nephrotoxicity of 8 kinds of traditional Chinese medicine components,such as organic acids,glycosides,toxic proteins,alkaloids,terpenes,lignans,flavonoids,anthraquinone,are described one by one in this article.

Key words: nephrotoxicities, botany, traditional Chinese medicine, Aristolochia debilis, toxicology

中图分类号: 

R97