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Research progress in traditional Chinese medicine for obesity treatment based on the sirt1 signaling pathway
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DOI   10.11656/j.issn.1672-1519.2025.10.19
Key Words   obesity;SIRT1 signaling pathway;traditional Chinese medicine
Author NameAffiliationE-mail
LI Juan Heilongjiang University of Chinese Medicine, Harbin 150040, China  
SUN Yi The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China  
SUN Quanhao Heilongjiang University of Chinese Medicine, Harbin 150040, China  
LI Jiarui Heilongjiang University of Chinese Medicine, Harbin 150040, China  
DU Likun The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China dulikun@hljucm.edu.cn 
Abstract
    Obesity is a risk factor for various metabolic diseases, and its global prevalence has been rising steadily, emerging as a major public health challenge worldwide. Studies demonstrate that Sirtuins 1(SIRT1) modulates obesity-related pathophysiological mechanisms primarily through targeting downstream signaling molecules including AMP-activated protein kinase(AMPK), Peroxisome proliferator-activated receptor gamma coactivator 1-alpha(PGC-1α), Peroxisome proliferator-activated receptor gamma(PPARγ), Nuclear factor kappa-light-chain-enhancer of activated B cells(NF-κB), Forkhead box O-class proteins(FoxO), and Phosphatidylinositol 3-kinase(PI3K). These regulatory effects encompass white adipose browning, inflammatory responses, oxidative stress balance, insulin resistance(IR) amelioration, glucose and lipid metabolism dysregulation, and gut microbiota homeostasis, collectively contributing to weight reduction and metabolic regulation. Numerous studies have demonstrated that traditional Chinese medicine(TCM) exhibits anti-obesity effects based on SIRT1 pathway activation, characterized by multi-target synergism, pathway diversity, and favorable safety profiles. Nevertheless, systematic reviews elucidating these mechanisms remain scarce. Therefore, based on recent domestic and foreign research, this article aims to gain a deeper understanding of the mechanism of action of the SIRT1 pathway in obesity, and summarize the current research status of using TCM monomers, formulas, and acupuncture to treat obesity through the SIRT1 pathway. The goal is to provide theoretical basis and new ideas for the clinical treatment of obesity and the development of targeted drugs.

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