天然产物研究与开发 ›› 2025, Vol. 37 ›› Issue (5): 974-982.doi: 10.16333/j.1001-6880.2025.5.018 cstr: 32307.14.1001-6880.2025.5.018

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中药靶向调控Wnt/β-catenin信号通路治疗糖尿病足溃疡的研究进展

李金鹏1,郭 婕1*,何 波2*,陈 杰1   

  1. 1甘肃省中医院,兰州 730050;2南阳市中医院,南阳 473007
  • 出版日期:2025-05-28 发布日期:2025-05-26

Research progress on traditional Chinese medicine targeting the Wnt/β-catenin signaling pathway in the treatment of diabetic foot ulcers

LI Jin-peng1,GUO Jie1*,HE Bo2*,CHEN Jie1   

  1. 1Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;2Nanyang Hospital of Traditional Chinese Medicine,Nanyang 473007,China
  • Online:2025-05-28 Published:2025-05-26
  • Supported by:
    甘肃省自然科学基金(22JR5RA620)

摘要:

糖尿病溃疡(diabetic foot ulcer,DFU)是糖尿病常见并发症,表现为足部溃疡合并感染,治疗周期长,具有较高的致残率和病死率。目前,现代医学对DFU的治疗效果并不令人满意,随着中医药的不断发展,中医药的多靶点、多通路、多层次和多系统的治疗优势使其在DFU的治疗中表现出来的效果越来越显著。现代研究表明,DFU的发生发展与多条信号通路相关,其中Wnt/β-连环蛋白(β-catenin)信号通路与DFU的关系最为密切,通过调控相关信号蛋白与基因的表达而参与DFU的发生和发展。近年来研究发现,中药单体、提取物和复方可通过调控Wnt/β-catenin通路下游蛋白与基因的表达而发挥治疗DFU的作用,但缺乏系统的整理与归纳。基于此,文章梳理国内外相关文献,分析阐释中医药干预Wnt/β-catenin信号通路治疗DFU的作用机制,总结和归纳出靶向调控该信号通路的中药单体、提取物和复方等,以期为DFU临床治疗与药物研制提供参考。

关键词: 糖尿病足溃疡, Wnt/β-catenin信号通路, 中医药, 研究进展

Abstract:

Diabetic foot ulcer (DFU) is a common complication of diabetes, which is manifested as foot ulcer combined with infection, has a long treatment cycle, and has a high disability and mortality rate. At present, the therapeutic effect of modern medicine on DFU is not satisfactory, and with the continuous development of traditional Chinese medicine, the multi-target, multi-pathway, multi-level and multi-system therapeutic advantages of traditional Chinese medicine make the effect in the treatment of DFU more and more significant. Modern studies have shown that the occurrence and development of DFU is related to multiple signaling pathways, among which the Wnt/β-catenin signaling pathway is the most closely related to DFU, and is involved in the occurrence and development of DFU by regulating the expression of related signaling proteins and genes. In recent years, studies have found that TCM monomers, extracts and compounds can play a therapeutic role in the treatment of DFU by regulating the expression of proteins and genes downstream of the Wnt/β-catenin pathway. However, there is a lack of systematic collation and induction, based on this, this paper combs the relevant literature at home and abroad, analyzes and explains the mechanism of TCM intervention in the treatment of DFU by Wnt/β-catenin signaling pathway, and summarizes and summarizes the traditional Chinese medicine monomers, extracts and compounds that target the regulation of this signaling pathway, in order to provide reference for the clinical treatment and drug development of DFU.

Key words: diabetic foot ulcer, Wnt/β-catenin (β-catenin) signaling pathway, Chinese medicine, research progress

中图分类号:  R285