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粉防己碱治疗肺纤维化作用机制及应用进展
商璐1,2, 董彦2, 刘斌2, 魏路清2, 董敏2
1.天津中医药大学研究生院, 天津 300193;2.中国人民警察部队后勤学院附属医院, 天津 300162
摘要:
肺纤维化(PF)是各种间质性肺疾病晚期的共同结局,目前尚没有有效的治疗方法。粉防己碱为汉防己的主要有效成分之一,在矽肺的治疗方面已经显示出良好的抗纤维化作用,且价格低廉、不良反应少。本文通过复习文献,总结了粉防己碱抗纤维化的主要作用机制包括:抑制炎症反应、改善氧化应激、影响细胞凋亡、干预转化生长因子β(TGF-β)的表达;并对近年来粉防己碱治疗特发性PF的临床报道进行介绍,为粉防己碱治疗特发性PF的临床应用提供理论依据。
关键词:  粉防己碱  组织纤维化  特发性肺纤维化
DOI:10.11656/j.issn.1673-9043.2018.03.21
分类号:R563
基金项目:国家自然科学基金资助项目(81600051)。
Pharmacological research and application progress of tetrandrine in treating idiopathic pulmonary fibrosis
SHANG Lu1,2, DONG Yan2, LIU Bin2, WEI Luqing2, DONG Min2
1.Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.Affiliated Hospital of Logistics University of Chinese People's Armed Police Force, Tianjin 300162, China
Abstract:
Pulmoary fibrosis is the final outcome for a variety of interstitial lung disease,and there is no effective treatment. Tetrandrine (Tet) is the main alkaloid isolated from the lumpy root of Stephania tetrandra,and has shown good anti-fibrosis effect in the treatment of silicosis, with low price and few side effects. this paper is intended to summarize the main mechanism of tetrandrine anti-fibrosis,including:uppressing inflammatory reaction; improving oxidative stress; affecting cell apoptosis; interventing the expression of TGF-β1. meanwhile, the clinical reports of tetrandrine in the treatment of idiopathic pulmonary fibrosis in recent years were introduced, which provided theoretical basis for clinical application.
Key words:  tetrandrine  tissues fibrosis  idiopathic pulmonary fibrosis
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