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基于“短链脂肪酸-肠屏障”途径探讨中药在腹泻型肠易激综合征中的干预研究进展

  • 窦鑫 ,
  • 贺昌辉 ,
  • 梅笑 ,
  • 潘海迪 ,
  • 马源鑫 ,
  • 王伟
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  • 1.山东中医药大学,第一临床医学院,(济南 250355 )
    2.山东中医药大学,中医学院,(济南 250355 )
    3.山东中医药大学附属医院消化内二科 (济南 250012 )

收稿日期: 2024-02-22

  网络出版日期: 2024-07-30

基金资助

国家自然科学基金青年基金项目(81904128);国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-035);山东省中医药重点学科中医脾胃病学(鲁卫中医药科教字[2022]4号);山东省中医药科技项目面上项目(M-2023167)

Research progress on the intervention of traditional Chinese medicine in IBS⁃D based on the "SCFAs⁃intestinal barrier" pathway

  • Xin DOU ,
  • Changhui HE ,
  • Xiao MEI ,
  • Haidi PAN ,
  • Yuanxin MA ,
  • Wei. WANG
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  • *.The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Ji′nan 250355,China

Received date: 2024-02-22

  Online published: 2024-07-30

摘要

腹泻型肠易激综合征(IBS-D)是一种临床常见的功能性胃肠病,“短链脂肪酸-肠屏障”途径在IBS-D发病中起重要作用。中药单体/化合物或复方可通过多通路、多靶点调控“短链脂肪酸-肠屏障”治疗IBS-D。本文以短链脂肪酸与肠道四大屏障的关系及介导IBS-D发病为切入点,对中药单体/化合物和复方靶向调控“短链脂肪酸-肠屏障”治疗IBS-D的相关文献进行了系统回顾与梳理;从“大肠主津”角度探讨短链脂肪酸-肠屏障”导致IBS-D的理论依据,以期为建立具有中医药特色的精准治疗体系提供思路与借鉴。

本文引用格式

窦鑫 , 贺昌辉 , 梅笑 , 潘海迪 , 马源鑫 , 王伟 . 基于“短链脂肪酸-肠屏障”途径探讨中药在腹泻型肠易激综合征中的干预研究进展[J]. 实用医学杂志, 2024 , 40(15) : 2177 -2182 . DOI: 10.3969/j.issn.1006-5725.2024.15.023

Abstract

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a clinically common functional gastrointestinal disease, the "SCFAs-intestinal barrier" pathway plays an important role in the pathogenesis of IBS-D. Traditional Chinese medicine monomers/compounds or Chinese medicine compound can treat IBS-D by regulating the "SCFAs-intestinal barrier" through multiple pathways and multiple targets. This article takes the relationship between SCFAs and the four major intestinal barriers, as well as the mediating effect of IBS-D,as the starting point to systematically review and sort out the relevant literature on the targeted regulation of "SCFAs-intestinal barrier" in the treatment of IBS-D by Traditional Chinese medicine monomers/compounds and Chinese medicine compound; explores the theoretical basis of IBS-D caused by "SCFAs-intestinal barrier" from the perspective of "Large intestine dominating fluid", in order to provid ideas for Traditional Chinese medicine to establish a precision treatment system with Chinese medicine characteristics.

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