广东省中药上市后质量与药效再评价工程技术研究中心/广东省热带亚热带植物资源重点实验室/中山大学生命科学学院,广东 广州 510275
严曾豪(1993年生);研究方向:中药作用和机制;E-mail:yanzengh@yeah.net
苏薇薇(1959年生);研究方向:创新药物研制、中药上市后再评价及中药国际化;教授、博士生导师;广东省中药上市后质量与药效再评价工程技术研究中心主任;研究领域为创新药物研制、中药上市后再评价及中药国际化;发表论文400余篇(其中SCI收录135篇);出版专著18部(第一著者);获得中国发明专利授权82件,国际专利授权7件。现任世界中医药学会联合会网络药理学专业委员会副会长,广东省中医药学会网络药理学专业委员会主任委员。E-mail:lsssww@126.com
纸质出版日期:2021-05-25,
网络出版日期:2021-04-15,
收稿日期:2020-08-05,
录用日期:2020-10-28
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严曾豪,张伟健,吴灏等.脑心通胶囊的物质基础及其改善代谢紊乱相关疾病作用及机制的研究进展[J].中山大学学报(自然科学版),2021,60(03):12-18.
YAN Zenghao,ZHANG Weijian,WU Hao,et al.Progress in the material basis, and effects and mechanisms of Naoxintong Capsule on metabolic disturbance-related diseases[J].Acta Scientiarum Naturalium Universitatis Sunyatseni,2021,60(03):12-18.
严曾豪,张伟健,吴灏等.脑心通胶囊的物质基础及其改善代谢紊乱相关疾病作用及机制的研究进展[J].中山大学学报(自然科学版),2021,60(03):12-18. DOI: 10.13471/j.cnki.acta.snus.2020.08.05.2020E033.
YAN Zenghao,ZHANG Weijian,WU Hao,et al.Progress in the material basis, and effects and mechanisms of Naoxintong Capsule on metabolic disturbance-related diseases[J].Acta Scientiarum Naturalium Universitatis Sunyatseni,2021,60(03):12-18. DOI: 10.13471/j.cnki.acta.snus.2020.08.05.2020E033.
脑心通胶囊是由黄芪、丹参等十六味中药组成的复方中药大品种,具有益气活血、化瘀通络的功效。临床上主要用于治疗心脑血管疾病,疗效确切。大量临床研究和基础研究均表明,脑心通胶囊具有抗血小板聚集、抗血栓、抗炎、抗动脉粥样硬化、改善代谢紊乱等广泛的药效作用。代谢紊乱是大部分心脑血管疾病的共同病理基础和危险因素,本文就脑心通胶囊物质基础及改善代谢紊乱相关疾病方面的研究进展进行综述,为其揭示科学内涵以及拓展临床应用提供新思路。
Naoxintong Capsule is a traditional Chinese medicine formulation composed of 16 traditional Chinese medicines, such as
Astragali Radix
(Huangqi) and
Salviae miltiorrhizae
Radix
et
Rhizoma
(Danshen). It is clinically used to treat cardiovascular and cerebrovascular diseases with the functions of benefiting qi for activating blood circulation and promoting blood circulation for removing obstruction in collaterals. A number of clinical and basic studies have shown that Naoxintong Capsule possesses extensive pharmacological activities, such as anti-platelet aggregation, anti-thrombus, anti-inflammation, anti-atherosclerosis and improving metabolic disturbance. Metabolic disturbance is a common risk factor and causes most of cardiovascular and cerebrovascular diseases. This article reviewed the progress in the material basis, and effects and mechanisms of Naoxintong Capsule on metabolic disturbance and its related diseases, and proposed perspectives for its scientific intension and clinical application.
脑心通胶囊物质基础代谢紊乱心脑血管疾病作用机制
Naoxintong Capsulematerial basismetabolic disturbancecardiovascular and cerebrovascular diseaseseffects and mechanisms
赵涛,薛人珲, 刘娜, 等. 脑心通胶囊的组方分析[J]. 光明中医, 2012, 27(12):2576-2578.
ZHAO T, XUE R H, LIU N, et al. Component analysis of Naoxintong Capsules [J]. Guangming Chinese Medicine, 2012, 27(12):2576-2578.
LIU L T. Chinese experts consensus on clinical application of Naoxintong Capsule [J]. Chinese Journal of Integrative Medicine, 2018, 24(3):232-236.
HAN J H, TAN H, DUAN Y J, et al. The cardioprotective properties and the involved mechanisms of NaoXinTong Capsule [J]. Pharmacological Research, 2019, 141:409-417.
ZHANG W J, SU W W, LI P B, et al. Naoxintong Capsule inhibits the development of cardiovascular pathological changes in Bama minipig through improving gut microbiota [J]. Frontier in Pharmacology, 2019, 10:1128.
YAN Z H, WU H, ZHOU H K, et al. Integrated metabolomics and gut microbiome to the effects and mechanisms of Naoxintong Capsule on type 2 diabetes in rats [J]. Scientific Reports, 2020, 10(1):10829.
WANG S S, XU H Y, MA Y, et al. Characterization and rapid identification of chemical constituents of NaoXinTong Capsules by UHPLC-linear ion trap/orbitrap mass spectrometry [J]. Journal of Pharmaceutical & Biomedical Analysis, 2015, 111:104-118.
MA X H, LV B, LI P, et al. Identification of “Multiple Components-Multiple Targets-Multiple Pathways” associated with Naoxintong Capsule in the treatment of heart diseases using UPLC/Q-TOF-MS and network pharmacology [J]. Evidence-Based Complementary and Alternative Medicine, 2016:9468087.
WANG H L, JIANG Y, DING M Y, et al. Simultaneous determination and qualitative analysis of six types of components in Naoxintong Capsule by miniaturized matrix solid‐phase dispersion extraction coupled with ultra high‐performance liquid chromatography with photodiode array detection and quadrupole time‐of‐flight mass spectrometry [J]. Journal of Separation Science, 2018, 41(9):2064-2084.
LI J, BAI Y, BAI Y, et al. Pharmacokinetics of caffeic acid, ferulic acid, formononetin, cryptotanshinone, and tanshinone IIA after oral administration of Naoxintong Capsule in rat by HPLC-MS/MS [J]. Evidence-Based Complementray and Alternative Medicine, 2017:9057238.
HE Y, SU W W, CHEN T B, et al. Identification of prototype compounds and derived metabolites of Naoxintong Capsule in beagle dog urine and feces by UFLC-Q-TOF-MS/MS [J]. Journal of Pharmaceutical & Biomedical Analysis, 2019, 176:112806.
XU H Y, SHI Y, ZHANG Y Q, et al. Identification of key active constituents of Buchang Naoxintong Capsules with therapeutic effects against ischemic stroke by using an integrative pharmacology-based approach [J]. Molecular BioSystems, 2016, 12(1):233-245.
YANG S, LIU M Y, CHEN Y L, et al. NaoXinTong Capsules inhibit the development of diabetic nephropathy in db/db mice [J]. Scientific Reports, 2018, 8(1):9158.
LIU M Y, PAN Q, CHEN Y L, et al. NaoXinTong inhibits the development of diabetic retinopathy in db/db mice [J]. Evidence-Based Complementary and Alternative Medicine, 2015:242517.
KOBIYAMA K, LEY K. Atherosclerosis [J]. Circulation Research, 2018, 123(10):1118-1120.
YANG X X, SUN L, LI YAN, et al. NaoXinTong inhibits the advanced atherosclerosis and enhances the plaque stability in apolipoprotein E deficient mice [J]. Journal of Cardiovascular Pharmacology, 2016, 67(3):203-211.
YANG X X, LI Y, SUN L, et al. NaoXinTong enhances atorvastatin-induced plaque stability while ameliorating atorvastatin-induced hepatic inflammation [J]. Journal of Cardiovascular Pharmacology, 2017, 69(1):55-64.
ZHAO J J, ZHU H, WANG S J, et al. Naoxintong protects against atherosclerosis through lipid-lowering and inhibiting maturation of dendritic cells in LDL receptor knockout mice fed a high-fat diet [J]. Current Pharmaceutical Design, 2013, 19(33):5891-5896.
ZHONG X N, WANG H H, LU Z Q, et al. Effects of Naoxintong on atherosclerosis and inducible nitric oxide synthase expression in atherosclerotic rabbit [J]. Chinese Medicine Journal (English), 2013, 126(6):1166-1170.
LI Q, CHEN Y, ZHAO D, et al. NaoXinTong Capsule inhibits carrageenan-induced thrombosis in mice [J]. Journal of Cardiovascular Pharmacology, 2018, 72(1):49-59.
卫培峰, 张三印, 焦晨莉. 脑心通胶囊对大鼠急性“血瘀”证的血液流变性的影响[J]. 中西医结合心脑血管病杂志, 2003, 8:463-465.
WEI P F, ZHANG S Y, JIAO C L. Effect of Naoxintong Capsule on hemorrheology of acute "blood stasis" syndrome in rats [J]. Journal of Integrated Traditional Chinese and Western Medicine, 2003, 8:463-465.
WANG Y Q, YAN X X, MI S L, et al. Naoxintong attenuates ischaemia/reperfusion injury through inhibiting NLRP3 inflammasome activation [J]. Journal of Cellular and Molecular Medinine, 2017, 21(1):4-12.
WANG H, QIU L Z, MA Y K, et al. Naoxintong inhibits myocardial infarction injury by VEGF/eNOS signaling-mediated neovascularization [J]. Journal of Ethnopharmacology, 2017, 209:13-23.
XU H M, JIN J H, CHEN L, et al. Naoxintong/PPARα signaling inhibits H9c2 cell apoptosis and autophagy in response to oxidative stress [J]. Evidence-Based Complementary and Alternative Medicine, 2016:4370381.
YUAN S P, JIN J H, CHEN L, et al. Naoxintong/PPARγ signaling inhibits cardiac hypertrophy via activation of autophagy [J]. Evidence-Based Complementary and Alternative Medicine, 2017:3801976.
ZHANG W J, SU W W, LIN Q W, et al. Protective effects of Naoxintong Capsule on rats with blood stasis syndrome [J]. Biotechnology & Biotechnological Equipment, 2020, 34(1): 1077-1086.
ZHANG W J, SU W W, LIN Q W, et al. Protective effects of Naoxintong Capsule alone and in combination with ticagrelor and atorvastatin in rats with Qi deficiency and blood stasis syndrome [J]. Pharmaceutical Biology, 2020, 58(1): 1006-1022.
XUE J, ZHANG X J, ZHANG C, et al. Protective effect of naoxintong against cerebral ischemia reperfusion injury in mice [J]. Journal of Ethnopharmacology, 2016, 182:181-189.
MA N Y, ZHAO P, ZHU J Q, et al. Naoxintong protects primary neurons from oxygen-glucose deprivation/reoxygenation induced injury through PI3K-Akt signaling pathway [J]. Evidence-Based Complementary and Alternative Medicine, 2016: 5815946.
WANG H Y, ZHOU H F, HE Y, et al. Protective effect of Naoxintong Capsule combined with guhong injection on rat brain microvascular endothelial cells during cerebral ischemia-reperfusion injury [J]. Chinese Journal of Integrative Medicine, 2020.
LIU M T, LIU X, WANG H P, et al. Metabolomics study on the effects of Buchang Naoxintong Capsules for treating cerebral ischemia in rats using UPLC-Q/TOF-MS [J]. Journal of Ethnopharmacology, 2016, 180:1-11.
XU J, LIU X, LUO L Y, et al. A metabonomics investigation into the therapeutic effects of Buchang NaoXinTong Capsules on reversing the amino acid-protein interaction network of cerebral ischemia [J]. Oxidative Medicine and Cellular Longevity, 2019:7258624.
LIU X, WANG Q, CUI Y R, et al. Multiple protein and mRNA expression correlations in the rat cerebral cortex after ischemic injury and repair due to buchang naoxintong jiaonang (BNJ) intervention [J]. Biomedicine & Pharmacotherapy, 2020, 109917.
CAPRIO F Z, SOROND F A. Cerebrovascular disease: primary and secondary stroke prevention [J]. Medical Clinics of North America, 2019, 103(2):295-308.
JrWHAYNE T F. Prevention of carotid artery atherosclerosis:What is the evidence?[J].Angiology, 2017, 68(8): 661-668.
LIANG Q E, CAI Y F, CHEN R X, et al. The effect of Naoxintong Capsule in the treatment of patients with cerebral infarction and carotid atherosclerosis: A systematic review and meta-analysis of randomized trials [J]. Evidence-Based Complementary and Alternative Medicine, 2018:5892306.
WIRTZ P H, VON KANEL R. Psychological stress, inflammation, and coronary heart disease [J]. Current Cardiology Reports, 2017, 19(11):111.
LEOPOLD J A, LOSCALZO J. Emerging role of precision medicine in cardiovascular disease [J]. Circulation Research, 2018, 122(9):1302-1315.
黎丽娴, 陈立, 赵焕佳, 等. 脑心通胶囊对急性心肌梗死患者血管内皮功能及梗死面积的影响[J]. 中国中西医结合杂志, 2011, 31(12):1615-1618.
LI L X, CHEN L, ZHAO H J, et al. Effects of Naoxintong Capsule on vascular endothelial function and infarct size in patients with acute myocardial infarction [J]. Chinese Journal of Integrated Traditional and Western Medicine, 2011, 31(12):1615-1618.
陈达开, 张怀勤, 张建华. 脑心通对阿司匹林抗血小板治疗的干预作用[J]. 中国中西医结合杂志, 2008(9):843-846.
CHEN D K, ZHANG H Q, ZHANG J H. Interventional effect of Naoxintong on aspirin anti-platelet therapy [J]. Chinese Journal of Integrated Traditional and Western Medicine, 2008(9):843-846.
CHEN H, ZHANG Y, WU X Y, et al. In vitro assessment of cytochrome P450 2C19 potential of Naoxintong [J]. Evidence-Based Complementary and Alternative Medicine, 2012:430262.
CHEN H, YU G W, SUN H, et al. Comparison of adjunctive Naoxintong versus clopidogrel in volunteers with the CYP2C19*2 Gene mutation accompanied with Qi deficiency and blood stasis constitution [J]. Evidence-Based Complementary and Alternative Medicine, 2011:207034.
SUN H, LOU X Y, WU X Y, et al. Up-regulation of CYP2C19 expression by BuChang NaoXinTong via PXR activation in HepG2 cells [J]. PLoS One, 2016, 11(7): e0160285.
沈富伟, 曹娜, 向建林, 等. 脑心通胶囊治疗糖尿病合并颈动脉粥样硬化疗效观察[J]. 四川中医, 2018, 36(2):210-212.
SHEN F W, CAO N, XIANG J L, et al. Therapeutic effect of Naoxintong Capsule on diabetes mellitus with carotid atherosclerosis [J]. Sichuan Traditional Chinese Medicine, 2018, 36(2):210-212.
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