天然产物研究与开发 ›› 2025, Vol. 37 ›› Issue (11): 2154-2171.doi: 10.16333/j.1001-6880.2025.11.019 cstr: 32307.14.1001-6880.2025.11.019

• 综述 • 上一篇    下一篇

中药多糖干预溃疡性结肠炎的作用机制研究进展

冯宇博1,2,陈  好1,2,张相安1*   

  1. 1河南中医药大学第一附属医院肛肠科;2河南中医药大学第一临床医学院,郑州 450000
  • 出版日期:2025-11-27 发布日期:2025-11-26
  • 基金资助:
    河南省中医药科学研究专项(2021JDZY066,2022ZY1043)

Research progress on the intervention mechanism of polysaccharides from traditional Chinese medicine in ulcerative colitis

FENG Yu-bo1,2,CHEN Hao1,2,ZHANG Xiang-an1*   

  1. 1Department of Anorectology,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine;2The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450000,China
  • Online:2025-11-27 Published:2025-11-26

摘要:

溃疡性结肠炎发病率逐步升高,医疗负担日益加重。该病起病隐匿,居民认识度低下,临床治疗上容易错过最佳干预时期,严重影响患者的生命健康及生活质量。目前有关溃疡性结肠炎的治疗仍以对症治疗为主,急需寻找新的有效的治疗手段。中药多糖因其多成分、多靶点、多作用机制的特点,在干预溃疡性结肠炎上表现出巨大的潜力。因此,笔者系统检索中国知网、万方、维普、PubMed等数据库国内外学者近十年公开发表的关于中药多糖的临床应用及药理机制研究文献,本文通过总结,阐述了中药多糖通过调节免疫和改善肠道炎症反应、保护肠黏膜屏障、重塑肠道菌群、抗氧化应激、调控细胞程序性死亡等途径改善溃疡性结肠炎。同时对中药多糖改善溃疡性结肠炎的分子靶点或信号通路进行总结,以期为中药多糖干预溃疡性结肠炎的基础研究、药物研发与临床应用提供参考。

关键词: 中药, 多糖, 溃疡性结肠炎, 作用机制

Abstract:

The incidence of ulcerative colitis(UC) is gradually increasing,and the medical burden is becoming increasingly heavy.The disease has a latent onset and the public′s awareness is low.In clinical treatment,it is easy to miss the best intervention period,which seriously affects the patients′ life,health and quality of life.Currently,the treatment of UC mainly relies on symptomatic treatment,and new and effective treatment methods urgently need to be sought.The polysaccharides of traditional Chinese medicine(TCM),due to their multi-components,multi-targets and multi-acting mechanisms,show great potential in treating ulcerative colitis.Therefore,the author systematically searched the databases such as CNKI,Wanfang,VIP,PubMed and other domestic and foreign scholars′ published research literature on the clinical application and pharmacological mechanism of TCM polysaccharides in the past ten years.This article summarizes and elaborates on how TCM polysaccharides improve ulcerative colitis by regulating immunity and improving intestinal inflammatory responses,protecting intestinal mucosal barriers,reshaping intestinal flora,antioxidizing stress,and regulating programmed cell death,etc.At the same time,the molecular targets or signaling pathways of TCM polysaccharides in improving ulcerative colitis are summarized,in order to provide references for the basic research,drug development and clinical application of TCM polysaccharides in treating ulcerative colitis.

Key words: traditional Chinese medicine, polysaccharides, ulcerative colitis, intervention mechanism

中图分类号:  R285